Board Certified, New York City Based, Osteopath Specializing in Spine, Pain and Sports Medicine
What Is Hip Pain?
Any pain originating or manifesting in the region in the body relating to the connection of the thigh bone (femur) where it meets the hip bone( ilium). An ache or sharp pain in the groin region may originate from the hip. Pain can emanate from the muscles, tendons, ligaments, or refer from intervertebral disc or skeletal structures of the spine. Hip pain is a common issue that can be directed back to a wide variety of problems. Often the inside of the hip and groin area is from joint issues while upper thigh and outer hip derive from problems with muscles, ligaments, tendons, bursa, and other soft tissues that surround your hip joint.
Hip Pain Causes
Hip pain may be caused by numerous sources. Arthritis, psoriatic arthritis, rheumatoid arthritis (inflammatory joint disease), hip labral tears, inguinal hernia, sprains, or tendinitis can all cause hip pain. There are other causes such as pinched nerves, a traumatic injury, repetitive strain from improper mechanics, and trigger points.
Hip Strain Symptoms
Hip injuries usually result in inflammation, pain, limited range of motion, and reduced mobility. Pain with movement or activities with of your lower back, hips, legs, and surrounding joints usually means it comes from the joint itself.
Hip Impingement Risk Factors
Risk factors of hip pain include:
- Avascular Necrosis
- Bone Infections
- Activity Level
What Exercises Are Used For Hip Pain Management?
When a doctor creates a pain management plan for a person who has chronic hip pain, they will include a variety of exercises that a physical therapist will use to help restore blood flow to the joint and increase the physical strength of the muscles affected by the injury or illness. Walking and swimming are ideal exercises for the hips because they increase endurance and help to strengthen the tissues without applying excess weight. Ergonomic exercise bikes that take the pressure off of the hips may also be beneficial. Recumbent exercise bikes are NOT recommended as this may aggravate hip pain. Each person will be different when it comes to exercise. Some may feel more comfortable with walking or swimming, while others would prefer working with a physical therapist.
What Treatment Methods Are Used To Control Hip Pain?
With today’s technology, doctors have new treatment methods that offer proven results with fewer side effects and much less downtown. Radiofrequency ablation is used to heat lesion certain nerves, blocking pain signals from traveling to and from the brain. Stem cell injections and platelet rich plasma injections are also being used to help strengthen tissues and stimulate the growth and regeneration of certain types of cells within the joint. These treatment methods can be used alongside physical therapy and anti-inflammatory medications, doctors can create an effective treatment plan that strengthens the joint, re-establishes blood flow to the area, and effectively relieve pain and inflammation.
When To Consider Hip Replacement Surgery?
Hip replacement surgeries are often the last resort a doctor offers to their patients. If chronic hip pain is no longer relieved through interventional procedures or the use of physical therapy and platelet rich plasma injections, the next step is to remove the diseased or worn joint and replace it. Even with a hip replacement, physical therapy will still be needed for several weeks to help the patient learn how to maneuver with the new joint. The patient will also need to rebuild their strength and work to regain their previous range of motion. While the procedure may correct the cause of the pain, it will cause the person to start from scratch when it comes to strength and dexterity.