Prolotherapy and Hip Pain

Snapping Hip Syndrome
This is the injury that has plagued Joan Benoit Samuelson, the famous track star. Snapping Hip Syndrome is a clinical entity that causes pain and snapping in the hip joint. There are several known causes, the most common being the iliotibial band snapping over the greater trochanter (at the top of your thigh bone). It can also be caused by snapping of the iliopsoas tendon over the iliopectineal line (in general the pubic area of the hip bone), the iliofemoral ligaments over the femoral head (where the thigh bone connects to the hip bone), as well as other places on the hip bone.

Iliotibial Band Injury
Another common athletic injury to the tendons of the knee is a strained iliotibial band. This causes pain on the outside of the knee just below the joint line. It is caused by strong exertion of the muscle during the sport or during training.

Ischial Tuberosity / Hip and Buttocks Pain
When you have pain on the bottom of the buttock, especially when sitting and running, this could be indicative of ischial tuberosity pain. Sometimes a doctor will examine this area, find it to be tender to palpation, and give you a diagnosis of ischial bursitis. The RICE treatment of Rest, Ice, Compression, and Elevation will be given and sometimes an anti-inflammatory drug is prescribed. Cortisone injections may follow. A true bursitis is rare.

Hip Replacement and Prolotherapy
The hip joint joins the leg to the pelvis. Unfortunately, for most people, both legs are not exactly the same. They may look the same, but from a bio-mechanical standpoint, they are not the same. One leg may be rotated either in or out, or one leg may be shorter than the other. The latter is especially common if one leg was broken during childhood. Because the hip joint connects the leg to the pelvis, the hip joint will sustain the brunt of any bio-mechanical abnormality that may occur. If one leg is shorter than the other, the hip joints will be stressed because the leg length discrepancy causes an abnormal gait (manner of walking).

Pain After Dislocation
The hip joint is a a very stable joint, made that way in part by massive ligaments. Therefore the amount of forces required to dislocate a hip is great and usually found in car accidents, falls from high places, and sports injuries.

Hip Pain and Prolotherapy
The hip joint joins the leg to the pelvis. Unfortunately, for most people, both legs are not exactly the same. They may look the same, but from a bio-mechanical standpoint, they are not the same. One leg may be rotated either in or out, or one leg may be shorter than the other. The latter is especially common if one leg was broken during childhood. Because the hip joint connects the leg to the pelvis, the hip joint will sustain the brunt of any bio-mechanical abnormality that may occur. If one leg is shorter than the other, the hip joints will be stressed because the leg length discrepancy causes an abnormal gait (manner of walking).

Hip, Groin Pain and Prolotherapy
Chronic groin pain is easily treated with Prolotherapy because there are multiple ligament laxities that cause groin pain. This diagnosis is accomplished by the physician having a listening ear and a strong thumb (TO PALPITATE THE PAINFUL AREA.). An interesting case will illustrate this point.

Pubic Symphysis Pain
Pain of the public symphysis area is often overlooked and blamed on abdominal muscles and adductor muscles which attach in this area with the diagnosis of abdominal muscle pull or adductor tendonitis.

Hip Labral Tear
Though the operation is typically successful, there are some patients who want an alternative to hip arthroscopic surgery for labral tears . I believe the best alternative treatment to hip arthroscopy is Prolotherapy. While there are no formal studies on hip labral tears treated with Prolotherapy, I have been treating labral tears with Prolotherapy for fifteen years. I always give the client the option of arthroscopy, some choose it but most do not. I think there is something innate in people that they do not want to undergo general anesthesia if they don’t have to.

HIP PAIN BLOG