Follow Us:

Areas We Treat

Hip and Sacroiliac (SI) Joint

Each case of hip or SI joint pain is unique. After determining the root causes of your pain or symptoms, Dr. Silva designs a custom treatment plan with the goal of helping you avoid surgery and long-term medication use.

Hip & SI Joint Conditions We Treat

Adductor Tendinitis or Pain

Gluteal Muscle Dysfunction

Adjacent Segment Disease

Greater Trochanteric Bursitis

Hip Labral Tear

Iliopsoas Tendinitis

Ischiofemoral Impingement

Piriformis Syndrome

Pubic Symphysis Pain and Instability

Ligamentum Teres Sprain or Degeneration

Avascular Necrosis of the Femoral Head

Gluteal Muscle Tendinopathy or Tear

Sacroiliac Joint Instability & Dysfunction

Greater Trochanteric Pain Syndrome

Hip Labrum Tear

Iliopsoas Tendon Tear

Post Surgical Pain

Quadratus Internus Pain


Sacroiliac Dysfunction and Instability

Femoral Acetabular Impingement

Gluteal Tendinosis

Lumbar Spinal Stenosis

Hamstring Tear or Tendinopathy

Hip Osteoarthritis

Iliotibial Band Dysfunction and Pain

Meralgia Paresthetica

Psoas Bursitis

Quadricep Tear or Tendinopathy

Snapping Hip Syndrome

Femoral Neuropathy

Gluteus Medius Dysfunction

Lumbar Discitis

Hip Effusion

Iliopectineal Bursitis

Ischial Bursitis


Pubic Symphysis Osteoarthritis

Sacroiliac Arthritis

Trochanteric Bursitis

Hip & SI Joint Areas We Treat

Hip Labrum

Hip Capsular Ligaments (Iliofemoral, Pubofemoral, Ischiofemoral)

Gluteal Tendon Attachments at the Anterior Superior and Posterior Facets of the Greater Trochanter

Iliotibial Band

Posterior-Lateral Iliac Crest Muscle Attachments

Anterior Superior Iliac Spine and Associated Muscle Attachments

Adductor Tendons

Hamstrings Attachments at Ischium

Femoral Head Intraosseous (Bone) Access and Avascular Necrosis

Acetabulum Intraosseous (Bone) Access, Ligamentum Teres Under Fluoroscopy


Obturator Internus

Hip & SI Joint Treatment Types Offered

Image-Guided Prolotherapy

Image-Guided PRP injections

Intra-Articular Joint Injections

Nerve Blocks for Procedural Comfort

Lateral Femoral Cutaneous Block

Genitofemoral Nerve Block

Ilioinguinal Nerve Block

*This is not a complete list. Please contact our office if you don’t see what you’re looking for.

Have questions before scheduling your consultation?

Book a Free Discovery Call

Hip and SI Joint Q&A

Why does my hip area hurt?

The hip is a complex joint made of bone, cartilage, ligaments, muscles with various neighboring organs, vessels and nerves. The symptoms of a hip disorder can include:

- hip pain when walking or flexing the hip

- reduced movement or mobility in the hip joint

- referred pain such as pain that is felt in the legs or in the back

- muscle stiffness and soreness that is felt in the front or bac

- Osteoarthritis or a tear in the soft tissue of the hip may cause chronic pain and pain when walking.

- If you fall or have an accident involving your leg and you develop swelling or pain in your hip, seek medical attention immediately.

Sometimes sacroiliac (SI) joint pain can feel like hip pain, and vice versa. The SI joint connects the ilium (pelvic bone) to the lowest part of the spine, the sacrum. There is a SI joint located on either side of the sacrum. SI joints function as shock absorbers for the pelvis and the low back. When an SI joint is unstable, irritated, or injured, you may have:

- Difficulty sitting for too long due to pain

- Buttock pain

- Low back pain

- Thigh pain

At Interventional Orthopedics of Washington, Dr. Silva conducts a thorough physical exam, takes a complete medical history, and may perform other diagnostic tests to determine the source or sources of your pain.

What are the risk factors for developing hip & SI joint conditions?

Women are more likely to develop hip conditions than are men, and those who are older are also at higher risk. Other risk factors for acute (sudden) or chronic (ongoing) hip pain include:

- Joint trauma or injury

- High impact activity and overuse

- Referred pain coming from the low back

- Unstable Hip Joint or SI Joints

- Nerve injuries

- Hip deformities

- Weak muscles

A tumor or infection can also cause hip pain in rare cases.

What non-surgical options do I have to treat hip or SI joint pain?

Each case of hip or SI joint pain is unique. After determining the causes of your pain or symptoms, Dr. Silva designs a custom treatment plan. He might also recommend lifestyle changes and supportive therapies such as:

- Participating in physical therapy led by a rehabilitation specialist to improve body mechanics and strengthen supportive joint tissues

- Discontinuation and replacement of certain medications, such as NSAIDs to manage chronic and acute inflammation and pain

- Diagnostic ultrasound, nerve blocks, and/or prolotherapy

- Anti-inflammatory diet & supplements

If you don’t respond to lifestyle adjustments or your pain or disability are severe, he can also recommend groundbreaking regenerative treatments such as:

- Prolotherapy: injections that irritate injured tissues to stimulate healing

- Platelet-rich plasma (PRP): injectable serum with a high concentration of platelets, which contain growth-factors that repair tissues

- Cellular Therapy: your own cells injected into damaged tissue and bone to stimulate a healing response and regrowth

Dr. Silva uses ultrasound guidance and/or fluoroscopic (x-ray) guidance when administering injectable therapies to ensure that the healing agents, also known as “orthobiologics”, are delivered precisely to the area of injury.

To find out if your hip pain can be treated with non-surgical interventions offered by Dr. Silva at Interventional Orthopedics of Washington, call us at 425-325-1665 or use the easy “Book Appointment” button.

Ready to get better?

Book Your Consultation Now

1515 116th Ave NE, Suite 202,

Bellevue, WA 98004

Otoño Silva, MD

Fax: 425-326-1667



Tues – Fri 8:30am to 5pm


Sat, Sun, Mon

© Copyright 2024 Interventional Orthopedics of Washington