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Non-Surgical Options For Hip Tendon Tears In Litchfield Park, AZ

13575 West Indian School Road, Suite 700 Litchfield Park, AZ 85340

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FAQs

Yes. At Regenexx we have successfully treated hip tendon tears without surgery. Whether a hip tendon tear is due to an acute injury or a degenerative condition, interventional orthopedic procedures can reduce pain and may help your body promote its own abilities to heal tendon tears without surgery. That means a shorter recovery time and fewer potential complications as compared with invasive hip surgeries.

 Regenexx-SDSurgery
Return to Daily Routine2 to 5 days6+ weeks
Return to Sports3 to 6 months1 year
RecoveryBrace, up to 6 weeks PTCrutches, brace, extensive, no driving, 3 to 6 months PT
Pain ManagementMostly over-the-counter pain medication (days)Prescription pain medication for weeks (weeks)
General AnesthesiaNoYes
Keep Your Hip JointYesNo

13575 West Indian School Road
Suite 700
Litchfield Park, AZ 85340

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Doctors

As the medical director and founder of Active Life Physical Medicine and Pain Center, Innovative Surgery Center, and Regena Spa, Dr. Lundquist has great enthusiasm toward regenerative medicines and a special interest in sports medicine and pain. She loves her work and feels blessed to be entrusted to help patients by alleviating painful ailments.

Her desire is to uncover methods that are more healing and less of a “band aid,” which has led her to become a leader in regenerative medicine technologies. She feels strongly about the importance of seeking methods to help alleviate pain on every level – holistically.

Originally a massage therapist and, later, an osteopath, she has a strong foundation to alleviate patient’s pain. She is a “hands on” physician who implements osteopathic techniques when appropriate with other tools.

She is dual board certified in physical medicine and rehabilitation along with pain management, as well as a diplomat with the American Board of Pain Medicine.

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Dr. Bonilla is a double board certified physician (Physical Medicine and Rehabilitation and Interventional Pain Management) with over 20 years of experience treating musculoskeletal conditions and spine injuries in the state of Arizona. Dr. Bonilla prides himself on using the most important tools in Physical Medicine, listening carefully to his patient, and using his hands to perform a careful physical exam. He thoroughly educates his patients on their conditions and treatment options and is a very caring and personable physician, always ensuring his patients are as comfortable as possible.

Dr. Bonilla’s education includes a bachelor’s degree in Materials Science Engineering from Alfred University in New York. He initially worked as a production engineer for DuPont Electronic Materials Inc. for four years. Although he enjoyed his work as an engineer, his passion was always in medicine. As an avid and passionate skateboarder, Dr. Bonilla witnessed and suffered many injuries in his younger years. He witnessed first hand how devastating injuries could be on an active person and he decided to switch careers and study medicine to be able to help people who suffer life changing injuries. Being born and raised in Puerto Rico, Dr. Bonilla attended and graduated from University of Puerto Rico School of Medicine. He then moved to Pittsburgh, PA to complete his internship at UPMC-Mercy Hospital, followed by his residency in Physical Medicine and Rehabilitation at the University of Virginia.

Dr. Bonilla has been performing Regenerative Medicine for more than 18 years. He is trained and highly experienced in the use of ultrasound and fluoroscopy guided injections. He is also trained in the use of PRP and bone marrow concentrate, which contains your own stem cells, to promote the body’s natural ability to heal. Dr. Bonilla works part time at the Phoenix VA Hospital and enjoys helping Veterans with their musculoskeletal issues. He is married and has one son, currently serving as an US Army Honor Guard. He also has 3 step children and 2 grandchildren. As a passionate Mountain Biker for the last 20 years, Dr. Bonilla understands first hand how an injury can affect an individual’s lifestyle. He also enjoys traveling and exploring the outdoors.

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Areas Treated

Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

*This provider is NOT authorized by Regenexx to treat the C0-C1 or C1-C2 levels of the neck or CCI (craniocervical instability).

How Does Regenexx Work?

Regenexx physicians use image guidance technology to precisely inject your own bone marrow concentrate — which contains stems cells — directly where it’s needed to repair damaged tissue in the hip joint structure.1-3 

The cells in your bone marrow concentrate work at the site of your injury to promote the growth of new, healthy tissue that aids in the stabilization of your hip joint for better function and mobility.4

Am I a candidate?

During appointments, Regenexx physicians examine your body in motion and may use ultrasound to observe the inner workings of the hip in real time. This gives them a more accurate picture of what’s contributing to your pain, how function is affected, and the root cause of the problem. 

Once you’ve been evaluated, your physician will customize a treatment plan based on your specific needs. Our treatments include:

Regenexx-SD: a patented protocol using bone marrow concentrate that contains stem cells

Regenexx-SCP: a proprietary formulation of platelet-rich plasma (PRP) that’s more concentrated than what a basic bedside centrifuge can produce

Regenexx-PL: platelet lysate, which is a highly specialized derivative of platelet-rich plasma (PRP)

Am I a candidate?

FAQs

No. Some hip tendon tears cause no pain nor any other signs or symptoms, particularly Grade 1 injuries, in which the tendon is slightly stretched and only a few fibers are torn.

Yes, most hip tendon tears can be identified with an MRI. They provide good definition for large muscles, labrum and tendon tears, and areas of inflammation.

Generally, a physician or orthopedic surgeon will initially recommend rest, ice, anti-inflammatory medication for pain relief, massage, stretching, and strengthening through physical therapy. If the problem persists, corticosteroid injections or hip tendon repair surgery are often recommended.1

Hip tendon repair surgery can involve sewing together tears, cutting the tendon to try to get it to heal, or lengthening a tight tendon. While this approach may lead to relief of the pain and other symptoms, shortening or lengthening of the tendon often leads to other problems, including:

  • Severe and permanent injury to the ligaments, muscles, and fascia around the joint
  • Chronic pain
  • Damage to chromosomes caused by debris from hip replacement metal
  • Cobalt and chromium toxicity
  • Tissue irritation that may cause pseudotumors (a growth caused by irritation from the hip replacement device)
  • Allergic reaction to hip replacement materials
  • Hip instability

Moreover, the underlying biomechanical problem that led to the initial tendon injury (hip impingement, tendonitis, tendonosis, arthritis, labral tears, avascular necrosis, etc.) has not been resolved, despite a lengthy recovery. To make matters worse, tendons can have a poor blood supply and therefore may not heal well after surgery, making reinjury more likely.2

Tendons are tough cords made of straight, parallel fibers of collagen that attach muscles to bones. There are two tendons that attach at the outer aspect of the hip at the head of the femur: the gluteus minimus and gluteus medius. 

Both of these abduct the hip to move the leg outward, while the gluteus minimus also works as the primary internal rotator of the hip (i.e., it twists your thigh inward). Other hip tendons often subject to tears are the iliotibial (IT) band and hamstring tendon. 

Three of the most common causes of damage to the hip tendons:

Tendonitis occurs as a result of acute inflammation, often due to overuse or repetitive motion. There’s usually no permanent damage to the underlying tissues. 

Tendinosis, on the other hand, occurs when there is chronic damage and degradation to the tendon to such a degree that it becomes hard, thick, scarred, and rubbery. It generally results in pain and loss of joint flexibility and function and can involve several tendons surrounding the hip joint. 

Tendon tears, which are typically classified according to severity:5

  • Grade 1 (Mild): The muscle and/or tendon has been slightly overstretched, but there is no pain or instability.
  • Grade 2 (Moderate): The muscle and/or tendon has been torn slightly, and there may be moderate tenderness, swelling, pain, and bruising as well as some instability and loss of function.
  • Grade 3 (Severe): The muscle and/or tendon is completely ruptured (torn), with severe swelling, pain, and bruising. The patient may be unable to bear weight and have moderate to severe instability and loss of function.

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Please note our procedures are only covered by self-funded health plans at this time.

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What about health insurance or medical benefits? What may be covered or reimbursed depends on the details of your plan. Insurance typically covers evaluations and diagnostic testing (if recommended) but most do not cover Regenexx Procedures. Some Employer specific Regenexx Benefits plans do also cover Regenexx Procedures. Your plan’s representative can help verify your benefits, out-of-pocket costs, and coverage.

References

1.Centeno CJ. Efficacy and Safety of Bone Marrow Concentrate for Osteoarthritis of the Hip; Treatment Registry Results for 196 Patients. J Stem Cell Res Ther 2014;04(10). doi:10.4172/2157-7633.1000242.

2. Friedlis MF, Centeno CJ. Performing a Better Bone Marrow Aspiration. Phys Med Rehabil Clin N Am. 2016 Nov;27(4):919-939. doi: 10.1016/j.pmr.2016.06.009. PMID: 27788908.

3. Centeno CJ, Kisiday J, Freeman M, Schultz JR. Partial regeneration of the human hip via autologous bone marrow nucleated cell transfer: A case study. Pain Physician. 2006 Jul;9(3):253-6.

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