Hip Pain Doctor Naples FL | Nonsurgical Orthopedics | Dr. Gregory Rubin

Hip pain can limit your walking, golf game, pickleball, and daily quality of life — but surgery is often not the first or only answer. Dr. Gregory Rubin offers comprehensive nonsurgical evaluation and treatment for hip conditions ranging from bursitis and arthritis to labral tears and tendinopathy. With ultrasound-guided precision and orthobiologic options, many hip conditions improve dramatically without an operation.

Hip Conditions We Treat in Naples

Hip Bursitis (Greater Trochanteric Pain Syndrome)

Pain on the outer hip that worsens with lying on that side, walking stairs, or crossing your legs is often trochanteric bursitis. It's one of the most common hip complaints we see in Naples, and it responds extremely well to a single ultrasound-guided injection. Most patients feel significant relief within days.

Hip Arthritis (Osteoarthritis)

Hip osteoarthritis causes groin pain, stiffness in the morning, and a reduced range of motion. While severe hip arthritis may eventually require replacement, early-to-moderate arthritis can be managed with viscosupplementation, PRP, and structured activity modification — providing meaningful relief and delaying surgery for years.

Hip Labral Tears

Labral tears cause deep groin pain, clicking, and a catching sensation in the hip. Not all labral tears require surgery — many patients, particularly those who are older or less active, do well with targeted nonsurgical management including image-guided injection and structured rehabilitation.

IT Band Syndrome

Iliotibial band syndrome causes outer hip and knee pain in runners, cyclists, and active adults. It is a purely nonsurgical condition that responds to targeted physical therapy, activity modification, and in some cases a corticosteroid injection at the site of irritation.

Piriformis Syndrome

Piriformis syndrome mimics sciatica — causing deep gluteal pain that may radiate down the leg. Accurate diagnosis is essential because it is often confused with lumbar pathology. Dr. Rubin uses ultrasound guidance to deliver precise injections directly to the piriformis muscle, with excellent results.

Hip Flexor & Adductor Strains

Muscle strains around the hip are common in athletes of all ages. Platelet-poor plasma (PPP) and PRP are emerging options for accelerating recovery in recurrent or chronic cases, alongside targeted rehabilitation protocols.

Diagnosis: Distinguishing Hip Pain from Spine Pain

One of the most important — and often missed — clinical decisions in hip pain is determining whether the pain is truly coming from the hip or from the lumbar spine. Dr. Rubin performs detailed clinical assessments and uses dynamic ultrasound to evaluate the hip joint, surrounding tendons, and bursa. If spine involvement is suspected, he will guide appropriate evaluation.

Read more at the Sports Medicine Review Blog — Special Tests for Hip Exam

Nonsurgical Hip Treatment Options

•        Ultrasound-guided hip joint injections (cortisone, viscosupplementation, PRP)

•        Trochanteric bursa injections — often immediately effective

•        Piriformis muscle injection under ultrasound guidance

•        PRP for hip arthritis and labral pathology

•        Physical therapy with hip strengthening protocols

•        Gait analysis and activity modification guidance

Frequently Asked Questions

Q: Can hip bursitis be cured without surgery in Naples?

A: In the vast majority of cases, yes. Ultrasound-guided injection combined with targeted hip strengthening resolves trochanteric bursitis without surgery.

Q: Is PRP effective for hip arthritis?

A: PRP has shown meaningful benefit for hip osteoarthritis in several studies, particularly for early-to-moderate disease.

Q: How do I know if my hip pain is from arthritis or bursitis?

A: They feel different and respond to different treatments. Dr. Rubin uses a detailed exam and in-office ultrasound to distinguish between the two. Don't guess — get an accurate diagnosis.

Q: Do I need an X-ray or MRI before seeing Dr. Rubin for hip pain?

A: No. Dr. Rubin can evaluate your hip same-day. X-ray is available on-site. MRI will be ordered if clinically indicated.

Q: Can you treat piriformis syndrome in Naples?

A: Yes. Dr. Rubin uses ultrasound-guided piriformis injections — one of the most effective treatments for this often-misdiagnosed condition.

See a Naples Sports Medicine Physician Today

Hip pain in Naples doesn't have to mean hip replacement. Dr. Rubin helps patients across Naples, North Naples, Bonita Springs, and Marco Island find lasting relief from hip pain without surgery. Walk in today or call 239-325-1135.