Treatments for Hip Pain
Treatments for hip pain depend on the underlying cause or condition. At Balcones Pain Consultants, we are experts at determining the most effective treatment or combination of therapies for reducing or eliminating pain in the hip. Hip pain treatments can range from conservative therapies like massage or physical therapy to more aggressive options, including medication, transcutaneous electrical nerve stimulation, joint and bursa injections, epidural steroid injections and surgery.
Treating Hip Pain Caused by Bursitis, Tendinitis and Arthritis
Hip pain from bursitis, tendinitis and arthritis, including osteoarthritis and rheumatoid arthritis, can be managed with NSAIDs (non-steroidal anti-inflammatory drugs) or other pain medications, or with steroid injections into the affected joint to reduce swelling and inflammation. Physical therapy exercises can greatly reduce hip pain due to arthritis, as can proper diet and weight management to reduce pressure on the joints. In some cases, acupuncture treatments may help reduce the pain.
Bone spurs that develop due to arthritis can initially be treated with NSAIDs or other anti-inflammatory pain medications along with physical therapy techniques such as cold packs, stretching and massage. Corticosteroid injections into the affected joints can also reduce pain from bone spurs. Ultimately, severe, painful bone spurs may require surgical removal.
Kyphosis—an exaggerated forward rounding of the back that can result from a spinal malformation, arthritis or osteoporosis—typically doesn’t cause pain, but more serious cases cause back and hip stiffness and pain. Hip pain due to kyphosis can be treated with pain medication, exercises and physical therapy. Nutritional therapies can also help, and in some cases, surgery is recommended.
Hip pain from iliotibial (IT) band syndrome can be relieved by rest, especially if the condition has developed from repetitive motion or overuse, as with long-distance running. NSAIDs, topical anti-inflammatory medications, massage and special stretching techniques are also helpful in reducing the pain, as are exercises designed to strengthen the core, hip and buttock muscles.
Treatment for Pinched Nerves
One of the most common causes of hip pain due to a pinched nerve is sciatica. Mild cases of sciatica usually resolve on their own over time and can be treated with rest, massage, heat applications and NSAIDs for reducing pain and inflammation. If sciatic hip pain is severe, however—if it lasts longer than a week or gets progressively worse instead of better—medical intervention is necessary. Immediate medical attention is needed if sudden, severe pain in the hip, lower back or leg follows a major injury, such as from a car accident; if you experience numbness or weakness in the hip or leg muscles; or if you’re experiencing pain along with difficulty in controlling your bladder or bowels.
Treating Hip Pain from Injuries, Fractures and Dislocations
Fractures, dislocations and injuries, including those due to osteoporosis or repetitive motion, are common causes of hip pain. Treating hip pain due to injuries of these types might include a combination of rest, physical therapy and medications, such as NSAIDs or bisphosphonates. Surgical options for treating hip injuries can include internal repairs using screws, or partial or total hip replacement.
Avascular necrosis (AVN) can develop as the result of a hip injury, or due to other causes or conditions. Treatment for hip pain due to AVN depends on the severity of the condition and the extent of the bone loss. In its early stages, this condition can be treated with medications like NSAIDs, blood thinners or osteoporosis drugs, along with exercises to improve the hip’s range of motion or electrical stimulation to encourage new bone growth. In its later stages, AVN may require surgical treatment, such as through a bone graft or reshaping or a joint replacement.
Whatever the underlying cause of your hip pain might be, your caring provider at Balcones Pain Consultants will work with you to develop an individualized approach to treating your pain, so you can return safely and pain-free to the activities you love.
Videos About Potential Hip Pain Treatments
- Fluoroscopic Guided Hip Injection
- Fluoroscopic Guided Piriformis Injection
- Intrathecal Pump Implant
- Joint Injection
- PRP for Hip Arthritis
- Spinal Cord Stimulator Implant
- Spinal Cord Stimulator Implant (Trial Procedure)
- Trigger Point Injections