Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2013 Jan;37(1):1-7.
doi: 10.1007/s00264-012-1711-6. Epub 2012 Nov 23.

Assessment and management of chronic pain in patients with stable total hip arthroplasty

Tim Classen  1 , Daniela Zaps, Stefan Landgraeber, Xinning Li, Marcus Jäger
Affiliations
Review

Assessment and management of chronic pain in patients with stable total hip arthroplasty

Tim Classen et al. Int Orthop. 2013 Jan.

Abstract

Total hip arthroplasty (THA) is one of the most successful operations that can restore function and relieve pain. Although a majority of the patients achieve significant pain relief after THA, there are a number of patients that develop chronic pain for unknown reasons. A literature search was performed looking for chronic pain after total hip arthroplasty and stable THA. Major causes of chronic pain include aseptic loosening or infection. However, there is a subset of patients with a stable THA that present with chronic pain which can have several aetiologies. These include soft tissue, bony, neurological, vascular and psychological causes. Essential for successful treatment is the ability to make the correct diagnosis. Thus therapy may be either non-operative or operative. In addition, diagnosis and management often may require multidisciplinary approaches to successfully alleviate chronic pain in these patients with a stable prosthesis.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Increasing the offset with a modular system because of mechanical impingement of THA
Fig. 2
Fig. 2
Heterotopic ossifications after THA (Brooker classification IV)
Fig. 3
Fig. 3
Stress shielding of the proximal femur
See this image and copyright information in PMC

References

    1. Dahlen L, Zimmerman L, Barron C. Pain perception and its relation to functional status post total knee arthroplasty: a pilot study. Orthop Nurs. 2006;25(4):264–270. doi: 10.1097/00006416-200607000-00009. - DOI - PubMed
    1. Goebel S, Steinert AF, Schillinger J, Eulert J, Broscheit J, Rudert M, Nöth U. Reduced postoperative pain in total hip arthroplasty after minimal-invasive anterior approach. Int Orthop. 2012;36(3):491–498. doi: 10.1007/s00264-011-1280-0. - DOI - PMC - PubMed
    1. Nikolajsen L, Brandsborg B, Lucht U, Jensen TS, Kehlet H. Chronic pain following total hip arthroplasty: a nationwide questionnaire study. Acta Anaesthesiol Scand. 2006;50(4):495–500. doi: 10.1111/j.1399-6576.2006.00976.x. - DOI - PubMed
    1. International Association for the Study of Pain (IASP) (1994) Task force on taxonomy, part III. Pain terms. A current list with definitions and notes on usage. In: Merskey H, Bogduk N (eds) Classification of chronic pain, 2nd edn. IASP Press, Seattle, pp 209–214. Available at http://www.iasp-pain.org. Accessed 23 June 2008
    1. Tüchsen F, Hannerz H, Burr H, Lund T, Krause N. Risk factors predicting hip pain in a 5-year prospective cohort study. Scand J Work Environ Health. 2003;29(1):35–39. doi: 10.5271/sjweh.702. - DOI - PubMed