1) How do you diagnose whether the pain that I have in my hip is coming from my hip or my back?
Using a continuous x-ray machine, I place an anesthetic inside of the hip joint. I then let you walk around over the next ten to fifteen minutes while the inside of the hip is numb. If you notice that your hip pain is gone, we now know that the pain was coming from the hip. If you still have pain, I know that the pain is likely coming from the lumbar spine. If the pain in the hip area is not gone, I will go ahead and put the local anesthetic and anti-inflammatory medication on the nerve in the lumbar spine that goes to the hip. If the hip pain goes away immediately after doing that, I know that the hip pain is actually coming from the lumbar spine.