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Non-Surgical Options For Hip Tendon Tears In McLean, VA

1750 Tysons Blvd., Suite 120 McLean, VA 22102

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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

1750 Tysons Blvd.
Suite 120
McLean, VA 22102

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Doctors

A physiatrist with vast experience in sports medicine and geriatric medicine, Dr. Dade approaches his patients’ pain by evaluating the whole person, not just the source of pain.

Understanding and respecting the symbiotic relationship between all systems within the human body is central to his all-inclusive approach to care and is integral to reducing pain. He is able to diagnose a variety of musculoskeletal conditions with precision and then develops comprehensive treatment plans.

In addition to being adept at conventional interventional techniques, Dr. Dade is highly skilled in regenerative medicine including: prolotherapy, platelet-rich plasma (PRP), and bone marrow concentrate.

A respected leader in his field, Dr. Dade had been recognized by his peers as one of Washingtonian magazine’s Top Doctors. He is a past recipient of the Congressional National Leadership Award for achievements in the medical community.

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Board certified in physical medicine and rehabilitation, Dr. Friedlis is one of few physicians in the Washington, DC, metropolitan area trained to perform platelet-rich plasma (PRP) treatments and is one of the first doctors in the area to use bone marrow concentrate for the treatment of musculoskeletal injuries.

His innovation and expertise has established Dr. Friedlis as the foremost practitioner of regenerative procedures for musculoskeletal injuries in the Washington, DC, area. Nationally recognized as an expert in pain, he is a frequent speaker at national conferences on regenerative treatments.

As an advocate for global stewardship, Dr. Friedlis has coordinated several medical mission trips to Central Mexico that were sponsored by the American Association of Orthopedic Medicine and provided much-needed pain management services to poor, rural communities. He also served as program director for a new medical outreach program that brought then-nonexistent pain management services to Lima, Peru.

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A native of Northern Virginia, Dr. Wagner returned to the area after completing his medical training throughout the state of Virginia. He believes that finding the definitive source of pain is critical to long-term recovery.

He combines his years of clinical experience and skills in advanced, non-surgical techniques with the latest medical technology with the goal of improved function and reduced pain for each patient and has helped countless patients resolve complex pain issues and return to healthy lives.

Dr. Wagner specializes in diagnosing and treating injuries of the spine, joints, tendons, nerves and ligaments by utilizing injection techniques. He is well-respected within his field and has lectured and mentored clinicians nationally on these innovative techniques and their application for treating chronic pain conditions.

He is frequently asked to share his expertise through speaking and instructional venues, including as a featured WebMD lecturer for low back pain. Dr. Wagner received the Physician’s Recognition Award from the American Medical Association for his commitment to continuing medical education.

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Throughout his regenerative medicine career, Dr. Newton has had the opportunity to treat patients of all activity levels, from all over the world. He looks forward to helping each patient by providing an accurate diagnosis and appropriate treatment plan.

As a sports medicine fellow in Cincinnati, Dr. Newton was able to evaluate and treat professional and elite level athletes, including athletes at Division I and III colleges and multiple high schools.

Now, double board-certified in sports and family medicine, Dr. Newton’s professional passion includes regenerative medicine and interventional orthopedics. He holds additional training certificates in musculoskeletal ultrasound and fluoroscopy.

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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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How will we communicate with you and provide information about Regenexx? Text is available for quicker response. Message and data rates may apply. Frequency varies. Reply HELP for help, STOP to unsubscribe. We may also reach out via email, phone, or other electronic means.

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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