fbpx

Our Office is open 9am-5pm, Monday to Friday

  • New patient referrals and enquiries call : +44 (0)20 8909 5114
English English

Contacting Patients

Need to get a message to a loved one? Click here

Appointments and Consultations

To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital.

Coronavirus Information

Stay at Home

  • Only go outside for food, health reasons or work (but only if you cannot work from home)
  • If you go out, stay 2 metres (6ft) away from other people at all times
  • Wash your hands as soon as you get home

Do not meet others, even friends or family. You can spread the virus even if you don’t have symptoms.

What To Do If You Need Medical Help

If you need medical help for any reason, do not go to places like a GP surgery, pharmacy or hospital.

If you have symptoms of coronavirus (high temperature or a new, continuous cough), use the 111 coronavirus service.

If you need help or advice not related to coronavirus:

  • for health information and advice, use the NHS website or your GP surgery website
  • for urgent medical help, use the NHS 111 online service – only call 111 if you're unable to get help online
  • for life-threatening emergencies, call 999 for an ambulance

By Mr Tahir Khan
Consultant Orthopaedic

Hip joint is pivotal to normal bipedal ambulation. Any deformity in the articulation leads to significant disability in young, active individuals. Patients with hip problems, typically complain of the following:

  • Groin pain after physical activity
  • Dull ache or Discomfort after walking, running, dancing or prolonged sitting
  • Stiffness affecting hip movements

If hip symptoms last longer – underlying hip joint problem may need to be investigated promptly and comprehensively. Advanced imaging may detect hip pathologies before they lead to irreversible damage

Young adults (typically aged 16–50 years) with persistent hip pain and no signs of hip joint arthritis present a diagnostic challenge for the un-initiated. Our understanding of the causes of hip pain in young adults has increased significantly over the last decade. This has led to the recognition that subtle hip abnormalities can cause symptomatic soft tissue damage and may initiate OA. Therefore identifying and treating young adults with pre-arthritic symptoms (the ‘at-risk’ hip) is now possible.

Early diagnosis and treatment is extremely important to minimize symptoms and prevent premature onset of hip joint deterioration.

Hip conditions in young adults

Some of the causes of hip pain are listed below;

  • Abductor and Gluteus muscle injuries        
  • Piriformis syndrome
  • Snapping hip (ITB or iliopoas)
  • Trochanteric bursitis
  • Inguinal ligament strain
  • Referred pain from Lumbar spine
  • Femoro–acetabular impingement (FAI)
  • Avascular necrosis of the femoral head (AVN)
  • Developmental Dysplasia of the hip (DDH)
  • Legg Calve Perthe’s Disease
  • Acetabular Labral tear
  • Osteo-Chondral defect
  • Ligamentum teres injury

FAI

The term FAI describes deformities in hip joint morphology that results in impingement between the femoral neck and acetabulum. The impinging surfaces can irritate and damage the soft tissues of the hip joint, in particular, the acetabular labrum and the adjacent articular cartilage. Three types of deformities in the hip joint have been described;

  1. CAM type – Asphericity of the femoral head; term borrowed from the cam-lobes on engine cam-shafts
  2. Pincer type – over coverage of the anterosuperior acetabular wall; a deep socket. Similar to the tips of pincer forceps
  3. Mixed type

Patients with hip pain have a higher prevalence of articular anatomy abnormality. A retrospective review of the pelvic radiographs of 157 patients aged 18–50 years revealed that 87% were found to have a hip shape abnormality.

Early specialist referral may be indicated in athletes where the prevalence of hip shape abnormality has been shown to be substantially higher than in the general population.  

Treatments often involve targeted physiotherapy, which has shown good short-term outcomes in pain and function for patients with mild FAI, although there is limited experimental data.

Surgical management may be considered for extra- and intra-articular hip pathologies when patients do not improve with non-operative care and where the symptoms are judged severe enough to justify the risks of surgery.

Arthroscopic Hip surgery may help with the management of trochanteric bursitis, the snapping hip, and morphological corrections for the treatment of FAI as well as soft tissue repairs (e.g. labral repair/reconstruction, microfracture and repair of ligamentum teres injuries).

A growing body of literature now exists showing favourable outcomes of arthroscopic surgery for FAI in young adult and adolescent populations. 

For more information contact please contact the Royal National Orthopaedic Hospital Private Patient Unit:

020 8909 5114