Hip Pain Treatment Options
Chronic hip pain is a common condition typically resulting in hip replacement surgery. Yet, even after the hip replacement problems can continue. The high rates of wear and tear, attributable to normal use of an artificial hip, can result in long term problems for the patient and the need for revision surgery.
- Core decompression surgery for osteonecrosis – avascular necrosis. In this article Ross Hauser, MD discusses new research on bone repair in osteoarthritis
- Degenerative Hip Disease Treatment In this article, Tim Speciale, DO discusses new research and findings for the use of Platelet Rich Plasma and stem cell therapy for degenerative hip disease. New research says PRP injections offer a significant clinical improvement in patients with hip osteoarthritis
- Doctors question Hip Labrum Surgery. In this article Danielle R. Steilen-Matias, MMS, PA-C discusses various alternatives to acetabulum hip labrum surgery. This includes repair with injectable regenerative biomaterials such as Platelet Rich Plasma Therapy and stem cell therapy.
- Femoroacetabular Impingement (FAI) or sometimes diagnosed as Hip Impingement is a condition where abnormal contact and rubbing of the ball and socket portion of the hip bones creates joint damaging friction. This “bone-on-bone” situation subsequently develops into degenerative osteoarthritis in addition to causing injuries to the labral area.
- Hip Replacement alternatives | Treatment for pain and instability after hip replacement. In this article Ross Hauser MD discusses hip replacement alternatives as well as seeing the patient following hip replacement suffering from surgical complications.
- Snapping Hip Syndrome. In this article, Ross Hauser explains problems of Snapping Hip Syndrome.
- Treating hip instability – The ligaments of the hip. Not knowing or understanding the hip ligaments and their role in hip stability and joint instability is being recognized as a major problem in the treatment of hip pain.
In the research in this article you will read about doctors who are critical of unnecessary hip procedures and the surgeons themselves who are questioning the validity of certain hip procedures after they see the outcome in their own patients.
Not everyone who is a candidate for a new hip will choose this option, as the operation has inherent risks including poor outcome, osteolysis and need for revision, deep vein thrombosis and limited life span.
Because of the limited response of chronic hip pain to other traditional therapies, many people are turning to alternative therapies, including Prolotherapy, for pain control.
Prolotherapy is becoming a widespread form of pain management in both complementary and allopathic medicine.
In 2009, Caring Medical and Rehabilitation Services began publishing research on patients treated for hip pain. Published in the Journal of Prolotherapy, the CMRS team was able to document the following:
- Sixty-one patients, representing 94 hips (33 patients had both hips treated) who had been in pain an average of 63 months.
The patients were treated quarterly with dextrose Prolotherapy.
- This included a subset of 20 patients who were told by their medical doctor(s) that there were no other treatment options for their pain and a subset of eight patients who were told by their doctor(s) that surgery was their only option.
Patients were contacted an average of 19 months following their last Prolotherapy session and asked questions regarding their levels of pain, physical and psychological symptoms and activities of daily living, before and after their last Prolotherapy treatment.
- pain levels decreased from 7.0 to 2.4 after Prolotherapy;
- 89% experienced more than 50% of pain relief with Prolotherapy;
- more than 84% showed improvements in walking and exercise ability, anxiety, depression and overall disability;
- 54% were able to completely stop taking pain medications.
Prolotherapy: A successful alternative to hip replacement surgery
Prolotherapy offers hope to these patients, as well as to those seeking an alternative to hip surgery or hip replacement. We have successfully treated patients who were told surgery was their only option.
There are times when individuals do require hip surgery because the degeneration has progressed too far and to the point where repair is not achievable with Prolotherapy. This however is not the norm. Many people with hip pain have achieved wonderful results with Prolotherapy, resolving their hip pain and regaining their mobility.
The experienced Prolotherapist will take a good history, perform a thorough examination, and ask particular questions regarding the location of the hip pain and the mobility of the hip joint. This information can provide the Prolotherapist with valuable information about the source and nature of the hip pain.
For instance, is the pain inside the hip, or in the groin? Is the pain outside of the hip, at the upper thigh, or is it located at the buttock? How does the person with hip pain walk? And what is the mobility of the hip joint in question? An experienced Prolotherapist will be able to tell you the type and frequency of treatments that are recommended to resolve your hip pain.
When the hip joint is in motion, the ligaments and structures of the hip are subjected to tremendous forces, even with normal every day activities. Prolotherapy heals these structures that are damaged due to overuse, trauma, or wear and tear. Comprehensive Prolotherapy to the hip involves multiple injections of dextrose-based solution to the affected ligament and tendon attachments around the hip, as well as solution injected inside the hip joint. Prolotherapy stimulates a natural, local inflammatory response at the weakened structures, triggering the immune system to initiate repair at those sites. This mild inflammatory reaction dramatically increases blood flow to the injured hip joint, signaling the body to send reparative cells. This results in new collagen being laid down at the treated areas which then strengthens the ligaments and tightens and stabilizes the hip.