The Curbsiders Internal Medicine Podcast

#149 Hip Pain for Primary Care

May 6, 2019
44 min

Identify and treat the most common causes of hip pain in the outpatient setting with returning guest, Dr Ted Parks. A large majority of hip pain in the office setting will be due to one of three conditions (hip osteoarthritis, greater trochanteric pain syndrome, and lumbo-sacral back pain). Learn to easily identify these conditions, how to initiate conservative treatment, and more about hip replacements. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST).

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Credits

Written and produced by: Molly Heublein MD, Nora Taranto MS4

CME questions by:  Molly Heublein MD, Nora Taranto MS4

Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD, Molly Heublein MD

Edited by: Matthew Watto MD, Emi Okamoto MD

Guest Presenter: Ted Parks MD

Time Stamps

  • 00:00 CME announcement, disclaimer, intro and guest bio
  • 04:05 Guest one-liner; advice for teachers and learners
  • 08:30 Case of hip pain, review of hip anatomy, and the three buckets of hip pain
  • 15:35 Greater trochanteric pain syndrome
  • 16:20 The zebras of hip pain
  • 18:12 Physical exam for hip pain
  • 21:33 Hip osteoarthritis: imaging and initial therapy
  • 24:18 Hip injections: Do steroids work? What about hyaluronic acid?
  • 29:00 Who needs hip replacement surgery? How long will it last?
  • 32:30 Greater trochanteric pain syndrome
  • 35:58 Lumbar spine versus hip pain from OA
  • 38:58 Hip replacement technology: materials; etiology of component loosening and need for re-operation
  • 42:03 Take home points and outro

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