Weight loss, activity modification, physical therapy, anti-inflammatory medications, and cortisone injections.
When non-operative modalities are no longer able to diminish the symptoms, surgery becomes a viable option.
A traditional minimally-invasive approach (posterior-thru the back; lateral-thru the side) detaches muscle around the hip joint prior to replacement. These are subsequently repaired prior to skin closure. After the operation, the patient typically has to follow specific precautions to prevent a dislocation (the replaced ball comes out of the socket). These precautions may include a pillow in between your legs, no bending beyond 90 degrees of flexion, and no excessive turning of one’s feet.
The direct anterior approach (through the front) is a sophisticated procedure that allows the surgeon to replace the joint without detaching any of the hip muscles. Unlike a traditional replacement, this allows one to freely move the hip in most instances. Due to the muscle sparing, this leads to a decreased hospital stay and quicker rehabilitation.