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    Hip Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment
    Hip Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment
    Hip Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment
    Ebook183 pages1 hour

    Hip Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment

    By Kenneth Kee

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    About this ebook

    This book describes Hip Disorders, Diagnosis and Treatment and Improvised Treatment
    Hip pain is frequent symptom, and it can be confusing because there are many causes.
    Some frequent causes of hip pain are:
    1. Arthritis
    Arthritis is among the most frequent causes of hip pain, and there are many treatments available.
    If conservative treatments do not succeed, hip replacement surgery is a method.
    Rheumatoid Arthritis is an autoimmune disease that causes antibodies to attack the joint.
    Arthritis by itself causes the synovial fluid to become inflamed and occasionally harden or stiffen.
    This causes severe pain and stiffness in the joint.
    In extreme instances of arthritis (e.g., rheumatoid arthritis) the hip may have to be replaced due to deformities or unbearable pain.
    The hip joint is subject to both traumatic damage and wear and tear with age that can cause arthritis and occasionally require a hip joint replacement.
    One of the success stories of modern medicine is the surgical treatment of this disorder by a hip joint replacement (arthroplasty).
    The neck of the femur is a frequent location of fracture in the elderly, often happening from a fall; the fracture is often termed a broken hip.
    2. Trochanteric Bursitis
    Trochanteric bursitis is an extremely frequent disorder that produces inflammation of the bursa over the outside of the hip joint.
    3. Tendonitis
    Tendonitis can happen in any of the tendons that surround the hip joint.
    The most often encountered tendonitis around the hip is iliotibial band (IT band) tendonitis.
    4. Osteonecrosis
    Osteonecrosis is a disorder that happens when blood flow to an area of bone is limited.
    If an insufficient amount of blood flow reaches the bone, the cells will die and the bone may collapse.
    One of the most frequent locations for osteonecrosis to happen is in the hip joint.
    5. Lumbar Pain - Referred Symptoms
    Many back and spine problems can produce symptoms around the buttocks and hip.
    The most frequent disorders that refer pain to the hip region are herniated discs and sciatica.
    6. Snapping Hip Syndrome
    Snapping hip syndrome is a term used to depict 3 distinct hip disorders.
    The first happens when the IT band snaps over the outside of the thigh.
    The second happens when the deep hip flexor snaps over the front of the hip joint.
    Finally, tears of the cartilage, or labrum, around the hip socket can produce a snapping sensation.
    7. Muscle Strains
    Strains of the muscles around the hip and pelvis can produce pain and spasm.
    The most frequent strains are groin pulls and hamstring strains.
    8. Hip Fracture
    Hip fractures are most frequent in elderly patients with osteoporosis.
    The treatment of broken hips needs surgery to either replace the broken part or repair it with a metal plate and screws.
    9. Legg-Calve-Perthes Disease
    Also called Perthes disease, this is a disorder similar to osteonecrosis but in childhood.
    If severe, it can cause permanent damage to this hip joint and early arthritis.
    Symptoms of Hip Disorders:
    1. Inability to walk comfortably on the affected side
    2. Injury that produces deformity around the joint
    3. Hip pain that happens at night or while resting
    4. Hip pain that continues beyond a few days
    5. Inability to flex the hip
    6. Swelling of the hip or the thigh area
    7. Signs of an infection, such as fever, redness, warmth
    Treatment of Hip Disorders
    The treatment is dependent completely on the cause of the disorder.
    1. Rest of the hip
    2. Ice and Heat Application
    3. Stretching of muscles
    4. Physical Therapy
    5. Anti-Inflammatory Medicine
    Avoiding traumatic activities can help keep the hip function for many years.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Hip Disorders
    Chapter 2 Hip Neck Fractures
    Chapter 3 Hip Osteoarthritis
    Chapter 4 Hip Rheumatoid Art

    LanguageEnglish
    PublisherKenneth Kee
    Release dateAug 30, 2019
    ISBN9780463914076
    Hip Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Hip Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment - Kenneth Kee

      Hip Disorders,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Improvised Treatment

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2019 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Hip Disorders, Diagnosis and Treatment and Improvised Treatment which is seen in some of my patients in my Family Clinic

      (What You Need to Treat Hip Disorders, Diagnosis and Treatment and Improvised Treatment)

      This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

      This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Hip and Disorders

      (Chapter from A Simple Guide to Hip Functions 2013 by Kenneth Kee)

      Hip pain is frequent symptom, and it can be confusing because there are many causes.

      Some frequent causes of hip pain are:

      1. Arthritis

      Arthritis is among the most frequent causes of hip pain, and there are many treatments available.

      If conservative treatments do not succeed, hip replacement surgery is a method.

      Rheumatoid Arthritis is an autoimmune disease that causes antibodies to attack the joint.

      Arthritis by itself causes the synovial fluid to become inflamed and occasionally harden or stiffen.

      This causes severe pain and stiffness in the joint.

      In extreme instances of arthritis (e.g., rheumatoid arthritis) the hip may have to be replaced due to deformities or unbearable pain.

      The hip is a large, weight-bearing joint which, because of the persistent stresses (weight bearing, gait movement) placed on it throughout life, can develop osteoarthritis in later years.

      Osteoarthritis involves many people, and the brittle bones from osteoporosis in the elderly can cause life threatening fractures.

      The hip joint is subject to both traumatic damage and wear and tear with age that can cause arthritis and occasionally require a hip joint replacement.

      The cause of osteoarthritis is still poorly understood but it may be the result of thinning of the cartilage covering the bones (acetabulum and head of femur) accompanied by bone overgrowth.

      This disorder can be debilitating and can cause severe pain and stiffness of the hip.

      One of the success stories of modern medicine is the surgical treatment of this disorder by a hip joint replacement (arthroplasty).

      The method, perfected by the orthopedic surgeon Sir John Charnley, involves an operation to remove the diseased joint and insert an artificial one made of metal and tough polyethylene.

      In this surgery both the head of the femur and the acetabulum are replaced (total hip arthroplasty).

      Hip joint replacement can also be done for other types of hip joint disease or malformations, and has been employed after severe injury.

      These are occasionally sporting injuries, and there are recorded cases of persons being able to return to sporting activities after successful replacement surgery.

      The neck of the femur is a frequent location of fracture in the elderly, often happening from a fall; the fracture is often termed a broken hip.

      This is more frequent in females due to the higher thinning of bones with advancing years (osteoporosis) in women than in men.

      There is evidence to indicate that hormone replacement therapy (HRT) after the menopause can reduce the rate of bone loss.

      The treatment of a fractured neck of femur is normally by total hip joint replacement, as bone healing becomes worse with advancing age and osteoporotic bone poorly supports metallic implants.

      2. Trochanteric Bursitis

      Trochanteric bursitis is an extremely frequent disorder that produces inflammation of the bursa over the outside of the hip joint.

      3. Tendonitis

      Tendonitis can happen in any of the tendons that surround the hip joint.

      The most often encountered tendonitis around the hip is iliotibial band (IT band) tendonitis.

      4. Osteonecrosis

      Osteonecrosis is a disorder that happens when blood flow to an area of bone is limited.

      If an insufficient amount of blood flow reaches the bone, the cells will die and the bone may collapse.

      One of the most frequent locations for osteonecrosis to happen is in the hip joint.

      5. Lumbar Pain - Referred Symptoms

      Many back and spine problems can produce symptoms around the buttocks and hip.

      The most frequent disorders that refer pain to the hip region are herniated discs and sciatica.

      6. Snapping Hip Syndrome

      Snapping hip syndrome is a term used to depict 2 distinct hip disorders.

      The first happens when the IT band snaps over the outside of the thigh.

      The second happens when the deep hip flexor snaps over the front of the hip joint.

      Finally, tears of the cartilage, or labrum, around the hip socket can produce a snapping sensation.

      7. Muscle Strains

      Strains of the muscles around the hip and pelvis can produce pain and spasm.

      The most frequent strains are groin pulls and hamstring strains.

      8. Hip Fracture

      Hip fractures are most frequent in elderly patients with osteoporosis.

      The treatment of broken hips needs surgery to either replace the broken part or repair it with a metal plate and screws.

      9. Stress Fracture

      Stress fractures of the hip are most frequent in athletes who participate in high-impact sports, such as long distance runners.

      The treatment usually is effective just by avoiding these impact activities.

      10. Developmental Dysplasia

      When the hips are dislocated or out of position in infancy, the joint may not form properly.

      While this is not normally painful as a child, it will cause early arthritis and disorders with walking.

      11. Legg-Calve-Perthes Disease

      Also called Perthes disease, this is a disorder similar to osteonecrosis (see above) but in childhood.

      If severe, it can cause permanent damage to this hip joint and early arthritis.

      Symptoms of Hip Disorders:

      1. Inability to walk comfortably on the affected side

      2. Injury that produces deformity around the joint

      3. Hip pain that happens at night or while resting

      4. Hip pain that continues beyond a few days

      5. Inability to flex the hip

      6. Swelling of the hip or the thigh

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