Hip Pain Treatment in Lighthouse Point

Hip pain is produced by specific anatomical conditions — hip osteoarthritis, greater trochanteric bursitis, hip labral pathology, or iliotibial band syndrome — each requiring imaging-confirmed evaluation before treatment to ensure the intervention targets the actual source.

At Rebuild Regen Medical Clinic, hip pain evaluation includes review of available MRI or X-ray imaging and a clinical assessment by Elizabeth Celestin, APRN, FNP-C. Treatment is selected based on the specific anatomical diagnosis — not a blanket injection applied to all hip pain presentations.

Conditions and Treatment Approach

Hip osteoarthritis: Degenerative cartilage loss in the hip joint produces groin-based pain, stiffness with initiation of movement, and reduced range of rotation. PRP therapy delivers growth factors to the hip joint for mild to moderate OA. Stem cell therapy with DayZero™ MSCs under Dr. Cedric Emden Davis II, MD supervision is evaluated for more advanced presentations. Hip OA responds to intra-articular biologic injection with evidence similar to knee OA applications.

Greater trochanteric bursitis: Inflammation of the bursa over the greater trochanter of the femur produces lateral hip pain that worsens with walking, stair climbing, and lying on the affected side. PRP injection into the bursa and adjacent IT band tendinous tissue reduces inflammation and supports tissue repair. Class IV laser therapy via the LightForce® XLi reduces the inflammatory burden in and around the greater trochanteric bursa.

Hip labral pathology: Labral tears or degeneration produce deep anterior hip and groin pain with clicking or catching. PRP and stem cell therapy are evaluated for labral conditions without significant acetabular deficiency. Imaging confirmation of the labral pathology type is essential before treatment.

Iliopsoas tendinopathy: Anterior hip pain from iliopsoas tendinopathy responds to ultrasound-guided PRP injection and shockwave therapy at the tendon insertion.

What to Bring to a Hip Evaluation

Bring MRI or X-ray imaging if available. Include any prior treatment history — cortisone injections, physical therapy notes, or specialist evaluations. This documentation allows Elizabeth to determine whether the current presentation is appropriate for regenerative treatment or requires surgical evaluation first.

---

Frequently Asked Questions

How do you differentiate hip OA from bursitis?

Hip OA pain is typically felt in the groin and medial thigh and worsens with internal rotation of the hip. Trochanteric bursitis pain is lateral hip pain that worsens with direct pressure and side-lying. X-ray shows joint space narrowing in OA; MRI or ultrasound shows bursitis. Clinical examination and imaging together confirm the primary source.

Is PRP helpful for hip labral tears?

PRP and biologics for hip labral tears are most relevant for degenerative (not traumatic) labral pathology in patients who do not have the cam/pincer morphology that produces mechanical labral impingement. Traumatic labral tears with clinical instability typically require surgical evaluation. Elizabeth reviews the imaging and mechanism of injury to determine appropriateness.

When Hip Pain Requires Surgical Evaluation

End-stage hip OA, traumatic labral tears with joint instability, hip fractures, and avascular necrosis (AVN) of the femoral head are surgical indications. AVN in particular requires prompt orthopedic referral as the window for hip-preserving surgery is time-limited. Elizabeth identifies these presentations during evaluation and refers appropriately.

---

Rebuild Regen Medical Clinic 3320 N Federal Hwy #101, Lighthouse Point, FL 33064 (954) 953-4208 | rebuildregenmedical.com

Schedule a Hip Evaluation | PRP Therapy | Stem Cell Therapy