Hip Care | Carolina Regional Orthopaedics

TREATING HIP PAIN IN THE ROCKY MOUNT AREA

Considering the hip joint is a ball and socket that allows the thigh to move in different directions and bears much of your body weight, it is vulnerable to painful and sometimes debilitating injury or joint deterioration.

Whether your hip pain is the result of a sports-related injury, a degenerative disease like arthritis, a fall, or other cause, you need the best treatment to relieve your pain and get you back to doing what you enjoy.

Hip Pain Conditions and Injuries We Treat:

Dr. Bernard Kemker.jpg

Dr. Bernard P. Kemker, III

Director of Hip & Knee Services

TREAT HIP PAIN INJURIES

When you have chronic hip pain, a task as simple as tying your shoes can become unbelievably difficult. With the help of a leading orthopedic surgeon at Carolina Regional Orthopaedics, you can restore and replace your damaged hip joint in an effort to improve your quality of life.

Dr. Kemker takes pride in returning his patients back to their normal activities, such as sports, working in their gardens, workshops, and regaining their independence from their hip and knee pain. Through Dr. Kemker's training and fellowship he has become focused on the treatment of advanced reconstruction problems, such as fracture repair, infections and wound care, and the failure of hip and knee replacements. His goal is to keep expert care close to home.

WHAT OUR PATIENTS ARE SAYING?

G.W.

Great office to get treatment and physical therapy. Appointments are made easily, and they work well with your schedule. Dr. Kemker and the medical staff are knowledgeable, patient, and easy to communicate with. The PT staff is very knowledgeable and works at an appropriate pace while introducing new exercises to encourage strengthening. I especially enjoyed learning which muscles the exercises helped strengthen. Great experience for me.

L.H.

Can't say enough about Dr. Perlmutter and Dr. Kemker. They are surgeons, but their care, compassion, and dedication to their patients are unbelievable. You don't feel like a patient, you feel like part of their family. Thanks to these 2 men, my life will continue. I am on the road to full recovery. If I could give 100 stars, it still wouldn't be enough. Thank you both for your dedication and concern. Collaborating together and giving me a normal life again. God bless you both.

Common Questions About CRO Hip Treatment and Care Services

 

Do I have bursitis of the hip?

 

Bursitis of the hip is usually diagnosed by observing pain or swelling over the bursa. An X-ray may be necessary to look for bone spurs or irritation of the bursa. An MRI is another test that may be necessary to assess the extent of the bursa's damage. If bursitis is suspected, you should avoid any activity that is painful, such as lifting heavy objects, running, or jumping. There are several causes of bursitis of the hip, including repetitive stress on the hip, tendinopathy of the surrounding musculature, and traumatic injuries to the hip. Your CRO doctor will perform a physical examination, plus other tests as needed, to discern the root cause of your particular issues.

 

Do I have arthritis of the hip?

 

There are a number of common hip injuries caused by arthritis as the underlying condition. In most cases, these conditions are caused by excessive wear and tear on the hip joint's cartilage. The pain associated with this condition usually originates in the groin area but may also occur in the outer thigh or upper buttock area. The condition can make daily activities such as walking or running difficult. The pain can also be accompanied by a creaking noise in the hip known as crepitus. Your CRO hip doctor can help you figure out the underlying cause of your hip fractures and/or pain, whether the issue is osteoarthritis, rheumatoid arthritis, or another medical issue.

 

Do I need hip surgery?

 

If your CRO hip doctor believes that your injury or health condition has damaged your hip joint, they will recommend a surgical procedure to replace the joint. During hip surgery, your surgeon removes damaged parts of the hip joint and replaces them with artificial parts to restore function and reduce pain. Hip replacement is also known as total hip arthroplasty. If nonsurgical treatments have not been effective, hip replacement may be your best option.

Ready to pursue hip pain treatment? Give our team a call today.

HIP ARTHRITIS

Osteoarthritis is a common form of arthritis that tends to affect people as they age. As well as the hip joints, it most often affects the hands, spine, knees, and feet. It is associated with degeneration of the joint cartilage and with changes in the bones underlying the joint. The exact cause of osteoarthritis is not known, but genetics, stress on the joint, and local inflammation are thought to play a role.  

Osteoarthritis in the hip can lead to pain in the groin or buttock area, particularly while walking. Movement of the hip may also be restricted.

 

HIP FRACTURE OR DISLOCATION

A hip fracture is a break in the upper quarter of the femur (thigh) bone. The extent of the break depends on the forces that are involved. The type of surgery used to treat a hip fracture is primarily based on the bones and soft tissues affected or on the level of the fracture.

The "hip" is a ball-and-socket joint. It allows the upper leg to bend and rotate at the pelvis. An injury to the socket, or acetabulum, itself is not considered a "hip fracture." Management of fractures to the socket is a completely different consideration.

In general, there are three different types of hip fractures. The type of fracture depends on what area of the upper femur is involved.

  • Intracapsular fracture

  • Intertrochanteric fracture

  • Subtrochanteric 

The type of surgery generally depends on where and how severe the fracture is, whether the broken bones aren't properly aligned (displaced), and your age and underlying health conditions.
The options include:

  • Internal repair using screws

  • Total hip replacement

  • Partial hip replacement

 

TROCHANTERIC BURSITIS

They contain a small amount of fluid and are positioned between bones and soft tissues, acting as cushions to help reduce friction. Bursitis is inflammation of the bursa. There are two major bursae in the hip that typically become irritated and inflamed. One bursa covers the bony point of the hip bone called the greater trochanter. Inflammation of this bursa is called trochanteric bursitis.

Another bursa — the iliopsoas bursa — is located on the inside (groin side) of the hip. When this bursa becomes inflamed, the condition is also sometimes referred to as hip bursitis, but the pain is located in the groin area. This condition is not as common as trochanteric bursitis but is treated in a similar manner.