Gourineni's Method of Diagnosis and Treatment

A systematic approach to diagnosing and treating hip pain

Tools to Diagnose

  • History & Physical Examination – hip impingement and abductor dysfunction are diagnosed clinically
  • X-rays, MRI, CT scan – hip dysplasia and cartilage problems are diagnosed radiographically
  • Local anesthetic injections – injections can block pain receptors and help localize the source of pain

Steps to Diagnose

  1. Confirm hip as the source of pain
  2. Rule out non-mechanical causes like primary tissue pathology
  3. Identify potential causes of mechanical pain

Treatment Options

  • Symptomatic – activity modification, medicines, therapy
  • Surgical correction – treat the most likely cause, with comprehensive normalization of all elements of hip function

Value to the Patient (Risk-Benefit Analysis)

  • Patient factors – symptoms & expectations, prognosis (activity, biology)
  • Surgeon factors – training & experience
  • Facility factors – safety, equipment, back-up support