Comprehensive Care for Patients with Hip Tendonitis

Sports medicine physicians at University Hospitals offer comprehensive medical care for patients with hip tendonitis. Tendons are strong cords of tissue that connect muscles to bones. When a tendon becomes inflamed or irritated, painful tendonitis can occur.

Minimally Invasive Ultrasound Guided Percutaneous Tenotomy

Generally, the initial hip tendonitis treatment is conservative including sports physical therapy, rest and anti-inflammatory medications. If improvement is not seen after three months of conservative treatment, minimally invasive arthroscopic hip surgery may be used to treat hip tendonitis.

As one of only a few orthopedists in the region specially trained to perform this newer procedure called Tenex, we can provide a more effective treatment for hip tendon pain. The advantage of this minimally invasive procedure is that the tendon repair is done with ultrasound guidance to both identify the injury and then use a tiny needle to repair the issue – all in one procedure. Additionally, with minimally invasive hip surgery there is less bleeding and scarring, quicker recovery and a faster return to activity or sports.

Understanding the Causes of Hip Tendonitis

Tendonitis can happen to anyone but usually occurs in athletes or those that are more active. Overuse and wear and tear are the main contributing factors to hip tendonitis. Other risk factors include:

• Injury
• Strain
• Too much exercise

Expert Diagnosis and Conservative Hip Tendonitis Treatment

Our highly-trained sports medicine team at University Hospitals diagnoses tendonitis using clinical examination and the identification of extreme pain around the hip joint. Imaging tests may also be used to rule out more serious problems that could be causing the pain.

Tendonitis is a chronic injury that is usually slow to resolve, often requiring weeks to months for complete healing. To get you feeling pain-free and back to your sport, our trained physical therapists engage you in an active step-by-step rehabilitation program, emphasizing heavy load exercise.

To fully and successfully treat your tendonitis, our sports medicine physical therapists may use a range of therapies, including:

• Applications of ice or moist heat
• Splints or braces to limit movement
• Steroid injections to reduce inflammation and pain
• Stretching
• Tissue mobilization
• Topical gels

Complementary Therapies to Stimulate Healing

Our orthopaedic and sports medicine doctors and therapists are highly knowledgeable about leading edge complementary therapies that may stimulate healing with hip tendonitis. These include:

• Platelet rich plasma (PRP) injections
• Shock wave therapy
• Ultrasound dry needling