A very complete physical examination of the hip and surrounding areas is performed to determine the source of hip pain. We don’t depend on X-Rays or MRI’s to tell us where to do the Prolotherapy treatments. Common causes of hip pain include muscle strains, tendonitis of the gluteus medius and gluteus minimus, piriformis tendonitis, osteoarthritis, and bursitis.
Often, the hip pain is felt in the groin, what we call referred pain and there is a limited range of motion of the femur.
The main goal is to avoid needless hip replacement or resurfacing. The side effects from hip replacement are often disastrous. There can be dislocation, short leg syndrome or infection. Prolotherapy is a great and less invasive alternative in which a patient walks out of the office and even can go back to work.
For people who have bone-on-bone arthritis in the hips, we work on the supporting ligaments of the hip because there are some very large ligaments that support that large hip joint and many times by stabilizing those ligaments, pain will usually go away.
If a diagnostic injection around the ligaments of the hip reduces a patients’ pain, then we know Prolotherapy treatments may be of benefit. These include PRP or Platelet Rich Plasma injections and /or stem cell therapies too.