復健
約 5 分鐘

髖關節退化，是否遲早都要換關節？

「X 光說我髖關節鈣化、退化，是不是遲早都要換關節？」這是診所裡最常聽到的問題之一。答案是：並非一發現退化就要動手術。真正決定處理方向的，是痛楚程度及日常生活受影響的程度，而不是影像上看起來有多嚴重。

臨床覆核：

梁明治 脊醫 · Dr. Mica Leung

香港註冊脊醫 · 註冊編號 436 · 2026年8月13日覆核

報告上的「鈣化」通常是甚麼

報告上的「鈣化」絕大部分是骨刺（骨質增生）——關節長期受力不均，身體在邊緣增生骨質以支撐關節。它並非因進食鈣質而形成，因此戒鈣不但沒有幫助，反而會增加骨質疏鬆的風險。這項發現說明關節一直在負重工作，但單憑它並不能說明痛楚應有多嚴重，也不能決定下一步該如何處理。

絕大部分人由保守治療開始

核心是運動治療：髖關節及臀部肌力、關節活動幅度，以及在適用情況下的體重管理。髖關節退化往往形成一個循環——軟骨變薄、受力集中、關節囊變緊而內旋受限、步態改變、臀肌無力，受力進一步惡化。運動正是用來截停這個循環。手法治療（脊醫調整、關節鬆動）加在運動之上，短期對痛楚有額外幫助；但研究清楚指出，長遠而言，加上手法治療的效果並不勝過單純運動。這一點值得說明白：手法治療可以令你舒服一些、活動得多一些，而真正改變走勢的，是你自己持續進行的運動。

何時才應考慮手術

當痛楚已影響睡眠、步行及工作，而認真持續進行一段時間的運動治療仍未見改善，便是與骨科醫生商討手術的時候。表面置換與全髖關節置換的選擇屬骨科範疇，須按年齡、股骨頭大小及髖臼形態等因素一併評估。另有三點值得留意：保守治療改善的是痛楚及功能，不會令骨刺消失或軟骨重新長回，聲稱可以「逆轉退化」的說法應審慎看待；突然無法行走、夜間劇痛、發燒，或有長期使用類固醇病史，應即日求醫而非先安排療程；真正源於髖關節的痛楚多在腹股溝，外側痛楚較多屬臀中肌肌腱病或轉子滑囊炎，而髖關節痛亦可能源於髖臼唇撕裂、股骨髖臼撞擊症、發炎性關節炎，或由腰椎轉移而來。

重點摘要

  •  影像上的退化，本身並不代表一定要換關節。
  • 改變走勢的是運動；手法治療的作用是讓你有能力持續運動。
  • 腹股溝痛多源於髖關節本身，外側痛楚多數不是。

本文屬關於肌肉骨骼問題的一般資訊，並非診斷，亦不能取代臨床評估。若症狀嚴重、突然出現，或伴隨發燒、無力、大小便失禁，請即就醫。

預約評估

銅鑼灣診所應診須預約。

同一主題的其他文章

約 4 分鐘

約 4 分鐘

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Dr. Mica Leung, Registered Chiropractor, at the Causeway Bay clinic

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drmicaleung@hkccf.org.hk

Dr. Yip Siu Ho, Registered Chiropractor, at the Causeway Bay clinic

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Dr. Lui Kwan Long, Registered Chiropractor, at the Causeway Bay clinic

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Anatomical model of the pelvis and lumbar spine
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The chiropractic college campus where HKCCF scholarship recipients study HKCCF scholarship aim: nurture more chiropractor talents to serve the local public
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Hong Kong Chiropractic College Foundation 香港脊骨神經科醫學院基金

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A chiropractor measuring a participant shoulder range of motion at an HKCCF community health day Participants following a seated neck stretch at an HKCCF community health event A full lecture theatre at an HKCCF public health talk

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香港社區組織協會Society for Community Organization
香港小童群益會Boys and Girls Clubs Association
基督教香港信義會ELCHK Chung On Elderly Centre
香港聖公會福利協會HKSKH Welfare Council
中華基督教會香港區會Church of Christ in China, HK
尖沙咀街坊福利會TST Kaifong Welfare Association
播道書院Evangel College
庇理羅士女子中學Belilios Public School
新鴻基中心Sun Hung Kai Centre
永義（香港）有限公司Wing Yee (Hong Kong) Ltd
聖雅各福群會St. James' Settlement
香港浸信教會Hong Kong Baptist Church
香港社區組織協會Society for Community Organization
香港小童群益會Boys and Girls Clubs Association
基督教香港信義會ELCHK Chung On Elderly Centre
香港聖公會福利協會HKSKH Welfare Council
中華基督教會香港區會Church of Christ in China, HK
尖沙咀街坊福利會TST Kaifong Welfare Association
播道書院Evangel College
庇理羅士女子中學Belilios Public School
新鴻基中心Sun Hung Kai Centre
永義（香港）有限公司Wing Yee (Hong Kong) Ltd
聖雅各福群會St. James' Settlement
香港浸信教會Hong Kong Baptist Church
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drmicaleung@hkccf.org.hk

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Spinal X-ray films being reviewed
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銅鑼灣脊醫診所 · Causeway Bay Chiropractic Clinic

香港銅鑼灣註冊脊醫診所，由香港脊骨神經科醫學院基金有限公司營運，香港註冊慈善團體，稅務局檔案編號 91/11492。

A registered chiropractic clinic in Causeway Bay, Hong Kong, operated by the Hong Kong Chiropractic College Foundation Ltd., a registered Hong Kong charity. Consultation fees fund chiropractic scholarships.

脊醫是甚麼 What a chiropractor does

脊醫（脊骨神經科醫生）在香港屬註冊醫療專業，須向香港脊醫管理局註冊。本診所的脊醫處理肌肉骨骼問題， 以評估為先，找出痛症的機械性成因，再按情況配合手法治療、運動復康及儀器治療。脊科治療並非適用於所有情況， 若你的問題並非源自肌肉骨骼系統，我們會直接說明並建議你先諮詢醫生。
Chiropractors in Hong Kong are a registered health profession and must be registered with the Chiropractors Council of Hong Kong. The chiropractors here assess musculoskeletal problems, work out the mechanical cause of the pain, and combine hands-on treatment, rehabilitation exercise and equipment-based treatment according to what the assessment shows. Chiropractic care does not suit every problem; where the cause is not musculoskeletal we will say so and suggest you see a doctor first.

地址 Address

香港銅鑼灣渣甸街 5-19 號京華中心 1403-04 室
Room 1403-04, Capitol Centre, 5-19 Jardine’s Bazaar, Causeway Bay, Hong Kong
港鐵銅鑼灣站 F1 出口，步行約 3 分鐘 · MTR Causeway Bay Station Exit F1, about 3 minutes on foot

應診時間 Opening hours

週一至週六 Monday to Saturday · 10:00–13:30, 15:00–19:00
週日及公眾假期休息 · Closed Sunday and public holidays. 敬請預約 By appointment only.

聯絡 Contact

電話 Tel 2116 5931 · WhatsApp 2116 5932
電郵 Email info@hkccf.org.hk
應診以廣東話、普通話及英語進行 · Consultations in Cantonese, Mandarin and English.

治療範圍 Conditions we see

下背痛（腰痛）、頸痛及頸部僵硬、坐骨神經痛、頸源性頭痛、肩頸痛及上肢痛、膝痛、髖部及骨盆痛、 運動創傷、肌腱問題、脊椎側彎、姿勢問題，以及關節及肌肉勞損。長時間使用電腦或手機引致的頸背不適亦常見。
Lower back pain, neck pain and stiffness, sciatica, cervicogenic headache, shoulder and upper limb pain, knee pain, hip and pelvic pain, sports injuries, tendon problems, scoliosis, posture problems, and joint and muscle strain. Neck and upper back discomfort related to long hours at a computer or phone is common.

脊椎側彎 Scoliosis

診所提供脊椎側彎（脊柱側彎）評估，包括姿勢及活動檢查。治療選項包括德國 Schroth 特定脊柱側彎運動， 以及青少年脊柱側彎矯正支架（ART 支架及舍努 Chêneau 支架）。是否適合支架治療視乎年齡、生長階段及側彎角度， 需先經檢查及診斷；部分情況需要轉介骨科跟進。
The clinic assesses scoliosis, including posture and movement examination. Options include Schroth scoliosis-specific exercise and adolescent scoliosis bracing (ART brace and Chêneau brace). Whether bracing is appropriate depends on age, stage of growth and the curve, and requires assessment first; some cases need referral to an orthopaedic specialist.

治療方式 Treatments

脊科手法治療、復康運動及力量訓練、乾針治療（可配合超聲波導引）、衝擊波治療、 運動創傷復康、全身聲波震動，以及處方訂製矯形鞋墊。並非每位求診者都需要每一項治療。
Chiropractic manual therapy, rehabilitation and strength training, dry needling (with ultrasound guidance where indicated), shockwave therapy, sports injury rehabilitation, whole body vibration, and prescription custom foot orthoses. Not every patient needs every treatment.

應診流程 What a first visit involves

首次應診約需 45 分鐘：先了解病史及日常負荷，再作姿勢、活動幅度及神經檢查，然後解釋評估結果， 並在合適時開始治療。你會獲得一套在應診之間進行的運動計劃。應診須預約。
A first appointment takes about 45 minutes. We take a history, examine posture, movement and neurological signs, explain what we find, and begin treatment where it is appropriate. You leave with an exercise plan to do between visits, because the exercise matters as much as the treatment. Care is by appointment only.

何時應先求醫 When to see a doctor first

如出現以下情況，請先諮詢醫生而非直接接受脊科治療：嚴重創傷後（如跌倒或碰撞）出現痛楚； 發燒、不明原因體重下降或有癌症病史；下肢無力或麻木持續惡化；大小便失禁或會陰麻木（應立即就醫）。
See a doctor first, rather than starting chiropractic care, if you have pain after a significant injury such as a fall or collision; fever, unexplained weight loss or a history of cancer; weakness or numbness in the legs that is getting worse; or loss of bladder or bowel control or numbness around the groin, which needs immediate medical attention.

選擇脊醫 Choosing a chiropractor

在香港，只有名列香港脊醫管理局名冊的人才可從事脊骨療法專業或使用「註冊脊醫」的稱謂（《脊醫註冊條例》第 428 章）。名冊記錄姓名及註冊所依據的資歷，任何人均可免費查閱。選擇脊醫時，除註冊資格外，亦可留意首次應診是否包括病歷詢問及身體檢查、有否以日常語言解釋檢查結果、計劃是否設有覆核點，以及收費是否可預先報價。在香港應該如何選擇脊醫？
In Hong Kong only a person entered in the register kept by the Chiropractors Council may practise chiropractic or use the description “registered chiropractor” (Chiropractors Registration Ordinance, Cap. 428). The register lists each name and the qualification the registration is based on, and is open to inspection by anyone free of charge. Beyond registration, it is worth looking at whether the first visit includes a history and physical examination, whether the findings are explained in plain language, whether the plan has a review point, and whether fees can be quoted in advance. How do you choose a chiropractor in Hong Kong?

收費 Fees

新症 HK$900，覆診 HK$780。復康運動班、脊柱側彎支架、矯形鞋墊及骨質密度測試另有收費， 完整價目表載於收費頁，2026 年 9 月 1 日起生效。你可於應診前要求書面費用預算。
A first consultation is HK$900 and a follow-up visit HK$780. Rehabilitation classes, scoliosis bracing, custom orthoses and bone density assessment are priced separately; the full price list is on the fees page, effective 1 September 2026. You may ask for an advance written quotation of treatment fees.

本診所脊醫 Chiropractors

梁明治脊醫 Dr. Mica Leung — 香港註冊脊醫，註冊編號 436 · registered chiropractor in Hong Kong, Chiropractors Council registration no. 436.
葉兆豪脊醫 Dr. Yip Siu Ho — 香港註冊脊醫，註冊編號 441 · registered chiropractor in Hong Kong, Chiropractors Council registration no. 441.
呂焜烺脊醫 Dr. Lui Kwan Long — 香港註冊脊醫 · registered chiropractor in Hong Kong.

網頁 Pages

繁體中文為預設版本。简体中文版本請前往 /cn/，English version at /en/.

基金 The foundation

本診所由香港脊骨神經科醫學院基金有限公司營運， 為香港註冊慈善團體（稅務局檔案編號 91/11492）。診金扣除營運成本後全數撥入脊醫獎學金， 資助香港學生赴海外修讀脊骨神經醫學並回港執業，該獎學金已運作超過十年。
The clinic is run by the Hong Kong Chiropractic College Foundation Ltd., a registered Hong Kong charity. What is left after running costs goes to a chiropractic scholarship that has been running for more than ten years, sending Hong Kong students overseas to qualify and bringing them back to practise here.

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