Examination of hip arthrosis

Synonyms in the broadest sense

Hip joint arthrosis, osteoarthritis of the hip joint, coxarthrosis, coxarthrosis, hip arthrosis, arthrosis hip joint

introduction

The medical part about the Coxarthrosis (Hip joint wear) can be found at Orthopedics online, written by Dr. Nicolas Gumpert. The following topic is about the physical therapy examination and Treatment of coxarthrosis.

The basis for the physiotherapy and sports therapy treatment plan are the medical diagnosis, history and course and the actual condition of the affected hip joint.

We distinguish 3 stages:

1. Clinically inconspicuous osteoarthritis, as it is still symptom-free in everyday life, possibly pain after high stress, often incidental finding. Slight cartilage damage may already be visible in the X-ray. With functional findings, slight restrictions in the splaying and internal rotation movement, no changes in the gait pattern yet. It makes sense to start with sports therapy, rehabilitation sports or physiotherapy / manual therapy as prophylaxis.

2. Clinically conspicuous activated (inflammatory) hip arthrosis with episodic pain and restricted mobility that often occurs during or after exercise, cartilage damage and osteophytes (bony outgrowths on the edge of the bone) visible in the X-ray, the joint gap is slightly narrowed. Intensification of physiotherapy / manual therapy and rehabilitation sports. Drug therapy depending on the pain and inflammation findings.

3. Chronic hip joint arthrosis with constant pain and disability, significant restrictions of movement, in particular the splaying and internal rotation movement due to inflammatory reaction, pronounced narrowing of the joint space in the X-ray image, pebbly cysts (cartilage and bone necrosis), bony deformation of the hip joint. Medicinal or surgical therapy and physiotherapy / manual therapy necessary, accompanying rehabilitation sports.

The physiotherapy treatment is primarily oriented less to the various stages, which are never exactly demarcated and flow into one another, than to the current symptoms, the performance and the goals of the patient. Based on the medical diagnosis, the physiotherapist carries out an exact assessment and filters out the main individual problems of the patient. Are pain, restricted mobility, or everyday restrictions in the foreground? What can be the cause of the pain that does not always have to be synonymous with the diagnosis of hip osteoarthritis? Or is the physiotherapeutic treatment primarily used in preparation for a planned joint replacement operation? What is the compliance (cooperation, motivation) and social situation of the patient like? Exact physiotherapeutic findings and functional analysis lead to a hypothesis of pain development and functional impairment. This forms the basis for the treatment strategy and the success of the treatment. Every treatment is preceded by comprehensive information on the medical background and the progression of hip osteoarthritis.

Patient survey

Appointment with a hip expert?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

The hip joint is one of the joints that are exposed to the greatest stress.
The treatment of the hip (e.g. hip arthrosis, hip impingement, etc.) therefore requires a lot of experience.
I treat all hip diseases with a focus on conservative methods.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

• Lumedis - your orthopedic surgeon
  Kaiserstrasse 14
  60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert

prehistory

• Are there congenital hip problems?

• What kind of complaints are there, pain, functional impairment?

• Localization of the complaints?

• How long have the complaints persisted?

• Was there a triggering reinforcing event?

• Which medical treatments have already taken place?

• What are the main problems in everyday life?

• Does the patient need aids?

• Do you plan to have an operation?

• Which pain relief strategies has the patient tried himself? With or without success?

Description of pain

• Localization of pain? Hips, back, radiation pain?

• Pain quality? Pulling, burning, stabbing?

• Pain intensity according to the VAS scale? (Pain scale)

• Dependence on stress?

• 24 hour behavior of the complaints?

• Dependence on footwear?

• Start-up pain in the morning or after sitting for a long time?

• Day and night behavior?

• What will ease the pain?

Social situation

• Everyday stress? Job, household, children?
• Difficulties (requirement versus resilience) in everyday life? (The degree of restrictions can be determined with the appropriate questionnaires)
• Sports?
• What are the patient's goals and expectations?

Physical examination

• Consideration of the statics while standing
• Gait analysis, evasive movements? In which stress phase does the pain intensify?
• Manual therapeutic examination of the range of motion of both Hip joints and the spine
  
• Manual therapeutic examination of the freedom of movement of the pelvic joints, knee and Ankles
• Pain provocation tests and nerve stretching tests to find out the cause of pain (hip joint, spine, sacrum, knee joint, ligaments, nerves?) As precisely as possible
• Testing of muscle strength (hip, leg, core muscles), strength endurance and cardiopulmonary endurance
• Palpable finding of the surrounding Musculature and connective tissue, pain localization
• Trial treatment with manual therapy, relief?
• Lies Obesity in front?