SPECIALISED CONSULTATION
A consultation with a highly specialized surgeon from the Inside the Hip team is an important step in understanding the source of pain, confirming a diagnosis of hip pathology, or clarifying various spinal or neurological issues that may be affecting the hip.
CONSULTATION PROCESS
The consultation begins with a phase of listening to the patient, focusing initially on their risk factors for hip pathology, overall health, physical activity, and lifestyle.
The patient’s medical history is then explored in more detail, specifically concerning symptoms related to the hip: pain, stiffness, functional impairment, and the impact on their overall well-being. The physical examination follows, evaluating joint mobility, muscle strength, and neurological status. Signs of hip pathology are assessed, and a broader examination is conducted to evaluate the lumbar spine, abdominal wall, and neurological system.
Subsequently, a thorough analysis of imaging is crucial to establish an accurate diagnosis, which will guide the therapeutic strategy.
TREATMENT PROPOSAL
The therapeutic proposal depends on the diagnosis, which could include hip impingement, labral tear, hip osteoarthritis, tendinopathy, or mechanical dysfunction of the prosthesis (unhappy hip replacement). Non-invasive medical solutions are preferred, but there are various surgical options available, including arthroscopy, hip replacement or revision, conservative surgery, and tendon repair.
Before offering a clear therapeutic strategy, it is sometimes necessary to conduct additional examinations (specialized imaging) to be performed at referral centers.