Medical Realignment of the Hip | Hip Care (2024)

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Key Points About Medical Realignment of the Hip

  • Medical hip realignment is performed to align the bones and tissues in the hip in preparation for surgery.
  • Your doctor may perform a medical hip realignment before surgical hip realignment surgery.
  • Complications associated with a medical hip realignment include pain, nerve or tissue damage, or failure to heal.
  • During a medical hip realignment, your doctor will manually move the hip bone into the correct place and prepare it for surgery.
  • It can take as long as six months to return to normal activity levels after medical hip realignment followed by a surgical realignment of the hip. Follow your doctor's recovery instructions to ensure proper healing.

Medical realignment of the hip is an orthopedic procedure to correct problems in the femur or hip joint. This procedure may be performed in conjunction with surgical hip realignment as an alternative to total hip replacement.

A hip realignment may be necessary when you experience a hip dislocation or when the pain from hip impingement becomes unbearable.During hip realignment surgery, your orthopedic surgeon will cut the pelvic bone(s), move it back to its normal place, and remove any other bone fragments.

Who is a candidate for medical hip realignment?

Your doctor may perform a medical hip realignment to manually move a dislocated hip back into place in preparation for surgical realignment.

If you are not a candidate for a hip replacement, your doctor may recommend a surgical realignment of the hip.

Conditions that may require a medical hip realignment include:

  • Hip socket fracture.
  • Hip impingement issue.
  • Labrum tear (rim of hip socket).
  • Cartilage damage at the hip joint.
  • Hip dysplasia (in younger patients).

When performed early, realignment surgery can reduce pain and delay the onset of arthritis in the hip.

Risks associated with medical realignment of the hip

Complications associated with medical hip realignment include:

  • Infection. You will be given IV antibiotics before and after surgery to prevent infection.
  • Failure to heal.
  • Nerve or tissue damage.
  • Additional bone fractures as bones are moved.

What to expect during a medical realignment of the hip

Your doctor will perform medical realignment of the hip under general anesthesia.

During the surgery, your orthopedic surgeon will:

  • Make an incision approximately six to eight inches long at the hip joint.
  • Using X-ray guidance, your surgeon will cut out the damaged bone and tissue to free it from its original position.
  • Prepare the bone graft that will be used in the hip joint.
  • Place the bone graft in place and stabilize the joint with metal screws, plates, and pins.

Once the area is located, your doctor will cut out the damaged bone and tissue.

Recovery after medical hip realignment

Recovery from a hip medical realignment procedure depends on the severity of the injury. If you had surgery after the medical hip realignment, you will take a blood thinner, wear a compression hose, and walk with crutches for approximately six weeks after the surgery. If necessary, your doctor will prescribe a pain medication.

Most patients can drive three to four weeks after surgery. After six weeks, you can start physical therapy, and after three months, you may be able to start working again. Full recovery from surgery can take as long as six months.

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Medical Realignment of the Hip | Hip Care (2024)

FAQs

What is the treatment for misaligned hips? ›

What Treatments Are There for Hip Misalignment?
  • Practice better posture while standing and sitting.
  • Perform exercises that increase core strength.
  • Lose weight.
  • Receive therapeutic massage.
  • Receive manual therapy from a chiropractor.
Aug 22, 2022

How long does it take to recover from hip realignment surgery? ›

Recovery after medical hip realignment

Most patients can drive three to four weeks after surgery. After six weeks, you can start physical therapy, and after three months, you may be able to start working again. Full recovery from surgery can take as long as six months.

How do doctors realign hips? ›

In this procedure, the surgeon makes an incision in the front of the hip to reach the joint, cutting into the pelvic bone to free the hip socket from the pelvis. The surgeon then rotates the socket so that it aligns properly with the ball at the top of the thigh bone.

What is a bone realignment surgery for hip? ›

An osteotomy is a surgery that cuts and repositions your bone to restore more normal alignment in your hip joint and improve your gait, as well as reduce pain. You may also want to consider an osteotomy when a hip replacement is not a good option due to young age.

How to put your hip back into alignment? ›

7 Exercises for Hip Realignment
  1. Stand sideways on a small step on the leg where the pelvis is higher. ...
  2. Push down through your foot, lifting the opposite pelvis as high as possible. ...
  3. Stay in this position for 10 seconds. ...
  4. Repeat this exercise five to 10 times, or until the leg you're standing on tires out.
Nov 24, 2022

What hurts when your hips are out of alignment? ›

An out-of-place hip would mean it's dislocated, which is quite painful and may require a trip to the emergency room. Secondly, the pain associated with hip misalignment may be one-sided lower back pain near the SI joint, which gives the perception of a locked back, limited motion, or a general feeling of discomfort.

How long does it take a 70 year old to recover from hip surgery? ›

After about 14 days, most patients are usually feeling better. Somewhere around 2-6 weeks, people really turn a corner after a hip replacement. A full recovery usually takes up to a year, but after 2-3 months, most patients are doing pretty well.

Can a chiropractor fix hip alignment? ›

Chiropractic is a great first option for people suffering from hip pain and other problems related to misaligned hips. It's conservative, non-invasive, and gradual. Through Chiropractic BioPhysics (CBP) techniques focused on rebalancing the body, chiropractors may help reposition the hips.

How long does a hip alignment last? ›

A hip alignment session usually takes 30 minutes.

Can you walk if your hip is out of alignment? ›

With a mild subluxation, you may still be able to walk but could feel a snapping in the joint when you move or have difficulty putting your full weight on that leg. You may be able to pop the joint back in place yourself through gentle stretching or massage.

Who should I see if my hips are out of alignment? ›

To get back to a pain-free and active life, it is always best to understand why your hips and pelvis are misaligned. We recommend everyone see their primary care physician, spine doctor, or physical therapist as soon as symptoms begin to show.

When is it too late to fix hip dysplasia? ›

6 Years of Age and Older

Reduction is rarely recommended in older children with completely dislocated hips because the bone changes are permanent by this age. Hip dysplasia with partially displaced hips can still be treated in older children and adolescents.

What is the recovery time for hip realignment surgery? ›

Crutches can be needed for four to six weeks. Work to improve range of motion and muscle strength can begin after two weeks, and you will be able to resume high-intensity physical activity, such as running, after four to six months, providing the bone has healed well.

What is the new hip surgery method? ›

With SUPERPATH®, there is no surgical dislocation of the hip. Patients can also have as little as a 3-inch incision. It is important to understand that "less invasive" does not only refer to the incision but also means less trauma to the muscles and tendons under the skin.

How long does it take to fix hip misalignment? ›

Like our other treatment options, chiropractic and therapy sessions work differently for every person. However, it's still essential to adhere to your treatment plan to experience improvements immediately. We always remind our patients that misaligned hips can take several months to years before returning to normal.

Can you align your hips by yourself? ›

Realign your hips at home with some simple lower body exercises, like the 90/90 hip stretch. Note that at-home exercises can help alleviate pain symptoms for certain types of misalignment, but visiting your doctor is still the best path forward.

What are the risks of hip adjustments at the chiropractor? ›

Some people experience minor side effects for a few days after chiropractic adjustment. These may include headaches, fatigue or pain in the parts of the body that were treated.

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