hip pain Archives - Midland Hip and Knee Clinic

A hip replacement may be needed if you have severe damage to your hip joint which is causing painful symptoms. It is commonly performed on older patients who have osteoarthritis.

During hip replacement surgery, the joint is removed and replaced with an artificial one.

Your orthopaedic hip surgeon will perform your hip replacement by:

Making a small incision in the thigh to access the hip joint
Remove the damaged femur (ball of the thighbone) and socket
Implant the replacement socket
Insert a short metal stem with a ball on it into the ball of the thighbone
Close the incision with stitches.

A hip replacement can hugely reduce pain, with almost all patients getting complete, or near complete relief from arthritic hip pain, and thus increased mobility.

Minimally invasive hip surgery

Mr Makrides offers minimally invasive hip surgery using the Direct Superior Approach. This avoids damage to surrounding muscles and tissue which results in a shorter hospital stay and a faster recovery time.

Robotic assisted hip surgery

Mr Makrides can also perform hip replacement surgery using the Mako robotic arm assisted surgery. This is carried out at Spire Little Aston Hospital and allows your surgeon to use the robotic arm to guide him along pre-defined areas using real time tracking which adjusts to the smallest of movements. This results in extremely precise surgery with minimal blood loss, scarring and post operative pain.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

A hip replacement is surgery to removed your damaged hip joint and replace it with an artificial joint.

When is a hip replacement needed?

If you are experiencing pain, swelling and stiffness in your hip joint, and your day to day life is affected by it, then you may be considered for a hip replacement, if other treatments such as steroid injections or physiotherapy have not helped.

The most common reasons for hip replacement surgery are:

Osteoarthritis

Where the cartilage that protects the joints breaks down over time and causes pain and inflammation.

Rheumatoid arthritis

When your immune system attacks the healthy cells lining the joint which causes pain, inflammation and eventually damage to the joint.

Septic arthritis

A serious infection that can damage the joint.

Hip fractures

A fall or trauma which causes a small break in the hip. Overtime this may weaken the bone and lead to osteoporosis.

How is a hip replacement performed?

Usually performed under general anaesthetic or a spinal block, your orthopaedic hip surgeon will make an incision in the side of your hip. The damaged femur (ball) will be removed along with any damage to the socket. A prosthetic is fitted and held in place with a special ‘glue’ or ‘cement’.

Minimally invasive hip replacement surgery

Mr Makrides carries out minimally invasive hip replacement surgery which uses 1 or 2 very small incisions as opposed to a large one and special instruments to carry out the procedure. This is a beneficial technique used to reduce damage to the surrounding muscles and tissue which in turn results in a faster recovery time with less pain.

Mako robotic hip replacement surgery

Robotic surgery allows your hip surgeon to make a 3D model of your hip joint prior to surgery. During surgery the robotic arm guides your surgeon within the pre-defined area, using real time tracking feedback making it extremely precise, resulting in a faster recovery time, a shorter stay in hospital, less pain post surgery and a smaller scar.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Hip pain can be common in cyclists due to the repetitive nature of peddling and sitting.

One of the most commonly seen conditions in cyclists is hip bursitis. The bursa is a small fluid filled sac that acts as a cushion to absorb shock between the bone and ligaments. When the bursa becomes irritated and inflamed it is known as bursitis.

The reason a cyclist may get hip bursitis could be from cycling a lot without regular breaks, incorrect posture on the bike or an existing problem with the hip that worsens irritation of the hip bursa.

Symptoms of hip bursitis:

Pain and swelling around the hip area
Pain may worsen when moving

Treatment for hip bursitis:

Treatment for hip bursitis may involve a course of antibiotics, steroid injections if applicable and if severe surgery to drain or remove the bursa.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Joint pain is commonly caused by degeneration as we age, overuse and injury. However, it is possible that stress and anxiety can cause or worsen existing painful joints.

The ways stress can affect your joints:

Long term stress may cause a build up of inflammation in the body that may lead to painful hip and knee joints.
Anxiety can cause you to tense your muscles which in turn can make them stiff, inflamed and painful.
Stress can weaken your immune system which may lead to joint infections and pain.

However, it is difficult to conclude that anxiety and stress directly leads to joint pain and it is advise to get any hip and knee pain looked at by a professional to rule out any other underlying condition.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Hip arthritis is when you experience hip pain and stiffness due to the cartilage that protects the joints wearing down.

Symptoms of hip arthritis are:

Pain in the hip
Swelling and tenderness in the hip

Due to pain and discomfort in your hip, your mobility may be reduced, resulting in other joints and muscles taking more strain than they usually would. It is common for the spine to take this strain and thus become tired and worn.

Treatment for hip arthritis

Treatment involves taking painkillers and anti-inflammatory medication to help ease pain and inflammation. Physiotherapy and exercise may help strengthen the muscles around the joint.

If the above have not been successful or if your arthritic hip is advanced, then hip surgery to repair or replace the damaged hip joint may be considered.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Due to the sudden twists and turns when playing football, as well as the repetitive nature of running it is common for footballers to experience hip and knee pain.

4 common injuries to the hip and knee are:

Anterior Cruciate Ligament (ACL) injury

The ACL connects the thighbone to the shinbone, stabilising the knee joint, and is a common injury in footballers due to quick twists and turns of the body.

Symptoms include difficulty bearing weight on the knee, swelling of the knee and pain and ‘popping’ in the knee.

ACL reconstruction surgery can be carried out via a minimally invasive approach, and consists of taking tissue from somewhere else in your body, or from a donor, to replace the damaged ligament.

Meniscus tear

The meniscus is cartilage between the shinbone and thighbone that absorbs shock. It can be injured through sudden twisting and turning of the knee.

Symptoms include sudden knee pain, swelling and difficulty bending or extending the knee.

Treatment can involve surgery to repair the damaged tissue, or surgery to replace the whole meniscus.

Hip labral tear

Hip labral tear is a tear to the cartilage holding the ball and socket of the hip together. This can be caused by repetitive fast changes in direction when running.

Symptoms involve pain and instability in the hip.

Surgery is usually performed via a hip arthroscopy and consists of stitching the torn tissue back together or reconfiguring the damaged tissue with tissue from elsewhere in your body, or from a donor.

Hip osteoarthritis

Osteoarthritis is when the cartilage that protects the hip joint wears over time as you age or if you are particularly active. It is not unusual for football players to develop hip osteoarthritis due to repetitive vigorous hip movement.

Symptoms include joint pain, difficulty walking and stiffness in the hip.

Hip replacement surgery can repair or replace the damaged hip joint with a prosthetic joint.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Bursitis is when the bursa, small fluid filled sacks that cushion the joint to help reduce friction, become inflamed and painful.

Symptoms of hip bursitis

Painful hip
Tender and achy hip
Swelling around the hip
Redness around the hip
The hip might be more painful when you put pressure on it

Treating hip bursitis

Painkillers and anti-inflammatory medication can help to reduce the swelling, along with resting and avoiding putting pressure on the hip joint.

Usually, you might be given a course of antibiotics if the bursitis is caused by an infection or steroid injections to help reduce the swelling. If the bursitis is severe then the bursa may need to be drained or surgically removed.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Hip osteoarthritis occurs when the protective cartilage breaks down usually due to wear and tear as we age, leaving the bones to rub against each other.

However, it is also possible to be more susceptible to osteoarthritis if you have had previous injury or trauma to the joint, if you are overweight, female and have had past conditions that may damage the joint, such as gout or rheumatoid arthritis.

Typically, symptoms of arthritis of the hip present as pain, swelling and tenderness of the joint. It is possible to experience knee pain, as well as groin pain if your hip is arthritic because the nerve that supplies the knee runs past the hip, which may be inflamed and sore.

Treating hip arthritis consists of taking painkillers and anti-inflammatory medication to help with pain and inflammation. Physiotherapy and exercise to help strengthen the muscles around the joint and loosing weight if you are overweight to reduce pressure on the joint.

If the above have not been successful or if your arthritic hip is advanced, then hip surgery to repair or replace the damaged hip joint can be considered.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Mr Makrides has proudly celebrated being part of the team at Spire Little Aston Hospital, who have achieved 500 Mako Robotic Assisted Joint Replacements!

Mako allows your surgeon to create a 3D virtual model of your hip or knee’s unique anatomy so he can follow your unique personalised plan during surgery.During surgery, the robotic arm guides the surgeon within a pre-defined area using real-time tracking feedback which can adjust for very small movements. This makes it extremely precise and accurate when putting the implant in.

Advantages of the Mako robotic arm are:

Can be used for partial or total hip and knee replacements
Helps create a personalised surgical plan
2-3 times more accurate joint replacement than manual replacement
Produces minimal blood loss and a smaller scar
Helps preserve healthy bone and soft tissue
Results in less post-operative pain than manual techniques
Provides a quicker recovery and shorter hospital stay

What is recovery like?

Recovery is much quicker than traditional hip and knee replacements. You will have a personalised physiotherapy plan and may be able to walk just hours after your surgery, and return to your everyday activities in 1-4 weeks.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

A hip fracture is a break in the femur (top of the thigh bone). Fractures are often caused by falls and are more common in the elderly. Some conditions such as Osteoporosis can weaken the bones and cause hip fractures.

Symptoms of a hip fracture

Hip pain
Difficulty bearing weight on your leg
Trouble moving and lifting your leg

Treating a hip fracture

Usually surgery is required for a hip fracture. Sometimes the hip can be supported with plates and screws, however most cases may need a hip replacement. The type of surgery you will be offered will depend on your age, your health, how bad the fracture is and the condition of your bones.

Can I prevent a hip fracture?

As most hip fractures occur in the elderly or those with osteoporosis, you could use a walking aid for support and perform exercises to help strengthen the muscles around your joints.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

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