Advanced Wellness offers comprehensive hip pain treatment to restore mobility and relieve unpleasant sensations. Our experienced specialists know how to deal with the root causes of this condition, including arthritis, tendinitis, and injuries. After making an accurate diagnosis, we create customized treatment plans that combine the most effective techniques, such as physical therapy and regenerative medicine. Each provider at Advanced Wellness is dedicated to excellent care and patient satisfaction. We aim to relieve pain as quickly as possible and make sure that it never appears again.
Arthritis is one of the most common causes of hip pain, especially as people get older. There are three main types of this condition: osteoarthritis, rheumatoid arthritis, and psoriatic arthritis. All of them can affect the hip joint and lead to severe pain. Osteoarthritis is characterized by the breakdown of cartilage over time, causing bones to rub against each other. This often occurs due to the overuse of the hip joint from repetitive activities like sports, dancing, or manual labor. Rheumatoid arthritis is an autoimmune condition where the organism starts attacking healthy cells, causing joint inflammation. Psoriatic arthritis has the same symptoms, but it originates from the chronic disease called psoriasis.
The joint pain from arthritis starts out as stiffness and discomfort during or after movement. As it worsens, the aches become dull and constant, even at rest. Sharp, stabbing pains may also occur when walking or standing up. The affected joint loses its range of motion and flexibility.
Tendinitis and bursitis are inflammatory conditions that can also cause hip pain. Tendinitis occurs when the tendons around the hip become swollen, often from overuse injuries or repetitive strain. Activities like running, jumping, squatting, or dancing can overwork the hip tendons and lead to irritation and pain. Bursitis is characterized by the inflammation of the fluid-filled sacs (bursae) around the joints. The bursae provide cushioning between bones and tissues. Too much friction due to arthritis, injuries, or muscle imbalances can irritate them.
The pain from hip tendinitis and bursitis usually begins as soreness and stiffness in the hip area. Lifting the leg out to the side or turning it inward tends to provoke the most intense aches. There may also be weakness, swelling, or tenderness directly over the affected tendon or bursa.
Many types of injuries can cause acute pain and disability. Hip fractures occur when the upper thigh bone breaks near the hip joint, usually from a major fall or trauma. If it happens, patients must contact a doctor immediately. There can also be hip dislocations, where the ball of the thighbone completely comes out of the socket, caused by very forceful movements like car accidents. Both fractures and dislocations require prompt medical treatment to stabilize the hip joint. Hip labral tears are small rips in the ring of cartilage around the hip socket. They are often caused by repetitive motion in athletes or normal wear-and-tear in middle age. These injuries can lead to deep hip pain, stiffness, and loss of strength during physical activity.
Besides the most common hip conditions described above, pain may also be caused by the following:
Hip impingement (femoroacetabular impingement): Abnormal hip anatomy that leads to painful rubbing and damage in the joint.
Sciatica: Irritation of the sciatic nerve that causes pain to radiate down the back of the thigh.
Pinched nerves: Nerves in the hip area get compressed, leading to strong aches.
Lupus: Joint inflammation from this autoimmune disease can also affect the hips.
Osteomyelitis: An infection in the hip bone that leads to progressive pain and damage.
Bone cancer: Malignant tumors growing in the hip bones.
Hip dysplasia: Abnormal hip development that causes arthritis and joint problems.
Osteonecrosis: Loss of blood flow to the hip bone which leads to bone death and collapse.
Pain management focuses on medications and injections to reduce inflammation and discomfort.
Chiropractic care uses spinal manipulation and mobilization to align the joints and relieve pressure on nerves.
Occupational therapy helps patients regain function and return to daily activities through exercise and lifestyle changes.
Orthopedic care focuses on realigning the joint structure and providing supportive devices to improve mobility and function.
Regenerative medicine, like PRP injections, uses the patient's own platelets (small cell fragments in the blood) to stimulate healing and tissue regeneration.
Spinal decompression involves gently stretching the spine to create more space between vertebrae (bones) and reduce nerve irritation.
Acupuncture uses thin needles along meridian lines (energy channels) to activate the body's natural pain relief mechanisms.
Shockwave therapy directs powerful sound waves onto the affected area to promote blood flow and cell repair.
Virtual reality therapy immerses patients in games and simulations to distract them from pain signals.
Physical therapy is one of the best remedies for patients experiencing hip pain. Under the guidance of a skilled professional, they can learn exercises and stretches to strengthen muscles around the hip joint. These activities may help to stabilize the joint, improve flexibility and range of motion, and prevent future injury. We develop customized home exercise programs so patients can continue their recovery independently. By rebuilding strength and correcting muscle imbalances, physical therapy facilitates healing and long-term relief from hip pain.
The length of recovery depends on the underlying cause and interventions used. During the period of healing, patients should aim to reduce inflammation, improve mobility, strengthen muscles around the hip joint, correct underlying mechanical issues, and prevent future re-injury. Recovery often starts with rest, ice, and compression to allow the acute inflammation to subside. Then, physical therapy focuses on gentle stretches and exercises to improve flexibility while building up muscle strength and endurance over time.
The time that is needed for recovery also depends on factors like age and adherence to treatment plans. Full healing can take anywhere from a few weeks to several months. Being consistent with aftercare and having realistic expectations are crucial for an optimal recovery. Staying active also helps to rebuild strength while allowing the tissue to heal. With our customized treatment plans and high standards of care, most people find relief from their hip pain and return to an active lifestyle.
Hip pain is a common complaint that undermines people's quality of life. Therefore, comprehensive treatment is needed to address the root causes. Potential candidates for our hip pain therapy include patients with the following characteristics:
People with chronic hip pain lasting more than 3 months may benefit from conservative treatments...
less than 3 months ago may be able to avoid surgery by undergoing physical therapy, PRP...
New Patients: 
317-743-3327
Dr. Gary L. Yen is Board certified in Physical Medicine and Rehabilitation and has a sub-specialty in Pain Medicine. Dr. Yen grew up in Long Island, NY and received his medical degree from Ross University. He completed his internship in Internal Medicine at Lutheran Medical Center in Brooklyn, NY and performed his residency in Physical Medicine and Rehabilitation at Stony Brook University, where he was chief resident.
Dr. Yen completed a pain management fellowship at RehabNY in Buffalo, NY, during which he served as the assistant athletic trainer to the Buffalo Bison, the Minor League AAA baseball team for the Cleveland Indians, as well as the Niagara University men’s and women’s collegiate hockey team.
The former chairman of the Physical Medicine & Rehabilitation Division of the Pain Management Department at CentraState Medical Center, Dr. Yen specializes in the non-operative treatment of a variety of joint, muscular, nerve, skeletal, spine and sports related injuries. He treats acute and chronic pain syndromes and performs electrodiagnostic studies. Dr. Yen also performs variety of interventional pain procedures and minimally invasive spine surgery for the relief of pain. He utilizes conservative treatments such as physical therapy, chiropractic care and acupuncture in conjunction with other procedures to enhance long term benefits. Dr. Yen believes in working with patients to create individual treatment plans.
When not attending to his patients, Dr. Yen likes to play golf, cook, and has a passion for playing the saxophone and piano. He is the proud father of two boys.
