Hip Treatment

Rehabilitation

Physiotherapy is an essential part of any knee or hip treatment you may require. It is often initiated as a first line therapy for your hip or knee condition and can greatly improve the way a joint moves (kinematics) by improving the muscle function around the joint. Depending on your diagnosis, a tailor-made rehabilitation programme is organised, either as an initial knee or hip treatment, or as a post -operative rehabilitation programme.

Shockwave Treatment

Shockwave treatment (Extracorporeal Shockwave Therapy) uses pulses of sound energy to treat tendon or connective tissue dysfunction. It looks similar to an ultrasound machine, and is a non-invasive hip treatment. It delivers pulses of energy through a hand held probe, and is a well tolerated procedure. It can be performed in the clinic setting and so is quick and very convenient for patients.

Knee or hip treatments are usually performed on 3 consecutive occasions to the affected area. The aim of shockwave treatment is to encourage a regenerative or healing process within the affected tissue.

Hip Surgery

Hip Treatment – Total Hip Replacement

A total hip replacement is an operation which replaces both surfaces of the arthritic hip joint with an artificial hip joint. By removing the arthritis and replacing it with a new bearing surface, your arthritic hip pain will be removed.

To do this, you will need to undergo an anaesthetic procedure. Usually this takes the form of a short acting spinal anaesthetic, which numbs your legs and enables the operation to be carried out painlessly. The operation will take about an hour to perform. This type of anaesthetic has numerous advantages over a general anaesthetic and is part of the Enhanced Recovery protocol that we use. You will return to the ward clear headed, with no adverse effects of opioid drugs, and with excellent pain relief on board. It will be possible for you to stand and walk on the day of surgery.

You will have a surgical incision to the side of the hip. The size depends on patient factors, but is usually around 15cm. We utilise the posterior approach to the hip, which maximises rehabilitation and allows for the safest route in and out.

How Will This be Done?

To do this, you will need to undergo an anaesthetic procedure. Usually this takes the form of a short acting spinal anaesthetic, which numbs your legs and enables the operation to be carried out painlessly. The operation will take about an hour to perform. This type of anaesthetic has numerous advantages over a general anaesthetic and is part of the Enhanced Recovery protocol that we use. You will return to the ward clear headed, with no adverse effects of opioid drugs, and with excellent pain relief on board. It will be possible for you to stand and walk on the day of surgery.

You will have a surgical incision to the side of the hip. The size depends on patient factors but is usually around 15cm. We utilise the posterior approach to the hip, which maximises rehabilitation and allows for the safest route in and out.

What Sort of Hip Replacement Will I Have?

There are many different types of hip replacement available. We use implants which are the best performing, as shown on the National Joint Registry. We use both cemented (fixed in position with bone cement) and un-cemented implants (specially coated to allow the bone to grow onto the implant). We also offer a variety of bearing surfaces with these types of implant. The choice of which will depend on different factors such as activity levels, bone quality, anatomy, age, and the severity of the disease.

How Long Will I Be In Hospital?

We use enhanced recovery techniques to ensure your safety, comfort, and maximise your rehabilitation post operatively. In patient stay varies from person to person, and depends on many factors such as overall health, age, and home support. On average, people go home in 2-3 days.

What Support Will Be Available Afterwards?

You will undergo physiotherapy assessments and occupational therapy assessments whilst in hospital. Any adaptations to your home to help you (such as a raised toilet seat) will be in place for your discharge. You will return to the hospital for a wound check at 2 weeks post-op, and continue with physiotherapy exercises. You will be provided with useful contact numbers if you have any concerns after discharge from hospital. You will have a follow-up clinic appointment with us at around 6 weeks after discharge.

Will There Be Stitches To Be Removed?

We use a dissolvable stitch which runs under the skin. This does not need to be removed but your wound will be checked at 2 weeks post operatively. It will be healed at this point. You will leave hospital with a showerproof dressing that should not be replaced in this first 2 week period.

How Long Will It Take To Recover Fully?

You will walk out of hospital with the aid of crutches or sticks. At 6 weeks post-op you should be walking with 1 or no sticks. By 3 months your gait should have returned to normal.

Questions?

If you have any further questions then please feel free to give us a call so that we may discuss them with you in detail:

01204 404495

Hip Treatment – Hip Arthroscopy

Keyhole surgery of the hip, or hip arthroscopy, has gained in popularity over the last 5 years. As the name suggests, it utilises very small incisions to gain access to the hip joint. Instruments can then be passed into the hip joint and various procedures performed to treat the problematic part of the hip. It can provide gold standard diagnostic information in addition. Conditions which can be treated with hip arthroscopy include FAI (femeroacetabular impingement), labral tears, and chondral lesions to name but a few.

How Will This be Done?

You will need an anaesthetic procedure, either spinal/epidural or general anaesthetic. The operation will take about an hour to perform. You will have 2 or 3 very small incisions to the side of your hip. Usually a stitch is used to close the wounds and a showerproof dressing is applied which will stay in place for a couple of weeks. The stitches are removed at 2 weeks post-op.

How Long Will I Be In Hospital?

This will depend on whether your surgery is in the morning or afternoon. If in the morning, you are likely to be discharged later the same day. If your surgery takes place in the afternoon, it is likely you will stay overnight and go home the following morning.

What Rehabilitation Will I Need?

You will be seen by the ward physiotherapist before discharge. Usually you will be either fully weight bearing or partially weight bearing on discharge. If partially weight earring, this will continue for 4 weeks. You will begin a tailor made rehab programme with your physiotherapist immediately and this will continue for a minimum of 6 weeks post-operatively. You will be seen at 6 weeks post-op in clinic to assess your progress.

Get In Touch

Any questions regarding our services can be sent using this contact form.  If your enquiry is of a more pressing or sensitive nature then you are also invited to give us a call on 
01204 404495

Greater Manchester Hip Service

BMI Beaumont Hospital, Old Hall Clough,
Chorley New Road, Bolton BL6 4LA

01204 404495
info@hipservicemanchester.com

© Greater Manchester Hip Service