Ivan Urits1, Vwaire Orhurhu2, Jordan Powell3, Anu Murthy4, Brendon Kiely4, Samara Shipon5, Rachel J Kaye6,7, Alan D Kaye6, Brett L Arron6, Elyse M Cornett6, Omar Viswanath5,6,8,9. 1. Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA. iurits@bidmc.harvard.edu. 2. Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA. 3. University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA. 4. Georgetown University School of Medicine, MedStar Georgetown University Hospital, Washington, DC, USA. 5. Valley Anesthesiology and Pain Consultants, Envision Physician Services, Phoenix, AZ, USA. 6. Department of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA. 7. Medical University of South Carolina School of Medicine, Charleston, SC, USA. 8. Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA. 9. Department of Anesthesiology, University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA.
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.
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.
Authors: Paul F Abraham; Nathan H Varady; Kirstin M Small; Nehal Shah; Luis S Beltran; Michael P Kucharik; Scott D Martin Journal: Orthop J Sports Med Date: 2021-10-25