Areas We Treat

Hip and Sacroiliac (SI) Joint

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Overview: Understanding Hip and Sacroiliac Joint Pain

Hip and Sacroiliac joint pain can significantly limit mobility and impact your daily life. Whether you’re struggling to walk, sit comfortably, or participate in physical activity, the discomfort often stems from a complex interplay between bones, ligaments, muscles, and nerves. At Interventional Orthopedics of Washington (IOW), our doctors take a root-cause approach not just managing symptoms but identifying and treating the source of your pain using advanced regenerative techniques designed to help you avoid surgery and long-term medications.

Common Hip and Sacroiliac Joint Conditions We Treat

Our practice specializes in diagnosing and treating a wide range of hip and SI joint conditions, both acute and chronic. These include:

Hip Labral Tear

Sacroiliac Joint Instability & Dysfunction

Gluteal Tendinopathy & Muscle Dysfunction

Piriformis Syndrome

Femoroacetabular Impingement (FAI)

Greater Trochanteric Bursitis & Pain Syndrome

Iliopsoas Tendinitis & Tears

Osteoarthritis of the Hip & SI Joint

Avascular Necrosis of the Femoral Head

Snapping Hip Syndrome

Hamstring & Adductor Tendinopathy

Pubic Symphysis Pain & Instability

Iliopsoas Tendinitis & Tears

Lumbar Referred Pain (Spinal Stenosis, Discitis)

Hip and Sacroiliac Joint Areas We Specialize In

Our doctors use precision imaging and years of musculoskeletal expertise to treat specific, hard-to-reach areas contributing to hip or SI joint dysfunction:

Hip Joint Components: Labrum, Ligamentum Teres, Femoral Head, Acetabulum
Capsular Ligaments: Iliofemoral, Pubofemoral, Ischiofemoral
Muscle Attachments & Tendons: Gluteal, Adductor, Hamstring, Iliopsoas, piriformis
SI Joint Complex: Sacroiliac Ligaments, Iliac Crest Attachments, Piriformis, Obturator Internus
Surrounding Structures: Iliotibial Band, ASIS Region, Iliopectineal & Ischial Bursae

This comprehensive approach allows for targeted treatment especially in cases where pain overlaps or mimics other conditions.

Advanced Diagnostic Evaluation

Accurate diagnosis is critical to lasting recovery. At IOW, we use a combination of tools to pinpoint the true source of your pain:

Comprehensive medical history & biomechanical assessment
Hands-on physical exams to assess joint stability and mobility
Advanced imaging (X-rays, MRI review, musculoskeletal ultrasound)
Diagnostic nerve blocks and image-guided injections for pain mapping

These evaluations provide the blueprint for your personalized treatment plan focused on true healing not just symptom suppression.

Types of Regenerative Treatments We Offer

Our doctors specialize in non-surgical, image-guided regenerative procedures that support tissue healing and restore joint function. Depending on your diagnosis, your custom plan may include:

Image-Guided Prolotherapy - stimulates natural healing response in ligaments and tendons
Platelet-Rich Plasma (PRP) - uses concentrated platelets to accelerate tissue repair
Cellular Therapy - leverages your own cells to regenerate damaged cartilage, tendons, or bone
Intra-Articular Joint Injections
Targeted Nerve Blocks for comfort and precise localization
Lateral Femoral Cutaneous, Ilioinguinal & Genitofemoral Nerve Blocks for neuropathic or referred pain

When Is Surgery Needed?

Our priority at Interventional Orthopedics of Washington is helping you avoid surgery whenever possible. Many patients with hip or SI joint issues like labral tears, gluteal tendinopathy, or joint instability experience significant improvement through our targeted regenerative treatments.

However, in rare cases where imaging reveals advanced joint degeneration, significant structural deformity, or loss of mobility that doesn't respond to conservative care, surgical consultation may be appropriate. If that time comes, we’ll guide you every step of the way and connect you with experienced orthopedic surgeons but for most, our regenerative-first approach delivers relief without ever entering an operating room.

Why Choose IOW for Hip and Sacroiliac Joint Treatment?

When it comes to hip and SI joint care, experience and precision matter. Here’s what sets us apart:

Expert in Orthobiologics: Our doctors bring years of experience in regenerative orthopedic procedures
Minimally Invasive: All injections are done with precision imaging - ultrasound and fluoroscopy
Whole-Body Insight: We assess how your spine, pelvis, and gait affect hip/SI mechanics
Customized Care: Every plan is tailored to your body, lifestyle, and goals
Avoid Surgery: Our mission is to keep you moving without scalpel or operating room

Can’t find your condition on the list?

You might be a candidate. Schedule your free discovery call and let’s explore your options.

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Hip and SI Joint Q&A

Why does my hip or sacroiliac joint hurt?

1. Why does my hip or SI joint hurt?

Pain in the hip or sacroiliac (SI) joint can come from irritated nerves, inflamed bursae, worn cartilage, or strained ligaments and tendons. These structures are deeply interconnected, which is why pain may also radiate to the lower back, groin, or thighs.

What’s the difference between hip pain and sacroiliac joint pain?

Hip pain often appears in the front or side of the hip and may worsen with movement while SI joint pain is usually felt in the lower back or buttock, especially when standing or shifting weight. These conditions can overlap, so precise diagnosis is key.

What causes sacroiliac joint or hip instability?

Instability can result from ligament laxity, prior injury, muscle weakness, childbirth, or abnormal pelvic alignment. It often leads to chronic pain, clicking, or a feeling that the joint “gives out.”

Can hip and SI joint pain be treated without surgery?

Yes. We specialize in non-surgical, image-guided regenerative therapies that help heal damaged tissues, strengthen ligaments, and restore joint function without narcotics or invasive procedures.

How do you know where my pain is coming from?

We use a combination of physical exams, diagnostic imaging, and image-guided nerve blocks to pinpoint the source of your pain. This ensures your treatment is not just effective but specific and personalized.

Why choose regenerative treatment over cortisone or surgery?

Cortisone offers short-term relief but can weaken tissue over time. Regenerative treatments like PRP or prolotherapy stimulate healing and restore joint integrity, offering sustainable, long-term results without degeneration.