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Hip & Knee Pain

Your hips allow for much of your everyday moments like standing, sitting and walking. Likewise, the knee is integral to the simple activities of daily life. The hip joint is a ball and socket while the knee is more of a hinge-type joint. Both the knee and the hip joints are held firmly in place by ligaments. Both types of joints utilize a capsule filled with fluid that lubricates the motion of each joint.
While there are many different joint conditions, here are some of the more common conditions associated with hip and knee pain.
Osteoarthritis in the Hip and Knee Joints
Arthritis leads to inflammation of the joints and the breakdown of the cartilage that cushions your bones and allows the hip and knees to move freely within the joint. When the cartilage wears down, the bones begin to rub against one another with no cushion. This can also cause bone spurs in the joint.

Arthritis is more common in older people and tends to get worse over time. It may start out with some pain experienced when pressure is placed on the joints, particularly when standing. A limp might even be present to reduce the pressure against the bones within the joints. People with arthritis also feel stiff and have a reduced range of motion in both their hips and knees. Typically this condition does not get better and a pain management specialist can help provide relief for pain caused by arthritis.

Piriformis Syndrome
The small piriformis muscle is located deep in the buttock region; it begins at the lower spine, wraps around the side and then connects to the upper part of each thigh bone. This muscle helps the hips rotate and allows the legs and feet to turn outward. The sciatic nerve is located under the piriformis muscle. Tightness or muscle spasms in the piriformis muscle may cause the sciatic nerve to become compressed which can cause pain, tingling, and numbness in the back of the leg into the feet. This is called piriformis syndrome.

Other symptoms of piriformis syndrome include a dull ache in the buttock, hip pain that worsens when walking up stairs or hills and after sitting for a long period, and reduced range of motion in the hips.

Greater Trochanteric Bursitis
One of the primary causes of hip pain is bursitis, which is caused by an inflammation of the bursa. The bursa is a fluid-filled sac that serves as a cushion between bone and soft tissue and helps keep the joint moving freely. Each hip as two major bursae. The bursa at the outside portion of the hip is called the greater trochanter. When this sac becomes inflamed, it forms a condition called greater trochanteric bursitis. It is usually caused by incorrect posture, soft tissue stresses like arthritis, prior hip surgery, bone spurs, overuse of the hip joint, or injury to the hip joint from a fall or bumping into an object.

Symptoms of greater trochanteric bursitis include pain: walking up stairs, on the outside of the hip and thigh, in the buttock, while lying on one side, when pressing in or on the outside of the hip, that worsens when you get out of a deep chair or out of a car.

Sacroiliitis
Sacroiliitis is an inflammation of the sacroiliac joints which connect the bones of the spine to the pelvis. Often times with repeated stress to these joints, people can develop a debilitating pain that can appear in a variety of nonspecific ways.

These people often experience one ore more of the following symptoms:

  • low back pain
  • buttock pain
  • pain that can radiate to the hips, groin, or back of the thigh.

Typically, the pain is worse when standing, walking, and when body weight is shifted to one leg or the other.

Hip & Knee Pain Treatment
Because hip pain can make sitting, standing, and walking unbearable it’s not something that should be ignored. Fortunately, effective treatments for hip pain are available, including:

  • Physical therapy
  • Injecting low, targeted doses of pain medication into the precise area of the hip causing pain
  • Stimulators
  • Laser therapy uses low level laser therapy to help reduce pain and inflammation
  • Radiofrequency ablation which deactivates pain signals from the nerves to the brain
  • Oral and topical medications to relieve pain

And, in cases where non-surgical techniques don’t work, you may be referred to a surgeon.

Hip & Knee Pain Treatment
Because hip pain can make sitting, standing, and walking unbearable it’s not something that should be ignored. Fortunately, effective treatments for hip pain are available, including:

  • Physical therapy
  • Injecting low, targeted doses of pain medication into the precise area of the hip causing pain
  • Stimulators
  • Laser therapy uses low level laser therapy to help reduce pain and inflammation
  • Radiofrequency ablation which deactivates pain signals from the nerves to the brain
  • Oral and topical medications to relieve pain

And, in cases where non-surgical techniques don’t work, you may be referred to a surgeon.

Learn more about some of the common causes of abdominal pain that we treat at our office in The Woodlands.
The pelvic region of the body is located between the abdomen and the thighs (below the belly button and above the legs.) The pelvis protects internal organs including the bladder, intestines, and reproductive organs and supports the hip joints.

Chronic abdominal pain is noticeable but not crippling pain that lasts for more than a few days. It may also appear on and off over the course of several months. This type of persistent, nagging abdominal pain may be caused by a condition that needs to be treated, but is not an emergency and won’t go away on its own.

Reproductive Conditions
Chronic pelvic pain in women may be caused by:

  • Endometriosis - when uterine tissue grows in other parts of the body, including the pelvis, causing pain and scarring
  • Fibroid tumors - non-cancerous growths in or on the uterus

In men, it may be caused by prostatitis (inflammation of the prostate).

In men or women, chronic pelvic pain may be due to irritable bowel syndrome (IBS), interstitial cystitis (a common bladder problem) or another condition of the digestive tract.

Pudendal Neuralgia
The pudendal nerve is the main nerve in the pelvis that supplies sensation to the lower buttocks, anal region, and genital region of both men and women. Pudendal neuralgia is a condition that occurs when this nerve is damaged or irritated. Symptoms of pudendal neuralgia include pelvic pain that feels like a burning, shooting, or prickling sensation. Pain may develop suddenly or gradually and may be constant but worse while sitting down. Other symptoms may include numbness in the pelvic region, pain during sex, and feeling a swelling sensation in your buttocks and genital regions.
Tailbone Pain
The tailbone, also known as the coccyx, is the small, triangular bone at the bottom of the spine. Tailbone pain is usually caused by trauma to the area resulting from

  • a fall
  • a blow to the area
  • repetitive friction in the area – from bicycling, for example
  • prolonged sitting on a hard surface
  • joint degeneration
  • injury to a woman’s tailbone during childbirth

Symptoms of tailbone injury include severe, localized pain and tenderness and possibly bruising.

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Pain Management Specialists
in The Woodlands

Pain Management Center of Houston is a multi-faceted pain management practice that is focused on providing pain relief to patients in The Woodlands and surrounding areas. Our goal is to help patients find the cause of their ongoing pain so that we can not only provide relief, but treat the source of the pain.

Start your path to pain relief, a better future, and a more promising quality of life.

pain management doctor houston
What is Radiofrequency Ablation?
After identifying which spinal nerves are causing a patient’s back pain, the doctor performs radiofrequency ablation to deactivate the part of those nerves that are signaling pain. Guided with x-ray imagery, the doctor guides a tiny probe into the spinal area until it is positioned next to the targeted nerve. Electrical pulses are passed through the probe, heating it up and destroying the part of the nerve that was sending pain signals to the brain. The targeted nerves still function, they’re just unable to transmit pain sensations.

There is a numbing agent given to the local area being treated. The patient remains awake during the procedure that usually takes less than an hour. Patients are able to go home the same day.

What is COOLIEF* Radiofrequency Ablation?
Like other radiofrequency ablation procedures, COOLIEF* disrupts pain signals. Unlike other radiofrequency ablation procedures, COOLIEF* uses water-cooled technology. Water is circulated through the probe at the same time the nerves are being heated. This creates a larger treatment area that leads to better, long-term pain relief and ensures that pain-transmitting nerves being targeted are not overheated, which protects surrounding muscle tissues from side effects like inflammation. COOLIEF* is simply a better version of a proven pain-relieving procedure.
What is Radiofrequency Ablation?
After identifying which spinal nerves are causing a patient’s back pain, the doctor performs radiofrequency ablation to deactivate the part of those nerves that are signaling pain. Guided with x-ray imagery, the doctor guides a tiny probe into the spinal area until it is positioned next to the targeted nerve. Electrical pulses are passed through the probe, heating it up and destroying the part of the nerve that was sending pain signals to the brain. The targeted nerves still function, they’re just unable to transmit pain sensations.

There is a numbing agent given to the local area being treated. The patient remains awake during the procedure that usually takes less than an hour. Patients are able to go home the same day.

What is COOLIEF* Radiofrequency Ablation?
Like other radiofrequency ablation procedures, COOLIEF* disrupts pain signals. Unlike other radiofrequency ablation procedures, COOLIEF* uses water-cooled technology. Water is circulated through the probe at the same time the nerves are being heated. This creates a larger treatment area that leads to better, long-term pain relief and ensures that pain-transmitting nerves being targeted are not overheated, which protects surrounding muscle tissues from side effects like inflammation. COOLIEF* is simply a better version of a proven pain-relieving procedure.