Science of Underpinning Pain following a Hip Replacement Operation


Introduction


Pains appeared to the patients when they have accidents or other uncomfortable feelings. Usually, based on the doctor’s assessment, the pains that the patients endure are caused by some critical problems and they are offered to undergo some operation. Through examining the pains that the patients have, the physician’s can assess the right solution to make them feel better. In the case of underpinning the hip replacement operation, there are chances that the patient fall badly into an accident in which causes him to experience the pain.


People


Both young and adult, can experience the pain on their hips. Usually, the pain is caused by unwanted accidents and carelessness. In addition, an active lifestyle such as the active participation of an individual may cause in developing muscles pains up to the sharper pains into the joints. Without the proper warm-up or the use of too much force might create the pains in the body. For most of the time, the pains are usually felt in the hips and moving or using it (e.g. walking or carrying things) might be troublesome. If the pain is centered in the hip bone, then there is no doubt that an individual is experiencing the groin pain.


Hip Pain


Both men and women of all age are described to be suffering in the hip pain that might be caused by either accident or old age. Because of the pain that they cannot endure, they usually call for the physician’s assistance. Almost every hip movement caused pain, whether active or passive. The groin pain have conditions that includes infection or tumor, aseptic loosening of the components, and soft tissue inflammation. Occasionally the soft tissue inflammation is tendinitis of the iliopsoas tendon. The pain and inflammation can be the primary restrictions were in the hip joint capsule whereas the medical judgment and diagnosis can be made after the physician’s assessment.


Pain Management


One of the greatest challenges facing health care today is the provision of proper pain management in elderly patients suffering from both acute and chronic pain. The task of caring for suffering individuals is magnified when those patients are inflicted with cognitive impairments. With the possible exception of depression, the mental disorder constituting the greatest health problem, especially in older age group. Elders with dementing illness receive fewer pain medications and interventions aimed at relieving discomfort than those elders without brain syndromes. Through the thorough assessment tools available for use when identifying the pain in population groups, the physicians can apply the possible strategy in identifying the most common differential diagnosis causing pain symptoms and suggest treatment methodologies for treating pain in this special population.


Before reaching the option for operation, the patients are firstly assessed on the possible treatments to maximize the speed of recovery of the patient. Though the individual is discovered to be very fit and muscular, the muscle control may be the reason towards the weak hip, causing dysfunctions. However the introduction of the treatments the patients can recover and bring their normal lifestyle. The treatment can be through the use of anti-inflammatory agents. Another is hip mobilization was achieved by using seat-belts to gain a gradually firmer distraction element, and then progressing hip range of movement to finally gaining full internal rotation, flexion and ad/abduction. The success of the treatment hinged on gaining and maintaining full hip range of movement, especially when he began running, and then full training. He would only be progressed to the next level of activity if it was pain-free during and after, and if his muscle control and endurance was improving to match the level of the activity.


In addition, the principles of muscle and movement rehabilitation were initially to use static holds and then add in movement – first, with concentric, then eccentric loading, without losing the neutral pelvic positions. A flexibility routine was established early on, which he always carries out before any activity; however, strength and re-education exercises were only to be done after a run in order not to fatigue the postural muscles. The last option is to introduce the surgical operation technique.


Recovery


After the operation and hospital administration, the patients should be subject for light exercise but not that harsh because the joint capsular protection should be provided with hip precautions. The other rehabilitation is walking, and physical therapy is usually not necessary. Patients are cautioned that they may experience some weakness with stair climbing and entering a car.


 


 


References:


Heaton, K., & Dorr, L.D., (2002) Technical Note: Surgical Release of Iliopsoas Tendon for Groin Pain after Total Hip Arthroplasty, The Journal of Arthroplasty, 17(6) [Online] Available at: http://www.dorrarthritisinstitute.org/pdf/hip-05sugicalreleaseiliopsoas.pdf [Accessed 17 November 2010].


Siciliano, P., (2006) Chronic Pain in Cognitively Impaired Elderly: Challenges in Assessment, Diagnosis, and Treatment, Forum on Public Policy: A Journal of the Oxford Round Table.


 



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