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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Small Collar Osteophytes On Hips. Had Bilateral XRays. Why Is The Pain Getting Worse?

Hi Dr Sunil.
My name is Doris. I've had bilateral x-rays done on both of my hips. I have small collar osteophytes on both hips. I've been to PT since the middle of Sept. But now the pain is worse. I have the pain bad when I sit down and try to get up, or try to get out of the car. I feel so crippled. I've been using stop pain...I rolled it all over the thigh and hip area. I had this for well over a year. What is the next step?
Mon, 11 Nov 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

As per your description, you have mild arthritic changes in your hips producing the symptomatology.

The initial measures for hip arthritis is always conservative by the following means-

* ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling. These are the best forms of exercise with arthritic hips as they do not require significant weight bearing across the hip joints.
* WEIGHT LOSS - Significant weight loss for obese patients can make a dramatic difference in the pain arising from arthritic joints.
* NON STEROIDAL ANTIINFLAMMATORY DRUGS (NSAIDs) - This family of medications includes aspirin, ibuprofen, naprosyn, and other non-narcotic medications to decrease pain and inflammation.
* GLUCOSAMINE / CHONDROITIN SULFATE - There is compelling evidence that it is relatively safe and works by decreasing pain & inflammation in the joint thereby reducing the need for regular painkiller usage.
* HIP INJECTIONS - Injection therapies do not "cure" the underlying problems of arthritis, but can be useful for short term relief (potentially for a few months).

Hopefully, your symptoms should improve with the above measures.

Hope this information is helpful. Good day
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Have Small Collar Osteophytes On Hips. Had Bilateral XRays. Why Is The Pain Getting Worse?

Hi, thanks for writing to HCM. As per your description, you have mild arthritic changes in your hips producing the symptomatology. The initial measures for hip arthritis is always conservative by the following means- * ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling. These are the best forms of exercise with arthritic hips as they do not require significant weight bearing across the hip joints. * WEIGHT LOSS - Significant weight loss for obese patients can make a dramatic difference in the pain arising from arthritic joints. * NON STEROIDAL ANTIINFLAMMATORY DRUGS (NSAIDs) - This family of medications includes aspirin, ibuprofen, naprosyn, and other non-narcotic medications to decrease pain and inflammation. * GLUCOSAMINE / CHONDROITIN SULFATE - There is compelling evidence that it is relatively safe and works by decreasing pain & inflammation in the joint thereby reducing the need for regular painkiller usage. * HIP INJECTIONS - Injection therapies do not cure the underlying problems of arthritis, but can be useful for short term relief (potentially for a few months). Hopefully, your symptoms should improve with the above measures. Hope this information is helpful. Good day