Hip
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Painful Total Hip

Painful Total Hip

In This Article

What is a Painful Total Hip?

Painful Total Hip refers to persistent hip pain following total hip replacement surgery. It can be due to implant issues, soft tissue problems, or infection.

  • Chronic pain after hip arthroplasty
  • May indicate complications with the implant or surrounding tissues

Overview of the Condition

Patients experiencing persistent pain after a hip replacement require thorough evaluation to determine the underlying cause.

Symptoms

  • Persistent hip pain after replacement
  • Difficulty with mobility
  • Possible signs of infection or implant loosening

Causes

Causes can include implant failure, infection, soft tissue impingement, or nerve irritation.

Diagnosis

Evaluation includes clinical examination, laboratory tests, and imaging studies such as X-rays and CT scans.

Treatment Options

  • Non-surgical management with medications and physical therapy
  • Revision surgery if implant issues or infection are confirmed

Conservative Management

Initial management may include pain control, physical therapy, and activity modification.

Rehabilitation Exercises

  1. Gentle range-of-motion exercises
  2. Strengthening of hip and core muscles
  3. Gait training and balance exercises

Surgical Options

Revision surgery may be necessary if conservative treatments fail or if there is evidence of implant failure or infection.

Anatomy Overview

A total hip replacement involves replacing the femoral head and the acetabulum. Pain may originate from any component or the surrounding tissues.

Affected Areas

  • Hip joint and prosthetic components
  • Surrounding soft tissues

Frequently Asked Questions

QuestionAnswerWhat causes persistent pain after hip replacement?It may be due to implant issues, infection, or soft tissue problems.Is revision surgery common?Revision surgery is reserved for cases where conservative treatment fails.

Prevention Strategies

  • Follow postoperative rehabilitation protocols
  • Maintain a healthy weight
  • Attend regular follow-up appointments

Related Conditions

  • Aseptic loosening
  • Periprosthetic joint infection

Additional Treatments

Adjunctive therapies such as targeted physiotherapy and pain management strategies are important.

A Quick, Clear First Step Toward Joint Pain Relief

In under 2 minutes, OrthoCheck gives you a likely diagnosis—no appointment needed. If follow-up care is recommended, we’ll connect you with a top-rated orthopedic specialist near you.