Hip joint synovitis (synovitis coxae)

Hip joint synovitis (synovitis coxae)

The synovium is the soft tissue found between joint capsule and the joint cavity that secretes a lubricating synovial fluid into the joint space. It transfers nutrients from the blood to the articular cartilage, and together they absorb shock to prevent the bone surfaces from rubbing against one another, decrease the friction and and help the bones to glide easily during movements. Inflammation of synovial membrane results in the condition known as synovitis. In this state there is increased blood flow to the area of the joint. This is the cause of joint warmness and redness. The synovium swells up and produces extra synovial fluid that fills the joint cavity, causing pain and making movement of the joint difficult. The excess synovial fluid contains enzymes that can be a cause of cartilage inflammation and damage of the joint over time. Hip synovitis is a condition which occurs due to viral infection, bacterial infection in the hip resulting from an open hip fracture, inflammatory joint disease like rheumatoid arthritis and gout, lupus, mineral or vitamin deficiency that creates complications, more commonly seen following an injury. It can bee seen in contact sports like soccer and football. Symptoms include hip swelling, tenderness, difficult walking/limping and pain while performing hip movements. Acute synovitis usually respond to conservative treatment and can be resolved in a few days to 8 weeks. Chronic type improvement depends on underlying disease. The goal of rehabilitation is to decrease inflammation and pain, a to restore range of motion and strength to the join. It is important to reduce swelling and to avoid pressure on the inflamed synovial tissues. The most important component is relative rest, and this means to modify workouts to avoid activities that causes pain. Instead of walking or running, patients should swim or bike with less resistance. Once pain and swelling have been reduced, the physical therapy will include passive stretching exercises to help restore full range motion in affected joint. Exercise will be progressed to active stretching and strengthening as appropriate to restore function without recurrence of pain. Rehabilitation usually takes 3-4 weeks, but the time that takes to return to activities is individual and based on activity level and state and most people return to activities between 1-3 months. 

Prevention of recurrence: properly treatment of hip problem or disease that cause synovitis, avoiding a sudden increase in activities that require repetitive motion and easy start in exercise routine, avoiding contact sports, avoiding long distance running, muscle strengthening program before beginning regular sports, appropriate warm-ups before and stretching after workouts. 

Duration

45 days

Program duration is 45 days. If you start today on 04.06.2020., the completion of the rehabilitation program will be on 19.07.2020.

Price

US $40.00

Total price is US $40.00 or US $0.89 per program day