Initial Management of Hamstring Changes Associated with Hip Arthropathy
Non-pharmacological Management
- The American Academy of Orthopaedic Surgeons recommends a multimodal approach of physical therapy with both land-based and aquatic exercises, along with oral NSAIDs when not contraindicated, for patients with hamstring changes associated with hip arthropathy 1, 2
- Participate in cardiovascular and/or resistance land-based exercise programs focusing on strengthening the quadriceps and proximal hip girdle muscles 2
- Engage in aquatic exercises which can reduce joint loading while maintaining strength 2
- Manual therapy should be used in combination with supervised exercise, rather than as a standalone treatment 2
Pharmacological Management
- Oral NSAIDs are strongly recommended when not contraindicated for symptomatic hip OA with associated hamstring changes, according to the American Academy of Orthopaedic Surgeons 1, 4
- Acetaminophen may be considered as an alternative when NSAIDs are contraindicated, with a moderate strength of evidence 1, 4, 2
Supportive Interventions
- Apply thermal agents (heat or ice) to reduce pain and inflammation in the affected area 2, 3
- Use walking aids (such as a cane used on the opposite side) if needed to reduce pain and improve mobility 2
- For overweight patients, implement weight loss strategies as excess weight increases stress on the hip joint 2
Common Pitfalls to Avoid
- Relying solely on medications without implementing appropriate exercise and weight management strategies 3
- Using chondroitin sulfate or glucosamine, which are not recommended for hip OA, according to Arthritis Care & Research 2
- Initiating high-intensity exercises before addressing muscle imbalances around the hip 5
Self-Management Strategies
- Participate in self-management education programs that address understanding of the condition, activity pacing techniques, and coping strategies 2, 3