Dr. Cary Sanders, MD
Board-Certified Orthopedic Surgeon in Roseburg, OR
Specializing In Hip & Knee Replacements
Hip Conditions and Treatments In Roseburg Oregon
Hip pain
Hip pain is a common and potentially limiting condition. The hip connects your pelvis/spine to your legs. Several large and powerful muscle groups attach around the hip joint. The hip joint is a ball and socket joint which consists of the top end of your femur bone (femoral head) and the hip socket (acetabulum) is located on the side of your pelvis. Pain can come from conditions related to this joint, its surrounding muscles, and spinal conditions.
Treatment Options
Evaluating hip pain involves x-rays, a physical exam, and in some cases blood tests or advanced imaging such as MRI scans.
Avascular necrosis of the hip
Several bones in the body are extensively covered in cartilage resulting in limited blood flow to these areas. These bones include the ball of the hip, the ball of the shoulder, and specific wrist and ankle bones. When blood supply to these areas is lost, a portion of the bone will die. When bones die, the involved area of bone may soften and eventually collapse resulting in pain, arthritis, and difficulty with ambulation. The severity and progression of this disease depends on the size of the involved area and determines treatment options.
Risk factors for avascular necrosis include alcoholism, high dose steroid use, hip dislocation, certain medications, hip fracture, and commonly no known cause is identified (idiopathic). Evaluation for this includes a physical exam and x-rays. If avascular necrosis is suspected, an MRI confirms the diagnosis.
Treatment Options
If caught early, the area of affected bone may be removed and bone graft placed. If collapse and arthritis has already occurred, total hip replacement may be the surgical treatment of choice.
Regain Your Hip Movement
Schedule a consultation with our orthopedic surgeons in Oregon to improve your quality of life and get back to the activities you enjoy.
Regain Your Hip Movement
Schedule a consultation with our orthopedic surgeons in Oregon to improve your quality of life and get back to the activities you enjoy.
Hip Bursitis or Trochanteric Bursitis
Bursa sacs are common structures found throughout the body in areas of friction where structures must slide over each other. In the hip, the largest bursa is found over the outside of the hip under a large thick band called the iliotibial (IT) band. When this bursa becomes inflamed, it causes significant lateral or side hip pain.
Symptoms
Common symptoms include pain when lying on the affected side while sleeping and pain on the outside of the hip while walking.
Treatment Options
Treatment for this is largely conservative with anti-inflammatory medications, steroid injections, and physical therapy. Physical therapy is often used to help stretch the IT band and take stress off the bursa. Rarely, surgical removal of the bursa sac is performed to alleviate pain.
Iliotibial band pain
The iliotibial band is a long structure extending from the top of the pelvis to the outside of the knee just below the knee joint. This band can become tight and painful resulting in pain that can radiate from the hip all the way down to the knee. Sometimes the presentation of this is closer to the knee joint.
Treatment Options
Treatment for this focuses on physical therapy for stretching of the band along with anti-inflammatory modalities and medications.
Tendon tears of the hip
The hip has several large muscle groups that attach to it and are critical for its function. Some of the most important muscle groups include the gluteal tendons which attach on the outside upper end of the femur. In rare cases, hip bursitis can also include gluteal tendonitis with tears. The spectrum of these tears can be mild too severe.
Diagnosis of these tears usually is confirmed with an MRI scan. Oftentimes patients have been treated many times for hip bursitis without improvement or resolution.
Treatment Options
Treatment for gluteal tendon tears include anti-inflammatory medications, cortisone injections, and physical therapy. In cases where tears are painful and limiting, surgery is recommended when non-surgical treatments have failed.
Regain Your Hip Movement
Schedule a consultation with our orthopedic surgeons in Oregon to improve your quality of life and get back to the activities you enjoy.
Regain Your Hip Movement
Schedule a consultation with our orthopedic surgeons in Oregon to improve your quality of life and get back to the activities you enjoy.
Painful retained hardware of hip
Fracture care and ligament reconstructions often require placement of instrumentation such as plates, screws, and rods. At times these surgical devices or hardware are located in places where they can be felt through your skin. Commonly, we don’t recommend removing orthopedic hardware or other instrumentation used for surgical fixation of fractures unless it becomes painful. However, when prominent screws, plates, or other devices become bothersome removing them may be recommended.
Dislocation of the Prosthetic Hip
An uncommon complication after hip replacement can be dislocation of the prosthetic ball and socket. This complication can occur within a few weeks of the surgery, or many years after surgery. Dislocation can be extremely painful and can cause inability to perform daily activities.
Treatment Options
There are various causes for prosthetic hip dislocation. These may include trauma, poor placement of prosthetic components, or severe wear of the prosthetic hip components. If dislocations occur multiple times, surgical revision is commonly recommended for the hip replacement.
Regain Your Hip Movement
Schedule a consultation with our orthopedic surgeons in Oregon to improve your quality of life and get back to the activities you enjoy.
Regain Your Hip Movement
Schedule a consultation with our orthopedic surgeons in Oregon to improve your quality of life and get back to the activities you enjoy.
Dr. Bishop and his team got me in last minute after my referral got lost between my PCP and their office. The front desk was polite and helpful. Their paperwork was minimal. X rays were quick and waiting time in the room was minimal before Dr. Bishop came in. He explained everything clearly and have me a copy of all of his recommendations before asking me to schedule a follow-up visit.
Dr. Bishop and the staff at Cascade Orthopedics have been professional, courteous, and the surgery that I just had went extremely well. I couldn’t ask for better results.
Dr. Cary Sanders is a very knowledgeable and compassionate doctor. He explains things very well. I highly recommend him. The office staff is very friendly and helpful also. Ben Baird is also top notch and has given me numerous cortisone and lubricant injections on my knee. Both my wife and I have seen Dr. Bishop and he has our highest recommendation also.
Dr. Sanders has been seeing me regarding my knee for the past 4 years. After all the years of dealing with knee pain and injection shots, it has been agreed that it is time to get a knee replacement. Dr. Sanders and his staff are incredible.
Everyone was great. Hardly any wait time. The doctor was very knowledgeable and drew a picture of what’s going on in my elbow. Received a shot, it’s feeling better already. Definitely refer anyone that needs an orthopedic doctor.
My little guy got the best care here after breaking his arm on the trampoline. We seen Benjamin Baird, PA, and were impressed with his genuine interest and kid approved humor. We hope we aren’t back anytime soon, but if there are any more breaks, we’d choose Cascade again.
Dr. Brandon Bishop and the Team at Cascade Orthopedic were exceptional to work with. From the first appointment, to my surgery and to the last appointment, they treated me with compassion and professionalism. I have recommended Dr. Bishop to my friends and will continue to recommend him.
Dr. Sanders, from Cascade Orthopedic Specialists, did a much needed right kbee replacement for me in October 31, 2024. I received top level care from their staff, both pre-op and post-op. Hospital care and treatment at Mercy was excellent. Rehab at Theropy Plus was painful for the first two weeks, but healing came quickly. I now have great range of motion and living pain free with my new knee. Thank you, everyone.
Was referred to Cascade to see Dr. Bishop . For my plantar fasciitis.From the scheduling of appointments, front desk help Amanda and my initial appointment w Dr. Bishop hands down the best experience ever. Had my 2nd appointment for cortisone shot, from the stories you hear it’s terrifying. Dr. Bishop did it w such care minimal pain. Definitely recommend this entire facility.
Kind , efficient staff! Dr Bishop is compassionate, and easily understood. I feel he truly has his patients’ well being at heart!
Hours
Mon – Thu 8:00 am – 5:00 pm
Friday 8:00 am – 1:00 pm
Sat – Sun Closed
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