Scenario 5

Question 1

OA Hip whats the SIN factor?

Answer 1

Severity - low/med 4/10 – dull ache
Irritability - aggs on flexion (putting socks on & playing balls). ↓to 2/10 within 1hr stopping
Nature – mechanical as pain intermittent

SIN factor is Moderate
(NB: may go into continuous from inflam aspect:OA)

Question 2

What is the process of OA?

Answer 2

Degenerative joint disease:

Deterioration of articular cartilage
(water content as ages can reduce in cartilage-fiboris and split)

Formation of osteophytes (attempt to repair joint)

Debris can cause inflam:stretch of capsule

Question 3

Problems and AIMs of treatment

Answer 3

Decrease ache/pain at hip (VAS)

Return him to playing balls and walking to pub if he had to stop

Increase RoM hip flexion

Decrease any stiffness if any

NB: no neuro defecits,red or yellow flags

Question 4

Ax for Hip?

Answer 4

AROM & PROM hip flexion on both hips

End-feel,pain or resistance first,quality,RoM
(norm: 130° - consider age)

Accessory (AP) on G.Trochanter- see how joint glides:concave convex rule

Question 5

What treatment options do you have?

Answer 5

AROM & PROM hip flexion on both hips

End-feel,pain or resistance first,quality,RoM
(norm: 130° - consider age)

Accessory (AP) on G.Trochanter- see how joint glides:concave convex rule

Distraction (belt) – open up joint space to ↑ joint space and fluid:relieve pain

MWM (sustained flex knee and L.cordad)