Physio Network
[Physio Discussed] Exercise as medicine: tackling hip pain and OA effectively with Dr Jo Kemp and Dr Josh Heerey
Aug 14, 2024
In this engaging discussion, Dr. Jo Kemp, a Principal Research Fellow and expert in hip pain, joins Dr. Josh Heerey, a leading physiotherapist in hip osteoarthritis, to explore effective treatments for hip pain and osteoarthritis. They delve into the critical role of exercise as a primary intervention and how it can sometimes be more beneficial than surgery. The conversation also highlights the impact of hip morphology on treatment decisions and emphasizes the importance of managing patient expectations when it comes to imaging and personalized care.
42:12
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Quick takeaways
- Exercise is vital in managing hip osteoarthritis, significantly reducing surgery risks through structured programs and tailored approaches.
- A comprehensive treatment strategy for hip pain should integrate education, exercise, weight management, and understand the nuances of hip morphology risk.
Deep dives
Importance of Exercise for Hip Osteoarthritis
Exercise plays a crucial role in managing hip osteoarthritis (OA), with evidence supporting both land-based and water-based exercises, particularly in advanced cases. A systematic review indicated that a structured three-month exercise program could reduce the risk of hip replacement by approximately 40% and delay the need for surgery by nearly two years. However, practitioners often encounter patients who present when their condition has become more severe, making exercise less effective. As a result, it is essential for clinicians to recognize that not all patients will respond similarly to exercise and to be open to incorporating other treatment modalities.
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