![]() (However, non-steroidal anti-inflammatory medicines are not recommended, as they may increase the bleeding associated with the fracture.) Another option is an injection to block a nerve in order to relieve pain experienced from that nerve. You will normally be given a painkiller such as paracetamol regularly, and stronger painkillers if this is not enough to control your pain. The guidelines also say that adequate pain relief before and after surgery is essential. You should discuss the options available with the surgeon who is performing your operation.Ĭurrent guidelines from the National Institute for Health and Care Excellence (NICE) recommend that surgery should be performed, if possible, on the day of, or the day after, admission to hospital. The type of surgery will depend on where you have broken your hip bone (whether you have an intracapsular or extracapsular fracture) and also any underlying health problems that you may have. Most people who have a broken (fractured) hip need a surgical repair to fix the single or multiple breaks in the bone. To read more about osteoporosis treatment, see the separate leaflet called Osteoporosis. ![]() See the separate leaflet called Bisphosphonates. Treatment of osteoporosis is most commonly with a medicine in the bisphosphonate group of medicines, which are often prescribed with calcium and vitamin D dietary supplements. Depending on your age, you may be referred for a special dual-energy X-ray absorptiometry (DEXA) bone scan (also called a bone density scan) to look for any evidence of bone thinning and osteoporosis. If you are an elderly person who has broken your hip, it is common for there to be underlying 'thinning' of the bones (osteoporosis). The denser bones of younger people mean that greater force is needed to break a bone as large as the hip bone. In these cases, it is more likely to be caused by trauma such as a car crash or a fall from a significant height. Hip fracture can also occur in younger people. Any underlying problem may need to be treated. If you fracture your hip, the doctors will usually try to work out why you may have fallen. However, sometimes there may be a medical reason for a fall, such as low blood pressure, a heart rhythm abnormality, or a faint. It may be a simple trip over a loose rug or an item of furniture. There are a number of reasons why an older person may fall. ( See the separate leaflet called Osteoporosis for more detail.) A fracture that occurs after only a small injury like this is called a fragility fracture. ![]() Osteoporosis means that your bones have become less dense and more fragile, so that less force is needed to break them. If you have osteoporosis you are more likely to fracture your hip when you fall. 'Thinning' of the bones (osteoporosis) is the leading cause of hip fracture. What causes a hip fracture?įor most older people, a hip fracture happens after a fall, usually just a fall from standing. The average age of someone who fractures their hip is over 80 years. Over 70,000 hip fractures are currently treated each year in the UK.Ībout 7-8 in 10 people who fracture a hip are women. It is one of the most common reasons for being admitted to a bone (orthopaedic) treatment ward in a hospital. Hip fracture is a very common injury mainly affecting older people.
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