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- Among most common cause of hip pain.
- Non-surgical treatment includes: physical medicine modalities, medications, injections.
- Surgical treatment can include total hip replacement.

Trochanteric Bursitis

- Common problem that causes inflammation of the bursa
- Non-surgical treatment includes: physical medicine modalities, medications, injections, drainage.
- Surgery is rarely needed for this condition.


- Can occur in any of the tendons that surround the hip joint.
- Most commonly affects the iliotibial band (IT band).
- Non-surgical treatment includes: physical medicine modalities, medications, rest, bracing or splintsing


- Occurs when blood flow to the area of bone is restricted.
- If blood flow restricted, cells will die and bone may collapse.
- Non-surgical treatments can include crutches and medications.
- Surgical treatment can include decompression and vascularized bone grafting and total hip replacement.

Referred pain from lower back

- Most common causes are herniated discs and sciatica

Muscle strains

- Non-surgical treatments can include: physical medicine modalities, medications.
- Surgical treatments are available for more serious sprains that can lead to instability.

Snapping hip syndrome

- Refers to 3 distinct types of hip problems.
- a. IT band snaps over the outside of the thigh (iliotibial snap).
- b. Deep hip flexor snaps over the front of the hip joint (iliopsas snap).
- c. Tears of the cartilage or labrum around the hip socket can cause the snapping sensation (hip labral tear).
- Treatment may include: medications, cortisone injection and/or physical medicine modalities.
- Surgery is rarely necessary and reserved for those who have failed conservative treatments.

Hip fracture

- Most common in the elderly with osteoporosis due to a fall.
- Can also be caused by tumor, infection or pathologic fracture.
- Types:
- Femoral neck fracatures
- Intertrochanteric hip fractures

- Acetabular fracatures
- - usually occurs with high-energy trauma

- Surgery is the method of treatment
- - pinning.
- - hemiarthroplasty (partial hip replacement)

Stress Fractures

- Most common in athletes in high-impact sports
- Treatment usually is successful with avoiding the impact activity.
- Crutche can be used if pain occurs with walking Surgery is needed if there is concern that fracture may displace

Childhood hip problems.

a. Developmental Dysplasia

b. Legg-Calve Perthes Disease


- When the hips are dislocated or out of position in infancy
- Treatment depends on age of child
     - - birth to six months – special brace is used
     - - 6 months to 1 year – casting is used.
     - - over 1 year – surgery and then casting
- Surgery may be required later in life

- Similar to osteonecrosis, but in childhood
- Can lead to permanent damage
- Most commonly occurs between the ages of 4-8
- Treatment is directed at relief of symptoms maintaining motion of the hip and keeping proper position of the hip
- Occasionally, surgery is needed.

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Posture and Neck Pain

Chronic neck pain is a miserable experience. Although some cases of neck pain are caused by an injury, many are simply due to poor posture. Poor posture stresses the muscles of the neck and can cause muscle spasms, stiffness and pain. Over time, the stresses of poor posture on the neck can cause degenerative diseases to develop in the discs and bones of the neck. Forward head A very commonly seen posture that puts a lot of strain on the neck is the forward head. The individual habitually thrusts the head forward, carrying it out in front of the shoulders. In this position, the weight of the head is constantly pulling on the spine and the shoulders. Sitting for hours hunched over a desk or a computer is a common cause of forward head. Many people with this habitual forward head carriage suffer from sore shoulders as well as a sore neck. Over time, the vertebrae at the base of the neck (C5 and C6) can develop painful degenerative conditions due to the constant weight of the head pulling on them in the forward head posture. Correct posture A correct posture is one that keeps the spine in alignment. Some people call it a neutral or balanced posture. One exercise to encourage a neutral posture is to focus on opening the chest wide as you try to squeeze your shoulder blades together. Once your chest is open, bring your head into alignment. Think of a string pulling up the top of your head and lengthening the neck. When you do this, your chin will tuck in and your head will naturally shift into proper alignment with your spine. Do the open chest/ string exercise multiple times a day. Other exercises to build better posture are head nods and chin tucks. To do a head nod, slowly nod your head slightly up and down without moving your neck. To do chin tucks, tip your nose down toward the ground and move the top of your head backwards. Repeat head nods and chin tucks several times a day. These exercises strengthen the muscles on the front of the neck. Individuals with habitual forward head posture usually have very weak muscles in the front of the neck. If you've worked hard at correcting your posture and you are still suffering from neck pain, why not give us a call?

Note: The information on this Web site is provided as general health guidelines and may not be applicable to your particular health condition. Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. Remember: There is no adequate substitution for a personal consultation with your physician. Neither BPF Specialty Hospital, or any of their affiliates, nor any contributors shall have any liability for the content or any errors or omissions in the information provided by this Web site.