Hip

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Dr. Freddie Wade and Dr. Cason Shirley are the hip replacement specialists at Mid-Tennessee Bone and Joint. Together, they have over 20 years of experience in hip surgery techniques. In addition to surgery, our physicians have other methods of treatment including physical therapy, cortisone and steroid injections, and incorporating oral pain medications. They will review how well these methods are alleviating your pain when considering the possibility of surgery. Each patient’s medical journey is different, so our physicians will tailor treatment plans specifically to your individual needs.
 
 
 
 
 
 

With hip pain, there are typically a vast number of issues that could be causing it including back problems, bursitis, or arthritis. X-ray is the first step to determining exactly what is happening in your body and can give us a good idea of how to start treatment. These images can show bone spurs, cartilage tears, stress fractures, or even the onset of arthritis. These issues are treatable or manageable.

One great way to cope with hip pain is exercise. With your physician’s guidance, a daily exercise plan can strengthen muscles in the hip and increase flexibility. Depending on your diagnosis, your doctor may prescribe physical therapy as a first step to alleviating this pain. A physical therapist can get you started on a few exercises that can later be replicated at home.

Another treatment for hip pain is to receive an injection of corticosteroids. This procedure administers medicine to the affected joint to relieve pain. Each patient will have a different course of treatment, but it is expected that pain will diminish within four weeks of treatment.

Following are a few of the hip conditions our physicians treat. Click to read more about the causes of these conditions and how they’re treated.


Labral or cartilage tears
Bursitis
Osteoarthritis
Rheumatoid arthritis
Avascular necrosis

 
 

Avascular Necrosis occurs when a bone’s normal blood supply is disrupted. The affected bone cells die, and the dead bone weakens and may begin to fracture and collapse, leading to arthritis. It most commonly affects the head of the femur, but can also affect other bones in the body.


Osteoarthritis is a wearing away of cartilage in the hip joint caused by arthritis, which can develop because of trauma, infection, age, or autoimmune disorders.


Bursitis of the hip is an inflammation of the trochanteric bursa, a fluid-filled sac that lies between the femur and the iliotibial band, a thick, wide tendon on the outside of the hip joint. This condition can cause pain and swelling on the outer side of the hip.


Iliotibial Band Syndrome is a painful inflammation of the iliotibial band, a thick, tendon-like portion of a muscle that travels from the hip down the outer side of the thigh to the knee. ITBS results in pain, aggravated by activity, that is usually felt on the outer side of the knee.