Hip pain is often a difficult diagnosis ranging from genitourinary problems to spine issues to actual joint pathology. Our doctors can help you determine where your pain is coming from and how to treat them appropriately.
The most common source of most hip and groin pain in older adults. Patients often complain of stiffness and loss of range of motion. The gradual wear and tear of the ball and socket can leave patients with terrible pain keeping patients from performing simple activities such as donning socks and shoes. Conservative measures include NSAID medications, cortisone injections and therapy. Total Hip Replacement is the best option for severe arthritis when all other options have failed.
Trochanteric bursitis is one of the more common causes of lateral hip pain. Patients will complain of difficulty lying on the affected side and sometimes of snapping and clicking on the side of the hip. The vast majority of patients will improve with stretching exercises and/or cortison injections. Unresponsive trochanteric bursitis can be managed with endoscopic surgical bursectomy.
Femoroacetabular Impingement (FAI)
Tears of the acetabular labrum often cause deep groin pain in younger, active individuals. Most commonly patients feel pain with sitting for long periods of time and with activity. MRI and MR Arthrograms (contrast injection into the joint) will help confirm the diagnosis. Labrum tears are best treated with arthroscopic repair as shown in the above video.
FAI is a relatively new entity found to cause hip pain in patients. Essentially it exists in individuals with eccentrically shaped femoral heads that "impinge" on the hip socket during range of motion. Over time, this impingement can cause associated labrum tears in patients as well. Plain x-rays can diagnose FAI, but your doctor can also order MRIs to look for concomitant labrum tears.