Pelvis and hip pain can be caused by a number of orthopedic injuries or conditions. In some cases, replacing the hip joint is necessary. At our office, we seek non-surgical and conservative treatment approaches when possible.
This condition is also known as inflammation of the bursa. Bursae are located throughout your body and are small sacs that reduce friction between tissues and bones.
Causes: Injury and overuse during repetitive activities can cause bursitis.
Symptoms: When bursitis occurs in the hips, it can cause dull aches or sharp pain that worsen with walking or at night.
Conservative Treatments: Steroid injections and physical therapy can be used to bring relief.
Surgery: Surgery may be performed to remove the bursa.
Dysplasia is a dislocation of the hip that is present at birth or in infancy.
Causes: An improperly formed hip joint is loose in the socket and causes easy dislocation. The condition seems to be more common in first born children, females, babies born in breech condition, and babies with low amniotic fluid levels in the womb.
Symptoms: Symptoms of hip dysplasia include decreased mobility on one side, toe walking, limping, legs with different lengths, and uneven skin folds on the thigh.
Conservative Treatments: Casting and positioning devices may be used.
Surgery: Surgery may be needed to realign the hip.
Femoral Acetabular Impingement
Abnormally shaped bones in the hip can cause the bones to rub together, resulting in joint damage.
Causes: Femoral acetabular impingement is caused by the bones improperly developing during childhood.
Symptoms: Symptoms can include groin pain and a stabbing or dull pain that occurs when turning, squatting, or twisting.
Conservative Treatments: Physical therapy, activity modification, and non-steroidal anti-inflammatory medication can all be used to manage symptoms.
Surgery: Surgery to repair cartilage or trim down bone may be needed.
A hip fracture is characterized by a break in the upper part of the femur.
Causes: The most common cause of a hip fracture is a direct blow to the hip or a fall. Stress injuries, cancer, and osteoporosis can also contribute to a hip fracture.
Symptoms: There are different degrees of hip fractures, but pain and swelling are the most common.
Conservative Treatments: One of the most common treatments for a hip fracture is staying immobile in order to allow the fracture to heal.
Surgery: In more severe cases, surgery is needed to hold the bone in place with nails or screws.
A pelvic fracture is characterized by a break in pelvis bone.
Causes: Falls, car accidents, and injury can cause a fractured pelvis. Elderly patients with osteoporosis and active teenagers are more at risk.
Symptoms: Bruising, swelling, and pain are signs of a fractured pelvis.
Conservative Treatments: In most cases, the fracture heals on its own with a walker or crutches that are used to redistribute weight.
Surgery: Surgery may involve plates, screws, or an external fixator to hold the bone in place and allow it to heal.
Any joint in your body can develop osteoarthritis, but your hips are especially at risk because they are such large joints.
Causes: This type of arthritis occurs over time with general wear and tear. Without treatment, the condition worsens.
Symptoms: Symptoms of hip osteoarthritis include stiffness, pain, and discomfort. These symptoms can worsen with activity.
Conservative Treatments: Anti-inflammatory medication and physical therapy can be used to help manage osteoarthritis.
Surgery: Total hip replacement may be necessary to relieve symptoms.