Conditions We Treat | Dr. Nathaniel Stewart | Chippewa Orthopedics
Hip & Knee

What's Causing Your Pain?

Dr. Stewart treats a wide range of hip and knee conditions. Understanding your diagnosis is the first step toward the right treatment plan.

Hip Conditions

Groin painHip painButtock painThigh painInstabilityCatching or clickingReferred knee pain

FAI occurs when the ball and socket of the hip joint do not fit together properly, causing abnormal friction and pressure with movement. Over time this damages the cartilage and labrum, leading to pain and progressive dysfunction. Dr. Stewart has published peer-reviewed research on FAI in collaboration with UW-Eau Claire and has been treating it arthroscopically since 2000.

Deep groin painPain with flexionReduced range of motionLabral damage
Treatment: Hip Arthroscopy

The labrum is a ring of cartilage lining the hip socket that keeps the ball firmly in place. Tears cause deep hip and groin pain, a catching or locking sensation, and instability. Commonly caused by FAI, trauma, or repetitive motion.

Catching sensationGroin painInstability
Treatment: Hip Arthroscopy

The most common form of hip arthritis. Cartilage wears away over time, leaving bones to rub together. Pain develops gradually, worsens with weight-bearing activity, and is typically felt in the groin, thigh, and buttock.

Groin painMorning stiffnessPain with walking
Treatment: Hip Replacement

Occurs when blood supply to the femoral head is disrupted, causing bone tissue to die. If left untreated, the joint surface collapses. Can result from steroid use, excessive alcohol, trauma, or occur without a clear cause.

Groin or hip painPain at restLimited range of motion
Treatment: Hip Replacement

The hip abductor tendons stabilize the pelvis during walking. Inflammation or tearing causes significant lateral hip pain and a Trendelenburg gait (an abnormal walking pattern where the pelvis drops on the unsupported side when lifting one leg to step). Often misdiagnosed, this condition is treated surgically when conservative care fails.

Lateral hip painLimping gaitWeakness
Treatment: Abductor Tendon Repair

Inflammation of the tendons attached to the ischial tuberosity at the base of the pelvis. Common in athletes and active patients, causing deep buttock pain that worsens with sitting, running, or bending forward.

Deep buttock painPain when sittingHamstring tightness
Treatment: Injection / PRP

A break in the upper portion of the femur near the hip joint. Most commonly caused by falls in older adults or high-energy trauma in younger patients. Requires urgent evaluation and often surgical treatment to restore function.

Severe hip painInability to bear weightLeg rotation
Treatment: Surgical Repair

A rare, self-limiting condition characterized by sudden onset hip pain and temporary bone loss in the femoral head. Most common in middle-aged men and women in late pregnancy. MRI is essential for diagnosis.

Sudden hip painPain with weight-bearingNo prior injury
Treatment: Conservative / Monitoring

Hip replacements can fail due to loosening of components, wear, dislocation, or fracture around the implant. Revision surgery is complex but often necessary to relieve pain and restore mobility.

Recurring hip painInstabilityPrior hip replacement
Treatment: Revision Surgery

Periprosthetic joint infection is a serious complication of hip replacement surgery. Symptoms include increasing pain, warmth, swelling, and fever. Requires prompt diagnosis and typically staged surgical treatment with antibiotics.

Pain after replacementSwellingFever or chills
Treatment: Revision / Debridement

Knee Conditions

Knee painInstability or bucklingCatching or lockingSwellingStiffnessPain with stairsInability to bear weight

The leading reason for knee replacement surgery. Protective cartilage wears away and bones begin to rub against each other. Pain worsens progressively with activity, climbing stairs, and prolonged standing. Dr. Stewart uses Mako robotic-arm technology for partial and total knee replacements.

Knee painMorning stiffnessPain with stairsSwelling
Treatment: Mako Robotic Knee Replacement

The meniscus is a C-shaped cushion between the thigh and shin bones. Tears cause pain, swelling, catching, and locking. Can result from a sudden twist or gradual wear in older patients.

Knee painLocking / catchingSwelling
Treatment: Surgical or Conservative

A tear of the anterior cruciate ligament, one of the four main knee ligaments. Often caused by sudden stopping, pivoting, or direct contact. Causes immediate pain, swelling, and a feeling that the knee gives way.

BucklingInstabilityRapid swelling
Treatment: Reconstruction / PT

Inflammation of the tendon connecting the kneecap to the shinbone, known as jumper's knee. Causes pain below the kneecap that worsens with running, jumping, and kneeling. Common in active and athletic patients.

Pain below kneecapWorsens with activityTenderness
Treatment: PRP / Conservative

The medial collateral ligament runs along the inside of the knee. Sprains or tears are often caused by a blow to the outside of the knee. Causes inner knee pain, swelling, and a sense of instability.

Inner knee painSwellingInstability
Treatment: Conservative / Bracing

A fracture of the top surface of the shinbone, which forms the lower half of the knee joint. Often caused by high-energy trauma such as a car accident or fall. Causes significant pain, swelling, and inability to bear weight.

Severe knee painSwellingCan't bear weight
Treatment: Surgical Fixation

The kneecap slips out of its groove, usually to the outside of the knee. Causes sudden pain, swelling, and a visible deformity. Common in young active patients and may recur without treatment.

Visible deformitySudden painSwelling
Treatment: Reduction / Surgery

A tear of the tendon connecting the quadriceps muscle to the kneecap. A complete tear causes immediate inability to straighten the knee. More common in patients over 40 and often requires surgical repair for full recovery.

Can't straighten kneePain above kneecapWeakness
Treatment: Surgical Repair

Knee replacements can fail due to wear, loosening, instability, or stiffness. Revision surgery is more complex than the original but can restore function and relieve pain when the primary implant is no longer performing.

Returning knee painInstabilityStiffness
Treatment: Revision Surgery

Infection around a knee implant is a serious complication requiring urgent attention. Signs include increasing pain, warmth, swelling, drainage, and fever. Treatment typically involves surgery combined with targeted antibiotic therapy.

Pain after replacementWarmth / swellingFever
Treatment: Revision / Debridement

Do you have questions for Dr. Stewart?

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