Understanding Hip Pain and Hip Arthritis
Hip pain can arise from multiple structures: the hip joint itself (intra-articular sources including osteoarthritis, labral tears, and synovitis), the periarticular bursa (trochanteric bursitis), the surrounding musculature (hip flexor and gluteal tendinopathy), or referred pain from the lumbar spine or SI joint. Accurate anatomic diagnosis determines treatment — a hip joint injection will not relieve pain originating from bursitis, and vice versa.
Dr. Qureshi performs all hip injections under fluoroscopic or ultrasound guidance, which is essential for the hip given the deep anatomy. Fluoroscopically guided hip joint injections deliver medication precisely into the joint space, confirmed with contrast, achieving superior results compared to unguided approaches.
Symptoms
- Deep groin or anterior thigh pain (classic hip joint source)
- Pain with walking, stairs, and getting in/out of cars
- Outer hip pain, especially with lying on the affected side (bursitis pattern)
- Stiffness with reduced internal rotation (early arthritis sign)
- Night pain disrupting sleep
- Pain referred to the knee (hip pathology commonly refers distally)
Treatment Options at Our Katy Practice
Dr. Qureshi takes a multimodal, non-surgical approach to pain management. Treatment recommendations are based on your diagnosis, imaging findings, symptom severity, and prior treatment history.
- Fluoroscopic-guided hip joint injections (corticosteroid or PRP)
- Trochanteric bursa injections for greater trochanteric pain syndrome
- PRP therapy for hip osteoarthritis and labral pathology
- Physical therapy for strength and biomechanical correction
- Activity modification and weight management guidance