Dr. Alvin Philipose DC/ Charnelle Dean APRN
Prolotherapy Injections Specialist Near Me in Oklahoma City, OK

405.848.7246
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Hip Pain

A Oklahoma City, OK and Surrounding Areas Chiropractor’s Perspective

The hip joint is one of the largest and strongest joints in the human body. Identified by its classic “ball and socket” joint type, it is the joint where the head of the femur (ball) meets the acetabulum of the pelvis (socket). Because the head of the femur sits within the cup-like acetabulum, the hip joint is extremely stable. The hip joint is also surrounded by a ring of cartilage known as the labrum, which further reinforces the joint and keeps the femur head safely within the acetabulum. Several different powerful muscles move the hip, such as the hip flexors and gluteal muscles, which account for much of the range of motion of this joint.
You will rarely hear about a hip joint completely dislocating – it would take an extraordinary trauma like a car accident to cause that. This is a stark contrast to the shoulder joint, which is less stable and more commonly can be dislocated. However, the hip joint can still come out of its normal alignment, and this can affect the overall function of the hip joint. If the hip joint becomes misaligned, it can have a drastic effect on how our body bears weight and cause imbalances that can lead to issues in the hips, knees, and ankles. The hip joints bear a tremendous amount of weight, so it is vital that the weight is evenly distributed through both joints.
Pain in this joint is incredibly common, and can be due to how much movement and weight-bearing the joint provides. If the pain is due to a misalignment or compression of the hip joint, then chiropractic is one of the best and safest ways to address this to provide fast relief. It is essential to identify the root cause of the hip pain to properly treat it. Dr. Alvin Philipose treats hip pain every day, and they are ready to help you understand what is causing your pain, and what the best course of action is to fix it.

How We Treat Hip Pain in Oklahoma City, OK and Surrounding Areas

New Patient Consultation and Exam

At Venturis Clinic, your first visit will always begin with a new patient consultation. Before any treatment or exams will be done, Dr. Alvin Philipose wants to sit down with you and discuss the problem in detail. He will then ask you several questions about your pain, when it started, what it feels like, and how long you’ve been dealing with it. Dr. Philipose will also ask you about the impact the pain has had on your life. Has it kept you from going to work? Has it disrupted your sleep? Are you not able to get on the ground and play with your grandkids? Dr. Alvin Philipose wants to know what is important to you, so they can get to know you better and understand what your goals are.
After the consultation, the doctor will take you through the new patient examination. They will perform several orthopedic, neurologic, and movement tests that will provide valuable information about the root cause of your hip pain. Is it a muscle problem? A joint problem? Some combination of both? The examination is all about taking many different puzzle pieces and seeing how they fit together. This is where the root cause of the problem lies. Once that is identified, it is the doctor’s job to explain these exam findings to you and provide you with their best recommendations for how to address the problem and meet your goals.
Call to Schedule a Complimentary Consultation
405.848.7246
Ask about Digital Motion X-Ray Imaging
Offering variety of pain management solutions 

Specific Chiropractic Care in Oklahoma City, OK and Surrounding Areas

When it comes to hip pain, there are usually several different elements involved. It’s very important to look at the whole patient rather than just the area of the problem. Therefore, chiropractors are so effective at treating hip pain. Not only do they address the hip joint itself through chiropractic adjustments, but they also adjust the pelvis and lower back as well, which operate very closely with the hip joints to provide optimal function in this region.
Chiropractic adjustments are gentle and extremely effective. They correct the misalignment, which can improve mobility and decrease pain. Many times, a care plan is required for your body to fully adopt the changes that are being made through your care. Dr. Alvin Philipose will outline your care plan in detail and make sure you understand why it is important to follow it as intended.

Therapeutic Stretching

When it comes to hip pain, in most cases there is some degree of muscle imbalance occurring in the muscles that surround the hips and pelvis. For example, if you have a desk job, there is almost certainly muscle weakness existing in the gluteal muscles because they are turned off when you sit – they are not needed for any type of work. Over time, they get weak, and it causes dysfunction and imbalance throughout the pelvis and lower back. Conversely, sitting usually causes abnormally tight hip flexors because sitting requires the hip to always be in a flexed position.
Stretching is one of the most common therapies we utilize at Venturis Clinic. Our patients work side by side with Dr. Philipose to strengthen what is weak and stretch what is tight in order to obtain optimal muscle balance. This helps to improve posture, decrease pain, and improve mobility and function. In this manner, the hip becomes more functional and less of a burden to the individual.
Call to Schedule a Complimentary Consultation
405.848.7246
Ask about Digital Motion X-Ray Imaging
Offering variety of pain management solutions 

Common Causes of Hip Pain in Oklahoma City, OK and Surrounding Areas

Bursitis

When it comes to hip pain, in most cases there is some degree of muscle imbalance occurring in the muscles that surround the hips and pelvis. For example, if you have a desk job, there is almost certainly muscle weakness existing in the gluteal muscles because they are turned off when you sit – they are not needed for any type of work. Over time, they get weak, and it causes dysfunction and imbalance throughout the pelvis and lower back. Conversely, sitting usually causes abnormally tight hip flexors because sitting requires the hip to always be in a flexed position.

Arthritis

Arthritis of the hip is one of the most common causes of chronic hip pain. Arthritis means that the joint space between the 2 bones has diminished in size, which leads to a decrease in range of motion and can cause an increase in pain. Two of the most common types of arthritis that affect the hip joint are degenerative arthritis and rheumatoid arthritis. Degenerative arthritis refers to everyday “wear and tear” that occurs and accumulates over time. It gradually leads to narrowing of the joint space and increased stiffness and soreness, usually on one side or the other. Risk factors for degenerative arthritis include age, weight, and repetitive stress or motions to the joints over time.
Rheumatoid arthritis is an autoimmune condition that attacks joints in the body such as the hip joint. It causes inflammation and deep discomfort in the joint. Risk factors for rheumatoid arthritis include things like family history, age, weight, and environmental exposures. Arthritis of any kind can be helped through things like chiropractic and exercise because it emphasizes mobility of the joint. Arthritis can’t be reversed, but it can be effectively managed, and its progression can be slowed down or halted in some cases. Movement is king, so the more you move your hip joints, the longer you will be able to move your hip joints in the future.

Tendinitis

Many muscles are responsible for moving the hip joint. All of these muscles are attached close to the hip joint via tendons, which connect muscle bellies to their boney attachment site. Sometimes, either through acute injury or repetitive stress, these tendons can become thickened and swollen. This is known as tendinitis, and it can be a very painful condition. The stiffness that ensues can restrict range of motion and decrease overall function of the joint. It can be a nagging injury that lingers if it is not properly managed. Massage therapy, deep tissue laser, and exercise are great ways to help these tendons make a full recovery and get back to normal function.

Sciatica

One source of hip pain that doesn’t directly involve the hip joint is sciatica, which refers to pain that originates from the lower back and can travel through the hips down as far as the feet and toes. Sciatica is commonly caused by misalignment of a vertebra in the lower back, but can also be due to a disc herniation or degeneration. Sciatica is usually felt more in the posterior (back) aspect of the hip, closer to the buttock region, and it has the potential to be a debilitating source of pain. Chiropractic, decompression, and laser are three great and conservative treatment methods for fixing the problems that cause sciatica.
Call to Schedule a Complimentary Consultation
405.848.7246
Ask about Digital Motion X-Ray Imaging
Offering variety of pain management solutions 

Frequently Asked Questions

What is prolotherapy good for?

Many conditions respond well to prolotherapy, such as facet syndrome (back and neck arthritis), whiplash, joint sprains, degenerative disc disease, osteoarthritis, tennis elbow, sprains, chronic tendonitis, Ehler’s-Danlos Disease, Bulging disc, knee pain, shoulder pain Vagus nerve inflammation and more.

What are the risks of prolotherapy?

Theoretical risks of prolotherapy injections include soreness, infection or neurological (nerve) damage. Injections should be performed by trained physicians using universal precautions diagnostics examinations and tproper examinations. This results in very minimal side effects.

What is the average cost of prolotherapy?

Costs vary quite a bit from $150-$1500 dependent on type and contents of injections.

Is prolotherapy a permanent fix?

Prolotherapy is an all-natural, permanent treatment, as it relies on the body repairing itself to reduce pain. In contrast, pain relievers and anti-inflammatory medications only provide temporary relief. Booster shots as well has wellness therapies including stretching, massage, chiropractic, dry-needling and strengthening will help maintain progress.

Who is a good candidate for prolotherapy?

More specifically, prolotherapy may be right for you if you experience any of the following: Damaged or lost tissue, especially surrounding the joints. If patients have tried various traditional treatments including prescription drugs, physical therapy, or steroids but seen minimal to no results, prolotherapy may be right for you.

Why does prolotherapy hurt so much?

A patient is generally sore for a couple of days after Prolotherapy. This is because the injections have to go through some muscles to get to the ligaments and tendons. To help the muscle soreness resolve itself sooner, dry needling and moist heat applied to the area is recommended.

Is prolotherapy better than cortisone?

Cortisone can cause tendon rupture, particularly of the achilles tendon. Prolotherapy is a proven orthopedic treatment to reduce pain and strengthen weakened joints without the negative side effects of cortisone.

What are the pros and cons of prolotherapy?

Prolotherapy is great for strengthening weak joints and creating heightened muscle functionality, such as increased movement and flexibility. However, there are some risks involved, for example it is a shot like any other so there could be pain or tenderness to the injection site.

What should you not do after prolotherapy?

Due to the numbness we ask that you refrain from any strenuous activities but to stay mobile. Continue to move affected area to decrease soreness and stiffness. You should avoid strenuous physical activity for 2 days following injections. You will experience some pain and soreness 2-5 days after your treatment. Do not take any anti-inflammatories, pain medications or steroids during treatments. This may inhibit your body’s ability to heal the affected tissue.

How long does prolotherapy take to heal?

Most ligaments and tendons heal within a period of 3 months; however, the majority of healing after a prolotherapy session occurs in the first two weeks.

How many prolotherapy sessions will I need?

Prolotherapy treatments vary from person to person and from injury to injury. Many patients have experienced some relief of their pain with only one session. The average person requires anywhere from 3-12 treatment sessions spaced about 3-6 weeks apart from each other.

How long does a prolotherapy injection last?

On average, patients experience one year of improvement and relief from prolotherapy. However, there is a huge variation and sometimes improvement lasts from three months to 15 years.

What is injected during prolotherapy?

Prolotherapy involves injections of a mild irritant into the injured part of your body. Most of the time the injection contains saline, dextrose (a type of sugar), and lidocaine, which is a numbing agent. Dr. Philipose custom tailors the injection, so the exact composition depends on your needs. These injections may include natural collagen, minerals, amino acids and other natural substances to accelerate healing compared to traditional prolotherapy.

Is prolotherapy better than surgery?

Prolotherapy is considered a viable alternative to surgery, and as an option to pain medications, cortisone and other steroidal injections. The Prolotherapy procedure is considered a safe, affordable option that allows the patient to keep working and/or training during treatment.

Can prolotherapy reverse arthritis?

One study with 90 adults with knee osteoarthritis involved some participants getting monthly prolotherapy injections of dextrose for 3 to 5 months. Those who received prolotherapy saw a significant improvement in pain, function, and stiffness scores.

Does prolotherapy regrow cartilage?

Prolotherapy is an injection of a non-biologic substance with localized effects for repairing connective tissue injuries of the musculoskeletal system. Recent studies in humans show that prolotherapy stimulates cartilage regeneration.

Are you sedated for prolotherapy?

Prolotherapy is a safe, cost effective injection technique used for treating musculoskeletal injuries and chronic pain in various parts of the body. It is noninvasive, has limited side effects and does not require sedation.

What does dry needling actually do?

Dry needling treats muscle tissue, and its goal is to reduce pain, inactivate trigger points and restore function. It rarely is a standalone procedure. Rather, it often is part of a broader physical therapy approach incorporating other traditional physical therapy interventions into treatment.

What is dry needling and does it hurt?

We use very thin filament needles. The initial feeling of the needle entering through the skin is very minimal; much less than a vaccination or having blood drawn. Once the needle reaches the muscle, the twitch sensation feels more like a deep cramp and doesn't last long (15-30 seconds).

How long does dry needling results last?

After dry needling, experiencing some slight soreness is normal, and you will typically note an improvement in your symptoms within one to two days. How long the benefits will last will vary per individual. The first few treatments will usually have a short length of relief spanning over several days.

How many sessions of dry needling do you need?

If treatment zones are found and the correct muscle groups are targeted, sub-acute conditions will improve after three – four consecutive sessions, with chronic injuries requiring five – six consecutive needling sessions.

Does dry needling remove knots?

Dry needle therapy resolves muscle knots by inserting a very thin needle directly into the trigger point. The knot responds to the interruption and relaxes immediately. Most patients agree that dry needling doesn't hurt in the way that you might think!

How deep do dry needles go?

Superficial dry needling involves inserting a needle at a depth up to 10 mm or into the subcutaneous tissue and may be combined with manipulation of the needle while in situ.

Does dry needling reduce inflammation?

The micro tears caused by the needle prompts the body's natural defenses to get to work, bringing nutrient-rich blood to the site and boosting tissue repair. Dry needling also helps to dissipate inflammatory mediators, those substances that gather in an area of inflammation.

Is dry needling good for arthritis?

Dry needling is an effective treatment in reducing pain from osteoarthritis because it increases blood circulation around the joint, thereby providing natural relief.

What exactly does a chiropractor do?

A chiropractor is trained to make sure your body is functioning as optimally as possible by using spinal manipulations and other therapies to relieve pain in your joints and muscles. These spinal adjustments will increase blood flow and nerve conductivity to the joints and muscles that are experiencing pain. They are taught philosophically to find and treat the cause rather than just the symptoms.

Is it healthy to go to the chiropractor?

Spinal manipulation and chiropractic care are generally considered safe, effective treatments for acute low back pain, the type of sudden injury that results from acute or chronic conditions such as strains, arthritis or disc injuries.

What are the benefits of chiropractic care?

• Improves neck pain.
• Reduces reliance on opioid pain relievers. 
• Eases back pain.
• Possible reduction of osteoarthritis symptoms. 
• Eases headache symptoms. 
• More affordable treatment for chronic back pain. 
• High satisfaction. 
• Reduces scoliosis symptoms.

What are the cons of seeing a chiropractor?

Spinal and joint manipulation has a chance to go wrong and may cause unwanted injuries. So it is important that you only have an appointment with an experienced chiropractor that performs the necessary examinations and diagnostics to ensure safe treatments. DO NOT ALLOW a physical therapist or any other untrained person try a manipulation especially without X-rays.

When should you go to a chiropractor?

Chiropractors are most sought after to treat neck and low back pain due to acute or chronic pain. If you experience back pain that lasts for more than a few days, consult a chiropractor for an assessment.

What cracks when you see a chiropractor?

During a back adjustment, your back undergoes quick, gentle stretching of the spinal facet joint, so you may hear a cracking or popping noise. This is caused by small pockets of air or bubbles, which are in the fluid that surrounds your joints.

Why do chiropractors want you to keep coming back?

Changing your posture, changing your spine's ability to move, changing your muscle health and structure take time. Months in fact. All muscles have memory and your body wants to go back to its old patterns instead of creating new healthy ones. That is why adjustments need to be repeated again and again

Is chiropractic care is ineffective?

Critics are skeptical mainly due to the fact that chiropractic care does not involve medications or any invasive surgeries. Some have associated this practice with some side effects and fatal complications in some cases resulting in death or stroke. It also goes against the medical philosophy of not prescribing medications. In recent years there has been a comparison that shows not only Chiropractic to be safe, but healthier and more successful than taking steroids and medications. There are also various techniques now that prevent any type of injuries due the gentleness of the adjustment.

Why do some chiropractors crack and others don't?

The noises you hear during chiropractic treatment depend on the technique used. For example, some techniques cause a cracking sound, and others don't, but both can be highly effective, depending on your needs. So, whether you hear an abundance of pops or none at all, you don't need to worry.
If you have tried multiple types of doctors and treatments but still hurting, you may not have found the cause. We can help!
Find Us
7917 N May Ave, Oklahoma City, 
OK 73120, USA
(405) 848-7246
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