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HIP PAIN BLOG

ACETABULAR LABRAL TEARS
Injuries involving the Femoral Head

Q. What is your experience with acetabular labral tears?
A. Symptoms of clicking in the hip can sometimes led to a diagnosis of acetabular labral tear. Read blog

Degenerated Hip
Q. My wife has been diagnosed with a degenerated right hip, X-rays show bone on bone conditions and calcium deposits around her hip socket. She can barely walk...Read blog

Prolotherapy Following Hip Replacement
Q. I have several friends who have had a hip replacement (THR) or a hip resurfacing. That has helped with the walking and getting around, but my friends still complain about groin pain. Is it possible to have prolo following hip surgery?

A. Many people who have continued pain after a surgery benefit from Prolotherapy. The reasoning is simple, the surgery did not address whatever pain remains. In other words, something besides the hip is causing the continued groin pain. This could be a referral pain pattern from the pubis, lower back or tendon/ligaments that go to the greater trochanter (side of the hip). My advice, tell her orthopedist of course and get an opinion from a Prolotherapist.

Answered By Ross Hauser, M.D.
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TROCHANTERIC PAIN (HIP POINTER)
It is common for people to have pain on the side of the hip. There is a big bone upon which 'the pain' sits called the greater trochanter. This is where the gluteal muscles attach. Typically a person is diagnosed with trochanteric bursitis, but the pain is not from a true inflammation of the bursa (fluid filled sac) but just weakness in the muscle/tendon attachments at this site. Prolotherapy onto the greater trochanter bone typically resolves the problem in three-six visits.

I have been diagnosed with inflammation of the ischial tuberosity and bursa. I have had cortisone but they were no help at all. I am in constant pain when I sit, but it gets better when I stand or walk, can Prolotherapy help?

A. We actually see and treat a lot of patients with this complaint. It is typically a result of weak ligaments and tendons along the "sits bone" or ischial tuberosity and can cause patients a lot of difficulty sitting for any length of time. Prolotherapy to the area generally is extremely effective at eliminating the pain.
 

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End Stage Hip Degeneration
In my experience, one of the main determinants in whether Prolotherapy will help a potential patient with a degenerated joint is how much range of motion he/she has compared to normal. What I find in my experience is if a patient has little hip range of motion, especially internal or external rotation, then they may need a hip replacement. 

However and surprisingly, I typically see 50% or greater normal motion in the hip in the average person who has been told that a hip replacement is the only option.

Yes, I may see some limited range of motion because of their arthritis, but much of the motion is there. In these instances, Prolotherapy works very well. By this I mean that the patient will achieve improved strength in the leg, as well as more motion. Along with this, of course, comes a diminished level of pain and use of pain medications. The vast majority are very happy and don't end up needing hip replacements.

If someone has had six Prolotherapy treatments and still has a problem, they either need to continue to get the 'booster' Prolotherapy treatments, get a second opinion by another Prolotherapist, or get a hip replacement.