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Hip Pain Treatment Options


Find the Best Hip Pain Treatment Option for You


 
The Saint Francis Orthopedic Institute is dedicated to delivering the best treatment for your hip pain. Our orthopedic surgeons offer many effective treatment modalities and always utilize the least invasive measures to help you return to doing the things you love. In recognition of our dedication to delivering the best care, Saint Francis Memorial Hospital recently received a 5-star rating from Healthgrades for hip replacement .

Diagnostic Services
It is important to get an accurate diagnosis of the cause of your hip pain so that you can receive the correct treatment. At the Orthopedic Institute, we specialize in evaluating and diagnosing hip problems. The orthopedic specialist will review your medical history, perform a physical exam, and test your range of motion and your hip muscle strength. As a result of the exam, the orthopedic doctor may ask you to have an X-ray, MRI (magnetic resonance imaging), arthrogram, aspiration arthrogram, or a gadolinium scan. These tests will help the orthopedic surgeon make a differential diagnosis. (If you already have imaging results, please bring them with you.)

Hip Replacement Procedures
Hip replacement surgery has improved markedly over the last 20 years due to improvements in design and materials. 99.9% of the hip replacements performed at the Orthopedic Institute are performed without cement (non-cemented).

  • Anterior Approach: The anterior approach for hip replacement is a surgical technique for hip replacement has demonstrated numerous advantages for patients, such as a small incision, a reduced dislocation rate, shorter early rehabilitation, and improved accuracy of limb length and implant position.
  • Posterior Approach: The posterior approach to hip replacement has a strong record of success and a low complication rate. The implant is inserted into the joint without the use of bone cement because the thigh bone will grow into it on its own, resulting in a secure and reliable fit.
  • Cross-linked Polyethylene: Highly Cross-linked polyethylene is a relatively new plastic insert that has a low coefficient of friction. Friction wears away the plastic.
  • Metal-on-metal Hip Replacement: Due to advances in technology there is very little wear and very little friction with a metal-on-metal prosthesis. Chrome cobalt ions can be found throughout the body after a metal-on-metal hip replacement. So far these have not been found to have an adverse effect.
  • Ceramic Hip Replacement: The high performance ceramic hip has a very low coefficient of friction and very little particulate matter is produced. It is very durable and has a low-fracture rate.
  • Minimally Invasive Hip Replacement: Minimally invasive surgery (MIS) techniques are used with clinically proven implants and can shorten recovery times, reduce hospital length of stay, result in smaller incisions, and less scarring. The instruments used in MIS have been improved and modified to enable surgeons the ability to properly align and place the implants though a much smaller incision. This smaller incision also helps to minimize blood loss and post-surgery pain.

Additional Hip Pain Treatment Options


Hip Resurfacing
Hip Resurfacing is a procedure that is intended for use in a younger (65 years and under) patient population, a more physically active group with a history of hip pain. The procedure is bone conserving. The head of the femur is reshaped and resurfaced and capped with a large metal cap. The femoral neck is preserved. In hip resurfacing, both the socket and the ball components are made of chrome cobalt. The size of the components are almost identical to the size of the natural femur. This is much less likely to dislocate than the smaller head of the typical total hip replacement. This means that patients can return to higher levels of activity without worrying about dislocation of the implant.

Anti-inflammatory Injections
The hip joint can be injected with a cortisone-like material that acts as a powerful anti-inflammatory. It is most often given along with lidocaine. The cortisone-like material has been found not to cause any destruction to the cartilage. Injections can bring relief for years, months or weeks. If it brings only two hours of relief, it is diagnostic and means that your hip problem has progressed to an end-stage of degeneration.

Hip Arthroscopy
Hip arthroscopy is a minimally invasive procedure. A small camera lens, inserted in the hip joint through a quarter-inch incision, displays imaging on a television monitor, while surgical instruments are manipulated via a second small incision. The procedure takes less than one hour. Patients go home on crutches, which are usually discarded within a few days. The lateral approach to hip arthroscopy specifically treats labral tears and femoral-acetabular impingement syndrome, which is often undiagnosed with plain X-rays.

Femero-acetabular Impingement
Femero-acetabular Impingement is experienced by the patient as groin pain. It may initially be from a sprain but it doesn't get better. It can cause labral tears and arthritis of the hip. Femero-acetabular Impingement is usually treated with removal of the impinging bone at the femoral head-neck junction.

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Saint Francis Memorial Hospital
900 Hyde St
San Francisco, CA 94109
(415) 353-6000