You assess a 66-year-old patient with accentuated groin pain with prolonged standing a few days a month. A plain radiograph of the hips shows narrowing of the femoroacetabular joint space, sclerosis and osteophytes. What is your attitude?
You present with coxarthrosis (no further imaging tests are needed), and conservative options are exhausted before opting for surgical treatment. Weak opioids are not the initial treatment of choice.
I make the diagnosis of coxarthrosis and send to the traumatologist to place a hip prosthesis.
Start treatment with weak opioids that have shown evidence of halting disease progression.
I instigate treatment with paracetamol, explain that the evolution is very variable and the surgical indication depends on functionality and pain control.
Because of the radiological features described, I need a hip MRI before making a therapeutic decision.
You present with coxarthrosis (no further imaging tests are needed), and conservative options are exhausted before opting for surgical treatment. Weak opioids are not the initial treatment of choice.
You present with coxarthrosis (no further imaging tests are needed), and conservative options are exhausted before opting for surgical treatment. Weak opioids are not the initial treatment of choice.