The Author of the article is- Dr Syed Imran

MBBS, D ortho, DNB orthopedic surgery, Fellowship in Joint Replacement, Fellowship in Revision Joint Replacement (Germany )

Consultant Orthopaedic, Arthroscopy and Joint Replacement Surgeon

As an orthopedic doctor, I have witnessed firsthand the myriad challenges emerging in the wake of the global COVID-19 pandemic. Among these, a particularly perplexing condition is post-COVID sequelae. While much discourse has centered around respiratory complications, a lesser-known but equally concerning symptom I often encounter in my practice is hip pain in recovering patients.

What is Post-COVID Sequelae?

Post-COVID sequelae, or long COVID, refers to a range of symptoms persisting or appearing after the initial recovery from COVID-19. This condition has baffled medical professionals and patients alike, presenting a wide array of symptoms from fatigue to brain fog, and notably, joint pain.

The Link Between COVID-19 and Hip Pain

COVID-19’s impact goes beyond the lungs. It can instigate an inflammatory response that affects various body parts, including the joints. Hip pain in post-COVID patients may be due to this prolonged inflammation, muscular deconditioning during the illness, or a complex interplay of immunological responses.

Managing Hip Pain Post-COVID

In managing post-COVID hip pain, I advocate for a multidisciplinary approach:

1. Physical Therapy: Engaging in physical therapy is paramount. A physical therapist can design a customized exercise regimen that focuses on strengthening the hip muscles, improving flexibility, and enhancing joint mobility. These exercises not only alleviate pain but also aid in the recovery of joint function.
2. Anti-inflammatory Medications: Over-the-counter anti-inflammatory drugs like ibuprofen or naproxen can be effective in reducing pain and swelling. However, it’s important to use these medications as directed and under the guidance of a healthcare provider, especially if you have other health conditions or are taking other medications.
3. Adequate Rest: While staying active is important, balancing activity with rest is equally crucial. Rest allows the body to heal and recover. It’s important to listen to your body and avoid overexertion, which can exacerbate pain.
4. Heat and Cold Therapy: Applying heat can relax muscles and improve blood flow, while cold therapy can reduce inflammation and numb the pain. Alternating between heat and cold may provide symptomatic relief.
5. Diet and Nutrition: A balanced diet rich in anti-inflammatory foods can support recovery. Foods high in omega-3 fatty acids, antioxidants, and vitamins can help reduce inflammation and promote healing.
6. Lifestyle Modifications: Making changes in daily activities to reduce stress on the hip joint can be beneficial. This might include using ergonomic furniture, avoiding high-impact exercises, and learning proper body mechanics for everyday movements.
7. Consultation with Specialists: In some cases, consulting with a rheumatologist, orthopedist, or pain management specialist may be necessary. They can provide further insights into the underlying causes of hip pain and offer advanced treatment options like corticosteroid injections or other targeted therapies.

Avascular Necrosis (AVN) Post-COVID: An Emerging Concern

One significant condition emerging in the context of post-COVID health issues is Avascular Necrosis (AVN) of the hip. AVN, also known as osteonecrosis, is a condition where the bone tissue in the hip dies due to a lack of blood supply. Emerging research suggests a potential link between COVID-19 and an increased risk of AVN. The exact mechanisms are still being studied, but it’s believed that the virus’s direct effects, along with treatment protocols such as high-dose steroids, may contribute to this risk.

It is crucial for patients recovering from COVID-19 who experience hip pain to seek medical evaluation. Early diagnosis and intervention are key in managing AVN to prevent further joint damage.

Prevention and Wellness Tips

I emphasize the importance of a healthy lifestyle in preventing and managing post-COVID hip pain:

1. Balanced Nutrition: A diet rich in anti-inflammatory foods can help reduce joint pain. Incorporate foods like fatty fish, green leafy vegetables, nuts, and berries. Ensure adequate intake of calcium and vitamin D to support bone health.
2. Regular Exercise: Engaging in low-impact exercises such as swimming, cycling, or walking can strengthen the muscles around the hip joint without putting too much strain on it. Gradually increase the intensity and duration of exercise to build endurance and muscle strength.
3. Hip-Strengthening Exercises: Specific exercises targeting the hip muscles can be very effective. These include squats, lunges, and leg lifts. Pilates and targeted weight training can also be beneficial. Always start under the guidance of a physical therapist or a trained instructor to avoid injury.
4. Yoga and Flexibility Exercises: Yoga can improve flexibility, reduce stiffness, and strengthen muscles. Poses like the Pigeon Pose, Warrior Pose, and Bridge Pose are particularly good for the hips. However, it’s important to avoid overstretching and to modify poses as needed.
5. Proper Rest and Sleep: Quality sleep is crucial for the body’s recovery process. Aim for 7-9 hours of sleep per night. If hip pain interferes with sleep, using pillow support between or under the legs might provide relief.

As we adapt to the ongoing challenges presented by COVID-19, acknowledging and addressing its less talked about aftermath, such as hip pain, is vital. This symptom, though less common, can significantly impact the quality of life for those affected. It’s essential to recognize the varied manifestations of post-COVID conditions and approach them with a combination of medical guidance, self-care, and patience. By doing so, we not only enhance our understanding of this novel virus but also support those who continue to face its lingering effects.