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If you're ready to consider having hip joint replacement, the next important step is to talk with an orthopaedic surgeon. The medical management of arthritis and joint degeneration may be handled by a family doctor, an internist, or a rheumatologist. However, when medical management is not effective, an orthopaedic surgeon should be consulted to determine if surgery is an option. In some cases, the orthopaedic surgeon may be the first physician to see a patient and make the diagnosis of arthritis.
Note: Many factors will go into making your joint pain diagnosis. Be sure to print out the results of your Self-Test, 10 Questions to Ask Your Doctor, and Information Your Doctor May Need From You and show them to the orthopaedic surgeon during your visit.
While every orthopaedic evaluation is different, there are many commonly used tests that an orthopaedic surgeon may consider in evaluating a patient's condition. In general, the orthopaedic evaluation usually consists of:
The information that the orthopaedic surgeon gathers during the medical history usually suggests the possibility of several different diagnoses (causes). After the medical history is taken, the orthopaedic surgeon conducts a physical examination: If you are experiencing pain in your hip joint, your back may be examined, because hip pain may actually be the result of problems in the lower spine.
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After the physical examination, X-ray evaluation is usually the next step in making the diagnosis. The X-rays help show how much joint damage or deformity exists. An abnormal X-ray may reveal:
Additional tests may include laboratory testing of blood, urine, or joint fluid and/or magnetic resonance imaging or a bone scan of the joint and surrounding soft tissue.
Following the orthopaedic evaluation, the orthopaedic surgeon will review and discuss the results with you. Based on his or her diagnosis, your treatment options may include:
If you and your orthopaedic surgeon decide that hip joint replacement surgery is an option to relieve your pain, he or she will provide the specific-to-you details of which type of artificial joint will be used, what you need to know to prepare for the surgery, how the surgery will be performed, and what results you can expect once you're up and moving again.