Treatment FAQ

what is the treatment for painful hips and knees caused from osteoarthritis

by Prof. Bernie Bauch Jr. Published 3 years ago Updated 2 years ago
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NSAIDs. According to the American College of Rheumatology and the Arthritis Foundation (ACR/AF), nonsteroidal anti-inflammatory drugs (NSAIDs) are one of the most effective OTC remedies for managing osteoarthritis pain. NSAIDs can help reduce both pain and inflammation.

What are the best treatments for hip pain?

  • Walking in a shallow pool
  • Walking on a flat surface, whether it’s outside or on a treadmill
  • Swimming (being sure to kick gently)
  • Taking a bike ride or riding a stationary bike
  • Doing yoga
  • Strengthening your upper body

How do hip exercises reduce knee pain?

Warm-Up Stretches

  • Lateral Pendulum (Warm-Up) A warm-up of your hips is imperative to prevent injury and get the most out of a workout. ...
  • Forward Pendulums (Warm-Up): Hip Flexor Strengthening Exercises. ...
  • Standing Quad Stretch. ...
  • Basic Hamstring Stretch. ...
  • IT Band Stretch. ...
  • Hip Flexor Stretch & Rotation. ...
  • Standing Hip Flexor Stretch. ...
  • Pigeon Stretch. ...

What exercises are good for knee and hip arthritis?

Try these simple exercises:

  • Bodyweight squats. Stand with your feet shoulder-width apart, with your feet turned out slightly. ...
  • Stair stepping. If you have stairs in your home, tackle those flights a few times a day. ...
  • Leg extensions. Sit on the edge of your bed or a chair and alternate kicking out your left and right legs.

What are the best exercises for knee pain?

Top Exercises for Knee Pain. Low-impact exercises like stretching, swimming, and water aerobics are good for relieving knee pain. Using an exercise bike or elliptical trainer can help, too.

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What helps arthritis in hips and knees?

Lifestyle modifications, such as weight loss, can help reduce stress on the hip joint. Physical therapy exercises can help improve strength in the hip. Engaging in low-impact exercises and activities, such as swimming and cycling, and remaining physically active are key to managing hip arthritis symptoms.

What can you do for severe hip and knee pain?

Another way to relieve hip pain is by holding ice to the area for about 15 minutes a few times a day. Try to rest the affected joint as much as possible until you feel better. You may also try heating the area. A warm bath or shower can help ready your muscle for stretching exercises that can lessen pain.

What is the best medication for hip osteoarthritis?

Over-the-counter NSAIDs , such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve), taken at the recommended doses, typically relieve osteoarthritis pain. Stronger NSAIDs are available by prescription.

What are the first signs of needing a hip replacement?

5 Signs You Might Need Hip Replacement SurgeryYou experience pain when you walk. ... You are experiencing a limited range of motion in your hip joint. ... You are limping or experiencing limpness in one leg. ... You have swelling or tenderness in your hip. ... You have a feeling of instability in your hip joint.

What is end stage osteoarthritis hip?

End-stage arthritis is the progressive wearing down of the cartilage that is present between the bones of a joint causing the bones to come in contact with each other and painfully rub against each other during movement of the joint. This results in severe pain with loss of movement and function.

What is the latest treatment for osteoarthritis?

Despite this, no therapies have been able to halt or delay OA progression satisfactorily or provided effective and long-lasting symptomatic relief. Currently, joint replacement with an artificial prosthesis is the most effective measure to improve pain sensation and quality of life in patients.

Is walking good for osteoarthritis of the hip?

Walking: Bone and joint specialists suggest that walking is one of the best forms of exercise for hip arthritis. Walking boosts blood flow to your cartilage, giving it the nutrients necessary to provide cushion to the ends of your joints.

How can I relieve hip osteoarthritis pain?

Nonsurgical treatments for hip arthritisactivity modification (reducing or stopping activities that cause pain)weight loss (to reduce strain on the joint)physical therapy.NSAIDs (nonsteroidal anti-inflammatory medication drugs) such as: ibuprofen (Advil) naproxen (Aleve) ... corticosteroid injections.

How to treat hip osteoarthritis?

Initial treatment may simply be exercise and stretching. However, osteoarthritis is a degenerative disease, which means symptoms often worsen over time.

How to help hip arthritis?

discussing what is best for you with your healthcare provider. taking care of yourself regarding both diet and nutrition, restorative sleep, and appropriate exercise. Lifestyle factors that can contribute to hip arthritis include: dietary choices.

How to use a cane for hip pain?

Its height should come to the top of your wrist. Use the cane on your “strong” side. If your affected hip is your right one, hold the cane with your left hand. When you step forward with your right leg, the cane will provide support. Practice moving your affected leg and the cane at the same time.

What is the best treatment for OA?

Options include: Hip resurfacing. The surgeon trims the damaged bone and cartilage and caps them with a metal shell, which makes an artificial surface.

What is the best medication for OA of the hip?

acetaminophen. naproxen. People with moderate to severe OA of the hip may need prescription pain relief, such as duloxetine or tramadol. Apart from tramadol, experts do not recommend other opioid medications, as there’s a high risk of dependency.

How to help osteoarthritis patients?

establishing healthy sleeping habits. Osteoarthritis can also affect a person’s mental health. Staying active and making positive lifestyle choices can help reduce the risk of depression and anxiety with osteoarthritis.

What is total hip replacement?

Total hip replacement. The surgeon replaces the socket and the head of the femur with an artificial joint. Hip replacement surgery can improve your quality of life by: improving pain levels. increasing mobility. lowering the risk of complications, such as dislocation of the hip.

How to reduce arthritis pain?

6. Exercise helps your joints work better. Keep limber and start with stretching. Try a "low-impact" workout like swimming or cycling. It will make your joints stronger and increase their range of motion.

What is the best medicine for arthritis pain?

You can also try acetaminophen (Tylenol) and anti-inflammatory drugs like ibuprofen (Advil , Motrin) or naproxen (Aleve) if your doctor says these are safe for you. They provide fast relief for mild to moderate arthritis pain. 5. You can ease pain and stiffness if you lose weight.

What are some interesting facts about osteoarthritis?

1. Your knees and hips may get "wear and tear.". Cartilage covers your joints and lets them glide smoothly. Over time, it can wear away, particularly in the k nee and hip joints. The result is that the bones of the joints rub against each other without enough cushioning.

How do you know if you have hip OA?

The first sign you've got hip OA is often stiffness in your groin or thigh. You may also notice pain in your groin, thigh, or buttocks when you exercise. It may be worse in the mornings. If your OA is in the early stages, rest usually makes you feel better. 3. The first sign of knee OA is often pain and stiffness.

What to do after joint replacement surgery?

Rehab is essential after joint replacement surgery. You'll need a program of vigorous exercises to get your new joint flexible and to strengthen the muscles around it. People who stick to the plan have the best range of motion, which means they are more likely to be able to resume the activities they used to do.

Can you use a cane for OA?

People with severe OA of the knee or hip may need a cane to get around. 8. Without treatment, OA usually gets worse. As the cartilage continues to wear away, your joint may get swollen and painful. In severe cases, bone rubs directly against bone, which makes it hurt a lot when you move.

Can OA make it hard to walk?

7. OA of the knee or hip can make it hard for you to walk. If there isn't enough cartilage lining your joint, it can hurt when you take a stroll. Your joint may get so stiff that you can't bend your knee or rotate your hip. People with severe OA of the knee or hip may need a cane to get around. 8.

How to stop knee pain from OA?

If OA is causing pain and stiffness in your knee joint, the first step is to ask your doctor to help you come up with an individualized treatment plan . Early intervention is the best way to stop joint damage from getting worse — and more painful — over time. Ask your doctor about best options for exercise and medication.

What to do if your knee is OA?

relief. Frequent steroid injections may also lead to negative side effects, so a doctor will usually limit these treatments. 6. Surgery. If joint pain becomes severe, and other therapies don’t help, a doctor may recommend surgery. There are various surgical options for treating OA of the knee.

How to manage OA of knee?

Learn more about why weight management is important and what kind of diet can help you better manage OA of the knee. 2. Get regular exercise. Exercise is crucial if you have OA of the knee. It can help you: manage your weight. build up muscle strength to support your knee joint. stay mobile. reduce stress.

What are some exercises to strengthen the quadriceps?

walking. swimming or other water aerobics. tai chi. yoga. stretching, strengthening, and balancing exercises. Riding a stationary bike can also help maintain strength in the quadriceps and hamstring muscle groups without putting pressure on your knee joints.

What is the most common type of arthritis?

Osteoarthritis ( OA) is the most common type of arthritis. OA of the knee happens when the cartilage — the cushion between the knee joints — breaks down. This can cause pain, stiffness, and swelling.

What is the procedure to repair a knee?

Arthroscopic surgery. This is a minimally invasive procedure in which a surgeon uses an arthroscope, a type of camera, to view the inside of the knee. While they do so, they can also repair an injury or clean out debris, such as bone fragments, from the joint to better preserve healthy joint tissue.

How to stabilize knee?

They also help to stabilize the knee. A doctor or physical therapist can help you prepare a suitable program. Experts suggest working with a trainer or exercising with other people to help you stay motivated. It can be as simple as inviting a friend, neighbor, or family member to join you on a daily walk.

Overview

Osteoarthritis of the knee happens when the cartilage in your knee joint breaks down, enabling the bones to rub together. The friction makes your knees hurt, become stiff and sometimes swell. While osteoarthritis in the knee can’t be cured, there are many treatments to slow its progress and ease your symptoms.

Symptoms and Causes

Osteoarthritis of the knee happens when your knee joint cartilage wears out or is damaged. Articular cartilage is tough, rubbery tissue on the ends of your bones that lets you bend and move. Meniscal cartilage absorbs shock from pressure on your knee.

Diagnosis and Tests

Your healthcare provider will do a physical examination and ask about your medical history. The physical examination might include checks to see:

Management and Treatment

Treatment might include nonsurgical treatments, injections and surgery. Typically, healthcare providers try non-surgical treatments before recommending surgery.

Prevention

While you can’t always prevent osteoarthritis of the knee, there are steps you can take to reduce the risk you’ll develop it:

Living With

It can be frustrating to cope with osteoarthritis of the knee symptoms that keep you from working or enjoying daily activities. Fortunately, there are several things you can do for your symptoms:

Frequently Asked Questions

Osteoarthritis of the knee can weaken your calf, thigh and hip muscles, but there’s no indication this muscle weakness is painful.

How to prevent osteoarthritis of the hip?

One method for preventing osteoarthritis of the hip is to maintain a healthy weight. In addition, you should exercise. Exercise strengthens muscles around joints. Such strengthening can help prevent wear and tear on cartilage in a joint.

How to treat a hip injury?

Treatment plans can involve: Rest and joint care. Use of a cane to take weight off the affected hip. Nondrug pain relief techniques to control pain. Losing excess weight. Exercise. Medications, including acetaminophen ( Tylenol ), a nonsteroidal anti-inflammatory drug such as ibuprofen ( Advil ), or a prescription pain medication. Surgery.

What is the term for the breakdown of cartilage?

Osteoarthritis occurs when inflammation and injury to a joint cause a breaking down of cartilage tissue. In turn, that breakdown causes pain, swelling, and deformity. Cartilage is a firm, rubbery material that covers the ends of bones in normal joints. It is primarily made up of water and proteins.

What are the causes of osteoarthritis?

In addition, osteoarthritis can sometimes be caused by other factors: The joints may not have formed properly. There may be genetic (inherited) defects in the cartilage.

What does it mean when your hips are stiff?

Joint stiffness that occurs as you are getting out of bed. Joint stiffness after you sit for a long time. Any pain, swelling, or tenderness in the hip joint. A sound or feeling ("crunching") of bone rubbing against bone. Inability to move the hip to perform routine activities such as putting on your socks.

What causes pain and swelling in the body's joints?

It causes pain and swelling in the body's joints, such as the knees or hips. There are many types of arthritis, but osteoarthritis is the most common. Also known as degenerative joint disease or age-related arthritis, osteoarthritis is more likely to develop as people get older. Osteoarthritis occurs when inflammation and injury to a joint cause ...

Which condition affects the fingers, thumbs, spine, hips, and knees?

Primary: More generalized osteoarthritis that affects the fingers, thumbs, spine, hips, and knees. Secondary: Osteoarthritis that occurs after injury or inflammation in a joint, or as a result of another condition that may affect the composition of the cartilage, such as hemochromatosis.

What happens when you use a joint?

Loss of flexibility. You might not be able to move your joint through its full range of motion. Grating sensation. You might feel a grating sensation when you use the joint, and you might hear popping or crackling. Bone spurs. These extra bits of bone, which feel like hard lumps, can form around the affected joint.

How do you know if you have osteoarthritis?

Signs and symptoms of osteoarthritis include: Pain. Affected joints might hurt during or after movement. Stiffness. Joint stiffness might be most noticeable upon awakening or after being inactive. Tenderness. Your joint might feel tender when you apply light pressure to or near it . Loss of flexibility.

Why does cartilage rub on bones?

Causes. Osteoarthritis occurs when the cartilage that cushions the ends of bones in your joints gradually deteriorates. Cartilage is a firm, slippery tissue that enables nearly frictionless joint motion. Eventually, if the cartilage wears down completely, bone will rub on bone.

What happens if cartilage wears down?

Eventually, if the cartilage wears down completely, bone will rub on bone. Osteoarthritis has often been referred to as a wear and tear disease. But besides the breakdown of cartilage, osteoarthritis affects the entire joint.

Does weight increase risk of osteoarthritis?

Carrying extra body weight contributes to osteoarthritis in several ways, and the more you weigh, the greater your risk. Increased weight adds stress to weight-bearing joints, such as your hips and knees. Also, fat tissue produces proteins that can cause harmful inflammation in and around your joints. Joint injuries.

Can osteoarthritis cause depression?

Joint pain and stiffness can become severe enough to make daily tasks difficult. Depression and sleep disturbances can result from the pain and disability of osteoarthritis. By Mayo Clinic Staff.

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Diagnosis

Clinical Trials

Self-treatment: Self- care steps that may be helpful in some less- serious cases:
  • Avoid using the joint in ways that cause or worsen pain
  • Apply ice to the painful joint for 15 to 20 minutes few times each day
  • Apply a heating pad, soak in a warm tub or take a warm shower to relax muscles and increase circulation
  • Try an over- the- counter pain reliever, such as ibuprofen
See a doctor if you notice:
  • Swelling
  • Redness
  • Tenderness and warmth around the joint
  • Pain does not subside after enough rest

See a doctor immediately if you notice:
  • Joint deformity
  • Inability to use the Joint
  • Intense pain
  • Sudden swelling

Lifestyle and Home Remedies

Coping and Support

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During the physical exam, your doctor will check your affected joint for tenderness, swelling, redness and flexibility.
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Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
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