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Joint Pains


What is a Joint?

A joint is formed by the ends of two or more bones that are connected by thick bands of tissue called ligaments. For example, the knee joint is formed by the lower leg bone, called the tibia or shinbone, and thighbone, called the femur. The hip joint is a ball - and - socket joint, formed by the ball, or femoral head, at the upper end of the thighbone, and rounded socket, or acetabulum, in the pelvis. The ends of the bone in a joint are covered with a smooth, soft material called cartilage. Normal cartilage allows nearly frictionless movement. The rest of the surfaces of the joint are covered by a thin, smooth tissue lining called the synovium. The synovium produces fluid that acts as a lubricant to reduce friction and wear in the joint.


Common Causes of Joint Pains:

One of the most common causes of joint pain is arthritis. The pain can also be caused by deformity or direct injury to the joint. In some cases, joint pain is made worse by the fact that a person will avoid using a painful joint, weakening the muscles and making the joint even more difficult to move.

Obtaining a Quality Diagnosis:

The medical management of arthritis and joint degeneration may be handled by a family doctor, a physician, or a rheumatologist. However, when medical management is not effective, an orthopaedic surgeon should be consulted to determine if surgery is an option. In some cases, the orthopaedic surgeon may be the first physician to see a patient and make the diagnosis of arthritis.

The Orthopaedic Evaluation:

While every orthopaedic evaluation is different, there are many commonly used tests that an orthopaedic surgeon may consider in evaluating a patientís condition.
In general, the orthopaedic evaluation usually consists of :

  • A thorough medical history
  • A physical examination
  • X-rays
  • Additional tests, as needed

What the physician sees during the physical examination, which includes standing posture, gait analysis , sitting down, and lying down, helps confirm the possible diagnosis. The physical exam will also enable the orthopaedic surgeon to evaluate other important aspects of your hips,knee and legs, including : Size and length,Range of motion, Reflexes, Strength, Swelling, Skin condition.etc

If you are experiencing pain in your hip joint, your back may be examined because hip pain may actually be the result of problems in the lower spine. After the physical examination, X-rays evaluation is usually the next step in making the diagnosis. The X-rays help show much joint damage or deformity exists.
An abnormal X-ray may reveal :
  • Narrowing of the joint space
  • Spurs on the edge of the bone
  • Areas of bony thickening called sclerosis
  • Deformity or incorrect alignment
  • Cysts in the bone

Occasionally, additional tests may be needed to confirm the diagnosis. Laboratory testing of your blood, urine, or joint fluid can be helpful in identifying specific types of arthritis and in ruling out certain diseases. Specialized X-rays of the back can help confirm that hip pain isnít being caused by a back problem. Magnetic Resonance Imaging (MRI) or a bone scan may be needed to determine the condition of the bone and soft tissues of the affected joint.

Treatment Options:

Following the orthopaedic evaluation, the orthopaedic surgeon will review and discuss the results with you. Based on his or her diagnosis, your treatment options may include :

  • Medication
  • Physical therapy
  • Joint fluid supplements
  • Joint replacement
 

Common Bone & Joint Problems | Sports Injuries | Arthritis | Joint Pains | Low Back Pain | Arthroscopy
Total Joint Replacement
| Case Studies | Apollo Centre

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