Chronic Hip Pain

Our knees get all the glory when it comes to replacement surgery. Almost three quarters of a million Americans are getting new knees every year and those numbers are continuing to swell along with the average age of the nation’s population. 

But if you have chronic hip pain, in some ways it can be worse than knee pain. For instance, a good pull-over knee brace may allow you to avoid some of the pain associated with certain movements if your knee is degrading but you’re not quite ready for replacement surgery. But if your hip or hips are causing chronic pain, they will tell you about it when you’re walking and upright (just as your knee will). When you lay down, however, your knee probably quiets down. Not so with your hip. Sleeping can become a challenge, especially if you have damage in both hips. 

Let’s get into some of the causes of your chronic hip pain in this summer blog. 

What is causing my hip pain? 

Dr. Moore sees patients all the time with chronic hip pain. Many of these patients are dealing with serious pain and are reluctant to consider hip replacement, as they’ve heard it is quite difficult. That’s not the case at all. In fact, recovery from hip replacement can be easier than from knee replacement. But that’s for another blog. 

The most common cause of chronic hip pain is arthritis. There are three types of arthritis that impact the hips: 

  •     Osteoarthritis. Life is tough on the hips. If you’ve played sports such as indoor volleyball or tennis; if you’ve been a gymnast or dancer; if you’ve been a runner — all of these activities create a good deal of wear and tear on the hip socket. This all comes due in osteoarthritis, the “wear and tear” form of arthritis, usually after you turn 50. The cartilage on the end of your femur (thighbone) and the cartilage in the hip socket (acetabulum) become torn or worn down to the degree that bone rubs against bone.
  •     Rheumatoid arthritis. The most debilitating type of arthritis, rheumatoid arthritis causes the body to attack its own joints. The chronic inflammation can damage the cartilage, leading to pain and stiffness.
  •     Post-traumatic arthritis. If you’ve seriously injured your hip, the cartilage may become damaged in later years. Post-traumatic arthritis may be triggered by osteonecrosis. When a hip is dislocated (as was Bo Jackson’s during his Raiders’ football days) or fractured, the blood supply to the ball portion of the femur can become restricted. This can lead to the surface of the bone collapsing. Arthritis is sure to follow.
  •     Childhood hip disease. Some children have hip problems where the hips may not grow and develop properly. Even if successfully addressed in youth, this condition will often result in arthritis later in life.

If you have the chronic hip pain described above, there’s no reason to lose sleep and quality of life because of it. Dr. Moore is a board-certified orthopaedic surgeon whose extensive training, experience, and expertise can help you get past the pain with total hip replacement. Call us at (910) 295-0224 to schedule a consultation with Dr. Moore.

Problems with Your Hips

Because the hips feature large bones, many people don’t think of them when it comes to orthopedics. The knees, shoulders, and even the ankles can seem more destined for overuse and damage.

Ah, but your hips will let you know when they’re not happy. At Pinehurst Surgical, Dr. Moore diagnoses the root causes of our patients’ hip pain, and he employs different options for treatment.

What makes up the hips?

The hip is a ball-and-socket joint that joins the ball of the thigh bone (femur) to the socket of your pelvis. Inside the hip joint is a cartilage lining that cushions impacts between the femur and the hip socket. But those impacts can be pretty intense in the hips, and they can be very repetitive. That’s why dancers, gymnasts, and other athletes that participate in sports with impact often have damage to their hip cartilage, not to mention strains, bursitis, and the effects of osteoarthritis.

Common hip conditions

These are some common hip problems that we treat at Pinehurst Surgical:

  • Bursitis of the hip — Bursitis is the painful swelling of the bursae, the fluid-filled sacs that cushion areas where tendons and muscles slide across bone. When a patient has hip bursitis, the bursa at the top of the femur is affected. Because it is involved in so many movements, when this bursa is inflamed it can be very painful.
  • Arthritis in the hip — Osteoarthritis in the hip is gradual loss of cartilage due to daily wear and tear. As the cartilage wears down, or tears, it leads to chronic inflammation that can make it difficult to sleep, let alone perform certain normal activities. Usually, arthritis in the hip is in the form of osteoarthritis, but it can also develop after a traumatic injury.
  • Osteoporosis in the hip — When a person develops osteoporosis, their bone density drops. This leads to the bones weakening and breaking much more easily than is normal. A precursor of osteoporosis is known as osteopenia.
  • Avascular necrosis of the hip — If you’re old enough to know about Bo Jackson (if not, watch the ESPN 30-for-30 show or check out highlights on YouTube), this is the injury that sent him into retirement. A seemingly simple tackle led to dislocation of his hip. This led to avascular necrosis, where the bone tissue begins to die because it isn’t receiving enough blood. This eventually led Mr. Jackson to full hip replacement.

Having pain in your hips? Maybe it’s time to see Dr. Moore and our team at Pinehurst Surgical Orthopaedic & Joint Replacement Center. Give us a call at (910) 295-0224 to schedule an appointment.

Dr. John Moore IV

Am I a Good Candidate for Hip Replacement Surgery?

Hip Replacement Surgery

Living with hip pain is something many people think they must do – that hip pain and other joint pains are simply a sign of aging. But if your hip pain is affecting your quality of life, preventing you from doing the activities you would normally enjoy doing, or more than just an occasional occurrence, you may want to consult with orthopaedic surgeon Dr. John R. Moore and his staff at their surgical center in Pinehurst, NC.

What Is Hip Replacement Surgery?

A hip replacement is a surgical procedure that replaces the abnormal or worn surfaces of the hip joint. The replacement hip joint is created using a plastic-in-metal socket made of high-density polyethylene. More than 90% of patients who have hip replacement surgery report significant improvements in their ability to be active. The goal of the surgery is to alleviate pain and improve mobility.

Should I Have Hip Replacement Surgery?

If you suffer from osteoarthritis of the hip, have fractured your hip, or are suffering from increasing levels of hip pain, you should consider having hip replacement surgery. You will be required to complete a medical clearance, be in generally good enough health to withstand the operation, and for the best success, be committed to the required post-surgical physical therapy to help you regain your mobility.

How Long Does It Take to Recover?

The typical recovery time for hip replacement surgery is 8-12 weeks. After that time, we encourage patients to resume activities such as walking, swimming, and golfing. Full recovery and adjustment to the new hip joint may take up to six months.

Will I Be Able to Resume All Activity?

We encourage most activity and anticipate that your replacement hip will improve your mobility significantly. However, certain activities are not recommended, such as downhill skiing and singles tennis. Hiking, biking, walking, swimming, and golfing are all highly encouraged.

This surgery can help you live an active life without constant pain. For more information about Hip Replacement Surgery with Dr. Moore to reduce your joint pain or improve its function, call our office in Pinehurst, NC at (910) 295-0224.

Hip Bursitis Pinehurst, NC

The Basics of Hip Bursitis

You probably don’t think much about your hip and joints, that is until they start acting up. Here at our office, we see patients for just about any and every joint issue including hip bursitis. But what is this condition and how can it be treated? Let’s take a closer look and see.

What Is Hip Bursitis?

There are two types of hip bursitis, both of which cause inflammation in the hip.

  • Trochanteric Bursitis: This is the most common type of bursitis, and it takes place on the bony part of the hip called the trochanteric bursa.
  • Iliopsoas Bursitis: This is a lot less common than trochanteric bursitis and takes place on the inside of the hip toward the groin.

What are the symptoms?

Typically, patients experience sharp, intense, acute pain that spreads from their hip and then goes down their legs. The pain tends to be worse at night, after long walks, climbing a lot of stairs, or a lot of time spent in a squatting position.

Who Gets Bursitis?

Patients with bursitis tend to be either elderly or women. Also, patients who experience the following are at a greater risk of getting it:

  • Hip Injury – This can be a fall onto your hip, a bump with your hip, or even when you lie on one side of your body for an extended period.
  • Spine disease – Scoliosis, osteoarthritis in the lumbar spine, and other diseases inflame the hip bursae.
  • Unequal leg lengths – When one leg is significantly shorter than the other, the stress when walking can lead to irritation of the bursa.
  • Rheumatoid arthritis – This increases the likelihood that your bursa will become inflamed.
  • Bone spurs – These can develop within the tendons that attach muscles to the trochanter.
  • Repetitive stress or overuse – When you’re a runner, cyclist, run stairs, or have a job that keeps you on your feet for long periods, you’re more likely to develop bursitis.
  • Previous surgery – Hip replacement or surgery in the area can lead to bursitis.

What Is treatment Like?

Depending on how severe your bursitis is,we  will determine what kind of treatment you may best benefit from. Treatments include:

  • Making some changes in your activities
  • Non-steroidal anti-inflammatories (NSAIDs)
  • Physical therapy
  • Steroid Injections

If you suffer from hip bursitis or if you want to learn more about it, contact our office and call us at  910.295.0224.

Hip Replacement Pinehurst NC

4 Leading Causes of Hip Replacement Surgery

Your grandma may have had one, your neighbor may have had one, and you may be in need of one. If you’re not familiar with hip replacement surgery, then you may assume it involves replacing your entire hip with an artificial one. However, this type of surgery doesn’t involve replacing the entire hip but rather, it involves replacing the hip joint. During this procedure, Dr. John Moore will create an artificial hip joint made out of high-density polyethylene. Here are four leading causes of hip replacement surgery.

  1. Avascular Necrosis

Blood isn’t just for vampires. Blood is required for bone growth because they are living tissues. When your blood supply is interrupted, as with avascular necrosis, your bone begins to collapse or die.

  1. Hip Fractures

One of the most commons causes of a total hip replacement is when a patient fractures their hip. Although some hip fractures can be solved with a pin or screw, there are some instances in which a hip replacement is required.

  1. Post Traumatic Arthritis

Traumatic joint damage can be caused by a variety of things including an automobile accident, a work-related accident, or even some fractures. In advanced stages of post-traumatic arthritis, patients may need to consider a hip replacement.

  1. Osteoarthritis

This form of arthritis is the most common form in patients who are over the age of 50. With osteoarthritis, the cartilage in the hip starts to wear away so that you have bone on bone rubbing which can lead to a host of problems.

If you are suffering from any of the conditions above and you have noticed that your symptoms are getting worse, then it may be time to schedule a consultation with Dr. John Moore at our Pinehurst office. During your initial consultation, we will perform a physical exam and may take some x-rays to get a closer look at your hips. From there, we will be able to create a recovery plan.

Call us at 910.295.0224 to learn more!

Knee and Hip Replacement Surgery Pinehurst NC

FAQ’s About Knee and Hip Replacement Surgery

Going into a knee or hip replacement surgery can make patients feel like they’re walking into a spook alley— completely unaware and unsure of what to expect behind every corner. However, Dr. John Moore wants all of his patients to feel confident and informed before they go into surgery which is why we have created this brief list of Frequently Asked Questions.

Will I go Home After Surgery?

90% of Dr. John Moore’s patients are sent home rather than to a rehab facility after surgery. If you are in a nursing facility before surgery, however, you will be sent back to the same place.

Is Physical Therapy Required After Surgery?

Yes. Our staff will arrange for a physical therapist to come to your home to help you with some strengthening and other exercises. After a few sessions, you should be able to practice these exercises on your own without the assistance of a PT.

How Long Will I Be At the Hospital For?

Because knee and hip replacement surgeries are inpatient surgeries, they will require you to spend an average of two nights in the hospital. Some patients will need an additional night stay depending on a few factors.

Will I Need Special Equipment While In Recovery?

Dr. John Moore and his staff will arrange for the delivery and setup of special equipment required for recovery. For instance, patients will need a walker and an elevated toilet seat with handles. Additional equipment may be necessary depending on the type of surgery you had.

If at any time during or before your surgery you have questions or concerns, our staff is here to answer your questions.

Schedule your surgical consultation at our Pinehurst office today!

Hip Replacement Surgery Pinehurst, NC

Pedal to the Metal: 3 Reasons to Avoid Driving After Hip Replacement Surgery

Hip Replacement SurgeryUndergoing any surgery, especially hip replacement surgery, is physically and emotionally taxing on any individual. As one of the most important aspects of this type of surgery, however, it’s important that you avoid doing certain things like driving while in recovery. Although it may be hard to rely on others for rides to and from work, home, or the grocery store, abstaining from driving is important for several reasons.

You May Be On Narcotics

One of the biggest considerations to make before getting behind the wheel while you’re in recovery is narcotic use. Although narcotics can be safe to use for a brief amount of time to ease your pain and discomfort, they will impair your judgment and make you a liability while on the road.

You May Not Have Strength

Physical therapy is the best way to gain your strength back after having a hip replacement, but it takes some time to get results. Right after surgery and for the first several weeks afterward, you may not have the strength needed to do things like push on the brake and gas pedals— which makes it impossible to drive. After a combination of physical therapy and at-home exercises, you should start to gain back your strength and hopefully be able to drive before you know it.

You May Not Have Your Reflexes Back

One of the best things they teach when you’re 16 and in Driver’s Ed. is defensive driving, aka acting on your reflexes. However, after you have hip replacement surgery, your reflexes won’t be quite as reactive as they once were which makes you a danger on the road. During physical therapy, you will work on strengthening your new hip joint so that your reflexes are razor sharp again. As soon as you get your reflexes back, you may get the approval to start driving again.

Before you get back behind the wheel, it’s important that you are off narcotics, and that you have your strength and reflexes back.

Schedule your appointment with Dr. John Moore today to learn more about hip replacement surgery.

hip replacement surgery Pinehurst NC

3 Myths About Hip Replacement Surgery Debunked

hip replacement surgery Pinehurst, NCYou may know how to throw a little hip into it on the dance floor, and you may even consider yourself to be “hip” characteristically, but having a bad hip, is a whole other deal. If you have a broken hip, a hip with bad ligaments, or one that simply needs to be repaired, then Dr. John Moore may recommend that you get hip replacement surgery. To help you better understand this surgery, we have created a brief article debunking three common myths. Read on to learn more.

Myth #1: They’re Only For Old People

Wearing dentures, using a cane, and having hip replacement surgery may be common characteristics that accompany old age, but that doesn’t mean they only inflict the old. In fact, patients of all ages can have to get a hip surgery done to deal due to things like arthritis or a sports related injury.

Myth #2: It Won’t Feel Natural

Having anything foreign in your body may sound a bit frightening, but it doesn’t have to be that way. One myth about hip replacements is that they won’t feel natural. However, with the advancements of technology and with plenty of healing time, your hip replacement should feel just as natural as your regular hip— but without the discomfort.

Myth #3: You Won’t Be Able to Walk for Weeks After Surgery

Recovery from any surgery— including hip replacement surgery— can be tough and aggressive. However, if you have fallen for the myth that you won’t be able to walk for weeks after surgery, that is so false. In fact, we encourage our patients to get up and walk around just a few hours after surgery— this will help your hip heal properly and will prevent things like scar tissue from building up.

Having hip replacement surgery can seem like a bigger deal than it is. With the right care from Dr. John Moore, you should be able to enjoy your new hip in just a matter of weeks. To learn more about hip replacement surgery or schedule an appointment, contact Dr. John Moore’s office today!

Hip Pain? 3 Stretches to Try at Home

Whether you’ve been walking more, lifting more weight, or participating in a high-intensity workout, these simple changes can make your hip hurt in a bad way. And one of the worst parts about hip pain is that it doesn’t matter whether you’re in your twenties or seventies— you can still get it. Luckily, as one of the best ways to get rid of pain, stretching can be done from the comfort of your own home. By breaking up the lactic acid in your hips and stretching out the supporting muscles, you can help to alleviate any pain. If you have just started experiencing hip pain and would like to get some relief, consider trying these three stretches at home. Read on to learn more.

The Frog

No, you aren’t going to jump over any lily pads to do this stretch. To do The Frog stretch, get on your hands and knees and slowly widen your legs as far as they will go, bringing your feet along with them— the wider your legs open out, the more of a stretch you should feel in your hips. Once your hips legs have gotten to the widest point possible, flex your feet and lean your torso forward with your arms extended in front of you— this should stretch out your hips even further.

Seated Fourth Position

If you have ever taken a ballet class, you are familiar with the first, second, third, and fourth position. To really stretch the outer part of your hips muscles, try this stretch. Sitting on the floor with your knees bent, take your right shin so that it is positioned in front of you, and drop your left shin and hip to the floor. Inhaling slowly, push your left hip forward until you start to feel a stretch.

Seated Pigeon

If you have ever taken a yoga class, then you know all about how well the seated pigeon can stretch out your hips and buttocks. To do this position sit on the floor with your knees bent. Then, grab your left legs and fold it across your right leg so that your left ankle is touching your right knee. Repeat on both sides.

If you start to experience a lot of pain at any point while doing these stretches, try switching it up. To learn more about hip stretches and pain, contact Dr. John Moore to discuss your treatment options. With a variety of tests, Dr. John Moore will be able to create a treatment plan for you and your recovery.

 

 

3 Things to Know About Hip Replacement Surgery

hip replacementBeing told that you need hip replacement surgery is no trip to Disneyland. In fact, hip replacement surgery is one of the most intense surgeries to recover from— meaning that you will need both patience and plenty of rest in order to get the healing process done correctly. If you have recently been told you that you need to have hip replacement surgery but you aren’t quite sure what to expect, here are three things that you should know.

1.It Takes A Lot Of Healing Time
If you are the type of person that wants to get up and running even when you have a cold, then hip replacement surgery might be a bit difficult for you. As one of the things that many people don’t realize beforehand, it takes a lot of healing time until you are fully recovered from surgery. In fact, for about 6 months to a year following surgery, you should avoid doing things such as pivoting or twisting your leg— as this will only exacerbate the problem and could potentially damage your joints.

2. You Can’t Play Certain Sports
If you used to be an avid runner or athlete, then you should know that you likely won’t be able to participate in the sports at the same level that you once were able to. And although it may be devastating to hear, consider taking up a new sport or hobby that is gentler on your hip. Specifically, try to take up things such as walking and avoid sports or activities that require a lot of jumping or moving side to side. If you are unsure whether or not you are permitted to play a certain type of sport or participate in a certain activity, ask Dr. John Moore.

3. It Doesn’t Last Forever
Just like with most replacement surgeries, hip replacement surgery doesn’t last for forever. However, it does last in the upwards of twenty years, which means that it should hopefully last the length of your lifetime. If you do outlive your hip replacement, however, it can be redone.

To learn more about hip replacement surgery or to schedule a consultation with Dr. John Moore, contact our office today!