Fall & winter care
Conditions We Evaluate

Hip pain care in Addison & Dallas, TX

Hip arthritis, bursitis, or a labral issue can make every step and every stair a chore. At Innovare Tx in Addison, we evaluate the source of hip pain and offer integrated physical therapy, which is standard care, and autologous orthobiologic procedures, which are investigational, coordinating a surgical referral when the imaging calls for it.

In short
Innovare Tx evaluates hip osteoarthritis, bursitis, and labral and tendon problems and offers integrated physical therapy and investigational autologous orthobiologic procedures (PRP, BMAC), coordinated by Charles Ortega, PA-C in Addison, TX, minutes from Dallas.

Why hip pain deserves a careful look

The hip is a deep ball-and-socket joint that carries your body weight with every step, so even modest wear or inflammation can cause outsized pain. Hip problems are also famous for hiding — pain can show up in the groin, the outer hip, the buttock, or even refer down the thigh, and back conditions can mimic it. Pinpointing the likely source is the first and most important step.

Common causes of hip pain

  • Osteoarthritis — cartilage wear in the joint that causes groin pain, stiffness, and reduced range of motion.
  • Trochanteric bursitis — inflammation on the outer hip, often painful when lying on that side.
  • Labral tears — damage to the cartilage ring around the socket, causing catching, clicking, or deep pain.
  • Gluteal tendinopathy — irritation of the tendons on the outer hip.
  • Hip impingement (FAI) — abnormal contact in the joint that pinches with certain movements.

Symptoms worth evaluating

  • Groin or outer-hip pain with walking or stairs
  • Stiffness getting out of a chair or car
  • Pain when lying on the affected side
  • Catching, clicking, or a deep ache in the joint
  • Reduced range of motion or a shortened stride
  • Pain that keeps returning after earlier treatment

Your options at Innovare Tx

We start conservative and build the plan around what your imaging shows. Options include physical therapy and rehabilitation as well as autologous orthobiologic procedures, described below.

PRP injections

Platelet-rich plasma (PRP) is a concentration of platelets prepared from a small sample of your own blood and placed at the joint or tendon under image guidance in the same visit. It is an autologous, minimally manipulated procedure we offer at Innovare Tx. The American College of Rheumatology's 2026 osteoarthritis recommendations strongly recommend against PRP and stem cell injections for knee and hip osteoarthritis. Explore PRP injections

BMAC — bone marrow aspirate concentrate

BMAC is prepared from your own bone marrow. A small aspirate is drawn under local anesthetic, concentrated, and delivered by image-guided injection — an autologous, same-day procedure with no donor tissue. Learn about BMAC

Integrated physical therapy

The muscles around the hip — glutes, core, and hip stabilizers — support how the hip works. Rowena Calleja, PT builds a hip-specific program to work on motion, strength, and movement patterns, as part of your coordinated care. See our physical therapy program

Primary care that connects the dots

With family practice under the same roof, contributors to hip pain — weight, inflammation, and overall metabolic health — can be discussed as part of the same coordinated plan.

PRP, PPP, BMAC, and A2M are autologous procedures prepared from your own blood or bone marrow. They are considered investigational and are not FDA-approved for the treatment of any specific orthopedic condition, including osteoarthritis. Individual results are not guaranteed. Any decision to pursue an orthobiologic procedure should be made with your provider after a clinical evaluation.

How candidacy is determined

  • A clinical evaluation reviews your imaging and history
  • Your imaging findings are discussed
  • Your diagnosis and prior treatments are reviewed
  • Standard care options are reviewed with you
  • Whether you can follow a recommended plan

Severe, advanced bone-on-bone arthritis or major structural damage may still require hip replacement — and we'll tell you honestly and refer you when surgery is the right answer.

What to expect at your visit

Your first visit is an evaluation: history, exam, and review of your imaging. If an orthobiologic procedure is an appropriate option, it is a same-day, image-guided, in-office procedure. Your provider reviews aftercare and follow-up. Physical therapy is not typically needed after PRP or BMAC; your provider will tell you if it is part of your plan. Individual results are not guaranteed.

How the one-roof model works for your hip

At Innovare Tx, your care and rehabilitation are coordinated by the same team in the same place. Charles Ortega, PA-C and Rowena Calleja, PT build a plan around your evaluation, and because we know your full health picture, the factors that contribute to hip pain can stay part of the same plan.

Clinician reviewing a hip X-ray with a patient
Understanding your options

Explore conservative care

If you're weighing your choices, we can walk through physical therapy, which is standard care, and autologous orthobiologic procedures, which are investigational, along with referral for a surgical opinion.

Want the background? What are orthobiologic procedures?

Questions, answered

Hip pain FAQs

Conservative care for hip osteoarthritis, bursitis, and many labral and tendon problems can include activity modification and a structured physical therapy program. Innovare Tx also offers autologous orthobiologic procedures — PRP and BMAC — prepared from your own blood or bone marrow. These procedures are considered investigational and are not FDA-approved for the treatment of any specific orthopedic condition. The American College of Rheumatology's 2026 osteoarthritis recommendations strongly recommend against PRP and stem cell injections for knee and hip osteoarthritis. Advanced, bone-on-bone arthritis may still need surgery — we'll be honest about what your imaging shows.
Common causes include hip osteoarthritis, trochanteric bursitis (pain on the outer hip), labral tears, gluteal tendinopathy, and hip impingement (FAI). Pain may be felt in the groin, the outer hip, or the buttock, and sometimes refers down the thigh. Because back and hip pain can mimic each other, a careful exam and imaging are key to finding the likely source.
We offer PRP, prepared from your own blood, and BMAC, prepared from your own bone marrow. Both are autologous, minimally manipulated procedures delivered by image-guided injection during the same visit. They are considered investigational and are not FDA-approved for the treatment of any specific orthopedic condition. A clinical evaluation determines whether either is appropriate for you.
The hip is a deep joint. We use ultrasound or fluoroscopy guidance to help place the injection. The procedure is done in-office, in one visit, after a provider reviews your history and imaging to confirm it is an appropriate option.
Candidacy is determined by a clinical evaluation of your imaging, activity goals, and overall health. Because these procedures are investigational, results are not guaranteed. Patients with severe, advanced arthritis or major structural damage may be better served by surgery, and we'll refer appropriately when that's the right call.
The procedure is done same-day and in-office; you rest briefly and go home. Your provider reviews aftercare and any follow-up. Physical therapy is not typically needed after PRP or BMAC; your provider will tell you if it is part of your plan. Individual results vary and are not guaranteed.
Your evaluation, any procedure, physical therapy, and follow-up all happen under one roof, coordinated by your care team, which is meant to keep your hip care unified.

Arthritis in more than one joint? See our arthritis & joint pain care.

Ready for a hip evaluation?

Book an evaluation at our Addison clinic — we'll assess the source of your hip pain and walk you through your options.

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