Hip osteoporosis is transient, uncommon syndrome, which leads to transient bone loss in the upper part of the leg or femur. It is important to differentiate between transient hip osteoporosis and the widespread age-related osteoporosis, which is painless, progressive disease with negative implications on the bones throughout the body. The risk of fractures is greater in patients with common age-related osteoporosis than people with transient hip osteoporosis.

There is no obvious reason for transient hip osteoporosis; however there are some causes that may play part in appearance of this syndrome. These reasons may include:

  • Occlusion of a few of the small blood vessels which surround the hip
  • Change in the hormonal concentrations
  • Atypical physical stresses on the bones
  • Abrupt pain onset, which appears primarily in the front part of the thigh or the groin
  • Pain that increases with carrying heavy things, and decreases with rest
  • No previous history of damage or injury to the joint in the upper part of the leg.
  • Slight hip movements are usually painless, however extreme hip movements are always painful
  • Pain severity is usually increased over time. After weeks or months, the pain may be so intense and disabling.
  • Patients usually limp in order to relieve the pain.

Since transient osteoporosis usually relieves by itself, the primary aims of the treatment are to minimize the symptoms and protect any further harm to the bones.

Physical Therapists are professionals, educated and trained to administer interventions. As defined by The Guide to Physical Therapist Practice, interventions are the skilled and purposeful use of physical therapy methods and techniques to produce changes consistent with the diagnosis, prognosis and the patient or client’s goals. Physical therapy is important to restore the strength and flexibility in the muscles supporting the hip. Water exercises are considered as essential part of the treatment because they facilitate the movements, and alleviate weight bearing

  • Manual Therapeutic Technique (MTT): hands on care including soft tissue massage, stretching and joint mobilization by a physical therapist to improve postural alignment, mobility and range of motion. The use of mobilization techniques also helps to modulate pain.
  • Therapeutic Exercises (TE) including site specific stretching and strengthening exercises to improve posture, regain range of motion and strengthen the affected muscles to support, stabilize and decrease the stresses places.
  • Neuromuscular Reeducation (NMR) to restore stability, retrain the affected extremity and improve movement techniques and mechanics, and balance (for example, walking, kneeling, squatting and stair climbing). Gait and balance training may be indicated to reduce the risk of falls.
  • Modalities including the use of ultrasound, electrical stimulation, ice, cold, laser and others to decrease pain and inflammation of the involved area if there is a fracture involved.

In addition to performing a thorough examination, your physician may order the following tests to make a more concise diagnosis:

  • X-rays shows marked loss of the bone density of the femoral head.
  • MRI to determine any soft tissue involvement surrounding the hip
  • Although bone density test (densitometry or DEXA scan) is the ideal test to detect age-related osteoporosis, it is ineffective in diagnosis of transient osteoporosis of the hip

Medications

Your doctor may advise you to take non-steroidal anti-inflammatory medication (NSAIDs) such as piroxicam or celecoxib to alleviate pain and inflammation

It is preferred that you do not perform any weight-bearing activities. Walkers, crutches, or walking aids may be also considered as effective methods to ease the stress of weight bearing on the hip, and protect against possible fractures.

Many researches focused on the importance of vitamin D and calcium in rebuilding of the bones, and increasing the healing process.

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"The therapists and staff at the Twin Boro in North Brunswick truly place their patients first. My six month experience at this office was outstanding. Coming to Twinboro, I was unsure of my diagnosis, but with the help and dedication of my therapist Ivana, answers were found and exercises were set in place to treat my symptoms. Ivana made coming to therapy an enjoyable experience with her attention to detail, compassion, and sociability. It was evident through the environment Ivana created for that she listens to her patients and makes decisions with the best interest of the patient in mind. If you need to attend physical therapy and are in the area, Twin Boro in North Brunswick is the right choice!"

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"After a wrist/hand surgery, I completed 6 months of physical therapy at the TWIN BOROS - DAYTON NJ location with therapist James Battaglia. In the beginning I was in a great deal of pain with very limited range of motion. I was cringing from pain and using safe words lol. From day one, James gave me excellent care! He was very patient and listened to my cues. He crafted a full complement of exercises for me both in the office and also an at-home exercise program. Christa (sp) another therapist - also filled in for James during vacations and worked on my wrist. She too was excellent! The assistants and office staff are all super friendly and address every patient by their first name. You are not just a “patient” here. The staff all genuinely care about you. By the time I “graduated” 6 months later my wrist was doing so much better. I was actually sad to leave. This is a great facility- clean, modern and professional. You won’t be disappointed with this facility at all!"

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