CASE STUDY

Daniel is relieved of his ongoing pain in both hips and is looking forward to getting back to the things he enjoys following a hip replacement and pain relieving injections with Mr Rishi Chana

Daniel, 63

Consultant: Rishi Chana

Treatment: Hip replacement

Pain in Daniel’s hips were affecting his sleep and interfering with his day to day activities when he sought treatment with Mr Chana

Daniel had been suffering from pain in both hips for some time, which was keeping him up at night and meaning he was only able to sleep for between three and five hours a night. He had previously enjoyed running, playing football and keeping fit and active, but the hip pain had put a stop to these activities. He was taking part in a physical therapy hip prevention programme with Active Solutions but needed further help.  

 

Daniel chose to see Mr Rishi Chana from a list provided by his private medical insurance. Following an examination and X-rays, Mr Chana concluded that Daniel’s left hip was suffering from trochanteric bursitis. This is inflammation (swelling) of the bursa (fluid-filled sac near a joint) at the outside (lateral) point of the hip known as the greater trochanter. When this bursa becomes irritated or inflamed, it causes pain in the hip. His left hip was otherwise completely normal with no evidence of any impingement or osteoarthritis.  

 

Mr Chana advised Daniel to have a pain relieving injection for his left hip, which was administered under ultrasound guidance. He was also recommended to wear orthotic insoles and he was given an exercise programme.

 

The condition of Daniel’s right hip was more serious. He had osteoarthritis and a fixed flexion deformity resulting in pain and stiffness.

 

Mr Chana explained to Daniel that whilst injections may give him some pain relief temporarily, a total hip replacement would give him definitive pain free relief and a better quality of life for about 30 years.  

 

After careful consideration, Daniel decided to proceed with a right hip replacement, which went very well. Within 2 ½ weeks he was walking fully independently, completely pain-free.  He took rehabilitation very seriously and was really impressed with the rehab unit at Circle Hospital in Reading.

 

Six weeks down the line, Daniel is very pleased with the outcome and he now has full function in his right hip. He summarises: “I would like to thank Rishi for his helpful and constructive approach and the quality of the operation and his ongoing advice.”

 

Mr Chana concludes: “I am so pleased Daniel’s hip treatment, in particular his right hip replacement has gone so well. He has worked hard at rehabilitation and I wish him continued improvement and recovery.”

July 2019

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