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Opening December 1, 2027 in Bethesda, MD · Now scheduling new patients

Hip pain · Bethesda, MD

Hip pain treatment in Bethesda, MD

We treat hip arthritis, outer hip (gluteal tendon) pain, hamstring and groin pain, and labral tears, diagnosed with ultrasound and treated without surgery whenever possible.

What causes hip pain?

Deep groin pain with walking, putting on socks, or getting out of a car suggests hip arthritis or a labral problem. Pain on the outside of the hip that is worse lying on that side is usually gluteal tendinopathy, often called hip bursitis. Pain at the sit bone with sitting or running points to the hamstring tendon.

Back problems can also cause hip-area pain, so the exam checks the spine and sacroiliac joint too.

When to see an orthopedic doctor for hip pain

  • Groin pain with walking, stairs, or putting on shoes
  • Outer hip pain that keeps you from sleeping on that side
  • Pain at the sit bone with sitting or running
  • Clicking, catching, or locking in the hip
  • Hip pain that is limiting your activity

Get urgent care instead if you have

  • Inability to bear weight after a fall, especially in older adults
  • A hot, swollen, very painful hip with fever
  • Sudden severe hip pain in someone who takes steroids or has sickle cell disease

Hip pain treatment options

PRPPlatelet-Rich Plasma (PRP)A concentrate of platelets from a small draw of your own blood, placed precisely under ultrasound to calm pain and support tendon and joint healing.BMACBone Marrow Aspirate Concentrate (BMAC)A concentrate prepared from a small sample of your own bone marrow, drawn and injected in the same visit for joint and tendon problems.Lipogems (microfragmented adipose tissue)Lipogems: Microfragmented Adipose Tissue (MFAT)A small amount of your own fat tissue, gently processed and injected to cushion and support an arthritic joint or damaged tendon.MSK UltrasoundDiagnostic Musculoskeletal UltrasoundReal-time imaging of tendons, ligaments, muscles, joints, and nerves at the exam table, including while you move.Guided InjectionsUltrasound-Guided Joint and Tendon InjectionsOffice-based injections placed under live ultrasound, so the medicine reaches the exact structure that hurts.Cortisone InjectionCortisone (Steroid) InjectionsA targeted anti-inflammatory injection, placed under ultrasound, that calms a flare of joint, bursa, or nerve-tunnel pain so rehab can move forward.TenexPercutaneous Tenotomy (Tenex)Removes damaged tendon tissue through a tiny incision so healthy tissue can regenerate. Used for chronic tendinopathy and calcific tendinitis.Nerve ModulationNerve ModulationNerve blocks and stimulators, including peripheral nerve and spinal cord stimulation, that quiet the nerves carrying pain so rehab can move forward.Nerve AblationUltrasound-Guided Nerve AblationUses controlled heat or pulsed energy to quiet the small sensory nerves carrying chronic joint or tendon pain.Joint DenervationJoint DenervationTreats the nerves that carry pain from the knee, hip, shoulder, elbow, wrist, sacroiliac joint, foot, or plantar fascia; an option for people delaying or avoiding joint replacement.PNSPeripheral Nerve Stimulation (PNS)A thin lead placed near a nerve delivers mild electrical pulses that reduce chronic nerve or musculoskeletal pain.Botulinum ToxinBotulinum Toxin InjectionsRelaxes overactive muscles or reduces nerve-related pain in spasticity, exertional compartment syndrome, neuropathy, and ischiofemoral impingement.ShockwaveExtracorporeal Shockwave Therapy (ESWT)Focused sound-wave pulses delivered through the skin, with no needles or downtime, to stimulate healing in chronic tendon and heel pain.Rehab PlanningRehabilitation and Return-to-Activity PlanningA strength-first plan, coordinated with your physical therapist, that sets clear milestones for getting back to training, work, and sport.

Questions about hip pain

What kind of doctor should I see for hip pain?
A sports medicine or orthopedic physician. Propel's physicians separate joint, tendon, and back causes of hip pain and treat most without surgery, with referral to a hip surgeon when replacement or repair is the better option.
Is outer hip pain bursitis?
Usually the main problem is the gluteal tendons rather than the bursa. That matters because tendon loading exercises, not rest, are the core of treatment.
Can I delay a hip replacement?
Many people with hip arthritis stay active longer with strength work, weight management, guided injections, and sometimes orthobiologics. These do not regrow cartilage, but they may ease pain and improve function.

What to expect at your visit

  1. 1.

    We listen first

    Your visit opens with a real conversation: how the problem started, what you have already tried, and the activity you want back.

  2. 2.

    Exam and in-office ultrasound

    A hands-on exam, then ultrasound at the exam table, often while you move, so your physician can see the tendon, joint, or nerve involved.

  3. 3.

    A clear diagnosis and plan

    You leave knowing what is wrong and what your options are, from strength-based rehab to procedures, and why we recommend each one.

  4. 4.

    Treatment and follow-through

    Most procedures happen here in the office. We coordinate with your physical therapist and check progress against the goals you set.

Rehab protocols

Dr. Gruner's week-by-week recovery guidelines. Your plan is individualized; follow these with your physician and physical therapist.

Opening December 1, 2027

Ready to get back in motion?

We are scheduling new patients now. Book an evaluation to find out what is causing your pain and how to treat it.

Call the front desk

(301) 200-9025

frontdesk@propelsportsortho.com
Fax (301) 664-1148

Email frontdesk@propelsportsortho.com

Call (301) 200-9025Request