OA- Hip OA Information

Question 1

Hip OA: clinical features about hip pain

Answer 1

Gradual onset, increases with joint use, relieved (incompletely) with rest
Morning stiffness and pain up to 30 minutes
Pain at rest or at night are common

Question 2

Strongest clinical indication of hip OA

Answer 2

Pain exacerbated by internal or external rotation of the hip while the knee is in full extension

Question 3

Hip OA treatment: strongly recommended nonpharm treatment

Answer 3

exercise, self-efficacy and self-management programs, weight loss (if overweight), tai-chi, cane

Question 4

Hip OA treatment: conditionally recommended nonpharm treatment

Answer 4

heat, therapeutic cooling, CBT, acupuncture, balance training/yoga

Question 5

Hip OA treatment: strongly recommended pharm treatment

Answer 5

PO NAIDs, topical NSAIDs, intra-articular steroids

Question 6

Hip OA treatment: conditionally recommended pharm treatment

Answer 6

APAP, tramadol, duloxetine, topical capsaicin

Question 7

Hip OA classification/diagnosis

Answer 7

Hip pain and at least ⅔ following:

ESR <20mm/hr
Radiographic femoral or acetabular osteophytes
Radiographic joint space narrowing (superial, axial, and/or medial)