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Hip Osteoarthritis Physiotherapy
(hip OA) refers to the wearing down of the cartilage that lines over the bones
of the hip joint. It can develop at any age, although it is more
commonly diagnosed in older adults and can make everyday activities difficult,
- getting up of bed
- standing from sitting
- climbing up or down stairs,
There is no one reason patients develop hip osteoarthritis.
The incidence of developing
symptoms from hip OA
- increase with age
- greater in white
(compared to African American) females (compared to men)
- and people who
have injured their hip in the past
The impact of obesity on developing
hip OA is not yet clear. The lifetime risk, the probability of
developing symptomatic hip OA over the lifetime, is 25%. (this means 1 in 4 individuals will suffer from hip osteoarthritis).
Recent research found no difference in the rate of occurrence of hip
OA in the general public based on race, gender, weight, or educational
More severe cases of hip osteoarthritis may require hip joint replacement
surgery. Whether or not patients have surgery, our senior physiotherapists
design specific exercise and treatment programs to manage pain and get
people with hip OA moving again.
Other arthritis resources:
What is Osteoarthritis of the Hip?
Hip osteoarthritis is the inflammation and wearing away of the cartilage
of the hip joint, a condition that is more likely to develop as people
Osteoarthritis results when injury or inflammation in a joint
causes the soft, shock-absorbing cartilage that lines and cushions the
joint surfaces to break down be it due to
- repetitive strain injury over time
- direct trauma from falls or motor-vehicle accidents
When the cartilage is damaged, the hip joint
can become painful and swollen. Over time, this condition can cause
that leads to limited hip movement and
How Does hip osteoarthritis Feel like?
Hip OA may cause symptoms including:
- Sharp, shooting pain or dull, achy pain in the hip, groin, thigh, knee, or buttocks
- Stiffness in the hip joint, which is worse after sleeping or sitting
- Weakness of the muscles in the lower extremity
- A "crunching" sound when the hip joint is moved, caused by bone rubbing on bone
- Difficulty and pain when getting out of bed, standing up from a sitting position, walking, or climbing stairs
- Difficulty performing normal daily activities, such as putting on socks and shoes
How Is It Diagnosed?
If you see our senior physiotherapists first, they will conduct a
full examination that includes your medical history, and will ask you
questions such as:
- When and how frequently do you feel hip pain and/or hip joint stiffness?
- What activities in your life are made difficult by this pain and stiffness?
We will perform special tests to help determine whether you have hip OA, such as:
- Gently moving your leg in all directions (range-of-motion test)
- Asking you to resist as we try to gently push
your leg and hip in different directions (muscle-strength test)
- Watching you walk to check for limping
- Asking you to balance while standing (balance test)
- Testing the mobility of the hip joint
- Watching how you climb stairs, how you move from one position to another, etc.
We may use additional tests to look for problems
in other parts of your body, such as your lower back. Wet may
recommend that you consult with an orthopedic surgeon, who can order
diagnostic testing such as an X-ray or magnetic resonance imaging (MRI)
to confirm the diagnosis.
how our senior physiotherapists can help your hip osteoarthritis
- explain what hip OA is
- how it is
- the benefits of exercise for hip osteoarthritis
- the importance of increasing overall
daily physical activity
- how to protect the hip joint while walking,
sitting, climbing stairs, standing, carrying loads, and lying in bed
Testing will reveal any specific physical problems you have that are
related to hip OA, such as
Addressing the problems in surrounding body regions, such as
the spine and the lower extremity, is important to the treatment of hip
The pain of hip OA can be reduced through simple, safe, and effective
physical activities like
- riding a bike
- or swimming
Although physical activity can delay the onset of disability from hip
OA, people may avoid being exercise and activities of their hip pain and hip joint
stiffness, confusion about how much and what exercise to do, and not
knowing when they will see benefits.
We will be
able to guide you in learning a personal exercise program that will help
reduce your particular pain and stiffness.
Our senior physiotherapists will work with you to:
- Reduce your pain
- Improve your leg, hip, and back motion
- Improve your strength, standing balance, and walking ability
- Speed healing and your return to activity and sport
We can use
different types of treatments and technologies to control and reduce
your pain, including
We will choose
specific activities and treatments to help restore normal movement in
the leg and hip.
These might begin with "passive" motions that the
physical therapist performs for you to gently move your leg and hip
joint, and progress to active exercises and stretches that you perform
We also may use sustained stretches and
manual therapy techniques that gently move the joint and stretch the
muscles around the joint.
Certain exercises will benefit
healing at each stage of recovery; we will choose
and teach you the appropriate exercises to steadily restore your
strength and agility.
These may include using your own body weight as
resistance, or using
- resistance bands
- and cardio (heart) exercise equipment, such as treadmills or
Speed recovery time
design a specific treatment program to speed your recovery.
We're trained and experienced in choosing the right treatments
and exercises to help you heal, return to your normal lifestyle, and
reach your goals faster than you are likely to do on your own.
Return to activities
design your treatment program to help you return to work or sport in the
safest, fastest, and most effective way possible.
You may engage in
work retraining activities, or learn sport-specific techniques and
drills to help you achieve your goals. Activity modification is
essential for a safe return to activity, and to help control symptoms
that may hinder your return.
If Surgery Is Necessary
In severe cases of hip osteoarthritis, the hip joint will degenerate until hip joint bone is
rubbing on bone. This condition can require hip joint replacement
surgery. Post surgery hip replacement physiotherapy will be an essential part of postsurgical recovery,
which can take several months.
If you undergo hip joint replacement surgery, our senior physiotherapist
will visit you in your hospital room to help you get out of bed and
teach you how to walk, and will explain any movements that you must
avoid to protect the healing hip area.
Physical therapists will work with you daily in the hospital and then
in the clinic once you are discharged. We will be an integral part of
your care and recovery,
- helping you minimize pain
- restore motion and
- and return to normal activities in the speediest yet safest
manner possible after surgery.
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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