Hip Pain

The root cause of hip, thigh or upper leg pain is often due to  sprained hip joint ligaments and resultant hip joint instability. Such injury is usually caused by:

  • Normal wear-and-tear and osteoarthritic articular cartilage degeneration
  • Traumatic sprain injury—or
  • Abnormal compensatory posture, e.g., due to short leg syndrome.

The resulting hip pain is usually distinctly associated with or aggravated by hip joint movement. However, a proper physical examination is needed to ensure that the pain is not actually associated with a sacroiliac injury, requiring a different or combined approach.

If there is evidence of a significant osteoarthritic component to neck and head dysfunction, appropriate tests and consultations may be in keeping.

Treatment

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Osteopathic Manual Therapy (OMT) can be helpful in mobilizing the hip joint.
 
Hip joint ligament sprains are easily treated with Prolotherapy, which is commonly directed to anterior or posterior capsule ligament attachments—depending on your history, examination, and X-ray findings.

Platelet-Rich Plasma (PRP) Therapy would be more appropriate if the sprain injury and dysfunction are due to significant ligament or tendon tearing.

The pain of hip wear-and-tear osteoarthritis can often be relieved or, at least, minimized by treating the coexisting ligament sprain injuries by Prolotherapy.   Intra-articular therapy has been reported helpful in minimizing—in some cases restoring—articular cartilage loss.

Gary B. Clark, MD, MPA | 1790 30th Street, Suite 230, Boulder, CO | (303) 444-5131