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Hip Pain – Treatments, Causes & Diagnosis

What are the causes of hip pain?

Hip pain can be caused by one or more disorder; these include :

1. Hip Arthritis:

Arthritis is a general term for a group of more than 100 diseases. When it affects the HIP joint it can produce swelling and pain, and may eventually result loss of joint function, and decreased ability to walk.

Osteoarthritis is considered a “wear and tear” disease because the cartilage in the joint wears down with repeated stress and use over time. As the cartilage deteriorates and gets thinner, the bones lose their protective covering and eventually may rub together, causing pain and inflammation of the joint.

Rheumatoid Arthritis: Patients having this condition are more susceptible to developing hip arthritis as the rheumatoid causes joint inflammation and cartilage damage. This disease is often associated with pain and a numbing or tingling sensation in the knee joint.

2. Trochanteric bursitis

Inflammation and swelling of the fluid-filled sac over the lateral aspect of the hip joint. This causes pain in the hip when inflamed. This is a common cause of hip pain.

Less commonly, hip pain may be caused by : femoroacetabular impingement, hip dysplasia, A hip fracture, an infection in the bone or joint, reduced blood flow to the hip joint.

What are the treatments of hip pain?

1. Medication :

Using anti inflammatory medications which provides varying results from one patient to the other and typically gives short term relief and is ineffective with others.

2. Physiotherapy :

Performing some physiotherapy exercises with a specialist. This may provide a relief of pain after many sessions. This could be ineffective and some patients do not prefer this type of long course treatment.

3. Pain Killers and Exercise :

This approach relies on using painkillers combined with stretching exercises and waiting for the pain to improve. This may show an effect within 1 to 6 months.

4. Surgical Intervention:

When Is Surgery Needed?
When osteoarthritis has progressed substantially or failed to improve with non-surgical treatment, surgery may be recommended. In advanced cases, surgery may be the only option. The goal of surgery is to decrease pain and improve function.

Some patients resort to surgery to end the severe pain. This approach has varying results according to the cause and severity of the pain and carries the common risks associated with any surgery or undergoing general anesthesia.

5. Pain management injection with ultrasound guidance

This is a modern, advanced, non-surgical treatment technique that relies on injecting specific medication accurately into the area of inflammation under ultrasound guidance. Using an accurate, effective, safe and non-invasive technique, make us achieve better results in terms of pain relief/management. Statistic accuracy rate is about 95-99%.

What is ultrasound guided injection of hip pain?

This technique uses FDA approved medication, which is injected, directly into the pain area under ultrasound guidance. This technique has the following benefits:

Helps the radiologist to accurately identify the inflamed tendon or bursa, which is important to confirm the clinical examination.

Allows the radiologist to accurately localize and effectively administer the medicine to one or more compartments of the painful area “if necessary” resulting in better and faster pain relief.

The patient benefits the most by having the medication in the right spot without pain or complications.