Non-Surgical Options For Hip Tendon Tears In Ospina Medical – New York, NY
Can You Treat Hip Tendon Tears Without Surgery In New York?
Yes, hip tendon tears have been treated without surgery at Ospina Medical, New York, NY, using the Regenexx approach. Whether the injury is the result of an acute event or a degenerative condition, interventional orthopedic procedures may help reduce pain and support the body’s natural healing response. These nonsurgical options are designed to offer shorter recovery times and fewer potential complications compared to traditional hip 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 |
635 Madison Ave
Suite 1301
New York, NY 10022
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Call to Schedule Schedule OnlineClinic Hours
| Sunday | Closed |
| Monday | 9AM–5PM |
| Tuesday | 9AM–5PM |
| Wednesday | 9AM–5PM |
| Thursday | 9AM–5PM |
| Friday | 9AM–5PM |
| Saturday | Closed |
How Does The Regenexx Approach Work?
Image-guided procedures using Regenexx lab processes are designed to precisely deliver a patient’s bone marrow concentrate, containing mesenchymal stem cells, into targeted areas of the hip joint. This approach allows for accurate placement at the site of tissue damage within the joint structure.1-3
The cells within the concentrate may help support the body’s natural ability to promote new tissue growth, contributing to improved joint stability, function, and mobility over time.4
Am I a candidate?The Regenexx Approach for Hip Tendon Tears
As part of your evaluation, your physician may assess joint movement and use ultrasound to view the internal structures of your hip in real time. This dynamic approach helps identify the underlying source of discomfort, functional limitations, and factors contributing to your symptoms.
Based on your condition, a customized treatment plan will be developed. This may include one or more of the following Regenexx injectates:
Regenexx-SD Injectate: A patented protocol that uses bone marrow concentrate containing mesenchymal stem cells.
Regenexx-SCP Injectate: A proprietary, high-concentration formulation of platelet-rich plasma (PRP), exceeding the output of standard bedside centrifuges.
Regenexx-PL Injectate: Platelet lysate, a refined PRP derivative designed for faster, targeted delivery of growth factors.
FAQs
Not all hip tendon tears produce noticeable symptoms. In cases such as Grade 1 injuries, where the tendon is mildly overstretched and only a few fibers are affected, pain or functional limitations may be minimal or absent.
Yes, many hip tendon tears can be identified using MRI imaging. MRI provides detailed views of soft tissue structures, including large muscles, tendons, the labrum, and areas of inflammation, making it a useful tool for detecting injuries within the hip joint.
Initial care for hip tendon injuries typically includes conservative measures such as rest, ice, anti-inflammatory medications, massage, stretching, and physical therapy focused on strengthening the area. If symptoms continue, corticosteroid injections or surgical repair of the tendon may be recommended.1
Hip tendon surgery can involve stitching the tendon, lengthening or releasing tight tissue, or modifying its attachment to encourage healing. While some individuals may experience symptom relief, altering the tendon’s length or structure can sometimes create new issues, including:
- Lasting damage to nearby muscles, ligaments, or fascia
- Ongoing pain
- Exposure to metal particles in joint implants may lead to cellular or chromosomal changes
- Potential toxicity from metals such as cobalt and chromium
- Tissue reactions that may cause pseudotumor development
- Allergic responses to implant materials
- Increased risk of hip instability
In addition, surgery often does not address the underlying biomechanical factors that contributed to the injury, such as impingement, arthritis, tendon degeneration, or labral damage. Since tendons have a limited blood supply, post-surgical healing can be unpredictable, and reinjury may be more likely.2
Tendons are tough cords made of straight, parallel fibers of collagen that attach muscles to bones. Two tendons 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 the hamstring tendons.
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 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 that procedures using Regenexx injectates are currently covered only by self-funded health plans.
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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.
