III. Types of Arthritis
There are many types of arthritis that may lead to degeneration of the
hip joint. The most common form is osteoarthritis. It is not known why
some people will have worn out their joints at age 40 while others still
have normal cartilage at age 70. Most likely, it is a combination of genetics
(the quality of cartilage you were born with) and wear and tear.
Types of Arthritis
-osteoarthritis
-post traumatic (following fracture or dislocation)
-rheumatoid
-other inflammatory (AS, IBD, Psoriatic)
-avascular necrosis, Legg Perthes disease
(bone collapse due to loss of blood supply)
- congenital dysplasia (child with hip deformity)
-SCFE (slipped growth plate)
The progression of arthritis from its earliest mild stages to its most
severe crippling form is usually gradual. Initially, the pain occurs only
after higher levels of activity. Later, it progresses and may become present
at rest as well. Physical disability includes limp, muscle spasm, limited
walking ability, decreased motion and stiffness, need for a cane, walker
or even a wheelchair. The level of symptoms may fluctuate, but, generally,
they worsen with time.
During its early stages, usually, arthritis can be treated with medication,
supportive devices and modification of activities. However, as the cartilage
on both sides of the joint wears away completely and the bone rubs on
the bone, the arthritis has become “severe”. At this stage,
placing a new lining or surface on the joint (total hip replacement) is
usually the only effective way to relieve the symptoms adequately.
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