American Hip Institute

Non-surgical Treatments

 Physical Therapy

Physical therapy can provide strengthening and conditioning of a joint to compensate for an injury. Physical therapists often provide varying modalities for treatment of injuries, including assisted stretching, massage and strengthening. Physical therapy is also a useful tool in retraining a joint after surgery. It is highly affective in facilitating an athlete to return to sport in a safe manner.

Ultrasound Guided Injections

Dr. Domb and his team are highly trained in ultrasound-guided injections. These procedures are performed in the office at the time of your visit. The ultrasound machine assists Dr. Domb and his Physician Assistants to safely place injectable medications into or around the joint. Hip injection options include:

Diagnostic injections: Comprised of local anesthetic, designed to confirm or deny the intra-articular cause of your hip pain. The injection may take up to 30 minutes to work. It is considered a diagnostic procedure, not a form of treatment.

Cortisone: A combination of steroid medication and local anesthetic to provide pain relief and decrease inflammation caused by an inflammatory process, muscle sprain or strain, intra-articular injury or arthritis. A patient can have a cortisone injection every 3-4 months

  • Intra-articular
  • Trochanteric bursitis
  • Iliopsoas tendinosis
  • Piriformis tendinosis

Platelet Rich Plasma (PRP) is an injection of your own platelets & growth factors, similar to stem cell treatment, extracted from your blood. The blood draw & injection are done at the same office visit, an outpatient clinical procedure.

PRP has shown great promise in stimulating repair of body tissues including tendons, ligaments & cartilage.  PRP mimics the body’s innate response to an injury by stimulating platelet activation. The activation of platelets plays a dynamic role in soft tissue healing. Research shows that PRP is superior to other injections in the treatment of osteoarthritis and healing of chronic tendinitis.

In osteoarthritis, PRP can enhance the body’s normal healing response in an acute manner for a chronic condition. This can result in the development of new collagen, a benefit that other injections are unable to offer.

In tendinitis, the growth factors in PRP can signal the body to initiate a healing response in the local injected tissues. Healing is the first step in injured tissues regenerating their strength and function. It has been used extensively in professional athletes who seek hurried return to play. Star athlete success stories include: Kobe Bryant (NBA), Tiger Woods (PGA tour), Alex Rodriquez (MLB), Hines Ward (NFL) and Rafael Nadal (ATP).

If you have an injury or condition involving a tendon, ligament, joint or osteoarthritis, PRP may be a nonsurgical option for you.

Indications (including but not limited to):

  • Osteoarthritis (Intraarticular)
  • Tendinosis & Tendinitis

Process

  • 3 Injections spaced 1 week apart x 3 weeks
  • Can have injection series every 6 months
  • Day of Injection
    • Blood Draw
    • Centrifuge x 5 minutes
    • Ultrasound Guided Injection

Left Image: A special centrifuge is used to extract the part of the blood that is rich in growth factors.

Right Image: Plasma can now be inserted to the injured area.

The articles listed below relate to the relevance and success of Platelet Rich Plasma Injections