Hip Replacement Surgery
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Hip Replacement Surgery in Lucknow
What makes you twist, sit and stand, hop and run, and more importantly bears all your body weight? Your hips. It is the junction where the torso and the legs meet. The hips connect with the thigh bone (femur), with the main function of holding the body’s weight while walking, running, and even standing. So, when there is an obstruction that keeps you from doing any of these actions, it gets quite discomforting. Coming to Hip replacement Surgery, Dr. Gaurav Sharma is senior most Hip Replacement Surgeon in Lucknowwhere he diagnose the condition of patient and suggest you whether it is Total Hip Replacement or Complex Hip Replacement or Revision Hip Replacement.
So, let’s look at all that makes it difficult to move your hips.
The reasons commonly include arthritic conditions and trauma injury which can damage the hip joints, restricting your movements. While the hip joint is responsible for your upright posture and most of the mobile functions carried out regularly, It has the tendency to become weak and wear off over a period, in fact a bit earlier than any other part of the body. As a result, it causes your hips to start aching with unlimited pain, and confined mobility.
1. Arthritis –Arthritis refers to a condition where there is inflammation in the bones that completely damages the cartilage. This leads to pain which gradually increases and it becomes difficult to move. It feels like the bones have rusted. The most common types are osteoarthritis and Rheumatoid Arthritis, which are seen in older adults. However, it can also affect younger people.
2. Bursitis – Bursitis occurs when the bursa (the sac which contains the lubricating fluid for bones to move smoothly) gets inflamed. It can happen at any age due to excess pressure on the hips.
3. Tendinitis – The inflammation and irritation of the tendons that surround the bones is quite a common issue.
4. Avascular necrosis – Avascular necrosis is a condition caused due to the restricted blood flow to the bones. As a result of lack of blood supply the bone tissues die. So if you are are used to steroids or if you drink too much alcohol, you need to be careful. Although it can affect any bone, the most affected is the hip joint, and might need a hip replacement surgery.
5. Hip fractures – Hip fractures are common in older adults, and those who have chronic osteoporosis. The bones become fragile and brittle leading to fractures due to the smallest of an injury.
6. Strained muscles or tendons – Sometimes you might end up doing certain physical activities that put a lot of pressure on the muscles around the hip. This might strain the muscles and tendons which in turn, cause pain and obstruct the joint from functioning normally.
7. Cancers – Tumours or cancers of the hip bones have the capacity to infect the bone cause hip joint pain and stiffness, along with many other problems if not treated on time. It can also lead to severe complications that leading to the need for a hip replacement.
Hip Replacement Surgery in Lucknow
Hip replacement surgery may help relieve severe hip pain and improve mobility when arthritis or hip joint damage no longer responds to non-surgical treatment.
Hip Replacement Surgery in Lucknow
Hip replacement surgery may help relieve severe hip pain and improve mobility when arthritis or hip joint damage no longer responds to non-surgical treatment.
Symptoms That May Indicate You Need Hip Replacement
Patients often describe their symptoms in everyday language. Common symptoms include:
Hip pain while walking
Pain while climbing stairs
Pain when getting up from a chair
Stiffness in the hip joint
Pain that spreads to the groin or thigh
Difficulty putting on shoes or socks
Reduced walking distance
Limping while walking
Night pain that affects sleep
Difficulty standing for long periods
Hip pain while walking
Pain while climbing stairs
Pain when getting up from a chair
Stiffness in the hip joint
Pain that spreads to the groin or thigh
Difficulty putting on shoes or socks
Reduced walking distance
Limping while walking
Night pain that affects sleep
Difficulty standing for long periods
These symptoms alone do not confirm the need for surgery. A clinical examination and imaging studies are important before treatment decisions are made.
When to see a doctor urgently?
While knee pain is often a gradual process, certain situations require prompt medical attention. Do not delay if you experience:
- Sudden inability to bear weight on the leg after a fall or accident
- Significant swelling appearing within hours of an injury
- A popping or cracking sound during a sports or trauma event followed by pain
- Fever combined with a hot, red, swollen joint (may indicate infection)
- Elderly patients who fall and cannot stand seek emergency evaluation immediately
- Any open wound near the knee joint
- Sudden dramatic worsening of previously manageable knee pain
How Is Hip Replacement Diagnosed?
Accurate diagnosis helps determine the most appropriate treatment plan:
Clinical Examination
- Walking pattern (gait assessment)
- Hip range of motion
- Muscle strength evaluation
- Limb length assessment
- Joint stability assessment
Imaging & Investigations
- X-Ray
- MRI Scan (when required)
- CT Scan (selected cases)
- Blood Tests
- DEXA Scan (for bone health assessment)
Treatment Ladder for Hip Arthritis
Most patients do not require surgery. Treatment is usually approached in stages:
1) Non-Surgical Management
- Activity modification
- Weight management
- Pain-relieving medications
- Anti-inflammatory medicines
- Home exercise programmes
2) Physiotherapy, Walking Aids & Injections
- Physiotherapy programmes
- Hip strengthening exercises
- Walking stick or walker (when appropriate)
- Corticosteroid injections
- PRP (Platelet-Rich Plasma) injections
3) Minimally Invasive Procedures
- Hip arthroscopy (selected patients)
- Joint preservation procedures
4) Hip Replacement Surgery
- Severe pain affects daily activities
- Walking distance becomes significantly limited
- Sleep is disturbed due to hip pain
- Hip stiffness continues to worsen
- Imaging confirms advanced joint damage
- Conservative treatment no longer provides adequate relief
Recovery Expectations
Recovery varies depending on the underlying condition and treatment provided:
Conservative Treatment
Many patients experience gradual improvement with physiotherapy, exercise, and lifestyle modifications.
Injection-Based Treatment
Symptom relief may occur within days to weeks depending on the treatment used.
Surgical Treatment
Recovery timelines vary depending on the procedure performed, rehabilitation, and individual health factors.
Risks and Limitations of Hip Replacement Surgery
Treatment Risks
- Infection
- Blood clots
- Implant loosening
- Hip dislocation
- Nerve or blood vessel injury
- Anaesthetic complications
Limitations
- Recovery varies between individuals
- High-impact activities may need to be avoided
- Implants may require revision surgery after many years
- Regular follow-up is important after surgery
Frequently Asked Questions
When is hip replacement surgery recommended?
Hip replacement may be recommended when severe pain, stiffness, and reduced mobility continue despite medications, physiotherapy, injections, and lifestyle modifications.
What are the common causes of hip joint damage?
Hip arthritis, avascular necrosis, hip fractures, rheumatoid arthritis, and previous injuries are common causes.
Can hip pain be treated without surgery?
Yes. Many patients improve with medications, physiotherapy, activity modification, walking aids, and injections.
How is hip replacement diagnosed?
Diagnosis usually includes a clinical examination, X-rays, MRI scans when required, and other investigations based on the patient’s condition.
How long does recovery take after hip replacement?
Recovery varies from person to person. Many patients gradually resume daily activities over the following weeks with physiotherapy and rehabilitation.
Is physiotherapy necessary after hip replacement surgery?
Yes. Physiotherapy helps improve strength, balance, walking ability, and joint mobility during recovery.
What are the risks of hip replacement surgery?
Potential risks include infection, blood clots, implant loosening, hip dislocation, nerve injury, and the possibility of revision surgery.
How long does a hip replacement implant last?
Modern hip replacement implants often last 15–20 years or longer, depending on age, activity level, and overall health.
Can both hips be replaced?
In selected patients, bilateral hip replacement may be considered after careful clinical assessment.
When should I seek urgent medical attention for hip pain?
Seek immediate care if you cannot bear weight after a fall, experience severe pain after trauma, or develop fever with a swollen, painful hip joint.
Dr. Gaurav Sharma
Chief Orthopedic Specialist
Dr. Gaurav Sharma
Chief Orthopedic Specialist
Why Choose Orygyn Clinic?
- Led by Dr. Gaurav Sharma, MMBS, MS Orthopaedics, Fellowship in Arthroplasty, Fellowship in Arthroscopy
- Trained at Medanta, Gurgaon and Kokilaben Dhirubhai Ambani Hospital, Mumbai.
- Specialist in Joint replacement Surgery
- Modern operation theatre with laminar flow (infection control standard for joint surgery)
- Full orthopaedic and gynaecology facility under one roof
- Structured pre-operative, intra-operative, and post-operative protocols
- Dedicated physiotherapy support for rehabilitation
Dr. Gaurav Sharma
Dr. Gaurav Sharma is one of the best Orthopedic Surgeon in Lucknow. He is well known to provide patient-focused care and excellence in treating all conditions of Knee, Shoulder & other Orthopaedic problems.
Our Specialities
Dr. Ruchi Garg
Dr. Ruchi Garg is a dedicated Senior Obstetrician, Gynaecologist and Laparoscopy Surgeon with 23+ years of vast experience in clinical practice, surgeries & academics. She is well known for preferring & successfully conducting Normal Deliveries, even for her High-Risk Pregnancy Patients.