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Non-Surgical Options For Hip Osteoarthritis In Miami, FL

4960 Southwest 72nd Avenue, Suite 408 Miami, FL 33155

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FAQs

Pain is one of the most common symptoms of hip osteoarthritis, occurring much more frequently than stiffness or disability.1 If your physician has told you your hip pain is due to osteoarthritis and that hip replacement surgery is the only solution, we suggest you evaluate all of your options.

Hip osteoarthritis results from degenerative changes on the articulating surfaces of the hip joint. Interventional orthopedic procedures have been shown to reduce pain and help the body use its own abilities to heal without surgery, resulting in shorter recovery times and fewer potential complications than invasive surgical procedures.

 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

4960 Southwest 72nd Avenue
Suite 408
Miami, FL 33155

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Doctors

Dan Marin, MD grew up as an athlete in the outdoor sunshine, playing every stick and ball sport possible as a kid. When not doing that he was fishing and diving in the South Florida Paradise.

His fascination with this environment, lead him to high school at MAST Academy where he excelled in Science and Math. In sport, he migrated toward rowing where he was a stand out leader and athlete. He was recruited to row in college, and was a division, 1A varsity collegiate rower at College of the Holy Cross in Worcester, Massachusetts.

His interest in science and the human condition led him to obtain his first degree in Biochemistry and Molecular Biology from the University of Miami, where his lab work focused on protein analysis of intercellular GAP junctions. He wanted to be engaged with humans and science, which drove him to medical school at the University of Miami, where he was accepted and matriculated.

His interest in the surgical and medical side of being a physician led him to a transitional internship at Yale New Haven Hospital.

His interest in sport, biomechanics, and treating “the whole human” led him to residency in Physical Medicine and Rehabilitation at Emory University Hospital in Atlanta, Georgia, where he excelled and was elected Chief by his peers and faculty.

Spending much time as a resident at the world renowned Emory Orthopedic & Spine Center, and being exposed to mentors like Michael Schaufele MD and Kenneth Mautner MD, led him to a fellowship and career focusing on Interventional Spine, Sports and Non-Operative Care. While there he performed and published research in the area of outpatient interventional outcomes and safety.

Eventually, after being a faculty member at the University of South Florida in the Department of Neurosurgery, as well as consulting and in development of the arena of the human component in Motorsport; he and his wife moved back to South Florida where Dr. Marin, began private practice. Here he had the great opportunity to form a clinic based the musculoskeletal model/ chain, of which we all naturally live by. This was the foundation of ProformMD.

Dr Marin believes “deep down, we are all athletes, our cells/ body, want us to exercise, and this is the key to longevity… it’s our job as clinicians to provide the tools and remove obstacles for our patients to meet their goals and live better.” His professional directive has been to build an environment with all the highest quality professionals to accomplish this task.

Dr Marin has said, “When someone suffers an initial injury this can be an obstacle for function for the rest of their life.”

Proform ACTIV, aka ACTIV, was started to address this specific issue. Knowledge of regenerative tissue science and use of Orthobiologics through interventional orthopedic techniques to un impede patients and put them on the path to recovery is the philosophy of this component of the clinic. This is the first step to get back to your “athletic-self” if you have encountered injury, degenerative wear, or overuse. After treatment, focus can then be on getting back into normal motion, and then on raising the performance bar.

Dr Marin remains passionate everyday about making his patients the best musculoskeletal version of themselves science, technology and training can provide.

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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

Dr. William J. Bonner was born and raised in the suburbs of Philadelphia, PA. He attended Georgetown University in Washington, DC where he earned a Bachelor of Arts in Physics with a minor in Mathematics. After college, he earned his Doctor of Medicine from Temple University School of Medicine in Philadelphia, PA. He completed an internship in Internal Medicine at Cooper University Hospital in Camden, NJ, and subsequently he completed Physical Medicine and Rehabilitation residency at the Temple University Hospital and Moss Rehab program in Philadelphia, PA where he was elected Chief Resident during his final year of training. Following residency, he pursued a fellowship in Spine, Sports, and Musculoskeletal Medicine at the University of Pennsylvania in Philadelphia, PA. Dr. Bonner is board certified in Physical Medicine and Rehabilitation by the American Board of Physical Medicine and Rehabilitation. He is also board certified in Pain Medicine by the American Board of Pain Medicine.

In his practice, he provides comprehensive, interventional spine and musculoskeletal care. He performs ultrasound-guided and fluoroscopically-guided interventional procedures for various causes of pain. He has taken a special interest in the exercise-based rehabilitation of spine and musculoskeletal injuries and uses his knowledge of these methods to provide patients with long term solutions to their ailments.

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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

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?

At Regenexx, we invented a new approach to orthopedic care we call Interventional Orthopedics. This minimally invasive alternative to hip surgery involves the use of 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.2-3 

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?

What Are the Risks of Hip Replacement Surgery and Other Treatments?

Unfortunately, hip replacement and hip resurfacing are often traumatic procedures that are generally followed by months of physical therapy and pain and discomfort while the joint rebuilds strength and mobility. 

Other risks include anesthesia-related stroke or heart attack, infection, blood clots, pseudotumors, prosthetic part failure, and metal allergies to joint hardware. Additionally, for many, joint replacements need to be repeated.5-6

Many people are willing to undergo complex surgery and lengthy recovery because they’re under the impression they’ll return to their previous, more active lifestyle, but that often doesn’t happen. A 2016 meta-analysis of 17 clinical trials revealed no statistically significant improvement in physical activity for up to one year after unilateral primary total hip replacement. Additionally, pain management strategies involving nonsteroidal anti-inflammatory drugs (NSAIDs) raise the risk of stroke and heart attack, while opioid pain medications have a high risk for abuse, so neither are ideal long-term solutions. Steroid injections also have significant downsides.7-10

See how Regenexx helped Todd avoid a second hip replacement surgery for hip arthritis.

Note: Like all medical procedures, Regenexx procedures have success and failure rates. Not all patients will experience the same results.

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?
Hip pain. Man touching his hurt left side of body.

Join Chris Centeno, M.D., founder of Regenexx, to learn how Regenexx procedures can help treat your hip pain from arthritis without surgery and with a faster recovery.

During this free webinar you’ll learn:

  • How procedures using bone marrow concentrate and platelet-rich plasma (PRP) compare to surgery and other hip pain treatment options
  • Regenexx procedure expectations
  • Answers to the most common questions about regenerative medicine treatments
Watch Webinar

FAQs

Osteoarthritis of the hip is characterized by fast-progressing degeneration of hip tissue that causes impairment of function. Arthritis may result from inflammatory disorders, genetic predisposition, infections, hip injuries, or simple wear and tear.

Hip arthritis usually occurs in people in their 60s and 70s, but onset can vary depending on activity level, body weight, and the structure of your hip joint.

No. In some people, especially in the early stages, hip arthritis presents as joint stiffness or limited range of motion. Over time, however, as the degeneration in the joint worsens, it usually becomes painful.

Yes, most degenerative changes in the hip can be identified with an MRI. In the following video Chris Centeno, MD, identifies the top three arthritis changes to look for on a hip MRI.

At first glance, a hip resurfacing sounds less invasive, which most people assume translates to fewer complications. But that’s not necessarily true. During a conventional hip replacement surgery, the entire ball and socket of the hip joint are replaced with artificial implants made of either metal or ceramic or a combination of the two. The stemmed component of the implant is placed in the marrow cavity of the femur (thighbone). 

In hip resurfacing, the ball on the top of the femur is not removed — it’s shaved so that a metal ball can be placed around it. With this procedure, the thighbone is preserved, so it’s considered less invasive. However, research illustrates the downsides of this procedure are increased chance of thigh fracture, larger incision and scar, pseudotumors, earlier failure of the prosthesis, and metal-only prosthetic materials that can shed particles into the bloodstream.11-12

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