Compare treatment options

  Non-surgical treatment Surgery
What is involved?

Find ways to get comfortable and say active. Lose weight, exercises, use pain medication, and learn to keep active in spite of the pain.

During an operation the surgeon places the hip prosthesis.

You go home the same day or may stay in the hospital for a day.

You will walk with aids for 2 to 4 weeks.

Full recovery takes an average of 6 to 12 months.

Results

Exercises and pain medication are sufficient for 50 of 100 people.

87 out of 100 people no longer have any pain. They’re also more physically active.7

What are the risks?

There are no risks or side effects of more exercise.

Pain medicines have different side effects. Meloxicam, naproxen and diclofenac can cause an upset stomach (about 20 out of 100 people). 1-2% of pain medication users experience a serious complication during treatment like stomach problems, bleeding, heart attack or kidney problems.14

There may be a difference in leg length after surgery.

There may be (temporary) damage to the nerve.

Infection occurs in 2 out of 100 people.5

Thrombosis (blood clot) can occur within 3 months after surgery in 2 out of 100 people.6

10 out of 100 people have to undergo another surgery within 20 years.8

If you have heart or lung disease, the risks are greater for you. Also if you smoke or are overweight, you are more at risk from an operation.

The prosthesis can loosen. This occurs within 15 years in 10 out of 100 people.15

The prosthesis can come out of the socket. This occurs in 5 of 100 people after the operation.11

There is a less than 1% chance there is temporary or permanent damage to a nerve that allows you to move your foot and feel your legs and toe.

Fewer than 1 out of 100 people die during or after hip replacement surgery.

How long it takes for treatment to take effect?

With a stronger body and better condition, many patients experience less pain after a few weeks.

Painkillers work immediately or at least after a few days.

Corticosteroid injections work within 1 week.

The pain decreases over the course of time.

Most people walk without aids after 6 weeks.

Full recovery takes an average of 6 to 12 months.

When does the doctor recommend this treatment?

Stronger muscles and weight loss reduce the symptoms.

Losing weight, along with exercise is recommended in people who are overweight.

By means of pain medication and/or corticosteroid injections, people are able to adapt to arthritis.

An operation is considered if other treatments are not effective. 93 out of 100 people are satisfied with the operation. While 7 out of 100 people are dissatisfied.3