Portland’s Orthopedic
Hip Experts

At ROC, we understand the toll hip pain can take on your everyday activities. Our team of specialists is committed to delivering tailored care for injuries, chronic discomfort, and a range of conditions affecting the hip region. Our goal is simple: to relieve pain and enhance function. With our dedicated approach, we empower patients to embrace a future free from pain, reclaiming their daily routines with renewed vitality.

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The First Step Towards A Hip Pain-Free Life

Whether it’s improving mobility, addressing common injuries, or navigating complex orthopedic issues, our team of board-certified surgeons tailor personalized treatment plans to each individual.

Through a combination of surgical and non-operative interventions, we aim to empower our patients to regain their mobility and resume an active lifestyle.

Multi-Talented Team

Our board-certified surgeons and certified physician assistants provide patient-first surgical and non-operative orthopedic care.

Patient-Centered Care

A patient’s unique health needs and desired health outcomes are the driving force behind all health care decisions at ROC.

Chronic Pain & Injury Relief

We treat many types of pain, chronic conditions, and injuries, including hip dislocation, labral hip tears, osteoarthritis, fractures, and snapping hip.

Non-Invasive Treatment Options

Our surgeons use minimally invasive and robotic techniques to perform a variety of orthopedic surgeries and treatment options.


Answers to Hip Pain & Treatment Questions

What causes hip pain?

Hip pain can occur at any age. The most common causes include:

  • Osteoarthritis
  • Muscle strains
  • Hip labral injury
  • Hip synovitis
  • Trochanteric bursitis
  • Tendonitis
  • Nerve entrapment
  • Hip impingement

Lower back problems or a pulled groin muscle can also cause hip pain.

Will I have symptoms in addition to hip pain?

The conditions responsible for hip pain may cause additional symptoms such as:

  • Swelling
  • Stiffness in the joint
  • Muscle weakness
  • Grinding noise when moving the hip
  • Limited range of movement
  • Inability to bear weight on the affected side
  • Pain that feels worse if you lay on the affected side
  • Pain that gets worse when you’re active
  • Increased pain during rainy weather

In some cases, a problem in your hip may also cause pain in your knee, thigh, or buttocks.

How is hip pain treated?

Your ROC provider begins by reviewing your medical history and symptoms and performing a physical exam. Depending on the results of your exam, they may order diagnostic imaging such as X-rays.

Severe injuries such as a fracture, dislocation, or torn ligament may need immediate surgery. In most cases, however, the first line of treatment for hip pain includes non-surgical options such as:

  • Activity modification
  • Resting your hip
  • Physical therapy
  • Weight loss if needed
  • Assistive devices
  • Anti-inflammatory medications
  • Corticosteroid injections
  • Viscosupplementation
  • Platelet-rich plasma (PRP) injections

Early treatment for hip osteoarthritis includes lifestyle modifications, physical therapy, and joint injections. As the disease progresses and the joint becomes extensively damaged, your provider may recommend a hip replacement.

Whether you need a hip replacement or another type of hip surgery, ROC specializes in minimally invasive surgery.

What happens during minimally invasive surgery for hip pain?

During minimally invasive surgery, also called arthroscopy, your provider makes a few small incisions. Then they insert a narrow instrument, the arthroscope, which contains a light and video camera.

Using the arthroscope, your provider evaluates the inside of your hip joint and diagnoses the problem. If you need surgery to repair the problem, your provider inserts specially designed surgical instruments through the other tiny incisions.

Minimally invasive surgery causes less bleeding during surgery, reduced pain after surgery, and lowers your risk of complications. You can also rehabilitate at a faster pace following hip arthroscopy.


Learn More About Our Hip Care Experts

Our board-certified orthopedic surgeons and certified physician assistants are dedicated to helping patients of all ages and activity levels regain mobility and achieve personal milestones.

Featured Hip Surgeons

James Ballard, M.D.

James Ballard, M.D.

Orthopedic Surgeon specializing in adult joint reconstruction

John Coen, M.D.

John Coen, M.D.

Orthopedic Surgeon specializing in adult joint reconstruction

Shane Hanzlik, M.D.

Shane Hanzlik, M.D.

Orthopedic Surgeon specializing in adult joint reconstruction

Christopher Nanson, M.D., M.P.H.

Christopher Nanson, M.D., M.P.H.

Orthopedic Surgeon specializing in adult joint reconstructive surgery

Mark Wagner, M.D.

Mark Wagner, M.D.

Orthopedic Surgeon specializing in adult reconstruction surgery and sports medicine injuries