Intrinsic Hip problems are due to anatomic injuries in the hip. The hip is made up of the pelvis, hip bone and the femur, or thigh bone. The femur fits into the pelvis by the cup of the pelvis called the acetabulum. The cup of the acetabulum is further deepened by the labrum which is a cartilage. The pelvis is a ring like structure against which multiple muscles either run through or attach to.

Hip arthritis:
This condition can be treated by usually steroid injections, occasionally synvisc injections or hip replacement surgery.

Labral tears:
This condition is due to a tear in the cartilage of the socket that holds the leg to the hip. It CAN’T be diagnosed by X ray or even MRI. It can be diagnosed by MRI after injection of contrast into the hip. It can be treated by steroid injection; however, if not relieved by the steroid injection it may require surgery.

Avascular Necrosis:
This disorder which is destruction of the hip joint via poor blood flow can be caused by infection, alcohol use, steroid use or trauma. It can be treated by steroid injections JUST for conservative measures otherwise there are multiple surgical options the most drastic being a total hip replacement.

Snapping hip (Psoas muscle tightness, Iliotibial band tightness):
is due to tightness of muscles around the hip. This condition can be treated by stretching, occasionally steroid injection or even botox/myoblock injections although rarely. As a last resort there can be a surgical lengthening procedure.

Greater trochanter bursitis:
Is inflammation of the bursa (a sac of fluid) that tendons run over. This condition is usually due to improper body mechanics and tightness of the ilitibial band (a band of tissue made of two muscles the gluteus maximus and tenser fascia later. It can be treated by restoring proper body mechanics and steroid injection into the bursa. On occasions, botox/ myoblock to these mausce may be beneficial. On even rarer occasions, surgery busectomy and possibly lengthening is required.

Ischial tuberosity burisitis (Weaver’s bottom) is pain when sitting. It is generally caused by tightness of the hamstring muscles for these insert on this bone. It can be treated by hamstring stretches and possible limited steroid injections.

Sacroilititis is due to irritation in the joint between where the pelvis meets the spine. It can be treated by a steroid injection, possibly radiorefrequency ablation (burning of the nerve) to the joint, prolotherpy and at least resort a fusion which will alter your gait and then possibly lead you to back pain.