The hips and pelvis can be the source of a lot of painful orthopedic issues. At Long Beach Orthopedic Center, we offer many different approaches to treatment for these problems. Some of the most common sources of hip and pelvis pain are:
- Osteoarthritis – Also referred to as “wear and tear” arthritis due to how it develops over time, osteoarthritis can develop in any joint, including your hip. The symptoms of osteoarthritis are discomfort, pain, and stiffness that gets worse with activity. Non-surgical treatments include physical therapy and anti-inflammatory medication. Sometimes, total hip replacement surgery is necessary.
- Bursitis – Your body contains many bursae, which are small sacs that hold fluid and exist to reduce friction between bones and tissues. Your hips contain bursa, and their inflammation is often accompanied by sharp pain or dull aches that can worsen while you walk or in the evenings. Non-surgical treatments of bursitis include steroid injections and physical therapy. For extreme cases, surgery may be performed to remove the bursa.
- Hip fracture – Also known as a break in the upper part of the femur, a hip fracture is often caused by a direct blow to the hip (like a fall). Conditions like cancer, osteoporosis, and stress injuries can contribute to the likelihood of hip fractures. Non-surgical treatments of minor fractures typically consist of keeping the area immobile to allow it to heal. For more severe fractures, surgery is performed to hold the bone in place with nails or screws.
- Femoral acetabular impingement – Abnormally shaped hip bones, also referred to as femoral acetabular impingement, results in bones rubbing against each other and damaging the joint. This condition occurs due to bones not developing correctly during childhood. Symptoms of femoral acetabular impingement include groin pain and a stabbing or dull pain when turning, squatting, and twisting. Non-surgical treatments include medications, activity modification, and physical therapy. Surgery may be necessary to repair cartilage or shave down the bone.
- Hip dysplasia – This condition is present at birth or in the first year of life. It is an improperly formed hip joint that sits loose in the socket and easily becomes dislocated. This developmental condition runs in families but seems to be more common in firstborn children, babies born in breech position, and babies who had low levels of amniotic fluid in the womb. Symptoms of hip dysplasia are legs of differing lengths, limping, toe walking, uneven skin folds on the thigh, and reduced mobility on one side. Non-surgical treatments include casting and positioning devices. Surgery may be needed to realign the hip in some cases.
- Pelvic fracture – A break in the bone, a pelvic fracture is most common in athletic teens and in patients with osteoporosis. Car accidents, falls, and other types of injuries can result in pelvic fractures. Symptoms include pain, bruising, and swelling. Minor pelvic fractures can heal on their own over time, but might involve the use of crutches or a walker to help redistribute weight. For more severe fractures, surgery is used to correct the fracture with an external fixator, plates, or screws.