Hip Rheumatoid Arthritis

Rheumatoid arthritis mostly affects joints of hands and wrists, however larger joints like that in hips, shoulders and knees are also involved. Hip rheumatoid arthritis symptoms start showing later than those seen in RA of smaller joints.

Symptoms

Severe pain, rigidity and swelling are common symptoms of hip RA. There may also be pain and stiffness in thigh, groin and lower back. Other symptoms are fatigue, appetite loss, pain and fever, and swelling and rigidity of other joints. Symptoms can be sudden or slowly occurring. Pain is the worst in morning and alleviates with activity. However, vigorous activity can only lead to more pain and stiffness. Pain results into limitation of activities and difficulty in working.

Diagnosis

The physician asks patients to move hip in various ways to observe which motions are painful or restricted. He or she also observes whether the patient walks with a limp, whether one of the hips is painful and whether pain is experienced in other joints. X-rays and laboratory tests are also done. X-rays show if there is any thinning or corrosion in the bones, any reduction in joint space or any excessive fluid inside the joints. Laboratory tests confirm the presence of rheumatoid factor or any other antibodies.

Treatment

Hip rheumatoid Arthritis If the patient has an infection in the hip joint, it must be removed by either surgery or medication. Non-surgical treatments may bring about some relief with comparatively fewer side effects and complications.

Surgery

If non-surgical treatments do not show any or significant results, the doctor may recommend surgery. Type of surgery depends upon factors like age, condition of the hip joint and progression of the disease. Doctor discusses various probabilities with the patient. The patient should get all the questions answered and should get a clear idea about the outcome. Though possibilities of complications are more in surgery, the surgeon takes care of minimizing the risks. Most common surgical procedures performed for hip rheumatoid arthritis are: