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 How
the Hip Works
The joint of the hip is one of the body’s largest weight-bearing joints. It
has two main parts: the ball or head, which is at the top of the thighbone
(femur) that fits into a rounded socket in the pelvis. Ligaments and muscles
connect the ball to the socket and stabilize the joint. Covering the ends of the
ball and socket is a smooth covering of cartilage that cushions the bones and
allows them to move easily.
The Damaged Hip
When any part of the hip joint becomes damaged, movement of the joint can
become stiff. With time, the cartilage may begin to thin or wear away. This can
result in the actual bones rubbing together as the hip joint moves. This causes
pain and stiffness when the bones of the ball and socket rub together. Joint
damage can result from osteoarthritis (degenerative arthritis), inflammatory
arthritis such as Rheumatoid Arthritis, or a hip fracture from a fall or other
traumatic injury.
 Is
Hip Replacement Surgery for You?
The decision to have hip replacement surgery is best made
between you, your family, your primary care doctor and your orthopedic surgeon.
Typically your primary care doctor will refer you to an orthopedic surgeon for
an evaluation of your hip problem. An evaluation will likely include a review of
your medical history, a physical exam of your hip joint and X-rays.
Recommendations for hip replacement surgery are based on your overall health,
the extent of your pain and disability, and your age. Hip replacement surgery
may benefit you if:
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Your hip pain and/or stiffness limits your daily activities
such as walking, climbing stairs or getting out of bed or a chair.
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You experience minimal or no pain relief from
anti-inflammatory drugs such as Ibuprofen or if you are experiencing side
effects from these medications.
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Other treatments such as injections into the joint, physical
therapy or assistive devices such as a walker, don’t relieve the pain in
your hip
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