Part 1:

Chronic conditions can cause hip problems that occur on a regular basis. If you know what is causing your hip pain, you will be well on your way to learning more about treatments both operative and non-operative. Let 7 Springs guide you in the right direction to treat and learn more about your specific condition. At 7 Springs, we can help you determine the most likely cause as well as the best course of treatment to get you pain free and back in the game. Below, we will discuss some of the most common reasons people suffer from moderate to severe hip pain, and how they can be treated. Let’s take a further look of the most common causes of hip pain and see which one of these you can personally relate to.

Most Common Causes of Hip Pain We See at 7 Springs

Chronic hip pain can come and go on a regular basis. It might also flare up at certain times, such as after you have been sitting for long periods of time or when you get out of bed in the morning. This pain can range from a dull ache to more severe pain that makes it difficult for you to move in ways that involve your hips, such as bending or twisting.

· Osteoarthritis: Hip pain associated with osteoarthritis, a type of arthritis caused by wear and tear, usually begins to develop at a slow pace. At first, this pain might be mild and only affect one hip, but it typically ends up affecting both hips and causing considerable pain.

· Rheumatoid arthritis: Hip pain associated with rheumatoid arthritis, a type of arthritis caused by an abnormal immune response, often affects both hips as it develops. This pain is sometimes worse in the morning after you first wake up.

· Psoriatic arthritis: Hip pain associated with psoriatic arthritis develops in some people with psoriasis. This pain typically starts a number of years after the initial onset of this skin condition.

· Bursitis: This condition occurs when sacs in one or both hips, known as bursa, become inflamed. Hip pain can become worse when you move the affected joint or when you press on it. You might also have hip pain flare up from time to time.

· Tendonitis: one of the most common types of tendonitis seen in hip pain, is pain where the Gluteus Medius tendon insets to the anterior surface of the greater trochanter of the femur. Its symptoms can be pain with rest or with running/vigorous activity. It is usually self limiting and with proper treatment, recover is possible without this turning to a long term issue.

Part 2:

Treatments for Chronic Hip Pain

Treatment options for chronic hip pain depend on the underlying cause:

· Osteoarthritis: Non-surgical treatments include non-steroidal anti-inflammatory drugs, acetaminophen, physical therapy and occupational therapy. Surgical options include hip joint replacement, hip resurfacing and osteotomy. Hip joint replacements involve removing the socket and femoral head and replacing them with artificial ones. Hip resurfacing involves removing damaged cartilage and bone and replacing them with metal. An osteotomy involves either cutting and realigning the socket or thighbone to ease pressure on your hip joint.

· Rheumatoid arthritis: Treatment options for rheumatoid arthritis include non-steroidal anti-inflammatory drugs, corticosteroids and physical therapy. Surgical options for this disease include arthroscopy and total hip replacement. Arthroscopy is used when this disease is in its early stages. Total hip replacements are done when there is severe pain that does not improve with nonsurgical forms of treatment.

· Bursitis: Treatment options for bursitis include over-the-counter pain relievers, antibiotics if there is an infection, physical therapy and corticosteroid injections. For chronic or recurring pain, your orthopedic doctor might recommend a bursectomy. This surgical procedure involves removing the affected bursa in your hips.

· Tendonitis: Treatment is usually accomplished including but not limited to Ice, NSAIDS, localized injections of corticosteroids with ultrasound needle guidance and PT.

If you or your loved one suffers from Dailey hip pain, please contact 7 Springs Orthopedics by phone, or better yet, go online to to learn more and set up an appoint in one of our many Middle Tennessee locations. We offer same day appointments and take all insurance plans. Don’t let pain get in the way of living the life you deserve!

Written By: Stu Jones, MPH