While cartilage does not regrow or replace itself, it can be repaired or supplanted by a few different treatment options. Many cartilage injuries can be treated without surgery via physical therapy and anti-inflammatory medication.
Non-Surgical Treatments for Cartilage Injuries
There are several non-surgical options for managing cartilage injuries in the hip:
Physical Therapy: A targeted exercise program can help strengthen the muscles around the hip joint, providing stability and reducing stress on the cartilage. Physiotherapists may also use modalities like interferential therapy (IFT), transcutaneous electrical nerve stimulation (TENS), and ultrasound to manage pain and inflammation.
Anti-Inflammatory Medications: Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce swelling and pain associated with cartilage injuries. However, prolonged use may have side effects, so it’s important to use them under medical supervision.
Weight Loss: Excess weight puts additional stress on the hip joint, accelerating cartilage damage. Losing weight can significantly reduce pain and slow the progression of arthritis.
Activity Modification: Avoiding high-impact activities that put stress on the hip joint, such as running, jumping, and heavy lifting, can help manage symptoms. Low-impact exercises like swimming, cycling, and using an elliptical machine are good alternatives.
Injections: Corticosteroid injections can provide temporary relief from pain and inflammation, while viscosupplementation involves injecting hyaluronic acid into the joint to enhance lubrication and reduce friction between bones.
When Surgery May Be Necessary
While many cartilage injuries can be managed non-surgically, surgery may be necessary in some cases:
Persistent Pain: If non-surgical treatments fail to provide relief and pain persists, surgery may be recommended.
Severe Damage: In cases of severe cartilage damage or osteoarthritis, surgery may be necessary to repair or replace the damaged joint.
Loose Bodies: If there are loose fragments of bone or cartilage floating in the joint, surgery may be needed to remove them.
Labral Tears: A torn labrum, the ring of cartilage that surrounds the hip socket, may require surgical repair.