Pain in the hip is a common complaint that can be caused by a wide range of problems. Symptoms are frequently worse with prolonged walking or simply from standing up. The first issue is to determine if the pain is coming from the hip joint (the ball and socket joint) or from the ‘lateral hip’: muscles, ligaments, tendons and other soft tissues.
Some patients even have lumbar or buttock pain that can send pain to the hip or groin. Injuries include chronic bursitis involving the greater trochanter (the bony region on the side of your hip that causes pain if you lay on one side) or the ischial bursa (the ‘butt bone’). Labral tears, hip dislocations, and prior fractures are also possible causes of hip pain.
In many patients, the pain is actually from the upper nerves of the lower back due to a pinched or inflamed nerve, bad disc, or joint inflammation. Some nerves can be compressed in the pelvis or the top of the thigh. An Xray, MRI, ultrasound, NCS/EMG, or CT may be necessary to evaluate the real source of pain.
If the pain is referred from the back, nonsurgical treatment options include trigger point injections, epidurals, selective nerve blocks, joint injections, and physical therapy. If the discomfort is caused by a problem with the hip joint itself, nonsurgical treatment options include non-steroidal anti-inflammatories, compound transdermal medications, bracing, neuromodulation treatments, custom bracing, vitamin supplementation, cold therapy, initial corticosteroid injections, growth factor injections, cryopreserved stem cell injections, botox therapy, and platelet-rich plasma injections.