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Hip Pain

What is Hip Pain?

Hip pain, one of the common complaints, may not always be felt precisely over the hip joint rather in and around the hip joint. The cause for pain is multifactorial and the exact position of your hip pain suggests the probable cause or underlying condition causing it.

Causes of Hip Pain

Pain felt inside the hip joint or your groin area is more likely to be because of the problems within the hip joint. Likewise, the pain felt on the outer side of your hip, upper thigh or buttocks may be a result of the problems of the muscles, ligaments, tendons and soft tissues surrounding the hip joint. However, certain disease conditions affecting other parts of your body such as lower back or knees also cause hip pain.

The main cause of sudden pain in the hip is an injury resulting in the fracture of the hip bone. Hip fractures are common in the elderly because the bones wear out as age advances.

Other causes of hip pain may include:

  • Arthritis
  • Bursitis
  • Infection
  • Low back pain
  • Osteonecrosis of the hip
  • Sprains or strains
  • Tendinitis (tendon inflammation) resulting from repetitive use

Diagnosis of Hip Pain

Your doctor will evaluate your condition based on your medical history, a physical examination of the hip and thigh region, and diagnostic tests including X-rays and other scans.

Treatments for Hip Pain

Self-care and pain-relieving anti-inflammatory medications offer symptomatic relief. However, the exact cause for the pain needs to be addressed.

  • Injections
  • Ablative Therapy
  • Dorsal Root Ganglion Stimulation

Knee Pain

Anatomy of the Knee Joint

The knee is one of the largest joints in the body, formed by the lower end of the femur, the upper end of the tibia and the patella (kneecap). Several ligaments and muscles attach to the bones of the knee joint to maintain the normal motion of the joint. Special tissues known as menisci are located between the two articular ends of the joint. These act as a cushion between the articular surfaces and absorb shock during movement.

What is Knee Pain?

Knee pain is a common condition affecting individuals of different age groups. It not only affects movement but also impacts your quality of life. An injury or disease of the knee joint or any structure surrounding the knee can result in knee pain. A precise diagnosis of the underlying cause is important to develop an appropriate treatment plan.

Causes of Knee Pain

Some of the common causes of knee pain include:

  • Arthritis: a condition associated with inflammation of the joint
  • Knee ligament injuries
  • Torn meniscus
  • Patellar tendonitis: inflammation of the patellar tendon, which connects the kneecap to the shinbone
  • Chondromalacia patellae: softening of the articular cartilage on the under surface of the kneecap, causing knee pain
  • Dislocated kneecap
  • Baker's cyst: a fluid-filled swelling in the back of the knee, which usually results from another injury such as a meniscus tear
  • Knee bursitis: inflammation of the bursae, small fluid-filled sacs located around the joints, usually between a tendon and bone
  • Plica syndrome: results from inflammation of the synovial tissue of the knee causing knee pain and swelling
  • Osgood-Schlatter disease: caused by irritation of the growth plate at the front of the knee joint; more common in adolescents
  • Osteochondritis dissecans: characterized by detachment of a cartilage fragment and a thin layer of the bone from the end of a bone due to inadequate blood supply. These fragments may either stay in place or slide around the joint, causing pain and joint instability.
  • Gout: characterized by sudden, severe attacks of joint pain, with swelling and redness around the joint, caused by the accumulation of uric acid crystals in the joints

Diagnosis of Knee Pain

A detailed medical history and physical examination of the knee are crucial for diagnosis. Your doctor may also conduct diagnostic imaging studies such as X-rays, MRI scans, CT scans, and ultrasound. Blood tests may be performed to identify any infection, gout or pseudogout. Sometimes, arthrocentesis may also be performed, wherein the fluid from the knee joint is removed and sent for laboratory analysis.

Treatment of Knee Pain

Treatment options depend upon the underlying cause responsible for knee pain. Some of the common treatment options for knee pain include rest, ice and heat application, non-steroidal anti-inflammatory medications, stretching, physical therapy, and cortisone injections.

If surgical option is not desirable or unable, we can offer:

  • Nerve ablative therapy
  • Peripheral Nerve Stimulation
  • Dorsal Root Ganglion Stimulation

If you have trouble or inability to walk, deformity around the joint, inability to bend the knee, knee pain persisting beyond a few days and more at night, or pain associated with swelling, warmth or redness, you should consult your doctor for immediate medical intervention.

Shoulder Pain

What is Shoulder Pain?

Pain in the shoulder may suggest an injury, which is more common in athletes participating in sports such as swimming, tennis, pitching, and weightlifting. The injuries are caused due to the over usage or repetitive motion of the arms.

In addition to pain, shoulder injuries also cause stiffness, restricted movements, difficulty in performing routine activities and popping sensation.

What are the Most Common Causes of Shoulder Pain?

Some of the common shoulder injuries that cause pain and restrict the movement of the shoulders include:

Sprains and strains

A sprain is the stretching or tearing of ligaments (tissues that connect adjacent bones in a joint). It is a common injury and usually occurs when you fall or suddenly twist your shoulder. A strain is the stretching or tearing of muscle or tendon (tissues that connect muscle to bone). It is common during sports. Strains are usually caused by twisting or pulling of the tendons.

Dislocations

A shoulder dislocation is an injury that occurs when the end of the bone is forced out of its position. It is often caused by a fall or direct blow to the joint while playing a contact sport.

Tendinitis: It is an inflammation of a tendon, a tissue that connects muscles to bone. It occurs because of injury or overuse.

Bursitis

It is an inflammation of a fluid-filled sac called bursa that protects and cushions your joints. Bursitis can be caused by chronic overuse, injury, arthritis, gout or infection.

Rotator cuff injury

The rotator cuff consists of tendons and muscles that hold the bones of the shoulder joint together. Rotator cuff muscles allow you to move your arm up and down. Rotator cuff injuries often cause a decreased range of motion.

Fractures

A fracture is a break in the bone that commonly occurs because of injuries, such as a fall or a direct blow to the shoulder.

Arthritis

Osteoarthritis is the most common type of shoulder arthritis, characterized by progressive wearing away of the cartilage of the joint.

Treatment for Shoulder Pain

Early treatment is necessary to prevent serious shoulder injuries. The immediate mode of treatment recommended for shoulder injuries is rest, ice, compression and elevation (RICE). We may also prescribe anti-inflammatory medications to help reduce the swelling and pain.

We may recommend certain exercises to prevent stiffness and improve range of motion and strength. Passive manipulation and massage therapy to improve blood circulation and healing are also administered. Other techniques such as acupuncture, TENS, and ultrasound therapy may additionally be recommended.

If surgical option is not desirable or considered, we offer:

  • Nerve ablative therapy
  • Peripheral Nerve Stimulation