HomeAnswersInternal Medicinerheumatoid arthritisHow to get rid of severe pain in the hip and leg joint?

Can a 80-year-old person get surgical treatment for rheumatoid arthritis?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 25, 2022
Reviewed AtNovember 22, 2022

Patient's Query

Hi doctor,

My mother is experiencing severe pain in her right hip leg joint. She has taken some ayurvedic and homeopathic medicines before. Presently, she is under rheumatoid arthritis treatment. Which hip treatment would you suggest as her age is 81? What are the risk factors of the suggested treatment? How long will the whole suggested treatment take? Will she be able to do everything normally after the treatment? Which other minimally invasive hip treatment options are available that would suit her?

I have attached her files for your reference.

Thank you.

Answered by Dr. Sugreev Singh

Hi,

Welcome to icliniq.com.

Thank you for writing, and I understand your concern. I would suggest only symptomatic treatment because surgical intervention in such old ages can bring complications, and operations are always risky in old age because bone takes time to heal. Any invasive procedure can sometimes cause infection and impairments in the hip if the procedure goes wrong. But if symptoms are progressing and medical treatment is failing, the last option is hip replacement only. I suggest you take the same medical treatment prescribed by her physician for rheumatoid arthritis as before for one more month and see if there is any improvement. After the operation, she will be able to do everything normally. Mild pain might be there. Minimally invasive options are not available because the hip is the largest bone that carries whole body weight.

1) What symptoms is she experiencing currently?

2) Are they progressing over time?

Please let me know.

Thank you.

The Probable causes

The probable diagnosis is rheumatoid arthritis.

Investigations to be done

MRI (magnetic resonance imaging) investigations of the hip and pelvis are helpful.

Differential diagnosis

The differential diagnosis is OA (osteoarthritis).

Treatment plan

Follow the same treatment plan prescribed for rheumatoid arthritis.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

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