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Transient Osteoporosis of the Hip

Dr.Okoroha

Transient Osteoporosis of the Hip Specialist

Young or middle-aged men aged between 30 to 60 and women in their later stages of pregnancy or early postpartum (following childbirth) are at a higher risk of transient osteoporosis of the hip that may occur due to mechanical stress or hormonal abnormalities. Transient osteoporosis specialist, Dr. Kelechi Okoroha provides diagnosis and individualized management for transient osteoporosis of the hip in Detroit. Contact Dr. Okoroha’s team for an appointment today!

Hip Anatomy

The hip joint is a ball-and-socket joint. A part of the pelvis bone known as the acetabulum forms the socket and the upper end of the femur, known as the femoral head, forms the ball.

What is Transient Osteoporosis of the Hip?

Transient osteoporosis of the hip is a rare condition that causes temporary bone loss in the upper region of the thighbone (femur). It occurs most often in young or middle-aged men of the age groups 30 to 60, and women in their later stages of pregnancy or early postpartum (following childbirth). It is characterized by abrupt onset of pain that increases with activity.

Causes of Transient Osteoporosis of the Hip

In transient osteoporosis of the hip, the femoral head loses its density and strength and becomes more prone to breaking. The exact cause for this is unknown. Some of the proposed causes include atypical mechanical stresses acting on the hip joint, hormonal abnormalities and blockage of some of the small blood vessels surrounding the hip joint.

When transient osteoporosis is suspected, it is important to schedule an orthopedic consultation for proper examination and care. Dr. Kelechi Okoroha is a transient osteoporosis specialist who provides detailed examination and care for patients with transient osteoporosis in Detroit, Royal Oak, Sterling Heights, Bloomfield Hills, Dearborn, Michigan and beyond.

Symptoms of Transient Osteoporosis of the Hip

The symptoms of transient osteoporosis of the hip may include:

  • Unknown pain in the hip not triggered by any previous accident or injury
  • Abrupt onset of pain in the anterior thigh, the side of the hip, groin or buttocks
  • Pain that increases with activity or weight-bearing, and decreases with rest
  • Intense pain with extreme hip range of motion
  • Gradually increasing pain that becomes disabling over a few weeks or months
  • A prominent limp

Diagnosis of Transient Osteoporosis of the Hip

The diagnosis of transient osteoporosis of the hip often begins with a review of your history and a thorough physical examination performed by Dr. Okoroha.

You will be asked to perform various range-of-motion exercises to replicate your pain. You may experience acute pain with weight-bearing and active range of motion and minimal pain when Dr. Okoroha moves the hip for them (passive range of motion). This is one of the indicators in the diagnosis of transient osteoporosis of the hip.

You will also be recommended to undergo imaging studies such as X-rays, CT scans, MRIs, or nuclear scans to further document transient osteoporosis of your hip.

Most patients with transient osteoporosis of the hip are found to have bone marrow edema. Bone marrow edema is a condition where fluid builds up in the bone marrow (spongy material located in the hollow of the long bones) and the bone marrow becomes inflamed. MRI scans have been found to be particularly beneficial in documenting bone marrow edema and are one of the most practicable studies in the diagnosis of transient osteoporosis of the hip.

Treatments for Transient Osteoporosis of the Hip

Transient osteoporosis of the hip resolves on its own and treatment involves preventing any damage to the weakened bones and minimizing the symptoms and discomfort. After careful review of your history and examination, Dr. Okoroha will provide an individualized treatment plan to help you return to your normal function. Treatment options may include the following:

  • Medication: Non-steroidal anti-inflammatory medications or NSAIDs may be recommended to alleviate inflammation and pain
  • Restricted weight-bearing: You may be recommended to restrict or to completely avoid putting weight on your hip joint. You may need to use walking aids such as crutches, cane or a walker to limit the stress on your hip bone.
  • Physical therapy: Okoroha may instruct you on special exercises to help strengthen the muscles supporting your hip. Water exercises have been found to be helpful as they ease movement and relieve weight-bearing.
  • Nutrition: Vitamin D and calcium have been found to be effective in healing and rebuilding of bones. Okoroha will recommend foods or supplements that can help you recover faster.

If you have experienced transient osteoporosis of the hip, please contact Dr. Kelechi Okoroha, orthopedic hip specialist treating patients in Detroit, Royal Oak, Sterling Heights, Bloomfield Hills, Dearborn, Michigan and beyond.