hip pain

Colorado: Hip Pain Keeping You from Being Active?

3 Common Causes of Hip Pain and Answers about Treatment

Pain in any load-bearing joint, like your hip or knee, can be very debilitating and have a huge impact on day-to-day activities and quality of life. And while minor hip pain can often be resolved with conservative measures such as rest, pain relievers, and ice or heat, more severe hip pain typically indicates damage to the bone, cartilage or supporting muscle and needs proper diagnosis.

You may have experienced a nagging pain that developed over time, or pain accompanied by a popping sound resulting from a movement or impact, or the inability to bear your body weight or move your leg. Hip pain can also be accompanied by secondary discomfort in thigh, groin, back or buttocks. If you’ve been experiencing any of these symptoms, it’s time for a medical evaluation. Most patients usually feel like they have pulled a groin muscle and it just doesn’t get better with rest and time.

Common causes of serious hip pain are arthritis, injury, and specific hip conditions (disease) such as acetabular dysplasia. Although the hip’s design supports repetitive motion and ongoing wear and tear, the joint is still vulnerable to damage and breakdown over time. Arthritis and injury are examples of breakdowns or damage.

Hip Pain and Arthritis

Hip pain stemming from arthritis often presents in the front of your thigh or in the groin due to stiffness or swelling in the joint. Osteoarthritis – the most common type of arthritis – tends to occur as people age and causes cartilage tissue in the hip (or other joint) to break down over time. This breakdown is what causes pain and swelling.

Treatment for hip arthritis ranges from exercises that foster increased range of motion and strength, injections, medications, to surgical options that include arthroscopy, hip osteotomy, resurfacing and total hip replacement. Your orthopedic specialist will evaluate the severity of your arthritis, your overall health and other factors to determine the best treatment with mutual decision making to get you active and pain free.

Hip Injuries

Tendonitis, bursitis, dislocation, tendon tears, and hip fractures are common types of hip injuries that require treatment. Treatment varies from pain relief and therapy to surgical procedures depending on individual circumstances. Injuries like dislocation, fracture or strains often occur from some kind of trauma, such as a car accident, sports collision, overexertion or a fall. The pain is sudden and often severe.

Other injuries like strains and bursitis can also cause intense pain but may develop over time, caused by overuse, over-extending a muscle, or degenerative conditions, to name a few. Because the causes and symptoms of hip issues can vary widely, don’t ignore a nagging pain or a sudden change in your hip health – especially after a fall or other trauma event. See your orthopedic specialist to be properly diagnosed, so healing, or symptom management can begin.

Hip Conditions and Diseases

There are a number of diseases that can impact the hip joint, including various types of arthritis and other auto-immune diseases as well as types of hip dysplasia. While most people think of dysplasia occurring in infants or small children, undiagnosed dysplasia (known as acetabular dysplasia) follows patients into adulthood.

The condition is and is found with greater incidence in females, relatives with dysplasia, first born babies and babies born in the breech position. Developmental Dysplasia of the hip (DDH) is the second most common single cause of osteoarthritis of the hip in young and older adults. The most common procedure to treat adolescent hip dysplasia is a periacetabular osteotomy (PAO). In hip osteotomy, the head of the thighbone or the socket is cut and realigned to take pressure off the hip joint.

Address Hip Pain So You Can Be Active

The hip is one of the largest weight-bearing joints in the body so it’s understandable why hip pain is so challenging. Don’t let hip pain, keep you from being active. Get a professional diagnosis and treatment plan so that you can maintain or improve your mobility and remain active. Schedule an appointment today with one of our orthopedic hip specialists to find the right solution for your hip pain.

dr presley swann

Introducing Dr. Presley Swann

dr presley swannAdvanced Ortho welcomes Dr. Presley Swann to our team of orthopedic specialists! Dr. Swann specializes in hip and knee preservation and reconstruction and has advanced expertise with numerous types of minimally invasive and non-invasive procedures. Dr. Swann is a Baylor university graduate, and received his masters and medical degrees from Tulane. He spent his orthopedic surgery residency at The Mayo Clinic and did a fellowship at the University of Utah.

Each year, Dr. Swann participates in Operation Walk, a mission to provide free surgeries to third-world countries. Teams of volunteer surgeons, nurses and scrub technicians come together to provide free joint replacement surgeries for those in need and teach the country’s local medical staff how to perform them. Dr. Swann’s other hobbies include cooking, golf, skiing, boating and hunting.

Dr. Swann is now taking patients! Call 303-344-9090 or click the make an appointment button.

Denver rotator cuff tear

Preventing, Diagnosing and Treating Denver Rotator Cuff Tears

Across Denver rotator cuff tears are occurring in greater numbers because of baseball and other sports that use overhand movements or mechanics (e.g. tennis, volleyball and track and field). While common in many sports, the mechanics of the movement are actually very unnatural and create stress on the stabilizing elements of the shoulder. Combined with the fact that today’s athletes seem to do year-round training and thus overuse specific muscle types, rotator cuff tears are bound to occur. Understanding how the shoulder works can help all athletes prevent tears and understand when it’s time for diagnosis or treatment.

The shoulder is a ball-and-socket joint, and the connective tissue surrounding the socket keeps the bone centered and in place. The muscles and tendons provide stabilization and security. According to Denver rotator cuff surgeon Dr. Andrew Motz, stress and repetition from the natural mechanics of throwing overhand greatly test that stabilization. “One of the most common areas for shoulder strain and injury is the group of tendons that form your rotator cuff.”

The rotator cuff is comprised of four muscles that come together to form the cuff that surrounds the humerus. Tendons attach your muscles to the bone and aid in bone movement. Damage to that vital cuff can have great (and sometimes lasting) impact on athletic performance. Just the words rotator cuff are enough to set off alarm bells to those who’s athletic performance centers around overhand throwing motions.

Rotator Cuff Tear Prevention

So how can you protect yourself? Flexibility and strength are the primary tools to prevent a rotator cuff tear. A consistent stretching and warm up regimen is essential to any athletic performance and it’s particularly helpful for shoulders. Stretching enhances flexibility and strength training provides vital protection for such a vulnerable area under constant strain.

Strength training needs to focus on more than just shoulders, and a major part of the equation is back muscles. The development of upper back muscles such as the trapezius, levator scapulae, rhomboids are all important.

Your approach to exercise is also important: form, control and frequency all matter. Improper exercise (lack of exercise, over-exercising, poor form, excessive weights) can actually inflict damage rather than preventing it. It’s important to strike the right balance. The Goldilocks approach (not too little, not too much; just right) develops muscular protection and stability without adding to the stress.

Rotator Cuff Tear Diagnosis

Pain, weakness or performance issues are the principal indicators that you should seek help. A proper evaluation not only puts you on the road to recovery, it’s a vital step to ensure that you prevent further damage. Listen to your body. As an athlete, you know when your throwing strength isn’t there or when you are experiencing pain that wasn’t there before. Discomfort with overhead movements or even sleeping pain are signs to seek an evaluation. Rotator cuff injuries can vary from bruises to strains, bursitis or tendinitis, to the most concerning – tears.

Rotator Cuff Tear Treatment

Treatment options vary as much as the potential type of rotator cuff injury. Conservative treatments such as rest, therapy, anti-inflammatory medicine or steroid injections (coupled with stretching and therapy plans) can resolve many rotator cuff problems; however, more serious cases require surgery. Once a tear is confirmed, it’s time to focus on treatment options. “Every rotator cuff tear is different,” says Dr. Motz, Denver rotator cuff physician and Advanced Orthopedic shoulder specialist.

“Our team of specialists focuses on a solution that maximizes the success for each patient, and gives them the best opportunity to get back to being active as soon as possible.” The less-invasive arthroscopic surgery provides a thorough evaluation as well as treatment for most throwing injuries that are not large or complex.

Rotator Cuff Tear Rehabilitation

After treatment, proper rehabilitation is of paramount importance. It is a slow recovery as the tendon has to heal into the bone before active motion can begin. Overly aggressive rehab after surgery can be a cause of failure. In general, it is six months before the patient is cleared for all activities.

At Advanced Orthopedics, we understand the impact of rotator cuff injuries in Denver [we’re committed to providing the best treatment for rotator cuff injuries in Denver] and we’re here to help you get the best diagnosis, treatment, rehab and support to get you back in the game.  Schedule an appointment today with one of our shoulder specialists to get back on your game!