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Hip conditions and treatments at Mountain Spine & Orthopedics

Hip Conditions & Treatments

Expert diagnosis and personalized treatment from board-certified hip specialists. Get relief with minimally invasive options and complimentary MRI reviews.

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Common Hip Conditions We Treat

Our specialists diagnose and treat a comprehensive range of hip conditions using advanced diagnostic tools and personalized treatment plans.

Treatments for Hip Pain & Injury

From conservative treatments to advanced minimally invasive procedures, we offer comprehensive care options for hip conditions.

Common Hip Symptoms

Hip complaints sort into three zones, and each zone has its own list. Pain in the groin - often described with a cupped hand around the hip crease - is true hip-joint territory: arthritis, labral tears, and impingement live here, and the pain may run down the front of the thigh toward the knee. Pain over the outer hip, tender to lie on at night, usually belongs to the trochanteric bursa and gluteal tendons rather than the joint. Pain in the buttock frequently is not the hip at all but referred from the lumbar spine or sacroiliac joint.

Joint problems also announce themselves through rotation: difficulty crossing the legs, putting on socks and shoes, or swiveling out of a car seat often precedes any loss of walking distance. Startup stiffness after sitting is typical of arthritis; night pain that wakes you marks more advanced disease. A limp - or a hip that drops on one side when standing on one leg - means the muscles that shield the joint are losing the battle and deserves attention in its own right.

When to See an Orthopedist for Hip Pain

See a specialist when groin pain has limited walking, stairs, or sleep for more than a few weeks, when rotation is visibly stiffening (the sock test is honest), or when a limp has appeared. Outer-hip pain that persists despite activity change and simple measures also merits evaluation - chronic gluteal tendon problems respond better before they are years old.

Some hip stories are urgent. Inability to bear weight after a fall demands same-day imaging - hip fractures in adults over sixty can present with deceptively modest pain. Sudden severe groin pain without injury, particularly with a history of long-term steroid use or heavy alcohol intake, raises avascular necrosis, where early diagnosis genuinely changes the options. And hip pain with fever or in a joint that was recently injected or operated on is evaluated immediately, not observed.

How We Treat Hip Conditions

The first job in hip care is proving which of the three zones is responsible, because their treatments diverge completely. Examination stresses the joint through rotation, palpates the bursa and tendons, and screens the spine; standing X-rays show the joint under load; MRI is added for suspected labral tears, early arthritis, or avascular necrosis. When the picture stays mixed, an image-guided anesthetic injection into the joint settles the question directly.

Joint-preserving treatment leans on gluteal strengthening, activity adjustments, weight management, and image-guided injections - every hip injection here is placed under imaging, because the joint is too deep for reliable placement by feel. Impingement and labral tears in preserved joints are treated arthroscopically. Advanced arthritis that limits life despite all of this is treated definitively with hip replacement - a decision driven by your function, not by the X-ray alone.

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Frequently Asked Questions About Hip Conditions

Why does my hip arthritis hurt in the groin and not the side of my hip?

The hip joint sits deep in the groin crease, and its nerve supply refers pain there and down the front thigh - not to the outer hip. Outer-hip pain that is tender to lie on usually belongs to the trochanteric bursa and gluteal tendons, a different diagnosis with different treatment.

Could my 'hip pain' actually be coming from my back?

Frequently - buttock pain, especially with tingling below the knee, often originates at the lumbar spine rather than the hip joint. The examination separates the two by stressing each in turn, and when the answer stays unclear, an image-guided anesthetic injection into the hip joint gives a direct answer: pain that switches off is hip pain.

Can a hip labral tear heal on its own?

The labrum has limited blood supply, so a torn portion does not regrow - but that does not automatically mean surgery. Many labral tears become comfortable with strengthening and activity adjustments, and imaging finds labral tears in plenty of pain-free hips. Arthroscopic repair is discussed when a symptomatic tear in a preserved joint keeps limiting activity despite that approach.

Why do hip injections need X-ray or ultrasound guidance?

The hip is the deepest large joint in the body, and studies of unguided injections show they frequently miss it. Image guidance ensures the medication reaches the joint - which matters double, because a hip injection is often serving as a diagnostic test of how much pain the joint truly explains.

What is the difference between hip resurfacing and total hip replacement?

Resurfacing caps the ball with metal and preserves more bone, and is discussed mainly with younger, larger-framed male patients; total hip replacement exchanges the ball and socket entirely and is the standard definitive treatment for advanced arthritis. Anatomy, bone quality, age, and activity goals decide between them - it is a candidacy question, not a ranking.