Pain in the “hip” region can include pain in the front and top of the thigh, the groin, the buttock the side of the hip, or sometimes even the very low part of the low back. There are numerous causes of pain in this general region. Causes include pain coming from within the hip joint, irritation of tendons that surround the hip, strain of muscles, bone fracture, pinched nerves in the back (radiculopathy), irritation of joints in the back of the pelvis (sacroiliac joint) and inflammation in the bursa, among others. Many of these possible causes can be diagnosed with a detailed history and a good physical exam. Often testing is required to come to the specific diagnosis.
We utilize x-rays, MRI and ultrasound, as well as diagnostic and therapeutic injections. We have advanced skills in interpreting x-rays and MRI and can review and explain these images to you in detail. We also have advanced skills in performing ultrasound to evaluate certain aspects of your hip that are best visualized in this way, and this can be done in the office with results explained to you as images are being obtained. Diagnostic and therapeutic injections are performed using either x-ray or ultrasound guidance for maximum safety, accuracy and comfort.
We use your images as well as pelvic/hip models and drawings to explain the cause of your pain and the contributing factors. There will be a spectrum of treatment options that range from conservative to aggressive and may include physical therapy, various medication and injection options. We will explain all of the options that are available to you for your particular diagnosis and work together to come to an appropriate and customized treatment plan that you are comfortable with, and which meets your needs.
Hip pain can be one of the most challenging areas of the body to adequately diagnose and requires a high level of understanding of the anatomy as well as the interplay between the various components of this part of your body.