Regenexx Logo

Non-Surgical Options For Hip Tendon Tears In Raleigh, NC

2304 Wesvill Court, Ste 320 Raleigh, NC 27607

On This Page

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

2304 Wesvill Court
Ste 320
Raleigh, NC 27607

Request an Appointment

Call to Schedule Schedule Online

Doctors

Co-founder Krishna Bhat, MD is dedicated to providing compassionate care to those in acute and/or chronic pain caused by a variety of conditions. He has been in private practice and board certified in Physical Medicine and Rehabilitation since 2006. With his open communication style, Dr. Bhat both informs and makes patients comfortable with the personalized treatment plans he develops. His communication skills and experience have also aided the practice in establishing its strong network of allied healthcare professionals (surgeons, physical therapists, chiropractors, massage therapists, acupuncturists, etc.) that are often included in the comprehensive treatment plans he develops for patients. He enjoys sharing his experiences and knowledge of pain management with office colleagues as well as patients. He is enthusiastic about the opportunity to provide the highest level of care and treatment to patients with regards to regenerative medicine.

Dr. Bhat graduated from University of California, Davis in 1996 with a bachelor’s degree in Biological Sciences. He completed medical school at the American University of the Caribbean in 2001. During his final year of residency in Physical Medicine and Rehabilitation at Rush University Medical Center in Chicago, he served as the Chief Resident for the program. He was instrumental in advancing the training program for the residents and thrived in his mentorship role. Dr. Bhat is an active member of the American Academy of Physical Medicine and Rehabilitation, Pain Society of the Carolinas, International Pain & Spine Intervention Society, and Interventional Orthobiologics Foundation.

Leisure interests include traveling, spending time with his family, watching his daughters participate in extracurricular activities/athletic events, and playing golf, tennis, and billiards.

View Full Profile

Co-founder Jasbir Dhaliwal, MD is a double board-certified and fellowship-trained interventional pain medicine physician. While his medical training and experience included surgical skills, he opted to specialize in non-surgical approaches to patient rehabilitation and pain management. As a fellowship-trained interventional pain specialist, his philosophy is to use the most innovative techniques to deliver quality pain management. Dr. Dhaliwal is dedicated to the comprehensive care and treatment of acute and chronic pain including arthritic, spinal and nerve pain and many other conditions. His breadth of medical training serves him well in determining the most appropriate types of treatment (rehabilitative, medication, surgical) for each patient.

Dr. Dhaliwal graduated from State University of New York at Buffalo with a bachelor’s degree in Biological Sciences and Biochemical Pharmacology. After receiving his medical degree at Ross University School of Medicine he completed a year of General Surgery internship at Albert Einstein School of Medicine in the Bronx. He completed a residency in Physical Medicine and Rehabilitation at SUNY Upstate Medical Hospital in Syracuse, New York where he served as Chief Resident during his final year of residency. After residency, Dr. Dhaliwal completed a one-year ACGME accredited pain management fellowship with the Department of Anesthesiology at SUNY Upstate Medical Hospital in Syracuse, NY.

Dr. Dhaliwal is a member of American Academy of Physical Medicine and Rehabilitation, International Pain & Spine Intervention Society, Pain Society of the Carolinas, American Society of Regional Anesthesia and Pain Medicine, American Society of Pain & Neuroscience (ASPN) and Interventional Orthobiologics Foundation.

Dr. Dhaliwal’s interests outside of medicine include exercising, playing basketball, running and spending time with his wonderful wife and two children.

View Full Profile

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.

Request an Appointment

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.

TO TOP