Ask the Expert: Hip Video Series
About the video: When should I consider a hip replacement?
Arthritis experts Kris Breien, M.D. and Jerome Perra, M.D. explain the most common signs and symptoms that can lead to a hip replacement.
Meet Dr. Kristoffer Breien
Dr. Breien’s approach: “I tend to be more conservative in my approach, reserving surgery as a last option. In essence, I strive to care for patients and their problems in the same manner my family and I expect to be treated when we seek medical attention.”
Dr. Breien’s education: Dr. Breien received his undergraduate degree at Colorado State University in Fort Collins, Colorado. He went to Creighton University for medical school and his residency at Creighton-Nebraska University Health Foundation in Omaha, Nebraska.
Meet Dr. Jerome Perra
Dr. Perra’s approach: “My goal is always to return the patient to his or her highest level of function, and to individualize post-operative and rehabilitation expectations.”
Dr. Perra’s background: Dr. Perra earned his undergraduate degree at St. John’s University in Collegeville, Minnesota, and he went on to complete his medical studies at the University of Minnesota in Minneapolis. His Orthopedic Surgery residency took place at Madigan Army Medical Center in Tacoma, Washington.
When to seek treatment for your arthritis
Arthritis doesn’t have to spell the end of an active life. If you are experiencing worrisome symptoms or persistent pain, the renowned arthritis specialists at Summit Orthopedics can help. We work with you to confirm a diagnosis and develop an appropriate conservative treatment plan. If nonsurgical treatments fail to support your lifestyle goals, fellowship-trained orthopedic surgeons will consult with you and discuss appropriate surgical options. Summit is home to innovative joint replacement options. Our Vadnais Heights Surgery Center is one of only two surgery centers nationally to receive The Joint Commission’s Advanced Certification for Total Hip and Total Knee Replacement. Start your journey to healthier joints. Find your arthritis expert, request an appointment online, or call us at (651) 968–5201 to schedule a consultation.
The symptoms and the signs of arthritis, which is what generally leads to hip replacement. Occasionally, people will have a trauma that will lead to hip replacement. Like they would fall and break something that would result in a hip replacement. But the majority of folks have arthritis. Arthritis usually comes on slowly in the hip, and most people think it’s a groin pull and it’ll just be achy when they’re trying to do things or when they change positions of their leg. And that can go on for months or even years. Then as the arthritis gets worse, i.e., the cartilage continues to wear away in that hip, they’ll start noticing stiffness. They’ll notice that they have difficulty reaching down and touching their foot. They have difficulties putting in their own shoes on, and that affected leg just will not move like the other side. That’ll limit their ability to walk distance, and then it will limit their ability to sleep. Once they start to hurt at night, it gets to the point when people aren’t sleeping and they can’t find any relief – that’s when you’re generally looking at potentially hip replacement. Typically, people who have inflamed tendons or an inflamed bursa will experience the pain on the outside of their hip, sometimes going into the thigh, sometimes up into the buttock area. People who have hip arthritis more frequently will perceive the pain deep in the groin, deep in the front of their hip. There are things you can do to avoid hip replacement at that point, or at least postpone hip replacement. Moderate weight loss, strengthening exercises of the muscles around the hip, and the use of anti-inflammatory medications can calm it down. We can do a cortisone injection into the hip joint, but we need an X-ray guidance to get it in there, because it’s a deep joint and we can’t be sure where again if we tried to just do it in the office. We don’t like to do that repetitively. We’ll often do it just to see, is this pain really coming from your hip or could it be a back problem that’s mimicking hip arthritis, because getting the right diagnosis is important. But if people get very good temporary relief after an injection, if the pain comes back, that’s now limiting their daily life – they can’t function well, climb stairs well, go out and socialize and do the things they need to do – hip replacement maybe the thing to start thinking about.