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Non-Surgical Options For Hip Tendon Tears In West Palm Beach, FL

580 Village Boulevard, Suite 270 West Palm Beach, FL 33409

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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

580 Village Boulevard
Suite 270
West Palm Beach, FL 33409

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Doctors

Dr. James Ghattas is a double board-certified Neurologist and Interventional Pain Management physician who specializes in Interventional Orthobiologics. Dr. Ghattas brings a wealth of knowledge and experience to his practice at Palm Beach Regenerative Sport and Spine in West Palm Beach, Florida. As a licensed Regenexx physician, Dr. Ghattas is part of the global network of professionals that lead the way in Interventional Orthopedics.

Dr. Ghattas’s philosophy centers on helping patients overcome painful orthopedic and musculoskeletal conditions without resorting to surgery. His approach is characterized by meticulous attention to detail, and a promise to go above and beyond the “standard of care.” At Palm Beach Regenerative Sport and Spine, patients can expect dedicated one-on-one attention, an unparalleled level of expertise, and a deep commitment to well-being and recovery. Dr. Ghattas is driven by a commitment to providing signature care to patients who are likely to benefit from non-surgical solutions.

Dr. Ghattas earned his medical degree from the Lake Erie College of Osteopathic Medicine, followed by a residency in Adult Neurology at the University of South Florida, where he subsequently stayed to complete a fellowship in Interventional Pain Management, further refining his skills and expertise. Dr. Ghattas’s was invited to join the prestigious Centeno Schultz Clinic Fellowship in Denver, Colorado; where he trained under the pioneers of Interventional Orthobiologics, Drs. Centeno, Schultz, Markle, and Pitts. This advanced training equipped Dr. Ghattas with unique skills in using orthopedic regenerative techniques for musculoskeletal conditions.

A South Florida native, Dr. Ghattas went to high school and swam competitively for US Swimming in Fort Lauderdale, Florida before getting his Bachelor’s Degree in Microbiology at the University of Florida in Gainesville. There he sang and played guitar for several bands, including a Red Hot Chili Peppers cover band. Outside of medicine, he is a musician (Vocals, Guitar, Ukulele, Percussion/ Drums, Saxophone, Trumpet), Tech Entrepreneur (InVirtuo, FyreFitness), and a student private pilot. In his spare time he enjoys Swimming, Hiking, Running, Skateboarding, and Bicycling.

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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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