Hip Pain Treatment in Sulphur Springs, TX
Hip pain can make it hard to walk, climb stairs, get out of the car, or sleep on your side. It is common at every age, and most hip pain gets better with the right mix of hands-on care and exercise.
Common causes
Hip arthritis. Stiffness and an ache in the groin or front of the hip, often worse in the morning or after sitting.
Outer hip pain. Sore tendons on the side of the hip, often worse when lying on that side, climbing stairs, or shifting your weight onto one hip.
Hip impingement. A pinching pain in the front of the hip when you squat, sit low, or bring your knee to your chest.
Hip flexor strain. Pain in the front of the hip after sprinting, kicking, or a sudden stretch.
Pain from the low back. The low back can send pain into the hip and buttock.
What helps
Exercise is the foundation, and national arthritis guidelines strongly recommend it (Kolasinski et al., 2020). Hands-on hip care helped people with hip arthritis more than an exercise program, and the benefit lasted about six months (Hoeksma et al., 2004). For outer hip pain, education plus exercise worked better than a cortisone shot or waiting it out (Mellor et al., 2018). Dry needling the tight muscles around the hip has also been shown to ease pain and improve strength and function in people with hip arthritis (Ceballos-Laita et al., 2021).
How we can help
We never rely on one treatment alone. Hands-on care and dry needling soften a stiff, guarded hip like clay in your hands, and the exercises that follow help shape it into a hip that moves and holds up well. Your plan may include:
Chiropractic adjustments for the hip, pelvis, and low back
Soft tissue release to ease tight muscles around the hip
Dry needling for tight, tender hip and buttock muscles
Rehab and sport performance exercise to build hip strength and control
We also check your low back, since it often plays a part in hip pain. If you need imaging, we can write the order and refer you to a trusted imaging center.
Common questions
Is my hip pain arthritis? Not always. Outer hip pain and back related pain can feel similar. Your exam helps us sort out the cause.
Will I need a hip replacement? Many people with hip arthritis manage well for a long time with exercise and hands-on care. If your hip is not responding, we will refer you to an orthopedic surgeon.
Is it okay to walk with hip pain? Usually, yes. Staying active within comfort is better than resting completely.
How should I sleep? If your outer hip hurts, try a pillow between your knees and avoid lying right on the sore side.
When to seek emergency care
Most hip pain is not an emergency. Please seek emergency care if you cannot put weight on your leg after a fall, if your leg looks shorter or turned out, if the hip is hot, red, and swollen with fever or chills, if your calf is swollen, warm, red, or painful (this can be a blood clot), or if you have new numbness in the groin or changes in bladder or bowel control.
Book a visit
If hip pain is slowing you down, we would be glad to help you walk, sit, and sleep more comfortably. Book Online or call 903-629-5126.
Pacheco Spine and Sport, 1067 Gilmer Street, Suite C, Sulphur Springs, TX 75482.
This page is for general education and is not a substitute for a personal medical exam.
Sources
Ceballos-Laita, L., Jiménez-Del-Barrio, S., Marín-Zurdo, J., Moreno-Calvo, A., Marín-Boné, J., Albarova-Corral, M. I., & Estébanez-de-Miguel, E. (2021). Effectiveness of dry needling therapy on pain, hip muscle strength, and physical function in patients with hip osteoarthritis: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 102(5), 959-966. https://doi.org/10.1016/j.apmr.2021.01.077
Hoeksma, H. L., Dekker, J., Ronday, H. K., Heering, A., van der Lubbe, N., Vel, C., Breedveld, F. C., & van den Ende, C. H. (2004). Comparison of manual therapy and exercise therapy in osteoarthritis of the hip: A randomized clinical trial. Arthritis and Rheumatism, 51(5), 722-729. https://doi.org/10.1002/art.20685
Kolasinski, S. L., Neogi, T., Hochberg, M. C., Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, W. F., Hawker, G., Herzig, E., Kwoh, C. K., Nelson, A. E., Samuels, J., Scanzello, C., White, D., ... Reston, J. (2020). 2019 American College of Rheumatology/Arthritis Foundation guideline for the management of osteoarthritis of the hand, hip, and knee. Arthritis & Rheumatology, 72(2), 220-233. https://doi.org/10.1002/art.41142
Mellor, R., Bennell, K., Grimaldi, A., Nicolson, P., Kasza, J., Hodges, P., Wajswelner, H., & Vicenzino, B. (2018). Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: Prospective, single blinded, randomised clinical trial. BMJ, 361, k1662. https://doi.org/10.1136/bmj.k1662