Hip Care and Treatment
Dr. Barry Waldman M.D., FAAOS Johns Hopkins Medical School Sinai Hospital 410.377.8900
More About Joint Replacement
Thank you for restoring my "quality of life." My hip feels as good as the other one, I was born with and that's because I had a good surgeon.
Dr. Waldman has seen thousands of patients with just about every type of hip condition. This experience over fourteen years of practice means that when you consult with Dr. Waldman, you can be assured you're with one of the best orthopedic surgeons in Maryland and in the United States of America. Dr. Waldman is a pioneer in hip treatment and helped developed the Rapid Recovery program for hip patients. If you are having chronic hip problems, such as arthritis or if you have sustained an injury, please call Dr. Waldman on 410.377.8900 or email him at firstname.lastname@example.org.
Thanks to advances in technology and a better understanding of human joints and bones, there are many options when it comes to treating hip conditions. Dr. Waldman will take the time to work with you to diagnose the problem you're experiencing and to determine the best course of action. When considering whether surgery is the appropriate option for your specific condition we look at the patient’s history, a physical examination of the patient, and X-rays of the patient’s hip. We may recommend non-operative methods to restore motion and strength to your hip and to help minimize the pain prior to recommending surgery.
About the Hip JointThe hip is a ball and socket joint and is one of the human body's largest joints. The socket part of the joint is formed by the acetabulum, which is a part of the pelvis bone. The ball part of the joint is made up of the femoral head, which is the uppermost part of the femur (thighbone). The surfaces of both the ball and socket are covered in articular cartilage. Articular cartilage is a smooth tissue that cushions the ends of the bones and enables easy movement. Surrounding the hip joint is a thin bit of tissue, known as the synovial membrane. The synovial membrane makes a small amount of fluid, which lubricates the cartilage and eliminates nearly all friction during movement of the hip. The ball and socket stay connected through bands of tissue, known as ligaments. These ligaments provide stability to the hip and maintain proper positioning of the ball and socket.
Hip Pain and Its Causes
There are many potential causes of hip pain; some of the most common are arthritis, avascular necrosis, and childhood hip diseases.
One form of arthritis that affects the hip is osteoarthritis. Osteoarthritis is a wear and tear arthritis condition and is age related. This condition typically occurs in individuals 50 years of age and older and often in those with a family history of arthritis. In osteoarthritis, the cartilage cushioning the bones of the hip wear away and the bones of the hip rub together directly, causing hip pain and stiffness.
Rheumatoid disease is another type of arthritis. It is an autoimmune disease where the synovial membrane becomes inflamed. The chronic inflammation can lead to damage in the cartilage of the hip and causes pain and stiffness. Rheumatoid arthritis is included in a group of disorders known as “inflammatory arthritis.”
Post-traumatic arthritis also damages the cartilage of the hip, leading to pain and stiffness in the joint, but its cause is different. This type of arthritis is caused by a serious hip injury or fracture.
Avascular Necrosis of the Hip
Another common cause of hip pain is avascular necrosis (AVN). In this condition, the flow of blood to the head of the femur (femoral head) is reduced. The decreased blood flow may result in the surface of the bone collapsing and arthritis will result. The causes of avascular necrosis include an injury to the hip, such as a fracture or dislocation, bone diseases and taking certain steroid medications for extended periods (prednisone for example). Patients with AVN will first notice pain in the groin, buttocks or down the thighs when weight is placed on their hips. Eventually the patient will develop a limp and the pain will become more chronic. X-rays and MRIs can be used to diagnose AVN. Depending on how far along the patient's AVN is, the doctor will suggest from a range of possible treatments. In the more severe cases, surgery that will restore blood flow to the area or complete hip replacement may be warranted.
Childhood Hip Disease
Additionally, hip pain may be the result of a childhood hip disease. Occasionally, infants and children have hip problems. Even though the hip problem may have been successfully treated during childhood, the disorder may still lead to arthritis later in life. The arthritis may occur because the hip may grow abnormally resulting in the joint surfaces being affected.
In the event Dr. Waldman recommends surgery, Dr. Waldman's extensive experience as an Orthopedic Surgeon and excellent success record will help you feel at ease. Dr. Waldman and his staff are fully committed to your health and mobility as a top priority. Dr. Waldman performs most surgeries at the Sinai Hospital's Rubin Institute for Advanced Orthopedics in Baltimore, Maryland--a state of the art facility.