2 Pain 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.
3 Pain 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
4 Key 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
5 Hip 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
6 Physiotherapy 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
7 Surgical 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.
8 Please return to the main page and click on, ‘Our Studies’, to find out more about our current trials and how you can get involved