Minimally Invasive Therapies for Osteoarthritic Hip Pain: a Comprehensive Review
- 6 June 2020
- journal article
- review article
- Published by Springer Nature in Current Pain and Headache Reports
- Vol. 24 (7), 1-11
- https://doi.org/10.1007/s11916-020-00874-8
Abstract
Purpose of Review Osteoarthritis (OA) is a highly prevalent cause of chronic hip pain, affecting 27% of adults aged over 45 years and 42% of adults aged over 75 years. Though OA has traditionally been described as a disorder of "wear-and-tear," recent studies have expanded on this understanding to include a possible inflammatory etiology as well, damage to articular cartilage produces debris in the joint that is phagocytosed by synovial cells which leads to inflammation. Recent Findings Patients with OA of the hip frequently have decreased quality of life due to pain and limited mobility though additional comorbidities of diabetes, cardiovascular disease, poor sleep quality, and obesity have been correlated. Initial treatment with conservative medical management can provide effective symptomatic relief. Physical therapy and exercise are important components of a multimodal approach to osteoarthritic hip pain. Patients with persistent pain may benefit from minimally invasive therapeutic approaches prior to consideration of undergoing total hip arthroplasty. The objective of this review is to provide an update of current minimally invasive therapies for the treatment of pain stemming from hip osteoarthritis; these include intra-articular injection of medication, regenerative therapies, and radiofrequency ablation.Keywords
This publication has 83 references indexed in Scilit:
- Percutaneous Radiofrequency Denervation in Patients With Contraindications for Total Hip ArthroplastyOrthopedics, 2012
- Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United StatesSocial Science & Medicine, 2010
- Growth Factor-Rich Plasma Increases Tendon Cell Proliferation and Matrix Synthesis on a Synthetic Scaffold: AnIn VitroStudyTissue Engineering, Part A, 2010
- Therapeutic trajectory of hyaluronic acid versus corticosteroids in the treatment of knee osteoarthritis: A systematic review and meta‐analysisArthritis Care & Research, 2009
- Prevalence of Hip Symptoms and Radiographic and Symptomatic Hip Osteoarthritis in African Americans and Caucasians: The Johnston County Osteoarthritis ProjectThe Journal of Rheumatology, 2009
- Radiological Anatomy of the Obturator Nerve and Its Articular Branches: Basis to Develop a Method of Radiofrequency Denervation for Hip Joint PainPain Medicine, 2008
- Diagnostic Accuracy of Clinical Assessment, Magnetic Resonance Imaging, Magnetic Resonance Arthrography, and Intra-Articular Injection in Hip Arthroscopy PatientsThe American Journal of Sports Medicine, 2004
- Percutaneous Radiofrequency Lesioning of Sensory Branches of the Obturator and Femoral Nerves for the Treatment of Hip Joint PainRegional Anesthesia & Pain Medicine, 2001
- Percutaneous radiofrequency lesioning of sensory branches of the obturator and femoral nerves for the treatment of hip joint painRegional Anesthesia & Pain Medicine, 2001
- The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hipArthritis & Rheumatism, 1991