At Home with Chris Jessen 2018 - 166
KEY RISK
FACTORS
H
ip fracture is the most
common serious injury in
those aged over 60 in the
UK - there were 65,000
fractures in this age group
last year, which cost £1 billion to treat.
So why is the hip so vulnerable and
what are the risk factors?
The top of the thigh bone, or femur,
has a round head that fits neatly into
a cup-shaped socket in the pelvis to
form the hip joint - it's a ball and
socket joint and the one of the largest
joint in the body. The socket is lined
with smooth cartilage allowing
the bones to move past each other
easily without friction.
The hip joint has an incredible
range of movement and can perform
six different types of movements:
Flexion and extension: movement
of the thigh forwards and backwards.
Adduction and abduction: thigh
movement inwards and outwards.
Medial rotation and external
rotation: rotation of the thigh inwards
and outwards.
The muscles around the hip joint
are crucial for it to function properly.
The thigh and lower back muscles
work together to keep the hip stable,
aligned and moving, but it's the
muscles of the hip itself that enable
the wide range of movement.
The hip muscles are divided into
three groups - anterior (front), posterior
(back) and lateral (side) - and work
with large ligaments and tendons
around the joint to hold the bones
in place and prevent dislocation.
Then there are the nerves. The large
sciatic nerve passes under the hip's
166 | FEBRUARY 2018
gluteus maximus muscle and down
the leg towards the foot. The nerves
carry motor signals from the brain to
the hip muscles, via the spinal cord,
to enable movement, and sensory
signals about pain, pressure and
temperature from the muscles
back to the brain.
There are also 20 bursae, or fluid
sacs, around each hip joint. They
are lined with a membrane, which
produces synovial fluid that reduces
friction between the tendons, bones,
ligaments and muscles.
WHAT COULD POSSIBLY
GO WRONG?
Hips can be injured by accident or
they can degenerate because of age,
lifestyle or illness (see box, right).
A broken hip, or fracture, can
happen at any age, but is most
common in the over-65s, particularly
in women with oesteoporosis.
Hip pain that radiates to the
outside of the thigh may be caused by
bursitis (inflammation of the bursae).
This makes walking difficult.
Pain can also be caused by a labral
tear in the cartilage that covers the
outside bony rim of the hip socket.
This can occur as the result of
repetitive wear and tear of the hip
and can be seen in the early stages of
osteoarthritis. It can also be caused
by an injury such as a fall or accident
that causes twisting of the joint.
Dislocation occurs when the
rounded head of the femur comes out
of the hip socket, causing severe pain.
It usually takes some force for this to
happen, such as a car accident.
AGE This is the most common
risk factor for hips, as bone
density and muscle mass both
decrease as you get older. If
you're inactive, your muscles
weaken even more, which
increases your risk of fractures.
GENDER Women lose bone
density faster than men, owing
to the drop in oestrogen levels
during the menopause. This
accelerated bone loss increases
the risk of fractures. Men need to
be careful too, though, as they
can also develop dangerously
low levels of bone density.
MEDICAL CONDITIONS
DR
CHRISTIAN
SAYS
Stiff hips
don't
necessarily
mean a
serious
problem,
they might
just need
to move
more!
Osteoporosis is the strongest
risk factor for a fracture. Other
conditions that can lead to
fragile bones include endocrine
disorders, such as overactive
thyroid, and intestinal disorders,
which may reduce vitamin D
and calcium absorption.
MEDICATIONS Taking cortisone
medication, such as prednisone,
can weaken bones over time.
Some drugs can cause dizziness,
increasing the risk of falling.
NUTRITIONAL PROBLEMS
Too little calcium and vitamin
D in the diet when young
limits peak bone mass in later
life, increasing the risk of hip
fractures. Eating disorders, such
as anorexia, can also leave bones
vulnerable by depriving the body
of essential nutrients.
PHYSICAL INACTIVITY Weightbearing exercise, such as jogging
and walking, helps to strengthen
the bones and muscles, making
falls and fractures less likely.
TOBACCO AND ALCOHOL
These interfere with the
body's process of building and
remodelling bone tissue, resulting
in bone loss and weakness. Heavy
alcohol use, especially in youth,
can dramatically affect bone
health and increase the risk of
osteoporosis later in life.
Table of Contents for the Digital Edition of At Home with Chris Jessen 2018
At Home with Chris Jessen 2018 - 1
At Home with Chris Jessen 2018 - 2
At Home with Chris Jessen 2018 - 3
At Home with Chris Jessen 2018 - 4
At Home with Chris Jessen 2018 - 5
At Home with Chris Jessen 2018 - 6
At Home with Chris Jessen 2018 - 7
At Home with Chris Jessen 2018 - 8
At Home with Chris Jessen 2018 - 9
At Home with Chris Jessen 2018 - 10
At Home with Chris Jessen 2018 - 11
At Home with Chris Jessen 2018 - 12
At Home with Chris Jessen 2018 - 13
At Home with Chris Jessen 2018 - 14
At Home with Chris Jessen 2018 - 15
At Home with Chris Jessen 2018 - 16
At Home with Chris Jessen 2018 - 17
At Home with Chris Jessen 2018 - 18
At Home with Chris Jessen 2018 - 19
At Home with Chris Jessen 2018 - 20
At Home with Chris Jessen 2018 - 21
At Home with Chris Jessen 2018 - 22
At Home with Chris Jessen 2018 - 23
At Home with Chris Jessen 2018 - 24
At Home with Chris Jessen 2018 - 25
At Home with Chris Jessen 2018 - 26
At Home with Chris Jessen 2018 - 27
At Home with Chris Jessen 2018 - 28
At Home with Chris Jessen 2018 - 29
At Home with Chris Jessen 2018 - 30
At Home with Chris Jessen 2018 - 31
At Home with Chris Jessen 2018 - 32
At Home with Chris Jessen 2018 - 33
At Home with Chris Jessen 2018 - 34
At Home with Chris Jessen 2018 - 35
At Home with Chris Jessen 2018 - 36
At Home with Chris Jessen 2018 - 37
At Home with Chris Jessen 2018 - 38
At Home with Chris Jessen 2018 - 39
At Home with Chris Jessen 2018 - 40
At Home with Chris Jessen 2018 - 41
At Home with Chris Jessen 2018 - 42
At Home with Chris Jessen 2018 - 43
At Home with Chris Jessen 2018 - 44
At Home with Chris Jessen 2018 - 45
At Home with Chris Jessen 2018 - 46
At Home with Chris Jessen 2018 - 47
At Home with Chris Jessen 2018 - 48
At Home with Chris Jessen 2018 - 49
At Home with Chris Jessen 2018 - 50
At Home with Chris Jessen 2018 - 51
At Home with Chris Jessen 2018 - 52
At Home with Chris Jessen 2018 - 53
At Home with Chris Jessen 2018 - 54
At Home with Chris Jessen 2018 - 55
At Home with Chris Jessen 2018 - 56
At Home with Chris Jessen 2018 - 57
At Home with Chris Jessen 2018 - 58
At Home with Chris Jessen 2018 - 59
At Home with Chris Jessen 2018 - 60
At Home with Chris Jessen 2018 - 61
At Home with Chris Jessen 2018 - 62
At Home with Chris Jessen 2018 - 63
At Home with Chris Jessen 2018 - 64
At Home with Chris Jessen 2018 - 65
At Home with Chris Jessen 2018 - 66
At Home with Chris Jessen 2018 - 67
At Home with Chris Jessen 2018 - 68
At Home with Chris Jessen 2018 - 69
At Home with Chris Jessen 2018 - 70
At Home with Chris Jessen 2018 - 71
At Home with Chris Jessen 2018 - 72
At Home with Chris Jessen 2018 - 73
At Home with Chris Jessen 2018 - 74
At Home with Chris Jessen 2018 - 75
At Home with Chris Jessen 2018 - 76
At Home with Chris Jessen 2018 - 77
At Home with Chris Jessen 2018 - 78
At Home with Chris Jessen 2018 - 79
At Home with Chris Jessen 2018 - 80
At Home with Chris Jessen 2018 - 81
At Home with Chris Jessen 2018 - 82
At Home with Chris Jessen 2018 - 83
At Home with Chris Jessen 2018 - 84
At Home with Chris Jessen 2018 - 85
At Home with Chris Jessen 2018 - 86
At Home with Chris Jessen 2018 - 87
At Home with Chris Jessen 2018 - 88
At Home with Chris Jessen 2018 - 89
At Home with Chris Jessen 2018 - 90
At Home with Chris Jessen 2018 - 91
At Home with Chris Jessen 2018 - 92
At Home with Chris Jessen 2018 - 93
At Home with Chris Jessen 2018 - 94
At Home with Chris Jessen 2018 - 95
At Home with Chris Jessen 2018 - 96
At Home with Chris Jessen 2018 - 97
At Home with Chris Jessen 2018 - 98
At Home with Chris Jessen 2018 - 99
At Home with Chris Jessen 2018 - 100
At Home with Chris Jessen 2018 - 101
At Home with Chris Jessen 2018 - 102
At Home with Chris Jessen 2018 - 103
At Home with Chris Jessen 2018 - 104
At Home with Chris Jessen 2018 - 105
At Home with Chris Jessen 2018 - 106
At Home with Chris Jessen 2018 - 107
At Home with Chris Jessen 2018 - 108
At Home with Chris Jessen 2018 - 109
At Home with Chris Jessen 2018 - 110
At Home with Chris Jessen 2018 - 111
At Home with Chris Jessen 2018 - 112
At Home with Chris Jessen 2018 - 113
At Home with Chris Jessen 2018 - 114
At Home with Chris Jessen 2018 - 115
At Home with Chris Jessen 2018 - 116
At Home with Chris Jessen 2018 - 117
At Home with Chris Jessen 2018 - 118
At Home with Chris Jessen 2018 - 119
At Home with Chris Jessen 2018 - 120
At Home with Chris Jessen 2018 - 121
At Home with Chris Jessen 2018 - 122
At Home with Chris Jessen 2018 - 123
At Home with Chris Jessen 2018 - 124
At Home with Chris Jessen 2018 - 125
At Home with Chris Jessen 2018 - 126
At Home with Chris Jessen 2018 - 127
At Home with Chris Jessen 2018 - 128
At Home with Chris Jessen 2018 - 129
At Home with Chris Jessen 2018 - 130
At Home with Chris Jessen 2018 - 131
At Home with Chris Jessen 2018 - 132
At Home with Chris Jessen 2018 - 133
At Home with Chris Jessen 2018 - 134
At Home with Chris Jessen 2018 - 135
At Home with Chris Jessen 2018 - 136
At Home with Chris Jessen 2018 - 137
At Home with Chris Jessen 2018 - 138
At Home with Chris Jessen 2018 - 139
At Home with Chris Jessen 2018 - 140
At Home with Chris Jessen 2018 - 141
At Home with Chris Jessen 2018 - 142
At Home with Chris Jessen 2018 - 143
At Home with Chris Jessen 2018 - 144
At Home with Chris Jessen 2018 - 145
At Home with Chris Jessen 2018 - 146
At Home with Chris Jessen 2018 - 147
At Home with Chris Jessen 2018 - 148
At Home with Chris Jessen 2018 - 149
At Home with Chris Jessen 2018 - 150
At Home with Chris Jessen 2018 - 151
At Home with Chris Jessen 2018 - 152
At Home with Chris Jessen 2018 - 153
At Home with Chris Jessen 2018 - 154
At Home with Chris Jessen 2018 - 155
At Home with Chris Jessen 2018 - 156
At Home with Chris Jessen 2018 - 157
At Home with Chris Jessen 2018 - 158
At Home with Chris Jessen 2018 - 159
At Home with Chris Jessen 2018 - 160
At Home with Chris Jessen 2018 - 161
At Home with Chris Jessen 2018 - 162
At Home with Chris Jessen 2018 - 163
At Home with Chris Jessen 2018 - 164
At Home with Chris Jessen 2018 - 165
At Home with Chris Jessen 2018 - 166
At Home with Chris Jessen 2018 - 167
At Home with Chris Jessen 2018 - 168
At Home with Chris Jessen 2018 - 169
At Home with Chris Jessen 2018 - 170
At Home with Chris Jessen 2018 - 171
At Home with Chris Jessen 2018 - 172
At Home with Chris Jessen 2018 - 173
At Home with Chris Jessen 2018 - 174
At Home with Chris Jessen 2018 - 175
At Home with Chris Jessen 2018 - 176
At Home with Chris Jessen 2018 - 177
At Home with Chris Jessen 2018 - 178
At Home with Chris Jessen 2018 - 179
At Home with Chris Jessen 2018 - 180
At Home with Chris Jessen 2018 - 181
At Home with Chris Jessen 2018 - 182
At Home with Chris Jessen 2018 - 183
At Home with Chris Jessen 2018 - 184
At Home with Chris Jessen 2018 - 185
At Home with Chris Jessen 2018 - 186
At Home with Chris Jessen 2018 - 187
At Home with Chris Jessen 2018 - 188
At Home with Chris Jessen 2018 - 189
At Home with Chris Jessen 2018 - 190
At Home with Chris Jessen 2018 - 191
At Home with Chris Jessen 2018 - 192
At Home with Chris Jessen 2018 - 193
At Home with Chris Jessen 2018 - 194
At Home with Chris Jessen 2018 - 195
At Home with Chris Jessen 2018 - 196
At Home with Chris Jessen 2018 - 197
At Home with Chris Jessen 2018 - 198
At Home with Chris Jessen 2018 - 199
At Home with Chris Jessen 2018 - 200
At Home with Chris Jessen 2018 - 201
At Home with Chris Jessen 2018 - 202
At Home with Chris Jessen 2018 - 203
At Home with Chris Jessen 2018 - 204
At Home with Chris Jessen 2018 - 205
At Home with Chris Jessen 2018 - 206
At Home with Chris Jessen 2018 - 207
At Home with Chris Jessen 2018 - 208
At Home with Chris Jessen 2018 - 209
At Home with Chris Jessen 2018 - 210
At Home with Chris Jessen 2018 - 211
At Home with Chris Jessen 2018 - 212
At Home with Chris Jessen 2018 - 213
At Home with Chris Jessen 2018 - 214
At Home with Chris Jessen 2018 - 215
At Home with Chris Jessen 2018 - 216
At Home with Chris Jessen 2018 - 217
At Home with Chris Jessen 2018 - 218
At Home with Chris Jessen 2018 - 219
At Home with Chris Jessen 2018 - 220
At Home with Chris Jessen 2018 - 221
At Home with Chris Jessen 2018 - 222
At Home with Chris Jessen 2018 - 223
At Home with Chris Jessen 2018 - 224
At Home with Chris Jessen 2018 - 225
At Home with Chris Jessen 2018 - 226
At Home with Chris Jessen 2018 - 227
At Home with Chris Jessen 2018 - 228
At Home with Chris Jessen 2018 - 229
At Home with Chris Jessen 2018 - 230
At Home with Chris Jessen 2018 - 231
At Home with Chris Jessen 2018 - 232
At Home with Chris Jessen 2018 - 233
At Home with Chris Jessen 2018 - 234
At Home with Chris Jessen 2018 - 235
At Home with Chris Jessen 2018 - 236
At Home with Chris Jessen 2018 - 237
At Home with Chris Jessen 2018 - 238
At Home with Chris Jessen 2018 - 239
At Home with Chris Jessen 2018 - 240
At Home with Chris Jessen 2018 - 241
At Home with Chris Jessen 2018 - 242
At Home with Chris Jessen 2018 - 243
At Home with Chris Jessen 2018 - 244
At Home with Chris Jessen 2018 - 245
At Home with Chris Jessen 2018 - 246
At Home with Chris Jessen 2018 - 247
At Home with Chris Jessen 2018 - 248
At Home with Chris Jessen 2018 - 249
At Home with Chris Jessen 2018 - 250
At Home with Chris Jessen 2018 - 251
At Home with Chris Jessen 2018 - 252
https://europe.nxtbook.com/emp/AtHome/your-business-with-james-caan-autumn-2024-2
https://europe.nxtbook.com/emp/AtHome/your-business-with-james-caan-autumn-2024-1
https://europe.nxtbook.com/emp/AtHome/your-business-with-james-caan-spring-2024
https://europe.nxtbook.com/emp/AtHome/yourbusiness2021
https://europe.nxtbook.com/emp/AtHome/athomewithchrisjessen2018
https://europe.nxtbook.com/emp/AtHome/athomewithsarahbeenyautumn2017
https://europe.nxtbook.com/emp/AtHome/athomewithlorrainekelly2017
https://europe.nxtbook.com/emp/AtHome/athomeparentingwithJoFrost2017
https://europe.nxtbook.com/emp/AtHome/SarahBeenySpring2017
https://europe.nxtbook.com/emp/AtHome/AskTheDoctorWithDrJessenFebruary2017
https://europe.nxtbook.com/emp/AtHome/AtHomeWithTessDaly2016
https://europe.nxtbook.com/emp/Careers/YourBusinessWithJamesCaan2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithGloriaHunnifordOctober2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithSarahBeenyAutumn2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithLorraineKelly2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithJoFrostJune2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithSarahBeenySpring2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithDrChristianJessen2016
https://europe.nxtbook.com/emp/AtHome/AthomeWithTessDaly2015
https://europe.nxtbook.com/emp/AtHome/YourBusinessWithJamesCaanAutumn2015
https://europe.nxtbook.com/emp/AtHome/AthomeWithSarahBeeny2015
https://europe.nxtbook.com/emp/AtHome/AthomeWithGloriaHunniford2015
https://europe.nxtbook.com/emp/AtHome/AtHomeLorraineKelly2015
https://europe.nxtbook.com/emp/AtHome/JoFrost15
https://europe.nxtbook.com/emp/AtHome/SarahBennyMay2015
http://europe.nxtbook.com/emp/AtHome/OrthopaedicSupplementMarch2015
https://europe.nxtbook.com/emp/AtHome/DrChristianJessenFeb2015
http://europe.nxtbook.com/emp/AtHome/athomewithtessdaly
http://europe.nxtbook.com/emp/AtHome/jobsandcareers2014
https://europe.nxtbook.com/emp/AtHome/yourbusinesswithjamescaan
http://europe.nxtbook.com/emp/AtHome/athomewithsarahbeeny
http://europe.nxtbook.com/emp/AtHome/parentingjofrost
https://europe.nxtbook.com/emp/AtHome/drchristianjessen
http://europe.nxtbook.com/emp/AtHome/Athomelorrainekelly
http://europe.nxtbook.com/emp/AtHome/Athomesarahbeeny
http://europe.nxtbook.com/emp/AtHome/Cheers_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Christmas_New_year_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Exclusive_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Jo_Frost_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Carol_Vorderman_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Christian_Jessen_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_Beeny_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Lorraine_Kelly_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_James_Martin_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Jo_Frost_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Dr_Chris_Steele_Sept_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Sally_Gunnell_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_Beeny_Aug_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Lorraine-Kelly_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Christian_Jessen_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_James_Martin_2011
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_beeny_winter_2011
http://europe.nxtbook.com/emp/AtHome/Lorraine_Kelly_Nov_2011
http://europe.nxtbook.com/emp/AtHome/At_Home_Marco_Pierre_White_2011
http://europe.nxtbook.com/emp/AtHome/AtHome/Jo_Frost_July_2011
http://europe.nxtbook.com/emp/AtHome/Lorraine_Kelly_June_2011/Lorraine_Kelly_June_2011
http://europe.nxtbook.com/emp/AtHome/Sarah_Beeny_May_2011
https://www.nxtbookmedia.com