Dr. John Shannon, Advanced Chiropractic Physician

Condition:  Chronic hip pain can be sometimes very difficult to diagnose.  There are multiple causes.  The first and obvious one is degeneration or arthritis of the hip joint.  In our office we use prolotherapy for the treatment of degenerative hips.

Absent degeneration or arthritis of the hip, there are several other causes of chronic pain.  The first is irritation to the iliohypogastric nerve which originates from T12 and L1 in the spinal cord and transverses down into the hip area.  Another possibility is irritation, compression or damage to the lateral femoral cutaneous nerve which goes down along the hip, down into the lateral thigh.

The third cause can be the tensor fascia lata and iliotibial band, commonly known as iliotibial band syndrome.  With respect to the iliotibial band syndrome, very often this becomes very tight, commonly seen in athletes.  The tightness of the iliotibial band creates compression on the nerve fibers under the iliotibial band and causes the condition to recycle itself.

In other words, the tightness compresses the nerves which causes more pain which causes more tightness.  This is usually typically followed with trigger point activity in the tensor fascia lata which is located just above the hip bone.

Cause:  Hip problems such as this can have multiple different causes.

Low back pain can cause you to walk abnormally which can create hip pain.

Foot problems and knee problems can do the same thing.

Certain types of athletics such as aggressive bike riding can cause iliotibial band syndrome.  We find this is one of the more common causes of hip pain absent arthritis in the hip.

Procedure:  Typically, the procedure for chronic hip pain, once we diagnose whether it is either the intermediate cluneal nerves, the iliohypogastric nerve, or the iliotibial band syndrome, we will typically either hydrodissect and stop the pain fibers from firing in the nerves or do a trigger point injection into the tensor fascia lata and then do multiple injections along the iliotibial band to have the band relax.

Once this occurs, the patients for these particular cases will have to go through a short period of rest to allow the neuromuscular system to reset itself over a period of time.  Typically, a two-week layoff is what is required before we allow the patients to start getting into activities again.

All of the substances we use, are non-toxic and have no know side effects

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