Non-Surgical Management of Pre-Arthritic Dysplastic Hip Pain

Abstract

Young adults with pre-arthritic hip pain and underlying hip dysplasia have traditionally been treated with reconstructive surgery, with a limited role for conservative/non-surgical management. This chapter briefly focuses on understanding the pathophysiology of non-arthritic pain in patients with hip dysplasia and indications for various conservative modalities in the same. Non-operative modalities described in detail include activity modifications, oral analgesics and anti-inflammatory medications, physical therapy, orthotics, and injections. A detailed discussion is also presented regarding the current status of orthobiologics, regenerative medicine, and emerging therapeutics in the field of cartilage regeneration and symptom improvement.