Hip Pain, Labral Tears & Osteoarthritis in Dallas–Fort Worth
(Frisco • Allen • North Dallas)
Serving patients from Frisco, Allen, North Dallas, Mesquite & Arlington—minutes from Prosper, McKinney and The Colony.
Overview
Groin stiffness getting out of the car, outer-hip burning on long walks, or a sharp “catch” when pivoting often trace back to hip osteoarthritis (OA), femoro-acetabular impingement (FAI) or a torn labrum. Cutting-edge studies show that PRP reduces synovitis and pain, while stem-cell matrix injections can slow—or even reverse—early cartilage loss, delaying hip replacement.
Why Hips Hurt (Top Causes)
Most nagging groin or outer-hip pain traces back to one of five repeat offenders:
Labral fray or tear
the cartilage rim that seals the socket can catch and click with every pivot.
Cam / pincer FAI
extra bone on the femoral head or socket pinches tissue when you flex or rotate.
Early-stage osteoarthritis
thinning cartilage and low-grade inflammation stiffen the joint.
Trochanteric bursitis
the outer bursa flares, causing burning pain when you lie on that side.
Glute-medius tendon overload
weak hip stabilisers pull on their attachment, sparking outer-hip ache.
Common Symptoms
- Aching or stabbing groin pain
- Stiffness after sitting (car, cinema)
- Clicking, catching or giving way during sport
- Reduced internal rotation or hip flexion
Typical Diagnoses
Degenerative
Hip OA (cartilage loss)
Trochanteric bursitis
Mechanical / Over-use
Labral tear due to FAI
Gluteus-medius tendinopathy
Biologic Treatment Pathway
Step 1
Intra-Articular PRP (Week 0)
PRP under C-arm fluoroscopy floods the joint with growth factors, easing pain and lubricating cartilage.
Step 2
MSC Cartilage Augment (Week 4)
Autologous MSCs mixed with fibrin scaffold stimulate hyaline-like cartilage growth and modulate catabolic cytokines.
Step 3
PRP Booster
(Week 12)
Maintains anti-inflammatory environment, extending relief for 12–24 months.
Biologic PRP & Stem-Cell Injections vs
Cortisone Shots / Hip Replacement
Biologic PRP / MSC
Primary goal
Calm inflammation and rebuild cartilage
How it’s done
45-min outpatient injection under live X-ray
Relief curve
Builds over 4–6 weeks; many stay better 12–24 months
Downtime
Walk same day; no running or deep squats × 2 weeks
Risks
Very low—your own cells; infection < 0.1 %
Best fit for
Early OA, labral tear, bursitis, sport-related pain
Steroid Shot or Total Hip Replacement
Primary goal
Mask pain / remove damaged joint
How it’s done
Steroid: 10-min clinic shot • Replacement: 1–2 hr surgery under general anaesthesia
Relief curve
Steroid: quick but fades in 3–6 months • Replacement: instant relief, months of rehab
Downtime
Steroid: none • Replacement: walker/cane 4–6 weeks, PT 3 months
Risks
Steroid tendon weakening • Surgical dislocation, implant wear
Best fit for
Severe bone-on-bone arthritis, failed biologic care
Six-Month Regeneration Program
- Three biologic injections
- Class IV laser twice weekly × 6
- Gait-mechanics physiotherapy (glute-med strength, hip-hinge drills)
- Omega-3, collagen peptides, vitamin D
- 3D gait re-assessment and return-to-sport testing at month 6
Self-Care & Rehab Essentials
- Side-lying hip-abduction (3×12/day) to off-load the joint
- Stand-up breaks every 30 min at work
- Stationary cycling over running during early healing
- Weight management: every extra 10 lb adds ≈30 lb joint force
Meet Our Care Team
Scott Farley, DO
Board-Certified Orthopedic Spine Surgeon
- Specializes in cervical, thoracic, and lumbar spine surgery
- Fellowship-trained in spinal reconstruction surgery
- Board Certified by the American Osteopathic Board of Orthopedic Surgeons
- Published researcher in Spine and national conference presenter (NASS, SRS)
Arash Bidgoli, DO
Board-Certified Pain Management & Rehabilitation Specialist
- Fellowship-trained in interventional spine & pain management
- Board Certified in Physical Medicine and Rehabilitation
- Expertise in musculoskeletal pain, neuromuscular disorders, and electrodiagnostics
- Member of AAPMR, AAP, and American Osteopathic Association
George Farley, MD
Board-Certified Radiologist & Neuroradiologist
- Board Certified in Radiology with CAQs in Interventional Radiology and Neuroradiology
- Fellowship-trained in both interventional radiology and neuroradiology
- Former Chief Resident at University of Nebraska Medical Center
- Member of ACR, RSNA, SIR, and International Spine Intervention Society
What Our Patients Are Saying
Tom H.
“”I struggled with hip pain from arthritis for years. After PRP therapy at NTX Regen Center, I’m pain-free and back to playing tennis. The results were incredible, and I avoided surgery!”
Jessica M.
“My labral tear had me sidelined from running. After stem-cell therapy at NTX Regen Center, I’m running again without pain. It’s been life-changing, and I feel better than I’ve felt in years!”
David L.
“PRP therapy saved me from needing hip replacement surgery. The procedure was quick, and the recovery was much faster than I expected. Now, I can walk and move freely again without constant pain.”
Our Dallas–Fort Worth Locations
Frequently Asked Questions
We treat early-to-moderate hip arthritis, labral fraying, trochanteric bursitis and gluteal tendon strain—problems that make walking, sleeping or climbing stairs painful.
Ultrasound-guided PRP delivers growth factors that can calm joint or tendon inflammation, reduce stiffness and support cartilage or soft-tissue repair in degenerative hips.
Autologous bone-marrow or adipose stem-cell injections are reserved for moderate cartilage loss or chronic tendon damage when PRP alone may not provide enough regeneration.
Under fluoroscopy or high-resolution ultrasound, a numbed needle places the biologic concentrate directly into the hip capsule or surrounding tendons in a single outpatient visit.
Expect one-to-two days of rest, progressive walking and stretching during week one, and graded return to jogging or impact drills over six–eight weeks as healing milestones are met.
Many active adults gain enough pain relief and mobility from PRP or stem-cell therapy to postpone—or sometimes avoid—joint-replacement surgery when combined with strength and mobility work.
