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Suggest Treatment For Osteoarthritis And Tendonitis
Question: A recent mri scan on left hip shows osteoarthritis and tendonitis. I am to have physio to help relieve, although my gp tells me i will need a hip replacement, but the wear and tear "is not bad enough yet"! How quickly does OA progress plz?
Brief Answer:
There is no exact prediction for OA progression.see below...
Detailed Answer:
Hello,
I read your message and understood your problem.
Your case:
- 70 years old female
- recent MRI scan on left hip: osteoarthritis and tendonitis
- gp suggesting hip replacement in future (not now)
To answer your question: "How quickly does OA progress?"
No one can predict how fast the osteoarthritis will progress. This is something that will be seen as the time passes. Progression can be very variable. It can remain stable for years or it may develop faster. No one can predict it.
Surgery is often done when MRI shows significant damage of joint or increased lesion. The joint damage shown in radiology is not always proportional to the severity of pain or joint stiffness.
You can send the MRI report to me so I can evaluate the changes there and see if you need hip replacement.
My advice is to do at least twice a year a radiological exam to see the evolution of joint damage. Do not measure the progression of your osteoarthritis with your symptoms.
Pain is common symptom and has 2 main patterns: 1. organic changes 2. psychological effect.
So, the level of pain endurance will depend on inflammatory processes and your psychological/emotional part.
Maybe years will pass and you won't need surgery. However, regular doctor's follow ups are recommended and :
- if you cannot run physiotherapy, can ask any of your family members to do some massaging on the back (pelvic area) with essential oils (lavender or olive oil)
- apply warm clothing locally
- take oral analgesic/anti-inflammatory meds (e.g. ibuprofen, or naproxen)
- apply local analgesic cream
- protect hip from possible traumas
Hope this is helpful for you.
Dr.Albana
There is no exact prediction for OA progression.see below...
Detailed Answer:
Hello,
I read your message and understood your problem.
Your case:
- 70 years old female
- recent MRI scan on left hip: osteoarthritis and tendonitis
- gp suggesting hip replacement in future (not now)
To answer your question: "How quickly does OA progress?"
No one can predict how fast the osteoarthritis will progress. This is something that will be seen as the time passes. Progression can be very variable. It can remain stable for years or it may develop faster. No one can predict it.
Surgery is often done when MRI shows significant damage of joint or increased lesion. The joint damage shown in radiology is not always proportional to the severity of pain or joint stiffness.
You can send the MRI report to me so I can evaluate the changes there and see if you need hip replacement.
My advice is to do at least twice a year a radiological exam to see the evolution of joint damage. Do not measure the progression of your osteoarthritis with your symptoms.
Pain is common symptom and has 2 main patterns: 1. organic changes 2. psychological effect.
So, the level of pain endurance will depend on inflammatory processes and your psychological/emotional part.
Maybe years will pass and you won't need surgery. However, regular doctor's follow ups are recommended and :
- if you cannot run physiotherapy, can ask any of your family members to do some massaging on the back (pelvic area) with essential oils (lavender or olive oil)
- apply warm clothing locally
- take oral analgesic/anti-inflammatory meds (e.g. ibuprofen, or naproxen)
- apply local analgesic cream
- protect hip from possible traumas
Hope this is helpful for you.
Dr.Albana
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Many thanks. I feel that some days its less painful, but then i turn quickly and it provokes the pain. This has probably been happening for 3 or so years now. Many thanks
Brief Answer:
Typical OA pain: on and off...
Detailed Answer:
Hi back my dear,
That's typical for OA pain: sometimes no pain, some other painful, sometimes unbearable. But it is not persistent, it's on and off.
Just follow the advice given above and keep following up with your doctor to evaluate changes in future.
All the best!
Dr.Albana
p.s. if no more questions, please close this discussion and rate my answer positively if you are satisfied with it. Thank you.
Typical OA pain: on and off...
Detailed Answer:
Hi back my dear,
That's typical for OA pain: sometimes no pain, some other painful, sometimes unbearable. But it is not persistent, it's on and off.
Just follow the advice given above and keep following up with your doctor to evaluate changes in future.
All the best!
Dr.Albana
p.s. if no more questions, please close this discussion and rate my answer positively if you are satisfied with it. Thank you.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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