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.
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.