Alternatives To Hip Surgery

Hip-Replacement

Arthroscopy
During the procedure, your orthopedic surgeon places a small tube attached to a camera in your hip at the location of the injury. The surgeon can clean out damaged cartilage or repair a torn labrum. The procedure takes 30 to 45 minutes. Most patients recover in a few days and are back to normal activity within a week.

Steroid Injections
Arthritis is one of the most common causes of hip pain. In the early stages, it can be treated with steroid injections. Injections take just a few minutes. The skin on the side of your hip is numbed, then ultrasound is used to guide a needle to just the right place. You’ll feel some pressure in your joint during the injection, but most people don’t need
sedation. You can go home afterward, and recovery is the same day.

CONSERVATIVE TREATMENT

After initial treatment, you’ll see your provider for:

STRENGTH TRAINING (rehab) — At home exercises that can increase mobility and strength in the legs.
MANIPULATION — Manual movements of the hip and leg.
MODALITIES — Ice, warm packs, ultrasound, cold laser.

My hip still hurts. What's next?

Most of the time, initial treatment and conservative care are all that’s needed. If your hip still hurts, the next steps to consider are stem cell treatment or a robotic hip replacement. These procedures are done at Hip-replAcement in an outpatient setting with low risk of complication.

STEM CELL THERAPIES

Remember when you were young, and things healed in days—not weeks or months? As we age, our body has fewer stem cells, making it harder to heal. Stem cell injection puts back what you’re missing. Hip-replAcement uses two types of regenerative strategies:

STEM CELL INJECTION
After age 30, most stem cells are in your bone marrow or fat. We prefer to use the stem cells in the bone marrow because they are stronger and less likely to have toxins than those in fat. These stem cells are taken from the bone marrow of your pelvis through a needle. Sedation is not required, but many patients appreciate it.

AMNIOTIC-DERIVED GROWTH FACTOR INJECTION
Labs can now grow cells from the amniotic membrane which protected a baby in her mother. Needless to say, no babies were hurt to make these cells. After birth, the membrane is normally just thrown away. These labs take the membrane and grow its cells. The hundreds of growth
factor proteins they make can be harvested, sterilized, and injected to help you heal.

After isolation, the cells or growth factors are then injected into your hip with a needle guided by ultrasound. The injection is uncomfortable, but not typically painful enough for sedation. You are able to go home afterward, and recovery is generally less than two days. The only restriction is not to take anti-inflammatory medications for a few weeks. While stem cell therapy is not covered by insurance, Hip-replAcement does have a program to make it more affordable. Ask a Hip-replAcement team mate to learn more about stem cell therapy

MINIMALLY INVASIVE HIP REPLACEMENT

When all other treatment options have failed to give you relief, you may need a minimally invasive hip replacement.

ANTERIOR HIP REPLACEMENT
Anterior hip replacement surgery requires smaller cuts with less damage to your uscles than the traditional approach. This results in less pain and a much faster recovery. Anterior hip replacement surgery is the more desirable option for patients who can find an experienced surgeon who can perform it. Our vetted surgeons have performed thousands of these surgeries.

SUPERPATH® HIP REPLACEMENT
SuperPATH is another form of minimally invasive hip replacement surgery. SUPER, stands for super capsular percutaneously-assisted total hip replacement. This procedure was designed by Dr. James Chow to provide a total hip replacement procedure that’s much less invasive than traditional approaches. The hip implant is built in-place, and there is no dislocation of the hip, which is often necessary in other forms of total hip replacement. SuperPATH uses a three-inch incision, special tools and specific surgical methods to reduce the number of muscles and other hip-supporting tissue that must be cut or damaged.

Benefits of minimally invasive hip replacement:

  • Less recovery time — patients are able to walk with little or no assistance two hours after surgery.
  • Not having to avoid activities like crossing your legs or bending forward
  • Lower risk of post-surgery hip dislocation
  • Near zero risk of infection
  • No age restriction
  • Less postoperative pain

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