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Hip Osteoarthritis

Posted in Physiotherapy on Jun 5, 2018.

Osteoarthritis of the Hip


osteoarthritis hip physiotherapy victoria bcWhat is Osteoarthritis (OA)?

Osteoarthritis (OA) is a degenerative disease that affects the cartilage of joints. Cartilage is a firm, flexible connective tissue that lines the surface of many joints and provides shock absorption and cushioning for the bony surfaces of those joints as they move.  During the process of OA, cartilage gradually begins to break down and is worn away. This means that the bony surfaces below the cartilage start to rub together, creating increased stress and friction. The body reacts to this increased stress by creating small bony deposits around the joint, as more of these are created the joint becomes increasingly painful and difficult to move.

The hip is one the joints most commonly affected by osteoarthritis. While OA is generally considered to be a disease associated with aging, younger people can be affected, particularly following trauma to the hip. As a general rule, however, the cartilage in our bodies loses elasticity as we age, making it more susceptible to damage. Other risk factors for the development of OA are a family history of OA, previous traumatic injury of the hip, obesity, improper formation of the hip at birth  (developmental dysplasia), genetic defects of the cartilage, impingement of the hip (femoroacetabular impingement) and a history of intense weight bearing activities.

What are the signs and symptoms of Hip Osteoarthritis?

The most common symptoms of hip OA are pain and stiffness with reduced movement of the hip, particularly in the direction of internal rotation. These symptoms in a person over the age of 50, in the absence of a trauma that may have caused a fracture, indicate possible OA. Pain originating from the hip joint can be felt as a deep ache that can be noticed in the groin, buttocks, thigh or even knee. It is also typical for sufferers of OA to experience stiffness in the morning upon waking that lasts less than 30-60 minutes. Grating or cracking sensations with hip movements are also common complaints, along with mild to moderate joint swelling.

In the early stages, mild pain may be felt with activities such as walking or running. As the disease progresses these activities will become more painful with the muscles that provide additional support to the joint becoming weaker, exacerbating the disease process. For many people, a total hip replacement may be necessary to reduce pain and restore function.

How can physiotherapy help hip OA?

For mild to moderate cases of OA, physiotherapy can help to reduce pain and maintain function for as long as possible. Keep the musculature around the hip as Strong and healthy as possible can have a significant impact on your quality of life and your physiotherapist work with you to help you to set and reach your goals for treatment

Treatment will also include stretching, trigger point therapy, joint mobilization to increase the joint's mobility, and a personalised exercise program, including hydrotherapy and isometric exercises that work to increase muscle strength while putting less pressure on the joint.

For those whose best course of treatment is surgical joint replacement, physiotherapy can help to achieve great outcomes by helping with effective preparation and rehabilitation, getting you on your way to recovery as quickly as possible.

Hip Osteoarthritis Research

Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee: a randomised controlled trial. 1: clinical effectiveness

Predictors of Response to Physical Therapy Intervention in Patients With Primary Hip Osteoarthritis

Comparison of Manual Therapy and Exercise Therapy in Osteoarthritis of the Hip: A Randomized Clinical Trial

Shelbourne Physiotherapy, Pilates & Massage is a locally owned health company with 3 locations in beautiful Victoria & Saanich, British Columbia. Our clinics offer Physiotherapy, IMS (Intramuscular Stimulation) & Dry Needling, Kinesiology, Exercise Rehabilitation, Massage Therapy, Sports Rehabilitation, Post-Operative Rehabilitation, Vestibular, Dizziness & Balance Rehabilitation, Women's health (peri-partum and incontinence), Acupuncture, Hydrotherapy, Scoliosis Treatment,  Clinical Osteofit Classes, Osteoporosis TreatmentAquatherapy, Pool Therapy, Real Time Ultrasound, Arthritis and Osteoarthritis Treatment, Electrical Modalities, Pelvic Floor Physio, Pelvic Pain Physiotherapy, Incontinence Treatment, Sports Physiotherapy, Chronic Pain Treatment,  Shockwave Therapy (ESWT), Aquatic Therapy, Yoga, Yogalates, Saanich PhysiotherapyPolestar Pilates, Stott Pilates, Clinical Pilates, PIlates Instructor Training in Victoria BCScoliosis Treatment and Custom Knee Bracing,

Our clinics are approved providers for WorksafeBC (WCB) Physiotherapy and ICBC Physiotherapy, Kinesiology & Rehabilitation. We are proud members of the Canadian Physiotherapy Association (CPA), the Canadian Academy of Manipulative Therapy(CAMPT), Sport Physiotherapy Canada, SportmedBC, British Columbia Association of Kinesiologists (BCAK), Canadian Society for Exercise Physiology (CSEP), Vestibular Disorders Association, ISST International Schroth 3D Scoliosis TherapyInternational Society for Medical Shockwave Treatment (ISMST), Think Local Victoria, Canadian Federation of Independent Business(CFIB),  the Orthopaedic Division of the CPA and the Physiotherapy Association of British Columbia (PABC) We have a clinic located in the Gordon Head Recreation Centre in Saanich

Shelbourne Physiotherapy staff provide clinical instruction at our Victoria Clinic for students in the UBC Faculty of Medicine. We are an accredited facility for UBC Dept. of Physical Therapy Student Practicums. 

Our 3 Victoria Physiotherapy clinics are modern and provide a relaxed healing atmosphere with private rooms available. Many Physiotherapy clinics in Victoria work out of a single room or a basement that does not offer the equipment, resources or space to help you recover properly. Our convenient locations make our clinics easy to access from all the neighbourhoods of Victoria, Saanich, Esquimalt and Oak Bay such as Dockside Physiotherapy GreenFairfield, James Bay, Oaklands, Fernwood, Harris Green, Jubilee, Hillside QuadraGonzales, Rockland, Gordon Head, Cadboro Bay, Uplands, Downtown Victoria, Cordova Bay, Arbutus, Camosun College Lansdowne Campus and the Songhees. We offer appointment times ranging from 7:00AM to 7:00PM for your convenience.Our Multidisciplinary Health Clinic is located right across the street from the Hillside Shopping Centre. we share a building with the Shelbourne Medical Centre which has a walk in clinic and many great General Practitioners.

Think Local First Shelbourne PhysiotherapyWe are a friendly, local Victoria & Saanich owned and community based health company designed to meet your individual needs. Our mission is to provide Physiotherapy and related services to the communities of Victoria, Saanich, Oak Bay, Victoria West and Esquimalt and help keep these residents active and healthy. We strive to creatively and professionally maximize client functioning and promote life-long wellness.

Our experienced and dedicated Health Care Professionals include Victoria & Saanich Physiotherapists Penny Salmas, Jennifer Kolot, Mark Gottfried, Nicole Gill, Jenna Peters, Brad Curry, Andrew Mills, Meena Sran, Phil Lawrence, Jessica Shave, Kim Lobb, Kathy Murdoch, Laura Werner, Rosie Chamberlin, Ruan Le Roux, Nina Bai, Seung Bai, Eimear Brogan, Faralay Vander Schilden, Sarah HubbsIsaac Davies, Mary-Anne Levson and Blair Braz. Our experienced Victoria BC Kinesiologists include Heidi Nottelman, Larry Muir, Radek Wiechecki and Lindsey Tabish. Our experienced Victoria & Saanich BC Registered Massage Therapists include Taryn Krizan, Selena Curvelo, Jennifer KoebernickKathy Pantalon, T'airah Bowker RMTMolly Scott, Jessica Bundy RMT and Rebekah Neubert. Our Certified Victoria Pilates and Yoga Instructors include Sharon McAuley, Dana Carter, Chris Csak, Amanda RostsHolly Newton, Regina Flueck, Rhiannon King and Jenny Stewart.

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