Hip pain is a common complaint, especially as patients age.
There are numerous potential causes of hip pain.
- soft tissue inflammation around the hip, such as bursitis or tendinitis;
- hip arthritis, where there has been irreversible damage to the cartilage within the hip joint itself;
- femoral-acetabular impingement (or FAI), in which structural
- abnormalities in the development of the ball and/or hip socket leads to pathology;
- tears of the acetabular labrum (the cartilage rim of the hip socket itself);
- loose bodies within the hip joint;
- hip dysplasia, where there has been underdevelopment of the hip socket.
Occasionally, hip pain will present as a manifestation of lumbar spine pathology, in which a nerve to the hip area will be pinched in the lower back area, leading to the hip pain.
Dr. Davis routinely sees and evaluates patients with hip pain, to initially help them discover the source or cause of the pain, and then to the development of a treatment plan to target the hip problem and thereby alleviate the pain. Hip replacement surgery is often recommended for patients with severe arthritis of the hip that has failed to respond to appropriate conservative or non-operative treatment.
Dr. Davis routinely performs total hip replacement surgery as a treatment plan. In this approach, the hip is replaced through a small incision on the front of the hip/thigh. The benefit of this approach is that the procedure is done working between the muscles on the front of the hip, such that minimal muscle damage occurs as a result of surgery and results to an early functional recovery. See the section on Total Hip Replacement for more surgical details.
Total Hip Replacement
A total hip replacement may be recommended for patients who experience severe hip pain.
Avascular Necrosis (AVN) of the Hip
Avascular necrosis of the hip can cause pain and loss of mobility in the hip joint.
Inflammatory Arthritis of the Hip
This condition is an irritation of the hip joint that can cause inflammation, pain, and limited mobility.
Muscle Strain Injuries of the Hip
This injury is a stretching or tearing of fibers in one of the muscles at the hip joint. Hip strains may be mild, moderate or severe.
Osteoarthritis of the Hip
Osteoarthritis, also called degenerative arthritis, is a gradual breakdown of cartilage in the joints. Cartilage is a tough, flexible connective tissue that protects the ends of bones in the joints.
This disease is a condition of the hip bone and is only seen in children. It occurs when the blood supply to the hip is temporarily disrupted. This loss of blood supply to the ball part of the hip joint causes the bone to die resulting in a noticeable limp and pain.
Snapping Hip Syndrome
This common condition is a sensation of snapping or catching in the hip. Many people experience this sensation when performing certain movements of the leg. In most cases it is not harmful or painful.
Arthroscopic Surgery for Femoral-Acetabular Impingement (FAI)
This minimally-invasive surgical procedure is used to identify and correct problems in the hip joint, such as a torn labrum or damaged articular cartilage, that commonly result from femoral-acetabular impingement.
Core Decompression for Avascular Necrosis of the Hip
This procedure treats avascular necrosis by removing degenerated and dead bone tissue and creating room for new, healthy tissue to grow.
Hip Dysplasia (DDH) Treatment
Developmental Dysplasia of the Hip (DDH) is an uncommon, but potentially disabling condition of the hip.
Femoral-Acetabular Impingement (FAI)
FAI caused by an improperly-shaped femur is called a cam impingement.
Iliotibial Band Syndrome (ITBS)
This condition is a painful inflammation of the iliotibial band, a thick, tendon-like portion of a muscle that travels from the hip down the outer side of the thigh to the knee.
Labral Tears of the Hip
With this injury, the head of your femur (which is shaped like a ball) slips out of your hip socket. It may slip forward or backward out of position.
Muscle Strain Injuries of the Thigh
Your thigh has groups of powerful muscles. The quadriceps, the adductors and the hamstring muscles handle high loads of stress. They may suffer from overstretching and tearing.
Pediatric Femoral Fractures
This serious injury is a break of a child’s thigh bone, called the femur. Because the femur is the largest and strongest bone in the body, this type of injury is relatively uncommon, accounting for only a small percentage of all pediatric fractures.
Slipped Capital Femoral Epiphysis (SCFE)
This disorder, which affects children between 10-15 years old, occurs when the head of the femur slips off the femoral neck. This misaligns the femur with the socket.
Transient Osteoporosis of the Hip
This condition is a sudden onset of pain in the hip that usually subsides within six months to a year.
Computer-Assisted Hip Replacement Surgery
In this minimally invasive surgical procedure, the surgeon replaces the hip joint with the aid of a computer guidance system.
Femur Fracture Fixation (Stryker® Gamma Nail)
This procedure stabilizes severe fractures of the femur with a metal rod and screws implanted into the center of the bone.