2Pain Killers and Steroid Injections Treatment optionsPain Killers and Steroid InjectionsKey Hole Surgery(Arthroscopy)Hip ReplacementTREATMENT OPTIONS AS DISEASE SEVERITY INCREASESPhysiotherapyPlease note each case of hip and/or groin pain is specific and treatment options will vary from patient to patient.
3Pain Killers and Steroid Injections Aid in alleviating swollen joints and therefore can possibly help reduce pain in the hip.Advantages:Avoid surgeryDisadvantages:Often improves but does not resolve painMay not improve functionSteroids require injection and may only work for a limited period of time
4Key Hole Surgery (Arthroscopy) Through minor incisions, surgeons scrape away the excess pieces of bone rubbing down the joint and causing hip pain.Advantages:Day-case procedureMay reduce risk of developing OA, but not yet known (see FAIT study)Disadvantages:Less effective if patient has early stages of OALike all surgical procedures there is always a risk of complicationsCan take 12 months to derive full benefit
5Hip Replacement Advantages: Definite treatment for source of pain Major surgery that requires the surgeon to go in and alter the hip with, depending on the case- ceramic on ceramic, ceramic on polyethylene (plastic), or metal on polyethylene.Advantages:Definite treatment for source of painDisadvantages:Major surgery with possible complicationsJoint replacements may only last years before revision surgery required (even bigger surgery)10% of people have on going pain
6Physiotherapy Disadvantages: Can be used separately or in addition to any of the other treatment options listed previously. A trained physiotherapist would work with you on your condition to create a treatment regime. Much of their prescribed treatment would require work in your personal time with regular visits over a certain time period to see how you are progressing.Advantages:Can be used as a non-surgical optionCan be used in addition to key hold surgery or hip replacementMay reduce risk of developing OA, but that is not known yet (see FAIT study)Disadvantages:Depending on your case it may not be enough to relieve the pain
7Surgical Results Q1 Results: Q2 Results: According to the National Joint Registry (NJR) 86,488 hip procedures were recorded in the UK in 20128Patients were followed up post surgery and answered questions about their progress:Q1: Satisfaction after the operation (Describe the results of the operation)Q2: Success: Problems now compared to before operationQ1 Results:Over 73% of the patients recorded Excellent or Very GoodQ2 Results:Over 85% of the patients recorded Much Better8. Accessed on 18 Nov 2013.
8Please return to the main page and click on, ‘Our Studies’, to find out more about our current trials and how you can get involved