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Non-Surgical Options For Hip Osteoarthritis In Annapolis, MD

166 Defense Highway Annapolis, MD 21401

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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

166 Defense Highway
Annapolis, MD 21401

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Doctors

Dr. Zamfirov, also known as Dr. Zed, was born and raised in Bulgaria. He played soccer professionally and he was selected to play for the Bulgarian Junior National Team. Early in his sports career he decided to become a physician for athletes and to treat their sports injuries. He received his MD degree from the Plovdiv Medical University in 1987. He then completed his Orthopedic Surgery Residency and specialized in sports trauma and knee surgery. For over eight years he served as a physician of the Bulgarian Olympic Canoe team, several professional soccer teams in Bulgarian soccer division “A”, and as a consulting physician of the Bulgarian National Soccer team. During his orthopedic practice in Bulgaria Dr. Zed has treated and operated on many internationally known athletes, Olympic and World champions.

In 2000 he and his family moved to the US. Here, he completed his Physical Medicine and Rehabilitation Residency at Georgetown University/ National Rehabilitation Hospital in Washington, DC where he received extensive training in the field of interventional pain management. Since 2007 Dr. Zed has been providing comprehensive care for thousands of patients in his offices in Maryland. 

Dr Zamfirov is the founder of All Star Pain Management and Regenerative Medicine which opened its doors on February 1st, 2017. Dr Zed was a pioneer in providing regenerative medicine in Maryland and has gone on to become a physician licensed to provide Regenexx injectates to offer his patients research based cutting edge treatment in Regenerative Orthopedics. Dr. Zed is a member of the medical staff at Baltimore Washington Medical Center and Anne Arundel Medical Center.

His areas of special interests include regenerative medicine for orthopedic conditions, fluoroscopically guided spinal injections, non-operative spine care, pain management, sports medicine, neuromodulation.

He still plays soccer in an indoor league at Howard County. He also loves fishing and skiing.

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Areas Treated

Cervical Spine (Not Upper Cervical or CCI)*, 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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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.

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