Hip pain is one of the most common types of orthopaedic complaint we treat here at Ashtead Hospital. This isn’t surprising as the hip joint is one of your most flexible and largest weight-bearing joints. It provides support to your upper body when standing, walking and running and also helps movements such as bending and stretching.
Your hip joint is comprised of a ball (the femoral head at the top of your thigh bone) and a socket (the acetabulum on your pelvis for the femoral head to sit in) as well as muscles, ligaments and cartilage that work together to offer support and allow you to move.
Over time your hip may become worn or damaged due to osteoarthritis, rheumatoid arthritis, bone diseases and abnormalities. Your hip may suffer from a fracture or break due to a fall or sporting injury. All of these can lead you to experience severe pain and discomfort.
At Ashtead Hospital we have a highly experienced and professional orthopaedic team supporting your hip surgeon in the diagnosis, treatment and management all types of hip problems.
The range of hip surgeries we offer
Hip replacement surgery
A hip replacement may be recommended if you’re experiencing persistent pain which is interfering with your ability to perform everyday activities such as getting dressed and walking around your home.
This pain may develop because you have osteoarthritis (the wearing of cartilage inside your hip), rheumatoid arthritis (the attacking of your hip joint lining due to a fault in your immune system), a hip fracture or injury following a fall.
When you have hip replacement surgery your damaged or worn hip joint will be replaced with an artificial hip joint made of metal, ceramic or plastic. Surgery should relieve your pain and improve your hip function providing a greater ability to move around and an improved quality of life.
You may initially be advised to rest, undergo physiotherapy, take medications and injections for your hip pain but if these don’t relieve your pain your hip surgeon may undertake a hip arthroscopy to help diagnose and sometimes treat at the same time your hip problem.
A hip arthroscopy allows your hip specialist to look inside your hip joint using a small camera called an arthroscope that is inserted into you hip joint using small incisions.
If they decide that treatment is required they may make a few more incisions to insert some small surgical instruments and perform a procedure at the same time. It may be that your orthopaedic surgeon observes loose bodies such as bony spurs or synovium (joint lining) in your joint and their removal will relieve your pain or they may see that your labral (cartilage) is torn which needs repairing.
Sometimes, after hip replacement surgery, you will need a further artificial hip or a revision of a total hip replacement. This will most likely be due to wear and tear. The majority of hip replacements last between ten to twenty years and so it depends on the age you have your hip replacement and the extent and type of use. If you have an accident or fall that’s results in a fracture or dislocation of your hip then you might also need a hip revision.
As with a hip replacement once a hip revision has been performed its aim is to enable you to have a better quality of life without pain and with the ability to move around and perform normal daily activities.
Hip block injection
Your hip specialist may feel that you don’t need a hip replacement at this stage as your symptoms aren’t severe enough. They may recommend hip block injection to relieve your pain. A hip block injection is administered under X-ray guidance and contains local anaesthetic and a steroid to ease your pain and reduce inflammation. It can also be used to identify the source of your pain before other stages of surgery.