- Hip Doctor
- Finding the Best Orthopedist for Your Hip Pain
- Hip Replacement and Surgery
- Understanding hip replacement
- Finding the Right Doctor for Hip Replacement
- Top Things to Look For
- 1. Ask Around
- 2. Research Credentials and Experience
- 3. Examine Hospital Performance
- 4. Interview the Surgeon
- 5. Determine Your Insurance Benefit
- Why choose North Texas Orthopedics & Spine Center?
- Hip Preservation Service
- Hip pain prevents you from enjoying activities that require you to sit or lie down for long periods of time
- Your bones have been damaged, something your doctor can tell you based on X-rays and other forms of imaging
- You have a known condition, such as arthritis or osteoporosis, that has led to the wearing down of your hip joint
- You have tried nonsurgical interventions and not had any results
- Your hip problem interferes with your everyday life and makes it hard for you to move around or do simple tasks
If you experience any of these symptoms, see a hip doctor soon.
Hip Impingement and Arthroscopy
What Treatments Are Available to Those With Pain in Their Hip?
For the patient who experiences recurring hip problems, there are a few treatment options that are available. Sometimes, exercise, weight loss, or physical therapy can make a big difference. Anti-inflammatory medications or injections can also be administered to provide relief for certain hip disorders.
The most extensive form of treatment is to undergo a total hip replacement. As with other total joint replacement procedures, a total hip replacement requires removal of either all or part of your joint and the installation of an artificial joint in its place. Following this hip surgery, physical therapy may be helpful in ensuring proper healing and to strengthen the muscles surrounding the new hip.
What Is the Recovery Time for Hip Surgery?
Recovery after hip surgery varies greatly depending on the severity of disease that you have and the amount of surgery required. Sometimes patients go home the same day as their surgery, others may need a short stay to recover in the hospital.
On the day of surgery, you’ll be encouraged to stand and walk, likely with the use of a walker, cane, or crutches. Pain medications can be administered to ensure you are comfortable during this process. Physical therapy will typically begin on the first day following surgery, as well. The recovery time will be roughly four to six weeks. Your orthopedic surgeon can advise you on exactly what to expect from your surgery.
Learn More About Anterior Hip Replacement
The Region’s Most Comprehensive Hip Care
At the Orthopedic & Sports Medicine Center, our experienced doctors and staff are proud to offer exceptional orthopedic care to people throughout the communities of northwest Missouri and northeast Kansas. Our doctors are available at our office in St. Joseph, Missouri, as well as at the Mosaic Medical Center in Maryville, Missouri, the Northwest Medical Center in Albany, Missouri, the Wright Memorial Hospital in Trenton, Missouri, the Benedictine College in Atchison, Kansas, and the Hiawatha Community Hospital in Hiawatha, Kansas.
Our board-certified orthopedic surgeons, Dr. Daniel Smith, Dr. Brian Duncan, Dr. Blake Peterson, and Dr. Michael Smith, have years of experience in treating patients with a variety of hip injuries or conditions. Our orthopedic hip surgeons have the knowledge and skills to perform a thorough evaluation and provide an accurate diagnosis and viable treatment options. Conservative methods will always be recommended first, but there are some cases when hip surgery is required to help eliminate pain and restore proper function.
If a hip injury or condition is keeping you from living the life you love, schedule an appointment with one of our specialty-trained hip surgeons by requesting an appointment online or calling (816) 233-9888.
For those urgent injuries that require immediate attention and can’t wait for an appointment, visit our OSMC Today Walk-In Clinic.
Finding the Best Orthopedist for Your Hip Pain
The Orthopedist: How to Prepare for Your First Visit
Plan ahead to get the most out of your first visit with your orthopedist. Know your medical history and bring along a list of medications — including supplements and herbal medicines — and a list of questions you want answered.
“Do a little bit of reading about the procedure and questions because so often the clinic visit can be rushed, or the patient feels a little bit intimidated or flustered and may not remember the questions,” advises Vail.
Here are questions to ask the orthopedist:
- How often do you treat hip pain?
- What do you think may be causing my hip pain?
- What tests do I need to confirm a diagnosis?
- What are my treatment options?
- Do I need an exercise or physical therapy program and, if so, how would that be arranged?
- What can I do to manage my pain at home?
- If surgery is a possibility, what do I need to do to prepare?
- What are the possible risks or complications of surgery?
- Will a blood transfusion be likely?
- How long might I need to recover in the hospital?
- What do I need to do to take care of myself after surgery?
Depending on your general health concerns and particular hip pain symptoms, add as many other questions as you feel necessary. Your goal is to have a thorough discussion with your orthopedist as you consider all of your treatment options.
Hip Replacement and Surgery
If you’ve been suffering from hip pain, consider whether hip replacement may be an option for you. Because of advances in surgical approaches and implant devices, people are undergoing hip replacements at younger ages. You can maintain your activity level and keep moving.
Understanding hip replacement
Hip replacement, also called total hip arthroplasty, is a surgical procedure to replace a worn out or damaged hip with a prosthesis (an artificial joint). This surgery may be considered following a hip fracture or for someone who suffers from severe pain due to arthritis. The goal of hip replacement surgery is to replace the parts of the hip joint that have been damaged and to relieve hip pain that cannot be controlled by more conservative treatments.
Learn about our joint replacement program
Learn about our robotic arm-assisted surgery
In addition to hip replacements, our surgeons specialize in treating hip conditions such as fractures and arthritis as well as performing hip revision surgery.
Finding the Right Doctor for Hip Replacement
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If you plan to have hip replacement surgery, you’ll want a highly qualified orthopedic surgeon to perform the procedure. How do you find the best orthopedic surgeon who is right for you? Here are important factors to keep in mind.
Top Things to Look For
Find an orthopedic surgeon who:
Is board certified in orthopedic surgery and who specializes in hip replacement
Has experience treating patients with your specific condition
Practices at a hospital known to have high-quality outcomes in hip replacement surgery or orthopedic surgery in general
Accepts your insurance
With whom you are comfortable talking and who fully answers your questions
Here are five steps to finding the best orthopedic surgeon to perform your hip replacement.
1. Ask Around
Start by creating a list of potential orthopedic surgeons. Ask your family, friends, and other healthcare providers for recommendations. If you’re starting out without any referrals, or you’re looking for more options, search for orthopedic surgeons on Healthgrades.com.
Healthgrades.com shows patient satisfaction ratings, which give you insight into how your own experience might be with the doctor. Patients rate the doctor and the doctor’s medical practice, and say if they would recommend the doctor to family and friends.
2. Research Credentials and Experience
Take time to research the doctors’ credentials and experience. Look for a doctor who is board certified in orthopedic surgery and performs hip replacement on a regular basis. The more experience a doctor has treating your condition and performing hip replacement, the better your results are likely to be.
Also, confirm that the doctor is in good standing with state and federal agencies and that he or she has no history of malpractice claims or disciplinary actions.
You’ll find all this information on Healthgrades.com.
3. Examine Hospital Performance
Orthopedic procedures often require a team of highly skilled and experienced healthcare professionals. For this reason, you should also consider the overall quality of orthopedic care at the hospital where the surgeon practices.
Find out where the orthopedic surgeons on your list can treat patients; then research those hospitals on Healthgrades.com. Healthgrades evaluates hospitals on mortality and complication rates of patients while in the hospital for a range of common procedures, including orthopedic procedures. Ideally you should find a hospital in your area that performs better than expected (5-stars) for hip replacement, and then find a doctor who can admit and treat patients at this hospital. Avoid hospitals with lower than expected (1-star) results.
If a particular hospital falls short in quality, determine if the surgeon also operates at a different facility. Otherwise, find a surgeon who treats patients at a hospital likely to offer you the best possible outcome.
4. Interview the Surgeon
As you narrow down your list of orthopedic surgeons, call each surgeon’s office and ask for a consult appointment to meet and interview the doctor.
Ask yourself if you are comfortable talking with the doctor.
Does he or she respect your opinions and answer your questions in a way you understand?
Here are some questions to ask the doctor:
Do you typically treat patients like me?
How many hip replacement surgeries have you performed in the past and how many do you perform each year?
What type of implant will you use and why?
What results do you usually see? Do you have outcomes data to share?
What complications do you most frequently encounter from the surgery?
- What do you do to avoid complications or correct them if they occur?
5. Determine Your Insurance Benefit
Your insurance coverage is a practical matter. To receive the most insurance benefits and pay the least out-of-pocket for your surgery, you need to choose a surgeon that participates in your plan.
But keep in mind, just because a doctor participates in your insurance plan doesn’t mean he or she is a high-quality doctor. You still need to consider the doctor’s experience and expertise.
Hip pain can be the result of a condition that has developed over time, such as bursitis and arthritis, or of a recent hip injury, such as a hip fracture or hip dislocation.
In some cases, and if not detected early, conditions such as hip bursitis and hip arthritis may create extreme bone and joint discomfort, making surgery a credible option for relieving your hip pain.
The most frequent causes for pain in the hip can be related to an orthopedic condition that has emerged over time.
Signs and symptoms of hip pain include:
- Joint pain felt in the front of the hip, along the outside of the hip, in the groin, or over the buttock area
- Discomfort and swelling in the thigh and knee
- Joint inflammation or hip muscle spasms, which may cause fluid accumulation in the hip joint
- Limping or the inability to walk comfortably on the affected side
- Inability to bend or rotate the hip
- Soreness and the feeling of the hip throbbing while sleeping or resting
- Fever, redness, and warmth—which are signs of infection
If you are experiencing any of the symptoms above, you may have a hip condition, such as hip osteoarthritis, hip bursitis, hip arthritis, or an injury like a fractured hip, dislocated hip, hip flexor injury, or labral tear.
At North Texas Orthopedics & Spine Center, we understand that pain in the hip can make everyday tasks difficult.
To consult with a hip doctor at North Texas Orthopedics & Spine Center, please request an appointment online or call (817) 481-2121.
Why choose North Texas Orthopedics & Spine Center?
Our hip surgeons at North Texas Orthopedics & Spine Center have completed additional training specifically in the hip. With this advanced training, our hip surgeons, Dr. Kerry Donegan, Dr. Jeffrey Moffett, Dr. Eric Stehly, Dr. Nathan Williams, and Dr. Brian Fuller, have the training, experience, and expertise to assess, diagnose, and treat your hip injury or condition individually to your needs.
To consult with a hip surgeon at North Texas Orthopedics & Spine Center, please request an appointment online or call (817) 481-2121.
Hip Preservation Service
Hip Preservation Fellowship
The goal of the Hip Preservation Fellowship is to offer the fellow clinical experience in the recognition and management of hip pain in the young, active adult hip. In addition to providing clinical opportunities in outpatient settings, the program is also designed so that the fellow will have an active and broad surgical experience, including arthroscopic procedures of the hip, complex hip and pelvis osteotomies, and open surgical dislocations of the hip. The fellow will also interact with other members of the care team, including radiologists, physiatrists, physical therapists, and researchers. This multidisciplinary approach allows the fellow to broaden his or her knowledge base in a wide range of hip conditions and their respective treatment protocols.
How to Make a Referral
You or your patient can call the Hip Preservation Service by telephone weekdays between 9am and 5pm ET at 800.796.0473. On evenings and weekends, leave a voice message and we will return your call.
HSS Connect will answer any questions you may have.
Our Service researchers are establishing a clinical database to evaluate diagnosis and treatment options that will benefit our patients as well as the outside world. Researchers are focusing on new ways and techniques to treat hip pain. One of the goals of the Service’s research will be to learn if hip arthroscopy will change the course of arthritis. Research will look deeper into the underlying causes of osteoarthritis of the hip through imaging and biomechanical studies and focus on new surgical techniques and hip preserving procedures.
Clinical Trial: To Understand the Reason for Motion Limitations in Patients with FAI
The Motion and Muscle Analysis in Individuals with Femoral Acetabular Impingement: A Pilot Study
Femoroacetabular Impingement (FAI) occurs when the ball (head of the femur) does not have full range of motion in the socket (acetabulum of the pelvis) due to excess bone. The resulting friction in the hip joint can cause damage to the soft tissue that lines the socket. People with FAI experience pain during common daily activities such as sitting, stair climbing, and even walking. It is currently unclear how the abnormal bone and soft tissue injury affect the muscles around the hip, and why this causes a change in walking patterns and movement.
The Motion and Muscle Analysis in Individuals with Femoral Acetabular Impingement: A Pilot Study will help to better understand how selected hip muscles contribute to different motions. Subjects enrolled in the study, including people with FAI and people with normal anatomy are tested at the Leon Root, M.D Motion Analysis Lab. Reflective markers and electrodes are attached to the body so motion can be recorded on video and electrical activity from muscles can be measured during walking, stair climbing, and other exercise type activities.
Understanding the reason for motion limitations in patients with FAI will help to develop more effective nonsurgical treatments and postoperative rehabilitation plans.
This research study is currently recruiting both healthy male volunteers age 18-46 and males age 18-45 who have been diagnosed with FAI.
Our registry will enable our clinicians to analyze clinical, radiographic and imaging data on patients to document outcomes for two, five, ten and twenty years following treatment. The registry will help investigators learn which patients make the best candidates for hip arthroscopy and will aid in the development of optimal standards of care and treatment, as well as offer non-operative solutions.
Is your hip pain or stiffness leading you to believe that you may need hip surgery? The following list includes the top seven signs that it’s time to consult an orthopaedic hip surgeon. If you are experiencing one or more of these symptoms, talk to your primary care physician about getting a referral for an orthopaedic surgeon.
1. The pain interferes with daily functioning. Daily functioning can include, but is not limited to, walking, climbing stairs, and getting in and out of chairs and bathtubs. The pain must be persistent or recurring over an extended period of time. An occasional bout of hip pain is normal, but you should see a doctor if you have severe, long-term pain that compromises your daily routine. You don’t want debilitating pain to lead to extended inactivity and depression.
2. The pain or stiffness prevents you from doing activities that involve extensive sitting or laying down. Do you find that it’s difficult to watch a movie in a single stretch or sit in the car for more than half an hour at a time? Are you having trouble sleeping because the pain is so severe? If you answered yes to any one of these questions, it may be time to speak with your physician to learn about solutions available to you.
3. Morning stiffness lasts less than half an hour. Stiffness that persists for 45 minutes or longer is an indication of rheumatoid arthritis, a chronic inflammatory condition that generally affects the small joints in the hands and feet. Since there is no cure for rheumatoid arthritis, surgery is not a viable solution. If you believe that you have this condition, you should still consult with your primary care physician to learn about treatment options.
4. Nonsurgical interventions and the use of a cane or other walking aids are no longer helping. Have you been using medications and/or injections to treat the pain and stiffness? Have you been issued a cane or walker? A hip replacement is a last resort for hip pain and stiffness, but eventually it may become necessary. Doctors do everything that they can to delay surgery as long as possible in favor of less invasive treatments. However, when these treatments no longer work, it may be time to consider surgery.
5. The bone is damaged. How do you know if your bone is damaged? An orthopaedic surgeon will perform a comprehensive exam, order X-rays or other imaging like an MRI, and conduct physical tests. X-rays indicate changes in size or shape and other unusual occurrences, and MRIs are used to detect early stages of disease.
6. Your hip is stiff or swollen. Can you see that your hip is swollen? Have you experienced stiffness for days on end with no relief? There are a number of common conditions, such as bursitis, that can include hip stiffness or swelling that do not require surgery. However, if the pain is severe, it is always a good idea to have it checked out.
7. Another condition has lead to hip joint breakdown. Osteoarthritis, rheumatoid arthritis, osteonecrosis or avascular necrosis, hip fracture or injury, and bone tumors can result in the hip joint breaking down. When this occurs, you may need hip replacement surgery.
Are you considering orthopaedic hip surgery? Download our free e-book,Your Total Guide to Hip Replacement Surgery. You’ll learn if you’re a good candidate for hip surgery, how to find the best hip replacement surgeon, what to expect during and after surgery, and more.