Hip Pointer Medication
- Author: John M Martinez, MD; Chief Editor: Sherwin SW Ho, MD more...
The goals of pharmacotherapy in patients with hip point injuries are to reduce morbidity and to prevent complications.
Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
NSAIDs have analgesic, anti-inflammatory, and antipyretic activities. The mechanism of action of these agents is not known, but NSAIDs may inhibit cyclooxygenase activity and prostaglandin synthesis. Other mechanisms may also exist, including inhibition of leukotriene synthesis, lysosomal enzyme release, lipoxygenase activity, neutrophil aggregation, and various cell-membrane functions.
DOC for patients with mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis.
For the relief of mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing the activity of cyclooxygenase, which results in a decrease of prostaglandin synthesis.
For the relief of mild to moderate pain and inflammation. Initially, small doses are indicated in small and elderly patients and in those with renal or liver disease. Doses >75 mg do not increase therapeutic effects. Administer high doses with caution, and closely observe for response.
Pain control is essential to quality patient care. Analgesics ensure patient comfort, promote pulmonary toilet, and have sedating properties, which are beneficial for patients who experience pain.
DOC for pain in patients with documented hypersensitivity to aspirin or NSAIDs, those with upper GI disease, and those taking oral anticoagulants.
Indicated for the treatment of mild to moderate pain.
Drug combination indicated for moderate to severe pain.
Winfield C. Common hip injuries. Sallis RE, Massimino, eds. ACSM's Essentials of Sports Medicine. St. Louis, Mo: Mosby; 1991. 440-1.
Ruane JJ, Rossi TA. When groin pain is more than "just a strain": navigating a broad differential. Phys Sportsmed. 1998. 26(4):78-103. [Full Text].
Meyers WC, Ricciardi R, Busconi BD, et al. Groin pain in athletes. Ardent EA, ed. Orthopaedics Knowledge Update: Sports Medicine 2. Rosemont, Ill: American Academy of Orthopaedic Surgeons; 1999. 281-9.
Hall M, Anderson J. Hip pointers. Clin Sports Med. 2013 Apr. 32(2):325-30. [Medline].
Borowski LA, Yard EE, Fields SK, Comstock RD. The epidemiology of US high school basketball injuries, 2005-2007. Am J Sports Med. 2008 Dec. 36(12):2328-35. [Medline].
Serner A, Jakobsen MD, Andersen LL, Hölmich P, Sundstrup E, Thorborg K. EMG evaluation of hip adduction exercises for soccer players: implications for exercise selection in prevention and treatment of groin injuries. Br J Sports Med. 2014 Jul. 48 (14):1108-14. [Medline].
Anderson K, Strickland SM, Warren R. Hip and groin injuries in athletes. Am J Sports Med. 2001 Jul-Aug. 29(4):521-33. [Medline].
DeLee JC, Farney WC. Incidence of injury in Texas high school football. Am J Sports Med. 1992 Sep-Oct. 20(5):575-80. [Medline].
Feeley BT, Powell JW, Muller MS, et al. Hip injuries and labral tears in the National Football League. Am J Sports Med. 2008 Nov. 36(11):2187-95. [Medline].
Gomez E, DeLee JC, Farney WC. Incidence of injury in Texas girls' high school basketball. Am J Sports Med. 1996 Sep-Oct. 24(5):684-7. [Medline].
Schmitt KU, Nusser M, Boesiger P. [Hip injuries in professional and amateur soccer goalkeepers] [German]. Sportverletz Sportschaden. 2008 Sep. 22(3):159-63. [Medline].