The E3 Rehab Podcast 224. Hip Osteoarthritis: A Practical Guide w/ Marc Surdyka and Chris Hughen
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Oct 28, 2025 Marc Surdyka, a clinician and educator specializing in hip pathologies, joins Chris Hughen to delve into the complexities of hip osteoarthritis. They explore how to accurately diagnose this condition and the surprising differences between radiographic findings and symptoms. Risk factors like age and previous injuries are discussed, along with the importance of patient education and realistic expectations regarding treatment, including exercise and lifestyle adjustments. They also highlight how weight loss can impact long-term outcomes for those with hip OA.
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Imaging Doesn’t Equal Symptoms
- Radiographic hip OA often does not match symptoms; imaging can worsen while pain stays stable.
- Clinical diagnosis matters more for management than imaging alone.
Prioritize Clinical Diagnosis
- Diagnose hip OA clinically using history and exam features before relying on imaging.
- Use imaging mainly to exclude other diagnoses or if surgery is being considered.
OA Is A Systemic, Multi-Factor Problem
- Hip OA arises from mechanical, metabolic, genetic, and age-related factors combined.
- Treating OA requires addressing systemic health, not just local joint wear-and-tear.