Hip & 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 & Sacroiliac Joint Conditions 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 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
  • 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.

Hip & SI Joint Conditions We Treat

Adductor Tendinitis or Pain
Avascular Necrosis of the Femoral Head
Femoral Acetabular Impingement
Femoral Neuropathy
Gluteal Muscle Dysfunction
Gluteal Muscle Tendinopathy or Tear
Gluteal Tendinosis
Gluteus Medius Dysfunction
Greater Trochanteric Bursitis
Greater Trochanteric Pain Syndrome
Hamstring Tear or Tendinopathy
Hip Effusion
Hip Labral Tear
Hip Labrum Tear
Hip Osteoarthritis
Iliopectineal Bursitis
Iliopsoas Tendinitis
Iliopsoas Tendon Tear
Iliotibial Band Dysfunction and Pain
Ischial Bursitis
Ischiofemoral Impingement
Ligamentum Teres Sprain or Degeneration
Meralgia Paresthetica
Piriformis Syndrome
Post Surgical Pain
Psoas Bursitis
Pubic Symphysis Osteoarthritis
Pubic Symphysis Pain and Instability
Quadratus Internus Pain
Quadricep Tear or Tendinopathy
Sacroiliac Arthritis
Sacroiliac Dysfunction and Instability
Snapping Hip Syndrome
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 call our office if you do not see what you’re looking for.

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