Treat Hip Osteoarthritis Without Surgery In New Jersey, NY
Treat Hip OA Without Surgery At Rehabilitation Medicine Center
Pain is one of the most frequent symptoms associated with hip osteoarthritis, often occurring more consistently than stiffness or limited mobility.1 If you’ve been told that your hip pain is due to osteoarthritis and that joint replacement surgery is the only option, it’s worth exploring all available treatment alternatives.
At Rehabilitation Medicine Center of New Jersey, NY, physicians in the licensed Regenexx network offer interventional orthopedic procedures designed to help reduce pain and support the body’s natural repair processes. These non-surgical options may lead to shorter recovery times and fewer complications compared to traditional surgery.
| Regenexx-SD | Surgery | |
|---|---|---|
| Return to Daily Routine | 2 to 5 days | 6+ weeks |
| Return to Sports | 3 to 6 months | 1 year |
| Recovery | Brace, up to 6 weeks PT | Crutches, brace, extensive, no driving, 3 to 6 months PT |
| Pain Management | Mostly over-the-counter pain medication (days) | Prescription pain medication for weeks (weeks) |
| General Anesthesia | No | Yes |
| Keep Your Hip Joint | Yes | No |
131 West 35th Street
12th Floor
New York, NY 10001
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Call to Schedule Schedule OnlineClinic Hours
| Sunday | Closed |
| Monday | 8AM–8PM |
| Tuesday | 8AM–8PM |
| Wednesday | 8AM–8PM |
| Thursday | 8AM–8PM |
| Friday | Closed |
| Saturday | Closed |
How Does The Regenexx Approach Work?
At Regenexx, a specialized approach to orthopedic care called Interventional Orthopedics was developed to address joint conditions without surgery. Procedures using Regenexx injectates involve advanced image guidance to deliver your body’s own bone marrow concentrate directly to targeted areas within the hip joint.
These procedures are designed to support the body’s natural healing response by delivering concentrated cells to the area of injury, which may aid in tissue repair and help improve hip joint stability, function, and mobility.4
What Are The Risks Of Hip Replacement Surgery And Other Treatments?
At Rehabilitation Medicine Center of New Jersey, NY, patients are encouraged to carefully consider all options before pursuing major surgical procedures like hip replacement or resurfacing. These interventions are invasive and often involve extended physical therapy and prolonged discomfort as the joint gradually regains function. Surgery carries potential risks, including complications from anesthesia (such as stroke or heart attack), infection, blood clots, pseudotumors, prosthetic failure, and allergic reactions to metal joint components.⁵⁻⁶ In many cases, joint replacements may require revision surgery over time.
Although some individuals choose surgery with the hope of returning to previous activity levels, research shows this isn’t always the case. A 2016 meta-analysis of 17 clinical trials found no statistically significant improvement in physical activity for up to a year following a primary total hip replacement.⁷ Additionally, common pain management strategies such as NSAIDs may elevate the risk of cardiovascular issues, while opioids have a high potential for misuse. Steroid injections may also present significant drawbacks.⁷⁻¹⁰
The Regenexx Approach To Hip Pain At Rehabilitation Medicine Center
During your evaluation, physicians in the licensed Regenexx network assess joint movement and may use ultrasound to view the hip in motion. This real-time imaging helps identify the source of discomfort, how it affects function, and what may be contributing to the issue.
After your assessment, your physician will develop a treatment plan tailored to your condition and goals. Recommended procedures may include:
- Regenexx SD Injectate – uses a patented protocol involving bone marrow concentrate containing your body’s own cells
- Regenexx-SCP Injectate: A proprietary formulation of platelet-rich plasma (PRP) with higher concentration than bedside centrifuge methods.
- Regenexx-PL Injectate: A refined PRP derivative known as platelet lysate, designed to deliver a rapid and focused release of growth factors.
Webinar: Non-Surgical Approaches To Hip Osteoarthritis Pain
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
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
Get started to see if you are a Regenexx candidate
To talk one-on-one with one of our team members about how the Regenexx approach may be able to help your orthopedic pain or injury, please complete the form below and we will be in touch with you within the next business day.
References
1. Trouvin AP, Perrot S. Pain in osteoarthritis. Implications for optimal management. Joint Bone Spine. 2018 Jul;85(4):429-434. doi: 10.1016/j.jbspin.2017.08.002. Epub 2017 Sep 6. PMID: 28889010. Sep 6. PMID: 28889010.
2. 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.
3. 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.
4. 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.
5. Lalmohamed A, Vestergaard P, Cooper C, de Boer A, Leufkens HG, van Staa TP, de Vries F. Timing of stroke in patients undergoing total hip replacement and matched controls: a nationwide cohort study. Stroke. 2012 Dec;43(12):3225-9. doi: 10.1161/STROKEAHA.112.668509. Epub 2012 Nov 6. PMID: 23132782.
6. Harding P, Holland AE, Delany C, Hinman RS. Do activity levels increase after total hip and knee arthroplasty? Clin Orthop Relat Res. 2014 May;472(5):1502-11. doi: 10.1007/s11999-013-3427-3. Epub 2013 Dec 19. PMID: 24353051; PMCID: PMC3971219.
7. How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up Evans JT, Evans JP, Walker RW, Blom AW, Whitehouse MR, Sayers A. How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. Lancet. 2019;393(10172):647-654. doi:10.1016/S0140-6736(18)31665-9
8. Withers TM, Lister S, Sackley C, Clark A, Smith TO. Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement? A systematic review and meta-analysis. Clin Rehabil. 2017;31(5):639-650. doi:10.1177/0269215516673884
9. Sakaguchi M, Tanaka T, Fukushima W, Kubo T, Hirota Y; Idiopathic ONF Multicenter Case-Control Study Group. Impact of oral corticosteroid use for idiopathic osteonecrosis of the femoral head: a nationwide multicenter case-control study in Japan. J Orthop Sci. 2010;15(2):185-191. doi:10.1007/s00776-009-1439-3
10. Ravi B, Escott BG, Wasserstein D, et al. Intraarticular hip injection and early revision surgery following total hip arthroplasty: a retrospective cohort study. Arthritis Rheumatol. 2015;67(1):162-168. doi:10.1002/art.38886
11. Hjorth MH, Mechlenburg I, Soballe K, et al. Higher prevalence of mixed or solid pseudotumors in metal-on-polyethylene total hip arthroplasty compared with metal-on-metal total hip arthroplasty and resurfacing hip arthroplasty. J Arthroplasty, 2018;33:2279–2286. doi:10.1016/j.arth.2018.02.011.
12. Oxblom A, Hedlund H, Nemes S, et al. Patient-reported outcomes in hip resurfacing versus conventional total hip arthroplasty: a register-based matched cohort study of 726 patients. Acta Orthop. 2019;90:318-323. doi:10.1080/17453674.2019.1604343.
