Shooting From The Hip With Raj Singh, MD

What are the most common causes of hip pain?

It really comes down to a few basic things when it comes to hip pain.

  • tendinitis
  • bursitis
  • arthritis
  • cartilage defects

Most of the time the pain we feel is due to the overuse of certain structures. It’s rare to find a perfectly aligned pelvis. This means the misalignment of this structure can put duress on certain parts of the hip causing a breakdown of cartilage, narrowing of the joint, wear and tear and inflammatory responses. There are occasions when a traumatic injury occurs that could lead to a hip dislocation or abrupt tear to the cartilage. I would say the most common source of hip pain comes from the area along the outside of the hip where a lot of structures converge. Most predominantly the Greater Trochanteric Bursa (best known as ‘bursitis’).

What is the best way to treat Bursitis in the hip?

The most effective way to reduce an inflamed bursa is with the help of regenerative medicine. Placing a strong anti inflammatoryagent such as amniotic allograft directly into the inflamed bursa helps reduce painful symptoms drastically.

Does a steroid or cortisone Injection do the same thing?

A steroid Injection will take down inflammationbut it doesn’t last long and it is not recommended for regular or repeated use. The steroid can wear out the cartilage and actually breakdown the soft tissues as opposed to repair them. I personally do not administer steroid injections for this reason.

Does this type of regenerative Injection also help with Osteoarthrits in the hip?

When the amniotic allograft injection is placed directly into the hip joint (with the help of ultrasound guidance) it aids in reducing inflammation, repairing micro-tears and lubricating the joint. The goal when Injecting an arthritic hip with the amnion is to create an environment for healing, decrease pain and increase mobility. We have done this successfully in our clinic many times.

Is this type of procedure complex and/or painful?

The procedure is nothing more than a simple injection. Depending on the issue we may inject 2 or 3 areas to get maximum benefit. But with the help of ultrasound guidance and some numbing spray on the skin, the patient rarely even flinches.

Is everyone a candidate for a hip injection?

In most cases, we are able to help patients with hip pain with an amniotic allograft injection. There are certain limitations to the procedure. If a patient’s hip is too severely deteriorated by osteoarthritis, the results may not be effective. However, even for those patients, surgery isn’t always the answer. Regenerative medicine, namely amniotic allograft, gives most patients the best chance at pain relief and is the most effective solution for healing tissue damage and keeping it from reoccurring so frequently. We treat a lot of hip pain in our clinic and our patients would tell you having these injections has been a game-changer for them.

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