Hip Pain in GP Flashcards
what do patients present to their GP with in relation to hip pain
pain/discomfort, referred pain, night pain/insomnia, exercise related pain, stiffness
what things might patients not be able to do that they used to
walking distances, play sports, go up and down stairs, put on socks/shoes
what do patients look for from their GP
relief of pain, referral, restoration of function, reassurance
what is involved in the MSK physical exam
look, feel, move
what does ‘look’ section of physical exam look for
scars, symmetry, deformity
what does the ‘feel’ section of the physical exam feel for
bony landmarks, tenderness, heat
what does the ‘move’ section of the physical exam feel for
range of movement, stiffness, pain on moving
what investigations may be done by the GP
X-ray, CRP, viscosity, FBC, calcium, alkaline phosphate
when is an X-ray used in GP
only if it will affect your management
what are the 4 things looked for on an MSK X-ray
Loss of joint space, Osteophytes, Sclerosis, Subarticular cysts
(LOSS)
what pharmacological management can be used for hip pain in GP
analgesics, NSAIDs, complementary medicines
what non-pharmacological management can be used for hip pain
education, weight reduction, walking stick, physio, home adaptations
what are some of the factors that affect GP decision to refer hip pain or not
pain(esp. night pain), loss function, physical + mental fitness, age, support at home
what are the common causes of hip pain
osteoarthritis, rheumatoid arthritis, fracture, referred from back pain, malignancy
what are some rare causes of hip pain
soft tissue disease, Paget’s disease, infection, avascular necrosis
