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  • Hip Replacement

    Hip replacement (total hip arthroplasty) is surgery to replace a worn-out or damaged hip joint. The surgeon replaces the old joint with an artificial joint (prosthesis). This surgery may be a choice after a hip fracture or for severe pain because of arthritis.

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    <p>&nbsp;<a href="">Orthopaedic Surgeon</a> discusses diagnosis and treatment of <a href="">hip replacement.</a></p>

     Orthopaedic Surgeon discusses diagnosis and treatment of hip replacement.

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    <p><a href="">Orthopedic Surgeon</a>&nbsp; discusses diagnosis and treatment of key decisions in <a href="">hip replacement.</a></p>

    Orthopedic Surgeon  discusses diagnosis and treatment of key decisions in hip replacement.

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    <p>&nbsp;<a href="">Orthopedic Surgeon</a> discusses the different materials used in a <a href="">hip</a> ball and socket replacement.</p>

     Orthopedic Surgeon discusses the different materials used in a hip ball and socket replacement.

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    <p><a href="">&nbsp;Physiotherapist,</a> discusses joint replacement therapy.</p>

     Physiotherapist, discusses joint replacement therapy.

  • Hip Pain Caused by Osteoarthritis

    Osteoarthritis is indeed a common cause of hip pain in middle-aged individuals. It is a degenerative joint disease that occurs due to the gradual loss of articular cartilage, which is the smooth and protective cartilage that covers the surfaces of the joint. In the hip joint, the articular cartilage lines both the femoral head (the ball-shaped end of the thigh bone) and the socket (acetabulum) in the pelvis.


    The articular cartilage acts as a cushion and helps reduce friction between the bones, allowing for smooth and painless joint movement. However, in osteoarthritis, this cartilage gradually wears away, leading to bone-on-bone contact, inflammation, and pain.

    Other factors that may contribute to the development of hip osteoarthritis include age, genetics, previous joint injuries, obesity, and certain mechanical issues that affect the hip joint's alignment and stability.

    If you suspect you have hip pain or osteoarthritis, it's important to consult with a healthcare professional for an accurate diagnosis and appropriate management options.



    Cartilage is a tough and flexible connective tissue that covers the ends of bones in a joint, providing a smooth and slippery surface for the bones to glide against each other during movement. It acts as a cushion, reducing friction and absorbing shock, much like the role of a shock absorber in a car.

    Cartilage lacks a direct blood supply and nerve endings, which means that it does not have its own source of nutrients and does not transmit pain signals. This is why when the cartilage is damaged or worn away, there is typically no immediate pain associated with the loss of cartilage itself. However, once the protective layer of cartilage becomes worn down or eroded, the underlying bone is exposed, and the bone does have nerve endings that can sense pain. At this point, the lack of cushioning and the direct bone-to-bone contact can lead to discomfort, inflammation, stiffness, and pain in the joint.

    Various factors can contribute to the breakdown of cartilage, including degenerative conditions like osteoarthritis, injuries, or developmental abnormalities. These conditions can lead to the gradual erosion or loss of cartilage, impairing the smooth movement of the joint and causing pain and functional limitations. Remember to verify the information provided by contacting the healthcare providers directly, as network participation and availability can vary over time. Find local massage therapists and  physiotherapy  treatment options along with strength and exercise options to help with strength and conditioning and massage therapy with tight and sore and you are  experiencing fatigue

  • Hip Replacement: Materials for Hip Ball and Socket Surgery

    The availability of different options for the bearing surface in hip replacement surgery is primarily aimed at improving the longevity and reducing the complications associated with the procedure. The choice of bearing surface material is crucial because it directly affects the durability, wear characteristics, and potential complications of the hip replacement.

    In the past, the traditional bearing surface was metal on plastic. The femoral head (ball) was made of metal, typically cobalt-chromium alloy, and the acetabular liner (socket) was made of polyethylene, a type of plastic. However, it was discovered that the plastic could wear down over time, leading to debris generation, inflammation, and bone loss around the hip joint. This could result in the failure of the implant and the need for revision surgery.

    To address this issue, highly cross-linked polyethylene was introduced in the late 1990s. Highly cross-linked polyethylene is a modified form of plastic that undergoes a special process to increase its durability and resistance to wear. It significantly reduces the wear rates compared to the older generation of polyethylene, reducing the risk of implant failure.

    Ceramic-on-ceramic bearings also emerged as an alternative to metal-on-plastic. In this case, both the femoral head and the acetabular liner are made of ceramic materials. Ceramics have excellent wear characteristics and are highly resistant to abrasion, making them a durable option for hip replacements. With advances in ceramic manufacturing techniques and improved implant design, the failure rates of ceramic-on-ceramic and metal-on-plastic bearings have become comparable.

    The goal of using different bearing surfaces is to provide patients with options that can optimize the lifespan and performance of the hip replacement, reducing the need for revision surgery and improving overall patient outcomes. The choice of bearing surface is typically made based on factors such as the patient's age, activity level, and surgeon preference, taking into account the specific risks and benefits associated with each material.

    However, some surgeons still recommend ceramic on ceramic for very young patients because of the potential less wear at 20, 30 and 40 years. So for really young patients, it may be an attractive option, although there is no evidence to support that it is better than metal on plastic. Often getting a referral from your local family phyisican, doctor to a orthopedic surgeon or physiotherapists is often wher you strt with hip pain. 

    There are two potential complications with ceramic on ceramic that are not present with metal on plastic. They’re rare, but they can happen. And that’s squeaking, so audible squeaking that can be quite bothersome in rare events.

    And also very rarely, the ceramics can fracture and need a revision. They’re rare events, but they can still happen.  And this is why the standard of care in North America remains metal on plastic.

    Once a decision has been made to perform a hip replacement, the patient should discuss the various treatment options for a hip replacement with the surgeon.



  • Hip Pain from Injury and Labral Tear

    Labral tears in the hip have gained recognition as a common cause of hip pain, particularly following injuries or trauma. The labrum in the hip is a ring of cartilage that surrounds the socket of the hip joint, providing stability and cushioning to the joint.

    Labral tears in the hip can occur due to various reasons, such as:

    1. Trauma: A sudden injury or impact to the hip joint, such as a fall, car accident, or sports-related injury, can cause a labral tear.

    2. Structural abnormalities: Some individuals may have structural abnormalities in the hip joint, such as hip impingement (femoroacetabular impingement), which can increase the likelihood of labral tears.

    3. Repetitive motions: Activities that involve repetitive motions or excessive twisting of the hip joint, such as certain sports or occupations, can contribute to labral tears over time.

    4. Degenerative changes: As a person ages, the labrum may become more prone to degeneration, leading to tears.

    Labral tears in the hip can cause symptoms such as hip pain, clicking or catching sensations, stiffness, and limited range of motion. However, it's important to note that not all labral tears cause symptoms, and some individuals may have labral tears without experiencing any discomfort.

    If someone suspects a labral tear in the hip, they should consult a healthcare professional, such as an orthopedic specialist or a hip specialist. Diagnosis typically involves a combination of a physical examination, medical history assessment, imaging tests (e.g., MRI or CT scan), and possibly an arthroscopy (a minimally invasive procedure) to visualize and treat the tear.

    Treatment options for labral tears in the hip can vary depending on the severity of the tear and the individual's symptoms. Non-surgical approaches may include physical therapy, activity modification, pain management, and targeted exercises to strengthen the hip muscles. In more severe cases, surgical intervention, such as hip arthroscopy or open hip surgery, may be necessary to repair or remove the torn labrum.

    It's worth noting that proper diagnosis and treatment should be provided by a healthcare professional based on an individual's specific condition and medical history.  

    The Family Physicians on Family Practice NOW are in good standing with the College of Physicians and Surgeons of Canada,and the Canadian Medical Association

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