Arthritis of the Hip (Hip Arthritis).

If every step you take makes you less mobile.

Imagine you are a car. With each journey you hear a clattering noise in the back right-hand tyre. It is out-of-round. With every turn the noise gets louder and the condition of the tyre deteriorates. The problem builds up. A small stone or even only a loose screw now forces you to find a garage because otherwise you will no longer be able to continue driving.
The 'out-of-round' tyre is in real life your hip. Only if a joint is running 'out-of-round' does it cause pain. With every step. And with each additional step the pain seems to increase. The blame lies in the phenomena of wear and tear in the hip joint, medically correct term 'arthritis'. Here too a little damage has escalated badly.

 

Arthritis in the hip - a joint gets worn...

If cartilage tissue is damaged the femoral head and acetabulum (hip socket) rub against each other. Arthritis develops.

If cartilage tissue is damaged the femoral head and acetabulum (hip socket) rub against each other. Arthritis develops.

The hip joint consists of a femoral head and acetabulum. So that the bones do not rub painfully against each other and grind together, there is a protective lubricating layer between the - the cartilage tissue. If the joint is worn the protective cartilage tissue is damaged or sometimes completely removed. Then with each additional movement within the joint more tissue is removed. At some point both bones of the joint will rub against each other without any buffer. This will hurt.
But there are good treatments for arthritis of the hip. And this does not automatically mean an operation or artificial hip joint – even if in some patients with arthritis of the hip this is inevitable at some point in time. We have gained a wealth of experience here at the Schön Klinik with individual physiotherapy concepts combined with pain relievers. In addition we use surgical procedures which can postpone the time for an artificial hip joint.

 

Hip arthritis. Information from A-Z

Information. What happens at hip arthritis?

What is arthritis?

Arthritis is the medical term for wear and tear in the joint. Or better said: Excessive wear and tear in the joint &ndash a change in the joint which is not a normal part of the ageing process. This is because a joint can wear out – like everything that is used and moved a lot and frequently. Joints show traces of wear and tear.

 

Step by step towards hip arthritis.

Wear and tear in the joint: When the protective cartilage layer between the femoral head and acetabulum gets worn out, the joint hurts. Signs of arthritis.

Wear and tear in the joint: When the protective cartilage layer between the femoral head and acetabulum gets worn out, the joint hurts. Signs of arthritis.

A joint always consists of two bones which are lubricated and protected by cartilage tissue. But this protective sleeve can get worn &ndash.  in the hip in most cases because of excessive stress.  Once injured then progressive destruction of the cartilage tissue occurs. This is because unevenness or abnormal positions in the hip displace the bones very slightly increasing friction within the joint. For the hip joint this means: With each step the joint becomes damaged a little more. Then joint capsule and joint mucosa can become involved 'in sympathy'.

If in the case of advanced stage arthritis part of the protective cartilage layer in the hip wears out and the bones of the joint rub against each other in this area. For those affect it is very painful. In addition the constant rubbing of the bones against each other can bring about deformations of the bones in the hip joint itself. The whole joint comes out of its frame – like an out-of-round car tyre. This in turn leads to rapid removal of the remaining cartilage layer: A vicious circle.

 

Symptoms. Signs of hip arthritis

What are the symptoms of hip arthritis?

Pain in the hip and therefore restricted mobility are symptoms which bring patients with hip arthritis to us. Initially symptoms only occur during prolonged or strenuous exertion: The joint hurts when going on long walks, when climbing stairs or walking on uneven ground.

Once the joint cartilage has started to degenerate, the joint becomes more worn with each step – the joint behaves in a similar way to a car tyre „out-of-round"; So the initial pains occur more frequently and sooner.

 

Symptoms: Start-up pain and rubbing noises.

Initially the pain hurts only when going for long walks. Even later when sitting on the sofa. Arthritis expresses itself primarily by pain and associated restrictions in mobility.

Initially the pain hurts only when going for long walks. Even later when sitting on the sofa. Arthritis expresses itself primarily by pain and associated restrictions in mobility.

In the case of arthritis of the hip so-called „"start-up pain" occurs: After long periods of inactivity, for example after a cosy evening watching television, patients with hip arthritis cannot get up quickly out of the armchair. They must first of all „"warm up"; extend and stretch their joints in order to be able to move without any pain. In the advanced stages of arthritis of the hip patients frequently complain about fatigue pains and pains when the joint is completely at rest. Depending on the degree of wear it is possible to hear rubbing noises when walking. Some patients can no longer perform certain movements and show signs of 'catching' in the joint.

 

Concomitant symptom: Back pain from abnormal postures.

Frequently postures adopted to avoid discomfort or abnormal weight-bearing also cause adjoining joints to be drawn in 'in sympathy'. In the case of hip arthritis these are primarily the sacroiliac joint and the knee joint. Abnormal postures also often cause damage to the back in the lumbar spine. In the advanced stages of arthritis therefore back pain may also be a lead symptom.

 

Causes. What causes osteoarthritis of the hip?

How does hip arthritis develop?

Arthritis can develop without a detectable cause. A little damage to the cartilage or damage to surrounding tendons and joints in this case counts as the initial impact which causes the symptoms which then become more and more severe. This is because a little damage to the cartilage develops into increased friction in the hip joint – similar to a stone in a shoe. It presses. It hurts. It can cause painful blisters on the feet.

Damage to cartilage in the hip joint means: Increased friction with each movement. The joint is put under more stress, the cartilage is more quickly worn out and inflammation in the joint develops quickly. This too damages the joint surfaces further.

 

Abnormal positions of the hip accelerate arthritis.

In use daily: A joint wears out with the passage of time. Abnormal postures or injuries can increase the phenomena of wear and tear.

In use daily: A joint wears out with the passage of time. Abnormal postures or injuries can increase the phenomena of wear and tear.

Abnormal postures and overburdening the hip can considerably accelerate arthritis however. Hip arthritis is triggered primarily by abnormal postures of the hip caused by congenital malformations, accidents involving fractures to the femoral neck and pelvic fractures with involvement of the joints.

Triggers for abnormal postures include:

  • Femoral head necroses, partial dying of the bone of the femoral head from circulatory disorders or metabolic diseases.
  • Inflammation from rheumatic diseases
  • bacterial infections
 

Passage of time: Arthritis is a natural aging process.

But wear and tear to joints is also blamed on daily use and use throughout life and therefore is a totally natural ageing process. With rising life expectancy degenerative diseases of the joints are becoming naturally more and more frequent when it comes to treating clinical pictures.

 

Diagnostics & Therapy

How is a hip arthrosis detected and treated? Learn more about diagnostics and the treatment in our specialized hospitals.

Diagnostics & Therapy

 

Endoprothesis: Everyday life

An artificial hip is ALMOST like your own. It is precisely because of this that some types of sport and exercise are out of the question.

Everyday life. Advice & Tips

Specialised clinics

From non-invasive therapy to joint surgery. Our specialized clinics for the treatment and rehabilitation of hip arthritis at a glance.

Specialised clinics