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Minimally Invasive Therapies for Osteoarthritic Hip Pain: a Comprehensive Review

  • Other Pain (AD Kaye and N Vadivelu, Section Editors)
  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Osteoarthritis (OA) is a highly prevalent cause of chronic hip pain, affecting 27% of adults aged over 45 years and 42% of adults aged over 75 years. Though OA has traditionally been described as a disorder of “wear-and-tear,” recent studies have expanded on this understanding to include a possible inflammatory etiology as well, damage to articular cartilage produces debris in the joint that is phagocytosed by synovial cells which leads to inflammation.

Recent Findings

Patients with OA of the hip frequently have decreased quality of life due to pain and limited mobility though additional comorbidities of diabetes, cardiovascular disease, poor sleep quality, and obesity have been correlated. Initial treatment with conservative medical management can provide effective symptomatic relief. Physical therapy and exercise are important components of a multimodal approach to osteoarthritic hip pain. Patients with persistent pain may benefit from minimally invasive therapeutic approaches prior to consideration of undergoing total hip arthroplasty.

Summary

The objective of this review is to provide an update of current minimally invasive therapies for the treatment of pain stemming from hip osteoarthritis; these include intra-articular injection of medication, regenerative therapies, and radiofrequency ablation.

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Authors and Affiliations

  1. Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA

    Ivan Urits & Vwaire Orhurhu

  2. University of Arizona College of Medicine – Phoenix, Phoenix, AZ, USA

    Jordan Powell

  3. Georgetown University School of Medicine, MedStar Georgetown University Hospital, Washington, DC, USA

    Anu Murthy & Brendon Kiely

  4. Valley Anesthesiology and Pain Consultants, Envision Physician Services, Phoenix, AZ, USA

    Samara Shipon & Omar Viswanath

  5. Department of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA

    Rachel J. Kaye, Alan D. Kaye, Brett L. Arron, Elyse M. Cornett & Omar Viswanath

  6. Medical University of South Carolina School of Medicine, Charleston, SC, USA

    Rachel J. Kaye

  7. Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA

    Omar Viswanath

  8. Department of Anesthesiology, University of Arizona College of Medicine – Phoenix, Phoenix, AZ, USA

    Omar Viswanath

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Ivan Urits, Vwaire Orhurhu, Jordan Powell, Anu Murthy, Brendon Kiely, Samara Shipon, Rachel J. Kaye, Brett L. Arron, Elyse Cornett, and Omar Viswanath, declare no conflict of interest. Alan Kaye is a Section Editor for Current Headache and Pain Reports. He has not been involved in the editorial handling of this manuscript. Dr. Kaye is also a speaker for Merck.

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Urits, I., Orhurhu, V., Powell, J. et al. Minimally Invasive Therapies for Osteoarthritic Hip Pain: a Comprehensive Review. Curr Pain Headache Rep 24, 37 (2020). https://doi.org/10.1007/s11916-020-00874-8

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