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Common Hip Conditions:

  • Arthritis of the Hip Joint: 

    • ​Typically a groin pain. Pain on activity and pain on getting up up from seated position, difficulty in reaching for the foot and putting on socks/shoes generally indicates wear and tear which is often related to ageing process.​

  • Hip Impingement:  

    • ​Sharp intermittent pain, pain on extremes of movement and giving way often indicates impingement in the hip and usually in younger persons.

  • Trochanteric pain:  
    • Pain on outer aspect of hip, difficulty lying on the side, aggravation of pain on driving in snug car seat and pain at night indicates inflammation of tendons and bursa around the trochanter of the hip joint.
  • Referred pain from back:
    • Not all pain around the hip is hip joint related. In the absence of restriction to hip movements, the pain around the hip may be referred pain from the back or from the soft tissues inflammation, this is typically worse at night.
Treatment:

Medications such as anti-inflammatories and pain killers are the first line of management. 

Physiotherapy, deep friction massages and injections can help tendon and bursal inflammation around the trochanter.

Hip arthroscopic surgery may help true hip impingement.

Hip replacement may be an option in severely arthritic hip.

Common Knee Conditions:

  • Arthritis of the knee:

    • ​Pain on activity, reduced movement, swelling and progressive deformity generally indicates wear and tear or arthritis of the knee and is generally associated with ageing process. 

  • Meniscal Tears: 

    • Tear in the semicircular cartilage within the knee, one on the inside of the knee is referred to as 'medical meniscus' and one on the outer aspect referred to as 'lateral meniscus'. Tears can occur as a result of injury or wear related to age. Pain on activity, swelling, locking and giving way are the common symptoms.

  • Ligament sprains and tears: 

    • ​Generally related to injury, represented by pain, swelling and instability. 

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Treatment

Medications such as anti-inflammatories and pain killers are the first line of management. Physiotherapy, deep friction massages and injections can help tendon and bursal inflammation.

Knee arthroscopic surgery may help meniscal tears and ligament tears.

Knee replacement may be an option in severely arthritic knee.

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