Heterotopic ossification (HO) or the overgrowth of bone is not uncommon after any trauma to the hip area. Total hip replacement tops the list. Doctors hope to find ways to
tell who might get HO and how to prevent it. This would be much better than trying to treat it after it occurs.
Right now, radiation therapy can be used to treat HO. Patients are understandably
concerned about the possible side effects of radiation. Also the cost of this treatment can add up. Another option is the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
There are many different kinds of NSAIDs. Researchers are trying to find out which one(s) work best. The newer NSAIDs have fewer side effects on the gut, a common problem with aspirin and other anti-inflammatory drugs. These newer NSAIDs are called COX-1 and
It's not clear how COX-1 and 2 inhibitors work to prevent HO. Maybe they suppress bone formation by stopping early stages of inflammation that occur with bone growth. Or maybe
there's a direct effect of the inhibitors on the base cells that form bone cells.
In some cases surgery is needed to cut the bone fragments out. This can damage the nearby muscle tissue and must be done carefully. Even with the best surgeon, problems can occur. Treatment often depends on how severe the problem is and how much it's bothering the
patient. Check with your doctor about your case and see what's advised.