Many hip conditions can be treated effectively without surgery or other invasive procedures. Our medical team addresses each patient’s condition individually and prescribes a tailored plan for treatment that uses non-invasive therapies. Where possible, we help encourage the healing process. When faced with degenerative conditions like arthritis, we work to slow deterioration while regrowing and healing tissues where possible.

Many hip injuries and conditions can be addressed using:

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• Sacroiliac Joint Injections

• Lumbar Sympathetic Block

• Medication Management

• Epidural Steroid Injections

• Trigger Point Injections

• Sympathetic Nerve Blocks

• Interventional pain management

 

Our pain management specialists always seek to provide comfort and relief throughout the healing process and ongoing support for degenerative conditions. We avoid dangerous opioids and prefer other, safer methods of interventional pain management to treat severe and chronic hip pain conditions like the following:

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HIP Tendinitis: This is painful inflammation or irritation of a tendon in the hip. It’s also called hip flexor tendonitis or tendonitis of the hip.  A tendon is a thick cord of tiny fibers connecting muscles to bones. People with inflamed or irritated tendons may experience pain, tenderness, and mild swelling near the affected joint. A muscle called the iliopsoas flexes your hip and is attached to your upper thigh by a tendon. When the muscle is overused from too much activity, this tendon can inflame and cause hip tendonitis. These symptoms are more commonly seen in athletes. Symptoms may include:

 

• Tenderness on the hip where the tendon starts.

• Hip stiffness in the morning or after long periods of rest.

• Pain that lessens as you warm up but intensifies later in the day.

• Discomfort when contracting the muscles in the hip.

 

Many hip injuries and conditions can be addressed using injections, PRP, A2M, biological treatments, and interventional pain management. Houston patients will receive comfort and relief throughout the healing process and ongoing support for degenerative conditions.

 

Trochanteric Bursitis: Bursitis is a painful condition that involves inflamed fluid-filled sacs, called bursae, that provides cushioning around your joints, muscles, and tendons. Bursitis often develops near joints that are subject to frequent repetitive motion, and this certainly includes the busy hip joints. Dr. Brett Warfield and his team treat hip bursitis at TIPI Pain Management in Houston. Risk Factors include:

• age

• overweight

• repetitive motion or pressure on the bursae.

• Conditions such as gout, diabetes, or rheumatoid arthritis.

 

Labral Tears: Most labral tears occur from impacts incurred in auto accidents or sports, but they can also happen from sudden motions or even structural abnormalities that accelerate wear on the labrum. In many sports, sudden twisting or pivoting can overly stress the labrum and cause excessive wear and tear over time. Too much force can rip the femoral ball out of the hip socket, tearing the labrum.

If you suffer from an injury or impact to the hip that produces pain in your hip or groin that is often made worse after sitting or standing, you should see TIPI for an exam. You may also hear or feel a clicking in your hip joint or experience a locking sensation, resulting in a limited range of motion and stiffness.

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Arthritis & Osteoarthritis: The hips are vital weight-bearing joints that withstand incredible force and wear/tear over time. These joints are also prone to develop forms of arthritis or osteoarthritis that can seriously impede your mobility and quality of life. Dr. Brett Warfield can provide an accurate diagnosis and non-invasive treatment options for hip arthritis/osteoarthritis at Texas Intergrative Pain Institute in Houston.

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Piriformis Syndrome.: The piriformis muscle runs from the lower spine to the upper surface of each femur, passing deep into the buttock behind the gluteus maximus. It provides assistance and stability for rotating the hip and turning the leg and foot outward. The sciatic nerve runs directly beneath it. Piriformis syndrome is when this muscle becomes irritated and spasms, producing pain, particularly if it irritates the sciatic nerve. Piriformis syndrome can occur from hip injury to this muscle or when any other condition causes it to become irritated or inflamed. Common symptoms of piriformis syndrome include:

 

• A dull ache in the buttock

• Pain down the back of the thigh, calf, and foot

• Pain when walking stairs or steep inclines.

• Increased pain after prolonged sitting

• Reduced range of motion of the hip joint

 

This is often combined with sciatica pain, numbness in the buttocks or legs, and tingling along the path of the sciatic nerve. Many conditions can cause similar symptoms. Our team will seek to rule out other causes to determine an accurate diagnosis. Treatments for hip pain may include hip pain injections. Your hip joints absorb an incredible amount of weight every day. Over time the cartilage can be damaged or worn down, which can lead to significant pain. Conditions like arthritis, bursitis, and hip labral tears can also lead to hip pain. Fortunately, a hip injection can target this pain directly to reduce inflammation and pain. The procedure uses a small needle with medication to deliver the anesthetic directly to the hip joint. Many patients experience immediate relief, but it can take two days to take full effect.