The prevailing cause of hip pain, encountered most frequently, is osteoarthritis. This condition involves the degeneration of cartilage and the emergence of excessive bony growth within the synovial joint. These age-related or degenerative changes can lead to inflammation, resulting in discomfort. Remarkably, pain originating from inflamed facet joints may radiate symptoms to distant areas, creating what is known as referred pain, distinct from radicular pain caused by irritation of large spinal nerves.
When conditions directly affect the hip joint, the discomfort is often experienced in the groin region.
Conversely, pain localized on the outer aspect of the hip typically arises from soft tissues, including muscles, ligaments, tendons, and connective tissues. Just above the joint and beneath the muscular tendons, a fluid-filled sac called the bursa is situated. The upper part of the femur is linked to the pelvis by several ligaments, with the iliofemoral ligament being the body’s strongest. Its primary role is to provide dynamic support, bearing the entire weight of the upper trunk and body while transferring this load to the lower extremities.
Pain typically intensifies with hip extension, lateral movement, sitting cross-legged, ascending or descending stairs, and in cold weather conditions.
Accurate diagnosis entails a comprehensive assessment of medical history, physical examination, and appropriate imaging modalities, including CAT scans, x-rays, MRI scans, electrodiagnostic studies, and, when necessary, blood work.
Treatment options encompass analgesics for temporary pain relief and tailored physical therapy programs. These therapies feature home exercises aimed at strengthening the hip joint and associated muscles, enhancing flexibility, and expanding the range of motion.
In certain cases, Diagnostic/Therapeutic joint injections utilizing steroids or innovative treatments like PRP (Platelets Rich Plasma) therapy and Amniotic fluid injections can be highly effective, complementing the effects of oral medications and physical therapy.
For those for whom conservative approaches prove insufficient, an evaluation for surgical intervention may be considered, ensuring the most suitable course of action to address your hip pain.
Locations we serve in Queens, NY: Rego Park, Maspeth, Corona, Forest Hills, Middle Village
Locations we serve in Nassau County:
Malverne, Lynbrook, West Hempstead, Franklin Square, Valley stream.