Category Archives: Hip Pains

Gluteus Medius Tendonitis Injection Treatment and more

Although the question of whether one is dealing with hip bursitis or is this referred from back is important, I wanted to clarify what steroid injection would do for seemingly glutues medius bursitis. One study suggests it was good in … Continue reading

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Persistent Groin/Buttock Pain Oft Post Hip Surgery Cause and Treatment

Close proximity of pelvis side wall (Ischium) and lesser trochanter of hip can cause pains in groin or buttocks. This ischiofemoral-impingement might required trimming or lesser trochanter. This is new to me.

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Certain Orthopedic Issues over 70 yr Old – Easy Pain Help – low Dose Radiotherapy- But Will you ever see it?

Low dose Radiotherapy over age 70 has minimal risks but can often drop pain by 1.9/10 in following issues – sore heel and achilles pains, knee pains, and trochanteric bursitis.

Posted in achilles, ankle, foot, Hip Pains, Knee, Mechanical aids, Uncategorized | Leave a comment

Sad News of Hip Replacement – Less Pain and Better Function but No Increase in Physical Activity Seen

J Arthroplasty. 2017 Jul;32(7):2191-2198. doi: 10.1016/j.arth.2017.02.002. Total Hip Arthroplasty Improves Pain and Function but Not Physical Activity. Jeldi AJ et al 30 cases ages 67 +/- 7 yrs Physical Activity of Total Hip Arthoplasty  patients was quantified to 12 … Continue reading

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Severe or Neuropathic Groin Pain – Obturator Neuropathy

Have and elderly fellow that just persevered with severe left groin pain as was just something he should put up with. He had not been sleeping and daughter noted cognitive decline with it. Exam of hip was a bit sore … Continue reading

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Hip Labral Tear or Impingement – Steroid Injection Not Good

Steroid injection into hip with impingement or labral tear only gave relief for 10 days.

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Hip/Knee Arthritis – Not Satisfied With Acetaminophen? – Using Arthritis Pills (NSAIDs) Instead Helps

When Osteoarhtritis patients were allowed to try NSAID instead of acetaminophen,  “proportion of patients on acetaminophen treatment during the study decreased from 74.8 % at baseline to 23.9 %, while the proportion on non-steroidal anti-inflammatory drugs (NSAIDs) increased from 59.8 … Continue reading

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Unresectable Painful Bone Cysts – IV Zoledronic acid For Adults and IV Pamidronate For Children Gives Rapid Relief

Painful large and unresectable bone cysts responded rapidly to IV biphosphonate therapy within first cycle in 88% of cases. Adults received 4 mg of Zoledronic acid (Zometa®, Novartis), and children got IV pamidronate 1mg/kg.  Zoledronic acid, if more than one … Continue reading

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Hip Osteoarthritis referral Patterns in Hip Dysplasia

Distribution of pain originating in the hip was 89 % to the groin, 38 % to the buttock, 33 %  to the anterior thigh, 29 %  to the knee, 27 %  to the greater trochanter, 17 %  to the low … Continue reading

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Hip Blocks Help Pain For Up to 3 Months – But Used Steroid So More Likely That Effect – And How to Block a Hip

Injecting articular branches femoral nerve and obturator nerve can give some relief for up to 3 months. However, results are more likely from the steroid used.

Posted in Hip Pains | 2 Comments

Sciaitica, Bone Cyst in Ilium, and Gluteal Tight Muscles – down right leg – needs help

Chronic sciatica /buttock pain  – I recently received a request for help…

Posted in Back Pain, Hip Pains, Injection, myofascial pain, neuropathic, piriformis, radiculitis | 1 Comment

Scary Aspect of Osteoporosis Meds – Hip Atypical Subtrochanteric Fractures

Recent analysis had put hip fracture rates with bisphosphonate osteoporosis meds at 1/1000 per year. This is way too common – I have a suggested treatment.

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What To Do With Hip Metastases (Cancer Spread To Hip)

Have a patient with this problem. Recent article goes over  an option.

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Inguinal Groin Pain They Can’t Figure Out – Consider Femoroacetabular Syndrome Hip

Recent article found 10-15% of inguinal groin pain actually comes from an abnormality of the front of the hip joint. These people often are involved in multiple investigations when, injection of hip joint with local, proves the diagnosis.

Posted in groin pain, Hip Pains | 2 Comments

You Need to Do Local Work to Get a Feel for Pain – Tragic Hip Example

Much of the work I do is treating the “peripheral sensitization” – the tissues that become locally sensitive and knotted. Working these areas allows me to get a feel for how much is coming from the spine or other sources, … Continue reading

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Steroid Joint Injection – Efficacy and Long Term Cartilage Effects

Are these legitimate arguments? 1) One shot should fix it and if it doesn’t then that’s it (I call this the “one shot wonder” attitude). I think the only person who could be sure to fix things at one go … Continue reading

Posted in Drugs, Hip Pains, Knee | 8 Comments

Rotator Cuff of hip causes Greater Trochanter pains

Trochanteric side of hip pain is common yet rarely properly diagnosed. Actual Gluteal tears can be a cause and by age 60, 10% of people have them. Twenty Percent of chronic back pains (average age of 54 yrs) have trochanteric … Continue reading

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