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Hip Problems and Surgery

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Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery
Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

Medical Tourism Services>>

- First consultation about the overall of your personal conditions and the treatment programs available in Thailand.
- Recommend the professional hip, knee and joint specialists surgoen and team with highly experienced and international standard qualified.
- Offer the health secretary service to co-operate with hospital and make your personal arrangement.
- Planing your personal program, expected the date(treatment period), estimate budgeting.
- Arrange the accommodations , living place/hotel up to the treatment expected date and your requirement.

On your coming

- Arrange the transportation to pick up you at Airport and send to the hotel we've prepared.
- Assist for any necessary needed during your long staying.
- On the hospital appointment day, take you to hospital and be your health secretary, assist you to manage your plan details from doctor.
- Visiting during the recovery period
- Recommend and guide you the attraction trips in Bangkok, Thailand or some nearby, so that you can relax and enjoy during the treatment vacation.

Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

Structure of Hip

 

   The hip is a ball-and-socket joint where the head of the femur articulates with the cuplike acetabulum of the pelvic bone. The acetabulum fits tightly around the head of the femur. The ball is normally held in the socket by very powerful ligaments that form a complete sleeve around the joint (the joint capsule). The capsule has a delicate lining (the synovium). The head of the femur is covered with a layer of smooth cartilage which is a fairly soft, white substance. The socket is also lined with cartilage. This cartilage cushions the joint, and allows the bones to move on each other with very little friction. Ligaments and muscles surrounding the joint provide motion and stability.

 

 

Hip anatomy animation

Resource>> eOrthopod.com

The Causes of Hip Pain

    Hip is the joint where the thigh bone meets the pelvis bone. Hips are called ball-and-socket joints because the ball-like top of the thigh bone moves within a cup-like space in the pelvis.

   Hip pain results from damage to the hip joint-a ball and socket joint that connects the ball-shaped top of the leg bone (femur) to the hip socket.

Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery
Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

                                   Osteoarthritis (OA)

 

   Osteoarthritis (OA), or degenerative joint disease, is the result of the stresses and strains on the joint that occur over many years. It occurs most often in the weight-bearing joints of the hip, knee, ankle, and foot. The joint cartilage on the ends of the bone, which prevents smooth, friction-free movement inside the joint becomes damaged. With osteoarthritis, you may have a painful, grinding feeling as the joint moves and the bone surfaces rub against each other. Pain, stiffness, swelling, and difficulty walking. In some cases, family history plays a role in the development of OA.

Risk Factors and causes
>> Osteoarthritis is associated with aging.The exact cause is unclear. As osteoarthritis develops, you experience loss of cartilage, bone spurs around the joint, and muscle weakness of the extremity.
>> Excess body weight
>> Family history of osteoarthritis
>> Certain endocrine, metabolic, or neuropathic disorders, avascular necrosis
>> Having an injury or surgery to the joint surface, especially the cartilage
>> Having an occupation or doing physical activities that put stress on joints

Symptoms
>> Mild-to-severe pain in a joint, especially after overuse or long periods of inactivity, such as sitting for a long time
>> Creaking or grating sound in the joint
>> Swelling, stiffness, limited movement of the joint, especially in the morning
>> Deformity of the joint

 

Treatment
The goal of treatment is to reduce joint pain and inflammation and to improve joint function. Treatments may include;
>> Medications, dietary supplements
>> Alternative therapies (eg, acupunture, relaxation therapy, yoga)
>> Mechanical aids (eg, shock-absorbing shoes, splints or braces, firm mattress, canes, crutches, walkers)
>> Losing weight
>> Exercise and physical therapy
>> Heat and ice therapy
>> Corticosteroid injections
>> Surgery

                      Osteoporasis

   Throughout life, old bone is removed and new bone is added to the skeleton. During childhood and adolescence, new bone is added faster than old bone is removed. As a result, bones become heavier, larger, and denser. Peak bone mass is reached around age 30. From that point on, more bone is lost than is replaced, usually at a slow rate. When women reach menopause and their estrogen level drops, bone loss begins to more rapidly exceed bone replacement. If not treated, excessive bone losses may lead to osteoporosis. Osteoporosis is more likely to occur if optimal bone mass was not achieved during the bone-building years.

 

Symptoms

   Osteoporosis doesn't cause symptoms until bone fractures. Therefore, patients may not be aware of their osteoporosis until they suffer a painful fracture. The symptom associated with osteoporotic fractures usually is pain; the location of the pain depends on the location of the fracture. 

   Hip fractures typically occur as a result of a fall. With osteoporosis, hip fractures can occur as a result of trivial slip-and-fall accidents. Hip fractures also may heal slowly or poorly after surgical repair because of poor healing of the bone.

Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

Causes and Risk factors
>> Women are at greater risk of developing osteoporosis than men. This is because they have less bone tissue than men and have a sudden drop in hormones-especially estrogen-at menopause.
>> Advance age
>> Mono-pause women
>> Family history of osteoporosis
>> Gastrointestinal malabsorption
>> Having another endocrine disorder (eg, thyroid disorder, diabetes)
>> Dietary factors, low intake of calcium or vitamin D
>> Excessive use of alcohol, coffee, or tea
>> Lack of exercise
>> Smoking
>> prolonged use of certain medications, such as corticosteroids, medicines to suppress the immune system, chemotherapy, thyroid medicines, antidepressants, antiseizure medicines. **Consult doctor before stopping or reducing your medicine.

 

Treatment

>> Analgesics

>> Topical creams

>> Nonsteroidal anti-inflammatory drugs (known as NSAIDs)

>> Apropriate exercises

>> Physical therapy

>> Joint splinting; or joint replacement surgery for seriously damaged larger joints, such as the knee or hip.

Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

   Rheumatoid arthritis (RA)

 

   Rheumatoid arthritis (RA) is an inflammatory disease of the synovium, the tissue that lines the inside of the joints and produces a fluid that keeps the joints lubricated. Unlike osteoarthritis, which is largely caused by stress and strain to the joint, rheumatoid arthritis is a disease that causes the joint's synovium to become inflamed and thickened. This breaks down the surrounding cartilage, ligaments, and even bone. The joints become swollen, painful, stiff, and deformed. Because RA is a "systemic" disease (a disease that affects the whole body), some patients with RA have other problems not related to the joints.

Risk Factors
>> RA is more common in women
>> More common in people between the ages of 30 and 60.
>> Family members with RA
>> Over weight or obesity
>> Heavy or long-term smoking

Causes
  RA is caused by a combination of genetic and environmental factors that trigger an abnormal immune response. Possible causes include;
>> Genes—People with rheumatoid arthritis may have a specific genetic defect that increases their risk for developing this condition.
>> Defects in the immune system may cause the immune cells to fail to recognize the body’s own tissues.
>> Infection with specific viruses or bacteria that kick off an abnormal immune response.
>> Chemical or hormonal imbalances in the body.

Symptoms
>> Increased pain and stiffness in the morning and after inactivity
>> Morning stiffness and pain that lasts more than 30 minutes
>> Red, swollen, warm joints
>> Deformed, misshapen joints
>> Intense fatigue, decreased energy
>> Muscle aches
>> Decreased appetite
>> Weight loss
>> Fever and sweats
>> Insomnia
>> Small lumps or nodules under the skin

Treatment
>> The goals of treatment are to relieve pain, reduce inflammation, slow down joint damage and improve functional ability. There are a variety of medicines to treat the pain and inflammation of RA.
>> Rest reduces active joint inflammation and pain and fights fatigue. >> Exercise is important for maintaining muscle strength and flexibility and preserving joint mobility.
>> Devices that help with daily activities can also reduce stress on joints.
>> Stress reduction can ease the difficulties of living with a chronic, painful disease (eg, joining a support group, cognitive behavioral therapy, meditation).
>> Joint replacement and tendon reconstruction help relieve severe joint damage.

Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

Avascular necrosis or Osteonecrosis

   Avascular necrosis of the hip is the death of bone tissue in the head of the femur due to an inadequate blood supply. Certain bones have a fragile blood supply. The head of the femur in the hip joint is the most likely to suffer loss of blood supply. This can cause tissue death. If unidentified and uncorrected, it will progress to deformity, causing pain and a limp.

Cause
   Osteonecrosis occurs when part of the bone does not get blood and dies. After a while the bone can collapse. If osteonecrosis is not treated, the joint deteriorates, leading to severe arthritis. Osteonecrosis can be caused by disease, or a severe trauma, such as a fracture or dislocation, that affects the blood supply to the bone.
Osteonecrosis can also occur without trauma or disease, the following can cause:
>> Using oral or intravenous steroids
>> Excessive alcohol use
>> Sickle cell disease
>> Radiation therapy
>> Gaucher disease
>> Decompression sickness from a lot of deep sea diving
>> Dislocation or fractures around a joint
>> Clotting disorders

 

Symptoms
There are no symptoms in the early stages. As bone damage worsens, you may have the following symptoms:
>> Pain in the joint that may increase over time and becomes severe if the bone collapses
>> Pain that occurs even at rest
>> Limited range of motion
>> Groin pain, if the hip joint is affected
>> Limping, if the condition occurs in or below the hips

Treatment
>> Taking nonsteroidal and other pain relievers and performing non-weight-bearing exercises may prevent or minimize disease progression.
>> There are several surgical procedures used to treat avascular necrosis of the hip. The choice depends upon the extent of disease and the age and health status of the patient. Bone grafts, decompression of the inside of the bone, realignment of the bone, and prosthetic hip replacement are all available.

Joint Bursitis

   A bursa is a closed fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees. When a bursa becomes inflamed, the condition is known as "bursitis."
 

Causes
>> A blow to an area containing a bursa
>> Repetitive stress on the bursa
>> Infection in bursa
>> Long periods of pressure on joint—leaning on elbows, sitting or kneeling on hard surfaces
>> Medical conditions that cause inflammation in joints such as rheumatoid arthritis or gout
If the stress is not relieved, bursitis can become a long-term condition.

 

Symptoms
>> Pain in the area
>> Swelling
>> Reddened skin
>> Warmth around the area of the bursa
>> Decreased motion of the nearby joint
>> Decreased function of the nearby limbs.

 

Treatment
   Bursitis treatment will focus on decreasing inflammation and pain. The main step is to stop the activity causing the pain. You will be asked to rest the area and protect it from injury. Doctor may also recommend;
>> Applying ice to the area in the first few days
>> Anti-inflammatory medications
>> Crutches or a cane if knee or hip bursitis needs support
>> A corticosteroid injection.
>> Physical therapy sessions may include exercises and heat therapy
>> Surgery, if all other treatments are not effective

Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery
Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

Tendinitis

 

   Tendinitis is a type of injury that occurs with overuse. It results when a tendon, the thick cord that attaches the bone to the muscle, becomes inflammation or irritated due to an impact or injury. The damage occurs when the body is unable to rebuild the tendon with adequate rest.

Causes and Risk factors


>> Overuse of the the tendon is the most common cause of tendinitis

>> Acute injury to the tendon, such as an excessive stretch
>> Sports
>> Physical labor
>> Physical problems
>> Muscle imbalance
>> Decreased flexibility
>> Overweight
>> Advancing age
>> Alignment abnormalities of the leg

Symptoms
>> Pain in the tenon or surrounding area, particularly with activity
>> Decreased motion of related joints
>> Local swelling
>> Weakness

Treatment
>> Conventional treatment consists primarily of avoiding the movement that caused the injury and allowing the body to heal on its own.
>> Rest for the affected tendon
>> Cast or splint for immobilization of the affected area
>> Ice after activity
>> Shoe orthotics for foot alignment problems
>> Gentle stretching of the tendon
>> Topical pain relievers, such as creams or patches that are applied directly to the skin
>> Non-steroidal anti-inflammatory drugs (such as ibuprofen)
>> Steroid injection into the tendon

Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

Hip Dislocation /Hip Dysplasia

 

   Dislocation occurs when the ball–shaped head of the femur comes out of the cup–shaped acetabulum set in the pelvis. The ligaments of the hip joint may also be loose and stretched. This may happen to a varying degree. A dislocated hip, is a condition that can either be congenital or injuries.

 

Causes and risk factors
>> A hip dislocation can only occur when a strong force is applied to the hip joint.
>> Severe falls, especially from heights
>> Motor vehicle accidents
>> Sports injuries, especially from football, rugby, skiing, and snowboarding
Factors that can increase your chance of developing this condition include:
>> Congenital deformity of hip or hip dysplasia
>> Abnormal hip joint
>> High risk behaviors, such as excessive alcohol use
>> Poor muscle control or weakness leading to falls

 

Symptoms
>> Severe pain in the hip, especially when attempting to move the leg
>> Pain that spreads to the legs, knees, and back
>> Leg on the affected side appears shorter than the other leg
>> Hip joint appears deformed
>> Pain or numbness along the back of thighs if injury presses on the sciatic nerve
>> Being unable to walk

Treatment
>> Closed Reduction, the doctor will manipulate the thigh and leg. This is to try to put the ball of the femur back into the hip socket. You may be given medications to relax, such as pain medication, sedation, muscle relaxants, general or spinal anesthesia
>> Open Reduction
In some cases, surgery is needed. Open reduction is often done if:
- Closed reduction is unsuccessful
- Bony fragments or soft tissue remain in the joint space
- The joint remains unstable
- The thigh or pelvic bones are also broken
>> Physical rehabilitation may be advised

Hip Surgery

Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

Total Joint Replacement in Thailand!!

 

High quality standard of care and affordable price.

Total Hip Replacement Animation

 

Resource>> PreOp.com

Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

                                       Total hip replacement (THR)


   Total hip replacement is most commonly used to treat joint failure caused by osteoarthritis. Other indications include rheumatoid arthritis, avascular necrosis, traumatic arthritis, protrusio acetabuli, certain hip fractures, benign and malignant bone tumors, arthritis associated with Paget's disease, ankylosing spondylitis and juvenile rheumatoid arthritis. The aims of the procedure are pain relief and improvement in hip function.

   Patients commonly undergo THR after non-operative treatments (such as activity modifications, medications for pain or inflammation, or use of a cane) have failed to provide relief from arthritis symptoms.

   THR involves surgically removing the arthritic parts of the joint (cartilage and bone), replacing the “ball and socket” part of the joint with artificial components made from metal alloys, and placing high-performance bearing surface between the metal parts.

    Patients typically spend a few days in the hospital after the procedure (3 to 5 days is most typical), and some patients benefit from a short inpatient stay in a rehabilitation facility after that to help transition back to living independently at home. Most patients will walk with a walker or crutches for 3 weeks and then use a cane for another 4 weeks; after that, the large majority of patients are able to walk freely.

Thailand Medical Agency, back surgery, hip surgery, knee surgery, Infertility treatment, Cosmetic Surgery

Thailand Medical Agency

Hip surgery

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