Does This Patient Have Hip Osteoarthritis?

  Рет қаралды 130,877

JAMA Network

JAMA Network

Күн бұрын

4 in 5 patients who have radiographic evidence of osteoarthritis are asymptomatic. So how can you avoid unnecessary imaging and assess a patient’s risk of having mild to severe osteoarthritis? This video illustrates how to perform an informative hip examination and provides important information about the clinical significance of findings of osteoarthritis on hip x-rays.
Read the full Rational Clinical Examination at ja.ma/RCEHipOA
0:00 Introduction
0:50 Patient history
1:35 Gait assessment
2:20 Tests to perform when patient is standing
3:19 Tests to perform when the patient is supine
4:25 Relative scale of strength
6:52 Tests to perform in the lateral position
8:02 Tests to perform in the prone position
9:34 Calculating patient's risk of hip OA

Пікірлер: 44
@kathytracy7952
@kathytracy7952 Жыл бұрын
I never had a check up like this! Mri said severe hip osteoarthritis. This look like a great doctor
@rickiejacobs5910
@rickiejacobs5910 3 ай бұрын
I would be screaming in pain with some of those leg positions he was doing, with my hip arthritis.
@saltlifegull4091
@saltlifegull4091 3 жыл бұрын
Dang, this dr really did an excellent job explaining this. How come I've not had any evaluation like this, only shots in knees. I've been suffering for over a year and my primary just prescribed Naproxen before I had enough and asked for a referral. agrrrr.... thanks so much for this thorough explanation.
@franklebatista1091
@franklebatista1091 3 ай бұрын
Those meds messed up my kidneys and liver
@margaretrobinson9597
@margaretrobinson9597 Жыл бұрын
Thank you for sharing video on hip osteoarthritis. Educational and information learning experience.
@darshanmutgekar4879
@darshanmutgekar4879 2 жыл бұрын
channel needs millions of subscribers very nice explanation
@rebeccagandi5301
@rebeccagandi5301 3 жыл бұрын
Very professional explanation Thank You So Much Doctor.
@sonjagatto9981
@sonjagatto9981 4 жыл бұрын
Awesome! Very professional Explanation...Thank you!
@auggiedoggiesmommy1734
@auggiedoggiesmommy1734 Жыл бұрын
No one did any of these tests with me.
@paulagabay9915
@paulagabay9915 Жыл бұрын
I went to two different urgent cares didn't even have an examination just an X-Ray which revealed hip Osteoarthritis and still having unrelenting spasms down my right leg for over a week and have been taking the meds they prescribed and doing static stretching.
@sallybush6454
@sallybush6454 Жыл бұрын
Thank goodness 🙏 my doc sent me straight for a xray...I only went for my right hip found out its In both hips and right knee I'm only 52 got physio anxious but can't wait.
@lifecloud2
@lifecloud2 2 жыл бұрын
Thank you for this. It helped a lot.
@MBKMBK-iw2uk
@MBKMBK-iw2uk 2 жыл бұрын
Thanks for the info. But please does it have a cure. or no solution?
@gwenkatchis5987
@gwenkatchis5987 3 жыл бұрын
I just had an X-ray and was told immediately that I had osteoporosis, I didn’t have to have all this pulling about .
@hluvv7607
@hluvv7607 3 жыл бұрын
After MRI I was told I have moderate arthritic changes in hips, what exactly does this means should I be concern ?
@josieyearall7498
@josieyearall7498 Жыл бұрын
I'm Waiting for an assessment. I have had an X ray which shows arthirits. I have had tests done from my physio. Most of these tests I've had and have pain with all. Not looking good for me
@eucabethjabuya5347
@eucabethjabuya5347 4 ай бұрын
How do one correct hip pain
@Fukaeri
@Fukaeri Жыл бұрын
4:56: "She does not have any pain which would be indicative of osteoarthritis. So both having pain and not having pain during abduction goes along with OA?
@margaretrobinson9597
@margaretrobinson9597 Жыл бұрын
Scoliosis with hip dysplasia risk osteoarthritis?
@violacruz3730
@violacruz3730 2 жыл бұрын
I need a hip replacement for osteoarthritis on my hip. About 5 years ago I noticed a lump on the top of my hip. Why did this happen and will it affect my surgery.
@g0thica
@g0thica 5 ай бұрын
It could be RA
@lizstromsnesdolz629
@lizstromsnesdolz629 4 ай бұрын
did you get any answers? i had TKR with a lump over the knee, still in pain and no answers on the lump
@mariasantiago4978
@mariasantiago4978 2 жыл бұрын
I had a cortisone shot in my right groin. Helped for a month or so. It's been 3 months and I am do for another. Do you think a Chiropractor would help me instead os a pain specialist? I had my left hip replacement surgery done a little over 4 months ago. Arthritis
@nextexit1442
@nextexit1442 Жыл бұрын
My Ortho Dr did none of these things when I saw him!
@Sardarji-bq6oj
@Sardarji-bq6oj 5 ай бұрын
My Doctor never did this test properly 😢
@imveryhungry112
@imveryhungry112 Жыл бұрын
Honestly isn't anyone who's over 55 going to have some arthritis in their hips?
@reenae9346
@reenae9346 6 ай бұрын
I’m 32 and I experience it
@Sardarji-bq6oj
@Sardarji-bq6oj 5 ай бұрын
I’m having hip and back pain. 58 years old and yes I agree 😢
@someoneelse745
@someoneelse745 4 ай бұрын
I've had it since my early 20s
@lovelife_always74
@lovelife_always74 2 ай бұрын
I’m 49 and have it in both hips
@lizstromsnesdolz629
@lizstromsnesdolz629 4 ай бұрын
this doctor was actually trained
@briannapink8406
@briannapink8406 2 жыл бұрын
Im 19 I’ve been having problems since I was 14. I feel burning in my butt bone after prolong periods of inactivity and activity. The last couple years my hips and hip bone have been popping with small movements, so irritating when it happens. When it’s really bad I feel pain on my knees like big jolts and then I’ll also get them deep in the but bone when I move in a certain way, also almost always feel like my lower back need the mother of all cracks but won’t crack when I try. I think it maybe be OA but also maybe not since I’m young? Maybe it’s just bad posture and needing a back adjustment?
@Arch492
@Arch492 Жыл бұрын
Question ❓.I have osteoporosis right hip. Bone loss on bottom teeth due to TMJ. I'm 70..will implants work..do injections grow jaw bone all bones or not?
@sajidaamal2007
@sajidaamal2007 3 жыл бұрын
Please tell me what I do this situation. I am 28 year old.. I have osteoarthritis in hip since 2 years.. Painful 😭😭😭😭😭.. How to heal it..
@Devionmclaurin
@Devionmclaurin 3 жыл бұрын
I have OA as well..I know what ur going through 😢...what have you been doing to treat it? My doctor has me doing water aerobics. Only been doing for 2 wks.
@sajidaamal2007
@sajidaamal2007 3 жыл бұрын
What we do OA? 😢😢😢😢😢😢😢
@sartainja
@sartainja 3 жыл бұрын
It is time for hip replacement. Do not wait. You are only suffering needlessly. Had hip replacement done in 2011 at 44 year old.
@k.Newbbie
@k.Newbbie 3 жыл бұрын
@@sartainja my Drs continue to send me to physiotherapy, ex athlete so I have major wear an tear. Unfortunately my pain will go on...
@daliks
@daliks 3 жыл бұрын
@@sartainja i am so scared of the surgery.. i can still do a lot so i am putting it of (41 y/o) but it has to be done sometime..
@user-ii8cc6kr3y
@user-ii8cc6kr3y 10 ай бұрын
I'm in p 34%. Mild, moderate, age 64. I exercise daily
@darshanmutgekar4879
@darshanmutgekar4879 2 жыл бұрын
i am 18 and i have same problem my dream is to go in olympics but i cant
@daisyroots8926
@daisyroots8926 Жыл бұрын
My British surgeon did none of these and has now left me in limbo.. I’m 59, work full time and have no hip replacement in the pipeline.. everyone thinks our NHS is great… it’s not
@jenniriley482
@jenniriley482 10 ай бұрын
My surgeon did, and im in uk. He didnt d all of them, as my pain was through the roof at the slightest movement. Plus xrays confirmed severe OA. Ask to see a different surgeon. You are allowed. If you need a hip replacement then you need one and that's it. Get yourself a new referral. I've found my experience of nhs brilliant re my hip. Although they have heavily focused on my weight. With a bit of luck I could be having it done in jan/Feb 24.
@Purelove87
@Purelove87 5 ай бұрын
Im only 37 and I have osteoarthritis really bad in my left hip hurt in my groin area also all they wanna do is do injections that crap don't work at all for me
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