Gourineni's Method of Diagnosis and Treatment

A systematic approach to diagnosing and treating hip pain

Tools to Diagnose

Tool Diagnoses
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)

Factor Considerations
Patient factors Symptoms & expectations, prognosis (activity, biology)
Surgeon factors Training & experience
Facility factors Safety, equipment, back-up support