Inability to bend the thigh?
Hello Dr.
Shi: My friend was in a car accident at the end of last year and was taken to the hospital via emergency services.
The doctor diagnosed a closed dislocation of the right hip joint.
During the emergency treatment, he received general anesthesia and the bone was realigned.
However, even now, he still cannot bend his thigh… squatting, sitting cross-legged, or tripping over his foot causes pain, but running and walking do not hurt.
He also cannot lift his right leg very high.
During a follow-up visit, the doctor took X-rays and said there was nothing major, but it is possible that he injured the tendons.
Dr.
Shi, what should he do to recover quickly? Thank you.
Gwen, 10~19 year old female. Ask Date: 2016/02/24
Dr. Shi Guozheng reply Orthopedics
Recovery from a hip joint dislocation reduction typically takes about three months, and rehabilitation may be necessary to facilitate gradual recovery.
If there is significant pain, medication treatment should still be administered.
Reply Date: 2016/02/24
More Info
Hip joint dislocation, particularly closed dislocation, can lead to significant mobility issues and discomfort, as you've described in your friend's case. The recovery process can be complex and often requires a multifaceted approach to rehabilitation. Here are some insights and recommendations based on medical knowledge regarding hip joint dislocation recovery.
Understanding the Injury
When your friend experienced a closed hip joint dislocation, the femoral head was displaced from the acetabulum (the socket in the pelvis). Although the dislocation was reduced (put back into place) under general anesthesia, the surrounding soft tissues, including ligaments, tendons, and muscles, may have sustained injuries. This can lead to pain, stiffness, and limited range of motion, particularly in flexion (bending the leg).
Recovery Timeline
Recovery from a hip joint dislocation can vary significantly among individuals. Generally, it may take several weeks to months for the hip joint to heal adequately. During this time, it is crucial to follow a structured rehabilitation program to restore mobility and strength.
Rehabilitation Strategies
1. Physical Therapy: Engaging in a physical therapy program is essential. A physical therapist can design a personalized rehabilitation plan that focuses on:
- Gentle Range of Motion Exercises: Initially, these exercises should be passive or active-assisted to help regain flexibility without putting undue stress on the joint.
- Strengthening Exercises: Once the initial pain subsides, strengthening exercises targeting the hip muscles, quadriceps, and hamstrings can help stabilize the joint.
- Functional Training: As your friend progresses, functional exercises that mimic daily activities can be introduced to improve overall mobility.
2. Pain Management: If your friend experiences pain during certain movements, it may be beneficial to use over-the-counter pain relievers, such as NSAIDs (e.g., ibuprofen), to manage discomfort. However, it is crucial to consult with a healthcare provider before starting any medication.
3. Gradual Return to Activities: While walking and running may not cause pain, activities that require bending or squatting should be approached with caution. Gradually reintroducing these movements while monitoring for pain is essential. If certain positions, like squatting or sitting cross-legged, cause pain, they should be avoided until further recovery.
4. Monitoring Symptoms: It is vital to keep track of any changes in symptoms. If pain persists or worsens, or if new symptoms arise, your friend should consult their healthcare provider for further evaluation. Imaging studies, such as X-rays or MRIs, may be necessary to assess for any underlying issues, such as soft tissue injuries or joint degeneration.
5. Home Exercises: Your friend can also perform gentle stretching and strengthening exercises at home, focusing on the hip flexors, quadriceps, and hamstrings. Simple movements like ankle pumps, leg slides, and gentle hip abductions can be beneficial.
Conclusion
In summary, recovery from a hip joint dislocation involves a combination of physical therapy, pain management, and gradual reintroduction of activities. It is essential to listen to the body and avoid movements that cause pain. Regular follow-ups with a healthcare provider are crucial to monitor progress and adjust the rehabilitation plan as needed. With time, patience, and appropriate care, your friend can expect to regain mobility and return to their normal activities.
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