Hip Replacement or Conservative Treatment?

This article will help you understand when hip replacement is the right option, when conservative treatment may be more appropriate — and why you can trust Dr. Gopal to guide you every step of the way.

Understanding the Root of Hip Pain

Chronic hip pain can have many causes:

• Osteoarthritis – the most common cause, due to wear and tear of the joint cartilage

• Rheumatoid arthritis – an autoimmune condition affecting joint lining

• Hip fractures – common in older adults after a fall

• Avascular necrosis – loss of blood supply to the hip bone

• Developmental conditions – such as dysplasia or impingement

Pain is often felt in the groin, buttock, or thigh, and may worsen with walking or standing. If left untreated, it can lead to stiffness, limp, muscle loss, and even postural imbalance.

Conservative Treatment: A Valuable First Option

In many cases, Dr. Gopal recommends non-surgical (conservative) treatments first, especially when:

• The pain is intermittent or mild

• Imaging shows early-stage joint damage

• The patient prefers to delay surgery

• The goal is to manage symptoms, not cure

Conservative options may include:

• Anti-inflammatory medications

• Physiotherapy to strengthen surrounding muscles and improve joint function

• Weight management to reduce joint pressure

• Activity modification to avoid repetitive strain

• Assistive devices, like canes or walkers

• Injections (corticosteroids or hyaluronic acid)

These treatments aim to delay or reduce the need for surgery, often improving quality of life for several months or years.

“I never rush into surgery. Every hip is different. Every patient is different. My goal is to treat the person — not just the X-ray.”
— Dr. Dhanraz Gopal

When Is Hip Replacement the Better Choice?

If pain becomes constant, disabling, or resistant to conservative treatment, then hip replacement surgery is often the best option. It offers long-lasting relief, restores mobility, and greatly improves quality of life.

Dr. Gopal typically recommends hip replacement when:

✅ Pain limits your daily activities (e.g. walking, climbing stairs)
✅ You experience night pain or difficulty sleeping
✅ The joint is stiff and motion is severely restricted
✅ Imaging shows advanced joint degeneration
✅ You’ve already tried physiotherapy or medication without success

In this procedure, the damaged parts of the hip joint are replaced with a prosthetic implant. Dr. Gopal uses high-quality, durable implants, carefully selected based on each patient’s anatomy and activity level.

What Makes Dr. Gopal’s Approach Unique?

• Over 30 years of orthopaedic experience

• International training in joint reconstruction and resurfacing

• Certified Independent Medical Examiner (ABIME – USA)

• Clear, honest guidance — with no pressure

• Follow-up care and support throughout the recovery process

Patients trust Dr. Gopal because he takes time to explain the risks, benefits, and alternatives, helping you make an informed decision — not a rushed one.

What to Expect from Hip Replacement Surgery

Dr. Gopal ensures every patient is well prepared before surgery. Here’s a simplified overview:

1. Pre-surgery planning – including imaging and blood work

2. Procedure – typically under spinal or general anaesthesia

3. Hospital stay – usually 2 to 4 days

4. Rehabilitation – early movement begins within 24 hours

5. Return to normal life – most patients resume daily activities in 4 to 8 weeks

He also coordinates with physiotherapists to ensure a smooth and safe recovery.

Final Thought: Which Option Is Right for You?

Not all hip pain requires surgery — but if it does, it’s essential to choose a surgeon you trust.

With Dr. Dhanraz Gopal, you will always receive a balanced, honest opinion. Whether you move forward with conservative care or opt for hip replacement surgery, you’ll have a specialist by your side — with the skill, experience, and integrity to help you make the right choice.

Ready to take the next step toward a pain-free life?
📍 Consult Dr. Gopal at Clinique Bon Pasteur (Rose Hill), Artemis Curepipe Hospital, Royal Green Hospital (Moka), Premium Care Clinic (Vacoas-Phoenix)
📞 Appointments by request by Whatsapp here