Process of Treatment :

• Medications to reduce the pain. These may be simple over the counter medications or can be medications prescribed by a pain specialist. Medications might include muscle relaxants or anti-neuropathic (nerve pain) medications. Sometimes analgesic compound creams are used to ease pain.
• Pain interventions: injection therapies can be used to target, diagnose and manage chronic pain caused by muscle, joint and nerve pain. This includes interventional therapies like nerve blocks (lateral cutaneous nerve of the thigh, articular branches of the femoral and obturator nerve, medial branch nerve(s), lumbar nerve roots, cluneal nerves, gluteal nerves, sciatic nerve and even the lumbar plexus) radiofrequency ablation (RFA), pulsed radiofrequency (PRF) to the nerves previously blocked. Epidural and nerve root steroid injections. Sympathetic nerve blocks can also be performed.
• Platelet-rich plasma (PRP Injections) can also be used in some locations around this area. Botox injections can be considered for certain types of hip nerve pain. It can be helpful in providing pain reduction that can last many months at a time.
• Nerve stimulation or neuromodulation techniques: advanced pain reduction strategies may include spinal cord stimulation for severe hip pain. Some forms of spinal cord stimulation are high frequency stimulation (HF10), tonic stimulation, multi-waveform stimulation, Burst DR stimulation and even dorsal root ganglion (DRG) stimulation.
• Surgery is generally recommended when tests show structural changes that need corrective surgery. When other therapies fail, surgery may be considered an option to relieve pain caused by serious musculoskeletal injuries or nerve compression. These are typically performed by an orthopaedic surgeon. Types of surgery might include, arthroscopy reconstruction, open reduction & internal fixation, osteotomy, synovectomy, relocation of a dislocated hip, arthrodesis, total hip replacement, joint revision.
• Rehabilitation: most types of chronic pain treatment should be managed alongside some form of specialist rehabilitation. This is when the best results occur.