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Northern California Hip Treatment

If a person’s hip is damaged, everyday activities such as putting on shoes, walking and getting in and out of a chair may be difficult and painful. For some people with hip damage, even resting can cause discomfort.

Golden State Orthopedics & Spine (GSOS) takes a multi-faceted approach to treating hip pain and injuries, beginning with the least invasive and simplest solutions. We start with conservative treatments such as medication and lifestyle changes. We will also look at alternative treatments including physical therapy and different types of injections such as cortisone.

Common hip injuries & conditions we treat:

Learn more about hip conditions, pain, and injuries

Hip Replacement & Hip Replacement Revision

At GSOS we offer a range of hip replacement surgeries, as well as hip replacement revision surgeries that correct problems with a previous hip replacement. Each patient will meet with an orthopedic surgeon and go over the differences in the treatment options and find the best solution for them. Below is a very brief overview, and it is best to discuss your case with one of our surgeons.

  • Total hip replacement, also known as total hip arthroplasty, is completed through an incision on the side of the hip that is between 10- to 12-inches. The muscles are detached or split from the hip. This allows the surgical team to fully view and dislocate the hip. The damaged bone or cartilage will be removed and replaced with prosthetic components commonly made of metal, plastic or ceramic materials.
  • Minimally invasive total hip replacement surgery is similar to the total hip replacement process but there is less cutting of the tissue surrounding the hip. The surgery can be performed with one or two smaller incisions.
  • Anterior minimally invasive hip replacement surgery involves an incision through the front of the hip allowing the surgeon to reach the joint by separating rather than cutting and reattaching muscles. This allows for more aggressive rehabilitation after surgery.
  • Computer navigation hip replacement is available at GSOS. A computer navigation hip replacement is not completed by a robot but rather a computer that provides the surgeon with accurate information that assists in the surgery. This technology has reduced implantation-related complications by improving the placement, ligament balance, and leg length.
  • Failed hip replacement revision is a surgery to revise previous hip replacement. A hip replacement can fail for a number of reasons, including wearing out over time, infection, fractures, etc. The revision surgery can take many forms, such as revising only some elements of the artificial hip, removal and replacement of the whole prosthetic hip, and complete removal along with rebuilding segments of the bone with materials or a bone graft.

Birmingham Hip Resurfacing

Birmingham hip resurfacing (BHR) is an approach that resurfaces just a few centimeters of the joint with minimal bone loss. This treatment uses metal bearings to preserve, rather than replace, a patient’s femoral head and neck (top of the thigh bone) in the hip. The ideal candidate for BHR is usually an active adult under 60 years old in need of a hip replacement, but be sure to confirm this with an orthopedic specialist.

Hip Arthroscopy

Hip arthroscopy is a minimally invasive hip surgery in which an orthopedic surgeon views the hip joint by inserting a small camera, called an arthroscope, into the joint. This allows the doctor to see around inside the joint without making a large incision.

Hip arthroscopy can be used as an exploratory surgery to diagnose the cause of hip pain or used to treat a hip condition. Some of the conditions include labral tears, femoroacetabular impingement and the removal of loose fragments of cartilage inside the joint.

The small incision of used in arthroscopy has many advantages including less pain, a shorter recovery time, less scarring and less joint stiffness.

Fracture Treatment & Repair

When a patient fractures his or her hip there are multiple different treatment options depending on where the fracture is and the patient’s current health. Treatment for a hip fracture should be done as close to the time of the injury as possible. We will find the best option for any patient coming in with a hip fracture.

If you are experiencing pain or other symptoms, call us at 925-939-8585 to make your appointment or book it online

Reviews Mean So Much!

Reviews mean so much to both the Doctor providing care as well as to prospective patients. To write a review for Dr Michlitsch or read reviews written by other patients, visit the Doctor’s review page.

Patients Success Stories:

“Dr. Wong is the best and I’ll be back to her for the other hip when it is time for that to be done. Five stars!”

- Tom L.

“My care was exceptional and my pain was immediately gone.”

- Shelley P.

“I can never say enough about how much better I am.”

- Dora C.

“I’m a lifelong patient of Dr. Roth now! He made it a very good experience. I woke up a little dazed, but with no pain, and there’s no scar.”

- Bon