Hip Injuries and Pain
Dr. Howard Liss treats disorders that cause pain and disability by providing consultative services and soft tissue and joint injections when needed. When medically appropriate, he makes specific referrals for diagnostic testing (lab work, imaging, electrodiagnosis), physical and occupational therapy, interventional procedures (epidurals and facet joint injections), and surgery.
Hip injuries and pain can occur in any age group. Yet, the complex structure of the hip and its association with other bones and joints, including the pelvis, SI joint and spine, make it a difficult area to assess and identify any level of disorder. Thus, effective treatment of hip injuries requires a comprehensive, multidisciplinary investigation that considers multiple body systems and conditions.
Hip injuries may be the result of a sudden event, trauma or sports injuries. However, a preexisting condition such as osteoporosis or a congenital deformity may make one more susceptible to injury. While the most common hip injuries are hip fracture or broken hip, bursitis, dislocated hip, labral tear and snapping hip syndrome, other common sources of hip pain include:
- Adductor tendinopathy
- Necrosis of the femoral head
- Core stability deficiency
- Delayed onset muscle soreness (DOMS)
- Groin strain
- Hip pointer
- Hip replacement
- Overuse injury
- Pinched nerve
- Piriformis syndrome
- Rheumatoid arthritis
- SI joint inflammation
- Stress fracture
Treatment and Rehabilitation For Hip Injuries and Pain
Successful treatment and rehabilitation for hip injuries and pain require a consideration of a multitude of conditions and body systems. For instance, the lower extremities (legs, knees, ankles and feet) must be examined. This is as well as the lumbar spine, SI joint function, muscle control and sensory, muscle strength and function, abdominal and core muscle control, upper thigh muscle length and strength, sciatic and femoral nerves and other biomechanics. Discovering the origin of an individual’s hip injury and pain is the key to establishing effective treatment and rehabilitation.
As specialists in physical medicine and rehabilitation (PM&R), physiatrists are in the best position to identify and manage effective treatment protocols for patients with hip injuries and pain. As a broad-based specialty, physiatry encompasses numerous body systems and their effect on the nerves, bones, joints, ligaments, muscles and tendons. Physiatrists often consult other trusted medical professionals such as physical and occupational therapists, clinicians and interventionists when determining treatment.
As the primary objective, physiatrists first aim to reduce a patient’s hip pain and inflammation. Medications (NSAIDS), ice therapy and steroid hip injections are a few ways to alleviate symptoms, while providing important diagnostic information to the physiatrist. Given this information, the physiatrist can organize a treatment and rehabilitation regimen that is patient-centered, with the goal of less pain and greater function. Other early treatment options include active rest, compression bracing or splinting and elevation.
Sub-acute therapies and techniques may incorporate the use of heat, ultrasound therapy, TENS unit, laser, electrical stimulation and magnetic field therapy. As patients are able to tolerate more rehabilitation (if pain and inflammation are managed), massage and trigger point therapy may be helpful. Specific techniques to increase joint mobility include McKenzie exercises, Mulligan techniques, active joint repositioning, traction, and exercises that are function-specific (sports-specific) or involve biomechanics correction. In addition, physiatrists consider the neurodynamics connected to a patient’s pain. To explain, while joint and muscles move freely, nerve tissue is designed to do the same. Yet, when nerve tissue is impaired (from blood in the nerve bed, inflammation and arthritis), pain is a common symptom. Thus, neural tension treatments are intended to help regain neural functioning.
At the Howard Liss, M.D. Rehabilitation Institute in Tenafly, patients can rely on Dr. Liss to put together the right treatment, therapy and rehabilitation plan to ensure the most optimal outcome. Dr. Liss works closely with other specialists required to rehabilitate patients suffering from chronic pain or serious injuries, and Dr. Liss will refer patients as needed to ensure appropriate treatment. With extensive education and exposure to a variety of conditions that affect the cervical and lumbar spine, bones, nerves, joints, ligaments, tendons, muscles, brain, and spinal cord, Dr. Liss is uniquely positioned to help patients manage their pain and maximize their functioning.
If you are suffering from hip pain or a hip injury, contact Howard Liss, M.D. Rehabilitation Institute today.