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Treatment Options for Degenerative Joint Disease of the Hip

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The Hip and Pelvis in Sports Medicine and Primary Care

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Abstract

Degenerative joint disease (DJD) of the hip is a common cause of atraumatic hip pain in the older patient. Diagnosis is made by history, physical exam, and radiography. Nonoperative nonpharmacologic management includes exercise, weight loss, patient education and self-management programs, assistive devices, and acupuncture. Nonoperative pharmacologic therapy includes acetaminophen, NSAIDs, tramadol, opioids, intra-articular injectable therapy, glucosamine and chondroitin, and diacerein. Surgical joint replacement is seen as a last resort.

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Authors and Affiliations

  1. Maine Medical Center, Department of Sports Medicine, Portland, ME, 04101, USA

    Adam T. Liegner MD, MPH & William W. Dexter MD, FACSM

  2. Maine Medical Partners, Orthopedics and Sports Medicine, South Portland, ME, 04106, USA

    Heather M. Gillespie MD, MPH, FACSM

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  1. Adam T. Liegner MD, MPH
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  2. Heather M. Gillespie MD, MPH, FACSM
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  3. William W. Dexter MD, FACSM
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Correspondence to Heather M. Gillespie MD, MPH, FACSM .

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Editors and Affiliations

  1. Penn State University, State College, Pennsylvania, USA

    Peter H. Seidenberg MD, FAAFP, FACSM, RMSK

  2. Southeast Missouri State University, Cape Girardeau, Missouri, USA

    Jimmy D. Bowen MD, FAAPMR, CAQSM, RMSK, CSCS

  3. Team Orthopedic Surgeon for the St. Louis Cardinals in affiliation with Mercy, St. Louis, Missouri, USA

    David J. King MD

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Liegner, A.T., Gillespie, H.M., Dexter, W.W. (2017). Treatment Options for Degenerative Joint Disease of the Hip. In: Seidenberg MD, FAAFP, FACSM, RMSK, P., Bowen MD, FAAPMR, CAQSM, RMSK, CSCS, J., King MD, D. (eds) The Hip and Pelvis in Sports Medicine and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-42788-1_14

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