Hip Arthritis Treatments Without Surgery
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- Опубліковано 31 тра 2024
- This video will review how to treat hip arthritis. We will review treatment without surgery and how to relieve pain in the hip. We go over the best treatment options to treat short term pain, long term pain, and how to prevent hip arthritis from getting worse.
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► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a UA-cam channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
Twitter: @JeffreyPengMD; / jeffreypengmd
Website: www.jeffreypengmd.com/
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Wow, a doctor who really knows his stuff! Thank you! I have yet (after 10 years) to find a doctor give me this information. I'm 71 now and was told to get a replacement 8 years ago. I refused, changed my diet, lost 25 lbs., and stretch, strengthen on the floor everyday and swim 4 times a week. I'm now 90% better than I was. I do still have bad days, and Tylenol pretty much does the trick. So glad to learn about PRP and Visco injections just in case I can benefit from them even more in the future. Thanks again!
lp
THANK YOU DOCTOR!. This is the BEST common sense advise video i've seen. After 5 years of not seeing my doctor, I went to see him about my VERY ANGRY LEFT HIP.. He immediately said that I would need HIP REPLACEMENT (wtf?). My HIP problem was what I believe caused by me working from home sitting in my uncomfortable chair in front of my monitor for 40-65 hrs per week for the past 4 years. Little by little, after a year of sitting for the 40--65 hrs, it started to be painful to get out of my chair and eventually my walking, bending, sleeping, getting into my car, driving and everything got very painful to do. But I will beat this tho. I WILL FOLLOW YOUR ADVISE and BEAT IT. NO HIP REPLACEMENT FOR ME. THANK YOU SO MUCH.
Glucosamine and Chondroitin helps.
Where on Earth would one find a doctor that actually has intelligent information like this?
Amen
This has to be the most enlightening video yet on options for hip osteoarthritis!
About 8 mos ago I started with this pain. I'll just suck it up & it'll go away...not. Long story short I was sent to a surgeon; with 2 options: steroid shot or hip replacement!
Not in my play book!
It's good to know of the visco supp. & the PRP injection!
Now I have the direction I knew was out there, but didn't know what it would be!!!
Reading through the comments I had no idea how many people suffer with hip pain. I have the most excruciating pain in my right hip, groin, front of leg. But Xray shows severe osteoarthritis with bones grinding in left hip, not the right. Very disabling and depressing condition but I see I'm not alone in this.....
You're definitely not alone!
How amazing that the side you experience the more severe pain, is not the side indicated in your x-rays. What I am learning from tremendous online sources like this one is that the nervous system, muscles, and tendons are what MOVE our bones. Muscle pain is the result in muscle atrophy but also muscle imbalance (tight muscles taking up the slack forweak muscles. Our pelvic tilts, rotation etc, are root causes. I have a condition called NICO that began in my jaw and spread through the neuropathways to my hips. The body is a magnificent and often misunderstood system of inter-relatedness. The majority of medical professionals are trained to look at parts and not the whole...
@@yubantwo2086
Our bodies are amazing structures that we really do not understand, not even our doctors know all that there is to know.
Since my original post, I now have severe pain in my arms, wrists and hands.... I have never in my life suffered the pain that I have gone through in the last 4 months. To make it worse, I'm unable to sleep with the pain. The new diagnosis for the top part of my body is Poly Myalgia but blood test need to confirm this, I'm having them today.
I can't rely on doctors any longer and like you need to do my own research. I think much of my pain is stress related. And I wouldn't be surprised if 5g is another contributing factor. Our bodies aren't designed to be exposed to emf at the high levels and there must be a consequence to it...
I wish you well and hope we're able to find a renewed healthier body soon 💚
Same left hip is bone on bone I can hear popping sound every move I make.. Osteoarthritis has been determined and telling me only option 4 me is hip replacement which is scary because I also have MS.. I feel so defeated the pain is excruciating & debilitating
@tinarossetti3939 I've just now been sent this reply that you wrote a month ago. I do hope you are on the road to recovery. Recently, I was advised to have a tooth extracted to facilitate healing in my jaw. I was apprehensive because I'd had this problem before an impacted wisdom tooth, which moved to the next tooth. I reluctantly agreed. The extraction could have been dangerous, but all went well... until days later, when the pain & ear ache returned. Long story a bit less long I finally discovered (thanks to a nurse cousin who armed me with medical terms to insist be investigated) that the problem is the nerve in my jaw which was damaged from over 20 years of dentist induced injuries, has spread from my jaw throughout the neurological pathways to other parts of my body. It's a mess & right now, I am on a three month "green" antibiotic course to effect a healing.
I pray not to allow myself to wallow in anger toward the plethora of dentists who caused the damage and those who dismissed what their colleagues had done who blew me off telling me that my pain was all in my head.
Wishing you discovery and healing.
I was in bad shape about three weeks ago….limping around…thinking..this is it? Until surgery?? I felt like I aged so much so quick. I knew it was hip related. I was using pain relievers..crème..patches..even quit my sales job..too much walking. I finally did some excersizes…nothing that extreme…moved my ball joint in different directions..stretching…I cannot believe how much better I feel!! No more sharp pain w every other step. My leg does feel sore but not achey like it was. Thank you for educating us.
I can’t blame my doctor..the first thing he did was print out several pages of exercises..which I didn’t do. And schedule physical therapy but took forever to get in!
Are there any treatments for someone who no longer has any cartilage in the hip socket? I am looking at replacement now. Thanks for what you do with your channel.
Thankyou for this information..appreciated..
Excellent service. Thank you , DR Peng
Incredible knowledge and information.Thank you Dr..
Well rounded info...thank you Sir!
I need this doctor!!! Thank you for this video. Very informative 👏🏽
Everything you have said is spot on and matches my experience and conclusions.
Thanks very much.
Best hip treatment ? PST (pulsed signal therapy) it saved my hip. I was diagnosed with Ostheoarthritis level 3. They wanted to put me on surgery. No way. After research I found PST and nowadays I play bball 3 x week, jump rope 6 x week and strength training.
Thank you doctor for making this video. Very helpful thanks for not pushing useless pain medication and steroids. You are a true caring doctor.
Thank you soo much
Thank you so much Dr. Peng. This is by far the most informative video to learn how to treat Arthritis with non surgical for me.
Best video I've seen 👏🏽 👌. Thank you!
Glad it was helpful!
Wow! Amazing!
Perfect summation.
Thanks for your comment!
Hello from Rancho Mirage California 🇺🇸
Thank you
🌎💫
I appreciate all of the information, which covers a lot, and seems well balanced.
Thanks for your comment and support!
This is the best advice I have heard so far from watching other videos.
Awesome, thanks!
Love the chart, it helps me understand possible treatments. However can you clarify, long term, short term? 6 months, 1 year, 5 years?
Playing hockey my entire life, got diagnosed with hip arthritis over a year ago, and I’ve been told I need a replacement so I’m doing my best to avoid it!!
Same here . Why are you anti replacement like me?
Me too I really don't want a hip replacement op .
Excellent video! While an MRI exam established a degradation of the cartilage in the hip joint, there is still some cartilage left. So I am far from hip replacement. Pressing on my hip joins does not hurt and neither does weight lifting. But I often feel pain while citing or driving the car. I do get periodic and persistent pains at different parts of my inner thigh and pelvis. The focal spot of my pain migrates once every couple of months to a different spot along my inner thigh and groin. My biggest problem is mild but persistent pain at night that wakes me up. I also have some buzzing sensation in my groin that creates a desire to frequently urinate. In the past I had intestinal surgeries such as hernia repair in my groin. So perhaps some scarring tissue impacts my nerves. Many of my symptoms seem to stem from a nerve compression, but perhaps I do have arthritis. I wonder how to diagnose and treat the root of my problems (i.e. arthritis, or compressed nerves).
Thank you Dr. Peng for this this most comprehensive breakdown of the different treatment modalities for hip arthritis. I am just at the diagnostic stage although I believe my case is advanced but this information will make me a better informed patient and that is extremely important to me.
Glad you found the information helpful!! Thanks for commenting
What is your recommendation for stem cell therapy? Thanks
I had the cortisone injection and now am regretting it. My doctor never told me about any of these other options like PRP.
Whenever a PA or doctor tells me what they plan to do going forward, I always investigate the pros & cons on my own, 1st.
I am 67, have Osteopenia & certainly don't want to make it worse. I just recently found I have arthritis in my hip. PA just does what my Medicare Disadvantage plan wants him to do.
When you have to rely on western medicine only & cheap insurance, you don't get the proper care you really need.
Insurance companies like to delay and deny. It just makes the physical pain you have worse. So much stress.
Our healthcare in the US stinks.
Why are you regretted?
I had PRP 3 years ago and it did not work in the longterm. Plus it requires a yearly booster after your first 3 treatments. Its also very expensive and NOT covered by insurance. I swim and do PT but still in pain. Its really hard to walk, run or do even bike riding when you are in pain. I cannot imagine it is beneficial to walk when you have bone on bone hip arthritis.
Question: Are Hyaluronic Acid Injections effective when you have bone on bone hip arthritis?
Good info here
Thanks!
Great info.
I really have to watch my hips, and the left one particular.
I've done too much heavy Squats, Bulgarian Split Squats and Stiff Legged Deadlifts in the past.
Heavy weights might be cool to build some strength.
But the joints aren't that keen on dealing with heavy weights on a continuous basis.
I'm now looking for safer ways to keep the leg muscles relatively strong , functional.
Like static squats, bodyweight only. Like the Sumo Wrestler do.
edit:
I notice now that a high wall sit, and a sumo squat static hold, is the way to go for me, regarding the quadriceps .
Those one legged exercises, even with bodyweight only gives me hip pain.
Especially in the left hip.
I got to play it smart= safe . Working the muscles without aggravating the joint.
Yes, in general, lighter weights more reps are easier on the joints but still effective in maintaining / building muscle strength
@@JeffreyPengMD
Thank you
👍
I also read about it.
That even 30% of a 1 rep max can build quite some muscles mass.
Without the joints being smooth, life gets less pleaserable for sure.
If I knew what I know now.
But this internet wasn't that much a thing in 2000 and before.
I'm in exactly same boat, your suggestions are precious, but first I have to cure edema, ie bleeding and swelling in my right hip before I can put even body weight load on that right hip, that is what the doctor says
@@bd_bsl5707
Did you have an accident?
The one legged exercises I still do. Bodyweight only. No weights.
The wall sit gave me too much pressure on the knee joints/caps.
You have to adjust and readjust until you find what works for you.
And that might be only for the time being. It might be, that in the future you have to change exercises and/or weights again.
This I found out.
I have focal chondral loss in the left hip. At 51 years of age. I am going for a consultation for mesynchymal Chondracyte injections. I will let you know if my cartilage replacement therapy is successful.
Thank you for the information I have cerebral palsy.. I've had corrective surgery when I was 11 and 19 and I'm 54 now I just got diagnosed with traumatic arthritis. Osto arteritis. I'm in incredible amount of pain like on an 8.. I can't sleep it hurts so bad. My orthopedic doc they want to refer me to the hospital in Portland for surgery it's about 5 hours away from me. I really don't want surgery at all so I'm hoping when other referrals go to Portland I hope when I get the consultation they will have other options other than therapy cuz that's a lengthy surgery out and in so I definitely don't want to have surgery and they also recommended me to go to PT.. I did that PT cannot help this problem either they tried. Any suggestions please for this other than surgery??? This is extremely overwhelmed at CP pain on top of traumatic arthritis!
How does red /NIR light work for hip and knee arthritis?
is it ok to moderately train legs with seated leg curl and seated leg extensions machines to build lower body muscle? or should leg workout be avoided at all costs? I’d like to get leg muscle but i have hip arthritis,is it possible to do so without making arthritis worsen over time?
Thank you Dr Peng for posting this informative video I have one concern as recommended to stay active but in my case suffering from osteoarthritis on my hip and knee after activity I get pain on my hip which after resting gets quite better so does that mean activity makes my hip arthritis worse, if u can comment on this.
Best to discuss with your docs!
Thank you for this valuable information. I have wanted prp injections for my SI joints. The current hospital I am seeing does not use prp in that location. I have a bad hip replacement making my right leg longer and it has caused stress and bone on bone on outer part of my left hip. I feel that I need my SI joints need to be repaired no matter what is done to my hips. Where can I get treatment for my specific needs?
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
I’m confused. Is a hip replacement recommended only with severe arthritis. Also, what about stem cell injections to increase cartilage? Thanks
Thank you very much My Dr in Germany got really anti when i refused a OP . Running is out of the qeustion even walking 2 kilomters is painful cycling is ok.Abo done.
Best to discuss with your health care providers, good luck
Load management and activity modification becomes challenging when arthritis mild but there is a symptomatic labral tear
Great info thank you. I was just diagnosed with severe osteoarthritis bone on-bone stage in my hip would you still recommend The PRP injections? I am about to start physio and would like to learn as much as I can to make the most informed decision.
Unfortunately once you are bone on bone, there is little we can do. PT and injections are only palliative. They can help delay a surgery but eventually it may still be needed. Good luck!
Oh dear, I know how you feel as I have been diagnosed with the same just three weeks ago. The pain is excruciating, especially in the night. This has come on suddenly and I feel completely disabled. What a miserable existence. I'm hearing that the hip replacement is a way forward. I'm such a believer in self healing but I don't think I'm able to do this one.
@@tinarossetti3939 I have been controlling my diet eating food that is not processed forcing my self to exercise daily. I eliminated all painkillers as advil nearly killed me. My heart started doing funny things and had a really bad case of angina. Thought I was dying. It's been 3 months since my diagnosis about 5 years of pain but I do feel better I lost 50 lbs and quiet smoking and drinking. My doctor said I can come of the heart meds in 2 months and was suggesting that I take an antidepressant for my pain and depression. I opted to take psilocybin mushrooms instead on a personnel recommendation of .5 to 1 gram every 3-5 days before bed. It's given me up to 70-80% pain-free days 🤗 and my mood has improved. I hopefully will be talking to a surgeon in the next 12 weeks and surgery is expected to be within the next 2 years so pain management has become my number 1 focus
@@Theluckiestdadalive
Oh my goodness poor you! I got my xray results back three weeks ago. Severe Osteoarthritis in hip and lower spine. Night time is awful day time more bearable. I've a three month wait to see orthopaedic surgeon then who knows what treatment I'll be offered. It's great you've lost so much weight and are able to exercise. The osteoarthritis is showing up on the left hip but it's my right hip, groin and leg that has the excruciating pain. I'm scared to attempt stretching exercises as I might cause more damage. I can't bear to think of going through life with this as I can't make plans as one day might be bearable and another I stay in bed with hot water bottle. I'm on co-codamil I've been given naproxen too but suffer with Atrial fibrillation so haven't taken any as yet. It's all fun and games from here on :( now all the things I should have done and didn't, I want to do now, typical.....
@@michaelwilliam2009
Thank you so much. I'll look it up💚
( M.R.I) Calcification of Tendon on HIP. Pain starts Only when Sleeping. Tried Tablets, Cushions, Electro Therapy. OK Sitting Up,And Walking. Pain Goes Into Groin. Not Told Why ! Thank You From England.
You may find this helpful for calcific tendonitis: ua-cam.com/video/WEn3tQQqzF8/v-deo.html
How often does one need to get a PRP or visco injection?
i am for hip joint surgery doc is it possible for me that exercise i even walk limping...OJD
I'm 67fit and not overweight I have had an active life working on a farm but early this year I started with pain in my leg and thought it was my sacrolliate joint so went to a physiotherapist and he couldn't find a problem then I had an x-ray and they say I have no cartilage around my hip joint so need a hip operation 🤔...is there anything I can do..I'm in pain when I walk now and can't take my dogs for walks??
dear dr.
one day i end up football trained in beach in 2021, after 2 weeks later I felt pain in my groin area which is annoying me while playing football or sitting in bus and change my side in bed, I went to a doctor with x-ray but he said nothing shown there so he gave me a pain killer and muscle flex capsule and cream + 1 month rest after that I recovered 80 percent almost and by the time everything was ok, in 2023 last month I did trained again in beach though everything is alright , after 1 month of training in beach I felt the same pain again while playing a football game in grass ground , so I decided to take again the described drugs and muscle cream + rest so in this case what should I do eliminate this injury forever in your opinion ?
thank you
Where are you located Dr. Peng?
how about condroitin?
Can i take meloxican for my hip pain 😢
Hey Dr. Peng I broke my hip in an accident in 2019 and i have pretty much no cartilage in my hip and have post traumatic stress osteoarthritis what would you recommend for treatment?
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
Hopefully, my surgeon will be as helpful as you when I ask for either PRP or Visco supplements!
After PT for both hips, it takes me days to recover and then I go right back to PT
I go in for hip injection tomorrow I would like to know do they numb your head before they give you the injection I am nervous but I'm also knowing that God got my nerves under control
I exercised all my life and still got it ! How do you walk with bone on bone?
I have many patients with bone on bone who still get 5000+ steps per day. They key is to control the environment of the joint first with injections. Then work on strengthening exercises to build up surrounding muscles. This takes many months but is very effective.
@@JeffreyPengMD I did that already for a year or two and now hove bone bleeding.
@@Livinginpeace1
Oh my heart goes out to you x
I'm curious as to why you did not mention Stem Cell injections. I've done Regenexx stem cell and PRP.
My orthopedic doctor claims stem cell therapy for hip is a patient rip off, it doesn't work and he doesn't recommend it.
Dr Cheng probably doesn't recommend it for the same reasons
I have tried everything I need a hip replacement
Sorry to hear that!
Whar doctor in Illinois provides PRP injections and Hylauronic acid injections for the hip?
Not sure where you live, but the sports medicine team at Rush medical center do orthobiologic treatments.
I get frustrated at advice like loose weight, exercise, and eat well. My BMI is great, I exercise regularly, I eat pretty dang good. I still have OA. I’m still loosing ROM. I know this is good advice for most people but it leaves me feeling confused. I’m doing everything right yet here I am. I am considering PRP. I’d love a video that is made to give advice to healthy athletes who are suffering from arthritis. A friend of mine (personal trainer) is going through the same thing but all videos seem to talk about like it’s not something that happens to active people when the advice is “get active”. I know that’s not the intent but wanted to put it out there. I guess that just leaves options like PRP for people like us?
High level athletes (ie. pros, olympic levels, etc) have VERY high rates of osteoarthritis. And that's because of the wear and tear and "pushing through pain" that is causing more damage. PRP is an excellent option for high level athletes that want to continue to stay active. A rehab program is just as important to make sure you body can withstand the loads you are putting through it. Good luck!
Thank you for responding and sorry for being frustrated. I’ve watched a lot of your videos on PRP since my comment and I’m really grateful for all the information you are sharing. I will try it as I have no intentions of slowing down. Movement goes beyond fitness… movement is health.
What do you think of EXOSOMES injections for the hip?
Unfortunately, there are not many randomized controlled trials looking at exosomes.
PRP injections in the hip, is that working? like PRP in hair cells? and what about diet, is diet just a myth or would a diet with lot of carb such as bakery, pasta and rice to zero carb of such sort make a real change to inflammation in joints and muscles?
Will make a video on this topic in the future, stay tuned
I have osteoarthritis, had 2 injections, was told by the pain MGMT Dr looks like replacement
A joint replacement surgery is never the ONLY option, there are plenty of nonsurgical options that people can try first before undergoing a hip replacement.
I was eventually diagnosed with bad hip arthritis last year following a 6 month delay! I was then told that I might need injections & then at some point a hip op:-(
Yikes! Good luck!
@@JeffreyPengMD Thanks Well so far I havent needed any injections & I've been using a rebounder, for which I'm still able to walk afterwards.
PRP Is not paid for by insurance so it takes it off the list for many due to cost, most insurance companies consider it experimental unfortunately
According to your chart which category would meloxicam fall into? It is not narcotic so would it be NSAID?
Meloxicam is an NSAID. Works well!
@@JeffreyPengMD thank you. I am a soon to be 72 year old ( birthday next Monday) recently diagnosed with OA after right hip locked up after sleeping in a chair for 6 nights next to husbands hospital bed. Otherwise healthy. Walk 4 miles a day, attend yoga classes twice a week, on zero meds till the OA diagnosis and now was told meloxicam for 30 days then steroid injection inti right hip next week. I wish I had a doctor line you here in Texas! I am sure there are some and thinking of trying to find another doctor that understands a less invasive approach. I am one week into the melixicam (could walk after 3 days on the med w/o hip locking up). Soooo I want to skip the injestion for now and try just meloxicam, appropriate exercise, drinking lots of water and seeing if this works for me. I have Medicare ( which seems to rule the roost and a plan g supplement that pays everything Medicare does not pay. Do you think my plan is reasonable and I should search for another doctor here in Texas that favors a less invasive approach at this point in time. Maybe even laying iff the walking and finding another firm if exercise may help. Please respond with your thoughts as I am ready to cancel my injection scheduled for next week.
@@patriciaseeley2260Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
I mean, thanks for the basic common sense advice. But it's real, easy to have a smile on your face. Talking about these treatments when you don't actually have arthritis. I have chronic Arthritis in my right hip. And sometimes it hurts so bad I wanna die. I have no way out. I have no other way. I can make money other than the job that I do. And for me to look for another job, I'd have to quit working and not have money coming in. So I don't know what I'm gonna do. Thank god he told me about tylenol. Lol
I was told that PRP was perfected for the hip
PRP can be used for all sorts of painful conditions, not just the hip!
God bless Dr osagie7 his is a powerful herbal doctor who cure arthritis joint pain with herbs, I meet Dr osagie7 on UA-cam channel ❤️❤️❤️❤️❤️
I’m 12 and I’ve been diagnosed with arthritis, I can’t believe I’m actually feeling this at such a young age,but here I am. This is what I get for playing Twister 🤦♀️.
I feel your pain cause i have it😢
It will go away if you start eating carnivore or at least keto. Mickala Peterson got rid of her arthritis completely by taking out carbohydrates. It will change your life and you will be happy!
Have get treatment ready
How??
Twister did not cause arthritis? Wth are you talking about??
Hi, I'm new to all this. 2 weeks ago, I was walking up stairs and there was a grind/grab/awkward sensation at the front of my hip. It slowly progressed to burning stiffness upon standing and almost unbearable nerve irritation/pain sensation when sitting. This is when I turned to watching videos on YT while awaiting an xray.
I started doing some of the recommended stretches but it has made things 10 times worse. I now cannot drive my car or sit at all without feeling agonising burning/irritation which only decreases after I lay down for hours. I realise now that I may have overdone the stretching/strengthening exercises in the first week post injury but there was no great fall/accident to indicate crippling injury was on its way. Xray says I have hip degeneration/narrowing and likely OA.
When you google acute hip injury or how to treat bone on bone acute hip injury/flare etc. no one is talking about an acute situation on YT. It appears to be just long-term suffering and potential solutions/treatment plans.
I would imagine I'm not the only one out there who is in this window (just injured in last few weeks etc.) of injury with subsequent imaging indicating arthritic changes, so could you please provide some assistance as to how best to treat an acute injury like mine. Also, when and how to know when it is time to transition into an arthritis/FAI treatment program?
Treatment summary:
Mistake No.1 - Stretching/ROM exercises
Mistake No.2 - Warm epsom salt baths (felt so good initially and I could do full ROM afterwards but then a world of pain and stiffness.
Mistake No.3 - Driving/sitting in spite of increasing pain/irritation (this was a HUGE mistake!)
Massaging - short term relief.
NSAI's and lying around in bed all day - So far this is the only thing that is keeping me sane.
Thanks for sharing your experiences. Best of luck!
Tell me : do you know the Origin of disappearing cartilage...?
That 's the point...!!!
I have ARTROSIS ( NO arthritis, this is an acumulation material in joint ), rigth hip since 6 years. And I walk, streching, bike, and started jump and run.
The point is your FOOD...!
The point is your inside...!
@@JeffreyPengMD you didn’t help her. Please re read and help answer her question. What should she do? See a Dr and get PT? Or what?
At the 8 minute mark he gives you advice where to start. I would ask Dr for Physical Therapy
Brian Abelson herein UA-cam has hip exercises. Try those and see how you tolerate. Just a couple of each at first. Keep a journal so if you have Togo to Dr you can share with Dr
I think more people would be interested in PRP injections if insurance paid for it; or the cost was not so high. Unless you have the money to pay for it yourself; most patients are left with options like steroid injections even though they might choose something else if they didn't have to worry about money. I very much agree with multi-modalities, but for many it is not always possible.
You're absolutely right. My hope is more clinical research will continue to add to the growing library of orthobiologics. Then eventually insurances will start to cover this procedure and make it more accessible for the general population.
@@JeffreyPengMD ....... Question, With the PRP injection, do you have to continue to have more injections over time, or will it eventually heal the injury or pain area permanently?...... similar to cortisone injections.
This might answer your questions: ua-cam.com/video/4pHwrWVDQTc/v-deo.html
Thank you forasking about the shots. I will check that video as well. My left knee had 3 tears in the meniscus, and just a hint of arthritis. We went for cortisone shots. First was great results. 2nd not so good but it could be my Achilles ruptured.3rd shot was awful. My insurance did approve HA Gel injections, so we did the series of three weekly in December. My follow up is next week and my ortho doctor stressed it is important because the insurance companies are trying to assess the cost/efficacy ratios. So maybe there will be more of these alternatives available sooner!
Iv had the shots for 7 yesterdays on and off for my right hip it’s not bone on bone yet but full of arthritis bad they want to do a hip replacement in four months not happy I’m very thin person and I have osteoporosis in my left hip for few years and get the bone shot every 6 months
Good luck!
Are you not supposed to bear weight after PRP injections?
My injections last 2 years !!
PRP injections? Thx
Why do you have to live in CA? I'm in Michigan!
I did medical school in the Midwest. The people there are so nice, but it's far too cold for me! ;)
I tried PRP back in 2009 and cant even remember what issue I was addressing. I only remember it didnt work. My body is consumed with arthritis.
I pray for you.
Can u cure avn
I was very fit and flexible, then I developed a slight limp in my right leg. Have had back issues B4, but fixed that with exercises. Went to physio, he suggested exercises and use a cane. Worse thing I ever did, because I have became reliant on aides. Now I use a walker😭 Specialist said I have tight hips, how did this happen, when I was very active? I do exercises with a stretch band, and was doing hydro therapy, but the pool was dangerous to get in and out😢 Please help me. I'm 68, and was active up to 3 years ago😢My legs are weak, and I can't walk on my own😢 I've read by being flexible, doing splits, touching toes ect can cause tight hips, I've done all this, all of my life, from a very young age. I even did ti Bo .
Man I’m 31 and I’m scared too bro I am being sent to pain management for injections but I’ve been hearing from people who done it on Reddit saying it was there worst decision and ended up getting hip replacement anyways when they should have done it from the beginning 🤦♂️ idk to be honest I’ve been waiting for the visit already
I am in Zimbabwe africa how can i get the hip injection can i buy the medication on line
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
Sir,I too suffering with osteoarthritis, dr recommended my for total hip replacement pls help me sir I m from india aged 39
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
Pls suggest me sir that how can I avoid total hip replacement is any alternate to it
@@konamahesh1015How are you today? I’d do a lot of research. All the best.
Get my new hip 5 months time
Good luck!
How are you today? All the best.
The more I walked the pain got worse stretching forward felt like hip coming out of socket
Where do you get them…. No Doctor has mentioned to me yet! Not general practitioner or orthopedic!
Look for a sports medicine physician
Am having both hips arthritis and I was asked to do surgery before I can walk and it six years now but I can't afford the money so now a cripple,I must say total hips arteritis is the worst punishment ever
It's quite a terrible thing to deal with. That's why I'm trying to spread the message to treat it early! Good luck with your treatment
Hi Abbey, I feel for you. For nearly 2 years I've been dealing with a series of issues with my left leg due to long COVID. Some reports showed last fall that it will attack the musculoskeletal system, which confirmed my own determination.
After my right leg having to pick up a lot of the weight bearing function I started having pain in my right hip about 4 months ago. An xray showed absolutely no arthritis in my left hip, but my right is bone-on-bone and shot. The left leg had so many issues my orthopedic surgeon thought it best to finish treatments there before doing anything with the hip.
That was about 3 months ago now, and the pain has gotten steadily worse. Until about a week or so ago. I've found a few PT channels and started looking for exercises and treatments to avoid hip surgery.
There are several. I've got several I've tried, and found one so far that was specifically helpful. The hip joint is one thing. I also have deep pain in the front of my thigh just below the groin, and pain in the rear and up into my buttock. My right knee is starting to be unstable a d painful as well.
Besides finding exercises can stand and that have descriptions that indicate they should be helpful, I got a Recommendation to try TheraWorks, a rub in foam. I also bought a massage gun, which I use on the hip pointer, along my thigh muscles and around my knee. One good trick is to use the gun, rub in the TheraWorks then kick back in my recliner with my heating pad covering as much of the affected areas as possible.
Stairs are still mostly off my schedule. Other than a bit of a setback today it's showing some promise. Just keep looking for things that will work! Saying a prayer for you!
How are you doing these days? Any hip relief ?
@@TruthAboveAll08How are you today 10 months later. I use ice on my quads on my left leg as well as my groin area. I’ll stretch my groin and massage my thigh before getting out of the car. Sitting upright is my worst. Thankfully laying down and resting in my recliner I’m good. My walks are short but I do them most days. I’ll use two canes on my walks/hikes but only one walking to stores. Both my hips are bad and before I decide on hip surgery, I’ll Need to increase my rom as well. Thinking about applying for SSDI to focus on my rom, flexibility and strength. Definitely focus on the glutes to balance the thigh/quads. All the best to you…
My pain increases when I exercise. In the hip especially. Even if I reduce the amount of exercising activity.
Best you discuss with your healthcare provider about your individual situation. In some cases, we use injections (ie. PRP, hyaluronic acid, etc) to help calm down the arthritis symptoms to allow patients to exercise more.
@@JeffreyPengMD thank you.
What do you recommend for bone on bone
Recommendations don't change, though give more consideration to hip replacement
Am not working because of my arthritis hip problem am 59 this year and my have to retried
Are you not going to get a hip replacement?
Are you not willing to get a hip replacement or are you not sure it’s the way to go?
You wouldn’t by chance be related to Tom Peng, would you? (Someone I worked with years ago and we all thought he was wonderful!)
💗💗💗
Thanks for commenting!
My hip arthritis pain always leads to tight groin and tight IT band on my left leg
Is it not maybe bursitis
How do pregnant woman manage arthritis?
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
I take Meloxicam 15MG
You may find this helpful: ua-cam.com/video/fNw-o-NHKh4/v-deo.html
@@JeffreyPengMD Interesting. My Orthopedic told me not to get steroid injections, stem cell or anything because it will make my Hip worst later on for HIP replacement. Except I'm overweight so he won't approve me for surgery..
Can. We have some. On. Feet talk Sir TQ
There is no way I can do a brisk walk with this hip pain.
I'm with you! I don't understand why so many YT physical therapists and drs like this keep pushing to exercise when it hurts like hell.
While I did manage to find away to exercise, it's VERY limited and I miss being able just to walk an hour with no pain.
I sympathize with you.
If we need a hip replacement we should be able to get it. There is only so much you can do within your own insurance or budget. Our country's healthcare stinks!
@@andreah6379 From what I'm learning, I think it has to do with muscle imbalance - too much thigh and not enough glutes. This doctor seems to explain it pretty well. ua-cam.com/video/uqa7FMvprC4/v-deo.html&ab_channel=ElPasoManualPhysicalTherapy
Hi I have avn plz help me
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
Where's low inflammation diet? Where are supplements like collagen and vitamin D and glucosamine and Chronditin? Where is fasting?
i can't even run or skip
16 years of power yoga and now I can’t even walk.
Best to discuss with your docs
Oh no. I HATE YOGA, MY BEST FRIEND DO YOGA EVERYDAY
I used to jog a lot t, now my both knee are bad.. still doing bike that help me to walk...now I'm getting hip pain, I'm 63 now. I started running at 27 years old
I broke my hip at 16 now at 18 I have arthritis out the wazoo
Sorry to hear that
what to do with doctors that work hard to make sure you loose your hip so they can make money operating you?
Go see someone else!