Are you looking for the cause of your hip pain or you don't know exactly what is causing your hip pain?
Then let yourself be guided by our diagnostic Hip pain guide and come to the most likely diagnosis.
The Hip osteoarthritis (Synonyms: hip joint arthrosis, coxarthrosis) is a degenerative disease of the hip joint, which is characterized by the fact that the cartilage in the hip joint slowly and progressively perishes. It runs in several stages.
In principle, the Hip arthrosis three stages are used: The general classification of all types of osteoarthritis into three stages, also one specific for coxarthrosis radiological Classification and one clinical Classification for which various scores are available.
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Any form of arthrosis can be in Stages organize:
Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
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The hip joint is one of the joints that are exposed to the greatest stress.
The treatment of the hip (e.g. hip arthrosis, hip impingement, etc.) therefore requires a lot of experience.
I treat all hip diseases with a focus on conservative methods.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
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Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert
Depending on the stage, a different triad of symptoms is distinguished:
In the early stage this consists of starting, fatigue and exertion pain, in the later stage of continuous, night and muscle pain. In the early stage, radiating pain can be added (in the case of hip osteoarthritis, this is usually knee pain), in the late stage, the pain is often accompanied by limited mobility in the joint.
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$config[ads_text3] not foundThe radiological staging of hip arthrosis usually takes place according to the classification of Kellgren and Lawrence. It relates to the findings in the X-ray image show and will be in degrees of 0 to 4 divided, whereby from the second degree the diagnosis of hip arthrosis can be regarded as certain.
The X-ray findings in one Hip arthrosis are very reliable, but must nevertheless be evaluated with caution, as they do not always correlate with the extent of the patient's complaints.
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The clinical staging a coxarthrosis uses different Scores. The so-called "Harris Hip Score“.
With this classification, points are distributed for various factors, so that you ultimately get a value between 0 and 100 can reach. Should less than 70 points are obtained, this result is classified as bad, all from 80 points counts as Well. The subgroups represented here are:
The Score to Merle d’Aubigné and Postel. In this, points are awarded in the areas of pain, mobility and walking ability, which are in each case 7 degrees of severity (from 0 to 6) split.
A distinction is made between the calculated score absolute values, where only the points for pain and walking ability are added up and so on one Maximum number of 12 comes (everything under 7 is considered critical) and relative values.
The relative values should be used to compare the patient's condition before and after an operation. The points for pain and walking ability are doubled in this case. Everything above 7 is to be regarded as good here, a value below 3 indicates that the operation has failed. There is also the Lequesne score, which evaluates pain, maximum walking distance and everyday activities. Although this score correlates very well with the clinical complaints of those affected, it correlates only very poorly with the findings of one X-ray image. Finally, sometimes the SF-36 questionnaire Use that is the only one that deals not only with the patient's clinical complaints, but also with the analysis of his quality of life.
In general, it should also be noted that all stages are mainly used to monitor the progress of the Hip osteoarthritis serve. You can also help to make a suitable decision Therapy of hip arthrosis contribute, but should never be the primary clue for choosing a particular treatment path, as they say too little about the patient's individual suffering.
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