Health and Wellbeing Segment – Hip

Speaking of SPORTSMED, you can ‘like’ SPORTSMED SA on Facebook to keep up to date with all the latest news and information, and we would pop down there during the week where we caught up with a great team at SPORTSMED. The hip can be considered as the foundation for the low limbs or the bottom half of the leg and certainly the hip has what we call the ‘glutes’, which is the biggest muscle in the body and the most important in controlling where our pelvis is in space and time. When you walk you take one half times your body weight through that leg and so the hip surrounding it needs to take the majority of it, otherwise the rest of the limb, so the knee or the ankle, will have to absorb that and that can lead to further injuries. With our general population, a lot of the older population tend to have irritation of the outside part of the hip, which we call ‘bursitis’, and also people who partake in labour type jobs. One of the more common presentations we see see here in the orthopedic area of SPORTSMED is of arthritis of the hip as people are ageing and they can develop wear and tear in the hip with loss of cartilage which can lead to a lot of chronic pain in the hip. A lot of hip injuries that occur with footballers are because of rotation or high loads, jumping and landing. They can get get femoroacetabular impingement, so impingements of the hip, or they can get muscle strains of their distal leg to the quad strain. When players are reaching down for low balls they quite vigorously flex the hip up and twist it in, and that can cause some impingement in the hip which can lead to tears in there cartilage in the hip. One of the interesting parts in hip replacement surgery in particular is the development of more minimally invasive surgical techniques for the hip. Traditionally, hip replacement surgery was done through either the posterior approach or the lateral approach, both of which require some splitting and cutting of muscle. Whereas over the last 10 years a better technique has been developed to go through what’s called the anterior approach, which is a less invasive approach through the front of the hip. It involves going between the muscles and therefore patients have a bit less pain afterwards, they tend to get up a little more quickly and there is a little bit of a lower risk of dislocation of the hip replacement afterwards as well. It takes approximately six weeks to rehabilitate following a hip arthroscopy or hip replacement. One of the great advantages here at SPORTSMED, is we have a close liasion with our physiotherapy colleagues who can assess the patients both before the surgery and after the surgery, and help them with their rehabilitation to get them moving more quickly. As you can see, they are absolutely world-class and can sort you out with whatever you need, and get you back to being you with SPORTSMED SA.

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