Most hip pain is not the hip joint at all — and getting that distinction right changes everything about treatment.
This matters more at the hip than almost anywhere else, because the commonest complaint is frequently misattributed.
True hip joint pain is felt in the groin. Pain on the outer hip, over the bony prominence, is usually not the joint at all — it is most often gluteal tendinopathy or associated bursitis, an entirely different problem with an entirely different treatment.
The practical upshot: someone with outer hip pain who receives a hip joint injection has been treated for the wrong problem. Examination sorts this out reliably.
This is the more promising hip application. The condition is a degenerative tendon problem, similar in nature to tennis elbow, and it responds to comparable logic. There is reasonable evidence that PRP outperforms corticosteroid at longer follow-up for gluteal tendinopathy — and as at the elbow, repeated steroid injection into a degenerative tendon carries real concerns.
Less studied than the knee, with more modest results. There are two practical complications. First, the hip is deep — accurate intra-articular injection generally requires image guidance, and a blind injection frequently misses. Second, hip arthritis often progresses to the point where joint replacement is a highly effective operation with excellent outcomes.
We are not going to talk you out of a hip replacement that would transform your life. For mild to moderate arthritis in someone hoping to delay surgery, PRP is a reasonable conversation. For advanced disease, the honest recommendation is an orthopedic opinion.
Gluteal tendinopathy is aggravated by compression — sitting cross-legged, standing hanging on one hip, sleeping with the top leg dropped across the body. Correcting those habits and progressively loading the abductors is the foundation. Injection without those changes tends to give temporary relief and recurrence.
Dr. Daniel Moghadam performs these injections himself. Accurate placement matters enormously with joint and tendon injections — product delivered into the wrong plane does nothing useful — and the assessment of whether PRP suits your problem at all is a clinical judgement rather than a checklist.
PRP's evidence base varies considerably by indication. Some uses are well supported by controlled trials; others are promising but thin. We will tell you which category yours falls into rather than presenting all applications as equally proven.
For most musculoskeletal problems, progressive loading and rehabilitation remain the foundation of treatment. PRP can support that process; it rarely replaces it. If you have not done structured rehabilitation, that is usually the first conversation.
PRP does not repair a complete tendon rupture, reverse advanced bone-on-bone arthritis, or fix mechanical instability. Where a surgical opinion is the honest recommendation, that is what you will hear.
Dr. Moghadam examines the joint, reviews any imaging you have, and determines whether PRP is genuinely likely to help your specific problem — or whether something else is the better answer.
A small volume of your blood is drawn, comparable to a routine laboratory test.
The sample is spun to concentrate the platelets and separate them from red blood cells. This takes ten to fifteen minutes.
The concentrate is injected into the target tissue. Local anesthetic is used, though not always inside the joint itself, since it can affect platelet function.
Relative rest for the first few days, then a graded return to activity. Improvement typically builds over four to twelve weeks.
Location is the strongest clue. True hip joint pain is usually felt in the groin. Pain over the outer hip, on the bony prominence, is more often gluteal tendinopathy or associated bursitis — a tendon problem rather than a joint one. They need different treatment, and treating the wrong one is the commonest reason hip injections fail.
It is less studied than the knee and the results are more modest. There is also a practical issue: the hip is deep, so accurate injection into the joint generally requires image guidance. For mild to moderate arthritis where you are hoping to delay surgery it is a reasonable conversation. For advanced arthritis, hip replacement is a highly effective operation and we would say so.
Degeneration of the tendons attaching the gluteal muscles to the outer hip. It causes pain over the bony prominence, tenderness lying on that side, and pain with stairs and single-leg loading. It is very common in women over 40 and is frequently mislabelled as bursitis. The evidence for PRP here is more encouraging than for hip arthritis.
Because lying on it compresses the tendon against the bone. Compression is the main aggravator in gluteal tendinopathy — which is also why sitting cross-legged, standing with your weight hanging on one hip, and sleeping with the top leg dropped across the body all worsen it. Changing those habits is part of treatment.
For gluteal tendinopathy, probably not as a first choice. As with tennis elbow, this is a degenerative tendon problem, and repeated corticosteroid injection into degenerative tendon raises real concerns. There is reasonable evidence that PRP outperforms steroid at longer follow-up here.
Frequently, yes. Lumbar spine problems commonly refer pain into the buttock and hip. Pain that radiates down the leg, changes with spinal position, or comes with numbness points that direction. A proper examination includes the lower back.
It may help delay it in earlier-stage arthritis. It will not prevent one in advanced disease. Hip replacement is one of the more successful operations in medicine, and if that is where you are, we will tell you rather than sell you injections that will not deliver.
For gluteal tendinopathy, often one to two. For hip arthritis, a series of two or three is more typical. We reassess before recommending further treatment.
Patients travel to our Beverly Hills office for hip pain treatment from across Los Angeles:
Our Beverly Hills office sits on Wilshire Blvd near the Beverly Hills–Los Angeles border, with on-site, valet, and street parking.
8907 Wilshire Blvd, Suite 270
Beverly Hills, CA 90211
Mon–Thu 10am–5pm
Fri 9am–5pm
Sat & Sun Closed
Outer hip pain and groin pain are different problems with different treatments. The consultation sorts out which you have.