Hip

To find out if you can heal your hip conditions without surgery or corticosteroids by instead stimulating your own natural healing response, contact Interventional Orthopedics of Washington by phone or by clicking the “Book Appointment” button.

Hip Conditions Q & A

Why does my hip 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 back
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.
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 hip pain.

What are the risk factors for developing hip 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
– 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 pain?

Each case of hip pain is unique. After determining the causes of your hip 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 lead 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 may also recommend expert 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
– Stem cell therapy: your own stem 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.

Hip Conditions

Osteoarthritis
Hip Labrum Tear
Ligamentum Teres Sprain or Degeneration
Snapping Hip Syndrome
Iliopectineal Bursitis
Ischial Bursitis
Meralgia Paresthetica
Trochanteric Bursitis
Psoas Bursitis
Iliopsoas Tendon Tear
Femoral Neuropathy
Adductor Tendinitis or Pain
Snapping Hip Syndrome
Hamstring Tear or Tendinopathy
Quadricep Tear or Tendinopathy
Piriformis Syndrome
Quadratus Internus Pain
Gluteal Muscle Tendinopathy or Tear
Gluteal Muscle Dysfunction
Iliotibial Band Dysfunction and Pain
Post Surgical Pain
Avascular Necrosis of the Femoral Head
Pubic Symphysis Osteoarthritis
Pubic Symphysis Pain and Instability

Treatment Areas

Hip Joint Injections
Lateral Femoral Cutaneous Block
Genitofemoral Nerve Block
Ilioinguinal Nerve Block
Intra-Articular Joint
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
Nerve Blocks for Procedural Comfort
Piriformis
Obturator Internus

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