Hip & Groin Conditions | Dr. Nathaniel Stewart | Chippewa Orthopedics
Hip & Groin

Hip & Groin Conditions

Dr. Stewart treats a full range of hip and groin conditions — from early-stage impingement and labral tears to advanced arthritis and joint replacement. Understanding your diagnosis is the first step toward the right treatment plan.

Common Symptoms

Groin pain Hip pain Buttock pain Thigh pain Instability Catching or clicking Referred knee pain

FAI occurs when the ball and socket of the hip joint don't 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. They are 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 (limping). This can be often misdiagnosed as bursitis. Typically this is treated surgically when conservative care fails.

Lateral hip painLimping gaitWeakness
Treatment: Abductor Tendon Repair

Inflammation of the tendons attached to the ischial tuberosity (the sitting bone) 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 or chronic cases may require surgery

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

Do you have questions for Dr. Stewart?

We look forward to hearing from you. Request an appointment or call our office directly.

Request an Appointment (715) 832-1400