Hip
Expertise in hip conditions & procedures
The hip is one of the largest weight-bearing joints in the body. Its proper function is critical for sitting, standing, walking, and bending. When you suffer from hip pain, activities such as tying your shoes and climbing stairs may seem impossible.
At Boston Orthopaedic & Spine, our fellowship-trained, board-certified hip specialists are highly skilled at evaluating and diagnosing hip conditions. We see many patients who suffer from hip pain or a recent injury – and many patients can recover without surgery and the help of a proper diagnosis, medications, injections, and physical therapy. If nonoperative treatments prove ineffective, surgery may be recommended. Our fellowship-trained surgeons have advanced training in the latest, minimally invasive surgical approaches, designed to provide the best possible recovery and patient outcomes.
Common Hip Conditions Treated at Boston Orthopaedic & Spine
Hip Arthritis
Arthritis is painful inflammation and stiffness of the joints, which can be caused by many types of degenerative or inflammatory conditions. There are many types of arthritis, including osteoarthritis, rheumatoid, post-traumatic, septic, and gout. Arthritis symptoms often include swelling, tenderness, sharp pain, stiffness, and sometimes fever and chills.
Hip Bursitis
Bursitis is abnormal inflammation of the bursae, which are normal fluid-filled sacs that reduce friction between bones, tendons, and muscles. This inflammation is caused by an injury, infection or overuse. Pain may be accompanied by swelling, tenderness or loss of movement. Treatment involves stretching, activity modifications, physical therapy, and anti-inflammatory medications. In rare cases, surgery may be considered.
Hip Femoroacetabular Impingement (FAI)
Hip FAI is a condition in which the bones of the hip joint are not shaped properly, causing pain and reduced range of motion. The condition is characterized by the ball and socket shape not matching appropriately and the ball impinging on the socket during movement. Symptoms of FAI depend on the individual, but typically include pain in the groin, lower back or outer hip. Sharp pain may occur when twisting, turning, or squatting.
Hip Fractures
A fracture is a break in a bone. Symptoms of a broken bone include pain (intensified when the area is moved or pressure is applied), swelling, bruising, and loss of function. Fractures may also cause the area around the bone to appear distorted or deformed, especially in open fractures where the bone protrudes from the skin.
A stress fracture is a hairline crack in a bone that can worsen during activity over time. Stress fracture symptoms include pain, which increases with activity and decreases after rest, in addition to swelling and tenderness.
Hip Dislocation
Dislocation is an injury to a joint in which the bones are forced out of their natural position by trauma. In a hip dislocation, the head of the thighbone (femur) is forced out of its socket (acetabulum) in the pelvis. Symptoms of a hip dislocation include a visible deformity of the joint and extreme pain. If there is nerve damage from the injury, there may be numbness in the foot and ankle area.
Hip dislocation is relatively rare in a native hip. After joint replacement, there is an increased risk of hip dislocation, with some surgical approaches having a higher risk than others.
Avascular Necrosis (AVN)
Osteonecrosis occurs when the blood supply to a bone is interrupted, causing the bone tissue to die. Most causes are not known, but another very common cause is a history of steroid use. Symptoms may include pain in the groin, thigh or buttock, especially when putting weight on the affected leg.
Complications From Hip Replacement
Complications from a hip replacement or a failed hip replacement can be caused by many factors, but the symptoms often include pain, swelling, instability, and stiffness. The hip components are a combination of metal, ceramic, and plastic, and in time, the parts can wear out. If you are concerned that your hip may no longer be working properly, you should see a joint replacement specialist for an evaluation. In some cases, hip revision surgery may be necessary to correct the problem.
Hip Labral Tear
A hip labral tear is damage to the acetabular labrum, the fibrous cartilage that lines the inner rim of the hip socket. It may be associated with arthritis, or it may occur from trauma or a twisting injury. Symptoms of a labral tear include pain in the groin area, stiffness, and mechanical issues in the hip, such as clicking, catching, or locking. Many labral tears can heal with rest, but others may require surgery.
Tendonitis
Tendonitis is inflammation of the tendons, the tissue that connects muscle to bone. Tendonitis is caused by overuse (repetitive motion) or sudden injury. Tendonitis symptoms include pain in the tendon area, swelling, and loss of motion.
Our Team
Jennifer Luz, MD
Learn More
Daniel C. Mascarenhas, MD
Learn More
Brittany Cheney, PA-C
Learn More
Christina Linkiewicz, PA-C
Learn More
Lisa Spagnuolo, PA-C
Learn More
Frequently Asked Questions
What types of hip conditions do your Boston orthopedic specialists treat?
Our team diagnoses and treats a comprehensive range of hip issues, including osteoarthritis, labral tears, hip impingement (FAI), bursitis, tendonitis, and fractures.
What are the common warning signs that I need to see a hip doctor?
You should schedule an evaluation if you experience chronic groin or hip pain, stiffness that limits your range of motion, a clicking or locking sensation in the joint, or pain that disrupts your sleep.
Can hip arthritis be managed without total hip replacement surgery?
Yes, many patients find relief through conservative measures such as physical therapy, anti-inflammatory medications, lifestyle modifications, and targeted joint injections.
When is total hip replacement surgery recommended?
Hip replacement is typically considered when severe joint degeneration or arthritis causes persistent pain and stiffness that fails to respond to non-surgical treatments and interferes with daily activities.
Do you provide non-surgical options like injections?
Yes, treatment options include therapeutic injections designed to provide temporary pain relief and improve mobility
How can I get fast care for a sudden hip or lower extremity injury in Boston?
Patients can utilize our BOS Express Orthopedic Walk-In Clinic in Waltham on Saturdays from 9 AM – 1 PM, or access free, 24/7 virtual orthopedic triage instantly through the integrated HURT! app.
Take the First Step
Get an accurate diagnosis and treatment plan from our expert physician team.


