Hip osteoporosis is transient, uncommon syndrome, which leads to transient bone loss in the upper part of the leg or femur. It is important to differentiate between transient hip osteoporosis and the widespread age-related osteoporosis, which is painless, progressive disease with negative implications on the bones throughout the body. The risk of fractures is greater in patients with common age-related osteoporosis than people with transient hip osteoporosis.

There is no obvious reason for transient hip osteoporosis; however there are some causes that may play part in appearance of this syndrome. These reasons may include:

  • Occlusion of a few of the small blood vessels which surround the hip
  • Change in the hormonal concentrations
  • Atypical physical stresses on the bones
  • Abrupt pain onset, which appears primarily in the front part of the thigh or the groin
  • Pain that increases with carrying heavy things, and decreases with rest
  • No previous history of damage or injury to the joint in the upper part of the leg.
  • Slight hip movements are usually painless, however extreme hip movements are always painful
  • Pain severity is usually increased over time. After weeks or months, the pain may be so intense and disabling.
  • Patients usually limp in order to relieve the pain.

Since transient osteoporosis usually relieves by itself, the primary aims of the treatment are to minimize the symptoms and protect any further harm to the bones.

Physical Therapists are professionals, educated and trained to administer interventions. As defined by The Guide to Physical Therapist Practice, interventions are the skilled and purposeful use of physical therapy methods and techniques to produce changes consistent with the diagnosis, prognosis and the patient or client’s goals. Physical therapy is important to restore the strength and flexibility in the muscles supporting the hip. Water exercises are considered as essential part of the treatment because they facilitate the movements, and alleviate weight bearing

  • Manual Therapeutic Technique (MTT): hands on care including soft tissue massage, stretching and joint mobilization by a physical therapist to improve postural alignment, mobility and range of motion. The use of mobilization techniques also helps to modulate pain.
  • Therapeutic Exercises (TE) including site specific stretching and strengthening exercises to improve posture, regain range of motion and strengthen the affected muscles to support, stabilize and decrease the stresses places.
  • Neuromuscular Reeducation (NMR) to restore stability, retrain the affected extremity and improve movement techniques and mechanics, and balance (for example, walking, kneeling, squatting and stair climbing). Gait and balance training may be indicated to reduce the risk of falls.
  • Modalities including the use of ultrasound, electrical stimulation, ice, cold, laser and others to decrease pain and inflammation of the involved area if there is a fracture involved.

In addition to performing a thorough examination, your physician may order the following tests to make a more concise diagnosis:

  • X-rays shows marked loss of the bone density of the femoral head.
  • MRI to determine any soft tissue involvement surrounding the hip
  • Although bone density test (densitometry or DEXA scan) is the ideal test to detect age-related osteoporosis, it is ineffective in diagnosis of transient osteoporosis of the hip


Your doctor may advise you to take non-steroidal anti-inflammatory medication (NSAIDs) such as piroxicam or celecoxib to alleviate pain and inflammation

It is preferred that you do not perform any weight-bearing activities. Walkers, crutches, or walking aids may be also considered as effective methods to ease the stress of weight bearing on the hip, and protect against possible fractures.

Many researches focused on the importance of vitamin D and calcium in rebuilding of the bones, and increasing the healing process.

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My experience with Twin Boro after my total knee replacement has been exceptional. They made all my appointments to fit into my schedule, explained all my exercises to me and made me feel very confident that I would be taken care of.”


The Bridgewater Location is excellent! Every single staff person is on point. From day one when I called to schedule my first appointment and throughout my treatment staff were helpful, professional, and overall a caring and compassionate team. Their professionalism and caring was evident not only in my treatment, also in the treatment of other patients. Being in a room with multiple treatment stations you cannot help but notice the care received by other patients. My ankle is 100% better and if I ever need PT again I would not hesitate to return. I was always a part of the therapy process, if I had questions they were answered. If I wanted to improve my ankle health at home I was provided clear instructions for exercises. Staff were skilled and knowledgeable. I highly recommend this location to family and friends.

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"After my back surgery my doctor wanted me for physical therapy. He suggested Twin Boro Physical Therapy as one of the locations to go to. I checked out all the locations in the area and decided to go to Twin Boro. I stopped by on a Saturday but they were closed. Someone was at the desk doing paperwork and gave me all the information that i needed to fill out. She put the paperwork through and gave me a schedule to return on Monday for my first visit.The therapist ( Andrew ) examined me an put me through a series of work outs three times a week along with his daily exam. As each exercise became easier I was given something a little harder. They were slowly building up the strength in my lower back, core, legs and arms. After years of back pain I am now able to begin to get back to a normal life. I had a chance to work with other therapist there, they are all fantastic and there to help us return to a healthy life. The entire staff is was a pleasure to work with. They listen to what you have to say and and pay attention to what you said. I looked forward to going there, the staff was caring, kind and funny at times. I would highly recommend Twin Boro for physical therapy."

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