Hip OA

Question 1

Risk factors for hip OA

Answer 1

Age
Developmental disorders
Gender
Previous injury

Question 2

Weight control for OA

Answer 2

• 1 pound reduction in weight is 3 pound reduction in compression forces at hip
• High BMI will not cause OA but will progress it

Question 3

Moviegoers sign

Answer 3

Stiffness after sitting for a while

Question 4

Prognosis for hip OA

Answer 4

Kellgren/Lawrence grade is an important predictive factor

Question 5

Conservative measures fail if…

Answer 5

patient does not have increase of at least 20% on pain subscale of WOMAC

Progressive loss of jt space 0.3-0.7mm/yr

Question 6

Anti-inflammatories role in OA treatment

Answer 6

Indicated to control pain and increase function

May increase progression of OA by decreasing GAG synthesis

Question 7

Use of chondroitin is….

Answer 7

Not recommended in patients with hip OA

Question 8

Hyaluronic Acid

Answer 8

Positive results for hip OA but only FDA approved for the knee currently

Question 9

Patient education

Answer 9

Can provide 20% more pain reduction than NSAIDs alone

Question 10

Gait training/Assistive devices

Answer 10

Contralateral AD and ipsilateral load

Balance and strength training to decrease fall risk

Question 11

Manual therapy role

Answer 11

Can be effective to provide short term pain relief and improve mobility and function for mild to moderate hip OA