Hip Displasia Treatment Options
Yoga – can help to strengthen muscles and keep your range of motion
-Physiotherapy / Hydrotherapy – can help with range of motion and strength and in some times learning how to walk and move properly.
Working out at the gym- low impact on legs is a must but this is a good way to save money on PT once you know what to do for your hips
Pain management- I always encourage anyone who is doing pain management to also do it with PT. The less you use your body the worse it gets and hurts.
Cortisone injections – this shot goes into the hip joint with the help of a fluoroscopic view of your hip. It is a steroid injection that works like ibuprofen. Now I singled this out because yes it is technically pain management but it is the big boy of them all. This is not only a treatment but a diagnostic tool to see if your issue can be helped without surgery or not.
Hip Arthroscopy- can be done as a treatment and diagnostic surgery. They use a camera to go in the hip joint and traction (meaning they are making the hip joint wider to better see in there). Once in they repair any tears to the labrum and look around to see the full extent of damage done to the joint that MRI, CT, and X-ray won't be able to see.
Osteotomies- Yes this one is all about breaking the hip bone and realigning it to your femoral head. This is a preserving surgery that is used to keep the hip joint from deterioration and is only done if you have no arthritis. This has been the most used and (in my opinion) best surgery in the fight against total hip replacement due to hip dysplasia. The recovery is longer than a replacement but in the long run you get to keep your hip joint and there is NOTHING in this world better than your original bone. Not titanium, not any metal they can and will use on you to repair the joint. If you find out early and they suggest this please think about it and realize waiting is the worst thing you can do for hip dysplasia when it comes to surgery like this but as always it is your choice and you are the one who has the final say in this. There are different types of osteotomies but that is something you can look up in hipdysplasia.org if you want to learn more.
Hip Resurfacing- You can have a partial replacement called resurfacing that focuses on replacing the femur and letting the acetabulum alone. In this surgery, you get to keep most of your bone which is as you know better than metal. This is also considered a preserving surgery since it is not a total hip replacement. This is not a common surgery for hip dysplasia because the anatomy must be in tact with no deformations to the acetabulum which is mostly not the case for us with hip dysplasia.
Hip Replacment- Now for hip replacement the entire joint is being removed and replaced. A ceramic cup and titanium rod is put in as the substitute parts. (Metal on metal is dangerous and can make you very sick in my honest opinion because of the amount of people I know who got very sick and close to dying due to metal poisoning from the cobalt and chromium used in metal on metal joint. Again that is my honest and strong opinion.)
With a hip replacment nothing is promised and a lot can happen including needing a revsion surgery only 5 years after epending on your body and the parts used. Hip placement is the last resort for hip dysplasia.
Total Hip Replacement
According to the international hip Dysplasia Institute, “20% of all total hip replacement surgeries performed on adults under the age of 50 are due to hip Dysplasia. 5% of all total hip replacement surgeries performed are due to hip Dysplasia”.
As someone with hip Dysplasia, that personally hurts to hear. This is unacceptable and it is due to the lack of doctors actually looking for it or even knowing to look for it. There was a protocol years ago implemented by doctors to check babies for Hip Dysplasia and it doesn't get done for every child like it should. This proof to that is in this article here.
That BBC article is for the UK but I truly believe it is happening in the United States as well. This is the reason among many other reasons why this June I want to raise as much awareness as I can and paint gold and blue on everything.
There is so much more that can be done including joining a hip dysplasia group and working with the people in your area to raise awareness or start a fundraiser in a way that raises awareness and money for the hip dysplasia institute. The possibilities are endless and well worth it.