Meet Mr Waites Our Hip and Knee expert

Mr Waites

1. How long have you been working as an Orthopaedic Consultant?

I’ve been an Orthopaedic Consultant for 8 years working in the West Midlands for 7 years. Read more about Mr Waites here

2. People often write off hip injuries as just a sprain, but what signs should we look out for to indicate it is something more serious which may need treatment?

The type of injury can depend on age and activity level. In young adults, injuries around the hip are often the result of a muscle strain from sports or exercise. Such injuries are usually tender over a particular area where the muscle injury has occurred. Specific movements will aggravate these symptoms. This type of injury will usually settle with rest, anti-inflammatory pain killers and physiotherapy. However, it may take up to six weeks and going back to sporting activities too early can prolong symptoms and delay recovery. If pressing around the hip is not painful but pain is felt deep in the groin this may be indicative of hip joint pain. In young adults this may be due to a tear in the cartilage around the hip joint. This usually presents with sharp pains deep in the groin on certain movements. Sometimes a hernia can also present in this way. If these symptoms increase in frequency and fail to settle after 3 weeks of rest and regular pain killers, then consulting a health professional is advisable. In older patients groin pain that is aching in nature and related to activity may be early arthritis. The pain can sometimes go down the front of the thigh or be felt in the knee. Pain in the buttock can come from the hip or more commonly the lower back. Arthritis pain is usually activity related and as the arthritis progresses the pain may start to disturb sleep and affect ability to climb stairs or put shoes and socks on. If symptoms persist despite taking regular pain killers and impact on day to day life then consulting a health professional is advisable. Infection can be an uncommon cause of hip pain. The pain is present whether at rest or active. In significant infection even small movements of the hip are acutely painful. Infection of the hip is usually associated with other systemic symptoms such as fever, rigors, lethargy and feeling generally weak and unwell.

3. What are the most typical hip complaints or injuries you treat?

The most common hip complaint I treat is osteoarthritis of the hip in 50-75 year olds.

4. How does the way in which we live in early life affect our hip joints in later life?

Certain childhood conditions such as congenital dislocation of the hip can predispose to hip problems and arthritis later in life. A major problem in society now is obesity which leads to the development of early arthritis. Being active is generally good for joints and well being but prolonged high impact exercise over many years or occupations where joints are persistently under heavy load may bring about arthritis earlier in life.

5. Can you tell us what you find particularly beneficial about what West Midlands Hospital has to offer patients?

West Midlands Hospital is a very friendly caring place where all staff strive to provide high quality care for all. It also makes it a very enjoyable place to work where multidisciplinary teams work cohesively to get great results for our patients


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