Causes, Symptoms of Coxarthrosis and Specialized Treatment of Coxarthrosis in Berlin
Coxarthrosis (hip osteoarthritis: Latin Arthrosis deformans coxae) is a degenerative disease of the hip joint that causes wear and tear of the cartilage in the hip joint. It is one of the most common forms of osteoarthritis (joint wear) and particularly affects older people, but younger patients can also be affected.
Mechanical causes are often at the forefront of the development of coxarthrosis (hip osteoarthritis): Femoroacetabular Impingement (FAI) and hip dysplasia are among the most common triggers. Dr. Alexander Moser, an experienced hip specialist in Berlin, specializes in the treatment of coxarthrosis (hip osteoarthritis) and offers comprehensive and modern therapy for those affected.
Main Causes and Risk Factors of Coxarthrosis (Hip Osteoarthritis)
Coxarthrosis (hip osteoarthritis) is largely caused by mechanical stress and misalignment. Femoroacetabular Impingement (FAI) involves contact between the femoral head and the hip socket, which can damage the joint surfaces and wear away the cartilage. Hip dysplasia, a congenital malposition of the hip joint, is also a common risk factor for the development of coxarthrosis (hip osteoarthritis). These mechanical problems can lead to premature wear and often affect younger people.
In addition to mechanical causes, the following factors can also increase the risk of coxarthrosis (hip osteoarthritis):
- Age: Joint wear increases with age.
- Genetic predisposition: Some people are more prone to osteoarthritis due to their genes.
- Obesity: High body weight increases pressure on the hip joint and can accelerate coxarthrosis (hip osteoarthritis). However, the influence of body weight on the development of osteoarthritis in the hip joint is significantly less than in the knee joint.
- Overload: Excessive physical strain, particularly from sporting or occupational activities, can also stress the joint.
- Inflammatory reactions of the hip joint, e.g., in rheumatoid arthritis.
- Primary coxarthrosis: No specific cause for joint wear can be identified. Through natural use of the joint, increasing wear of the articular cartilage and joint wear (osteoarthritis) occurs over the course of life.
Symptoms of Coxarthrosis (Hip Osteoarthritis)
The symptoms of coxarthrosis often appear gradually and are initially perceived as mild discomfort in the groin (groin pain), which increases over time:
- Pain in the hip area, groin pain: At first, these only occur during movement, later also during rest phases. The typical pain in the hip is groin pain.
- Stiffness of the hip joint: The joint is often stiff, especially after long periods of rest or in the morning.
- Restrictions on movement: Activities such as bending or turning the leg become increasingly difficult.
- Radiating pain: Hip pain often radiates to the groin, the thigh, or even to the knee.
These symptoms can worsen over time and, if left untreated, can significantly reduce quality of life.
Diagnosis of Coxarthrosis (Hip Osteoarthritis)
To clearly identify coxarthrosis, Dr. Alexander Moser, hip specialist in Berlin, combines a detailed physical examination with imaging procedures such as ultrasound (sonography), X-rays, and MRI. In special cases, an arthro-MRI or computed tomography (CT) may also be performed. In this way, the severity of cartilage damage and possible mechanical causes such as femoroacetabular impingement or hip dysplasia can be precisely diagnosed.
Treatment Options for Coxarthrosis (Hip Osteoarthritis)
The treatment of coxarthrosis depends on the progression of the disease and the individual needs of the patient. The goal is to relieve pain, improve mobility, and slow the progression of the disease.
Therapy of Coxarthrosis (Hip Osteoarthritis)
1. Conservative Therapy
This includes physiotherapeutic measures that strengthen muscles and reduce stress on the joint, as well as pain-relieving and anti-inflammatory medications. Heat applications or cold therapies can have a supportive effect.
2. Injection Therapies
Dr. Alexander Moser offers innovative injection therapies, including hyaluronic acid and ACP or PRP (platelet-rich plasma), which are administered directly into the hip joint. These treatments can reduce pain and strengthen the joint or improve joint regeneration.
3. Surgical Measures
Dr. Alexander Moser offers the entire spectrum of hip surgeries for coxarthrosis.
Hip Arthroscopy: In the early stages of hip osteoarthritis, hip arthroscopy can be useful. This can reduce symptoms of coxarthrosis, such as inflammatory processes and movement restrictions. Hip arthroscopy is a very minimally invasive procedure. Only a few hip specialists have the appropriate experience with this minimally invasive hip surgery, so a hip prosthesis is often recommended prematurely. In some cases, hip arthroscopy can delay the implantation of a hip prosthesis for years or avoid it completely.
Hip Replacement / Hip Resurfacing: In advanced coxarthrosis that no longer responds to conservative treatment, major hip surgery may be necessary. Dr. Alexander Moser performs gentle, minimally invasive procedures in Berlin that enable patients to recover quickly and return to mobility. In cases of severe wear, hip resurfacing (according to McMinn, hip cap) or a hip prosthesis (hip replacement, THA) may be required.
Dr. Alexander Moser – Your Hip Specialist in Berlin for Coxarthrosis (Hip Osteoarthritis)
Dr. Alexander Moser has specialized in the treatment of hip osteoarthritis and offers both conservative and surgical therapies. With his extensive experience in treating mechanically related hip problems such as femoroacetabular impingement and hip dysplasia, as well as modern treatment methods, he can address the individual needs of each patient.
Dr. Moser relies on precise diagnostics and comprehensive advice to offer the best possible treatment for coxarthrosis. He develops a tailor-made therapy concept for each patient that takes into account the specific causes and progression of the disease. If possible, conservative (non-surgical) therapy is attempted to alleviate the symptoms. However, if quality of life is already too limited despite conservative treatment of coxarthrosis, hip surgery may be necessary (hip arthroscopy, hip resurfacing according to McMinn, or hip prosthesis).
Conclusion: Coxarthrosis (Hip Osteoarthritis)
Hip osteoarthritis is a painful and progressive joint disease. With timely diagnosis and targeted treatment, the progression of coxarthrosis (hip osteoarthritis) can be slowed, and quality of life can be significantly increased. In the early stages of coxarthrosis, this is possible with conservative (non-surgical) treatment methods. If conservative treatment no longer relieves the symptoms, hip surgery may be necessary.
Dr. Alexander Moser in Berlin, as a hip specialist, focuses on the treatment of this disease and offers modern, individually tailored therapies to restore the best possible quality of life to patients.
We would be happy to advise you in our hip consultation.
Dr. Alexander Moser
Your hip specialist and sports orthopedist in Berlin
Specialist in Orthopedics and Trauma Surgery
Special Surgical Orthopedics
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Hip Surgery Experts Berlin