Hip osteoarthritis (OA) is a progressive degenerative joint condition associated with pain, functional limitation, and reduced quality of life in older adults. Standard management includes patient education, exercise therapy, and pharmacologic interventions, with surgical options reserved for advanced disease. However, symptom management is variable, particularly in patients with coexisting myofascial pain. We present the case of a 67-year-old male with acute right hip pain following prolonged physical activity. Radiological findings confirmed structural degenerative changes consistent with hip OA-related pain and secondary myofascial pain. The patient underwent a multimodal treatment plan that consisted of acupuncture, trigger point injections (TPIs), and cupping therapy. Following a three-session treatment course, the patient reported significant pain reduction (VAS 10 to 2) and improved hip and lumbar range of motion. At 10-month follow-up, he reported sustained symptom resolution without recurrence or need for further intervention. This case highlights the potential role of a targeted, multimodal approach addressing both osteoarthritic and myofascial contributors to pain. While each modality has demonstrated benefit individually, evidence supporting their combined application remains limited. Further controlled studies are warranted to evaluate the efficacy, reproducibility, and clinical role of such integrative strategies in the management of hip OA.
Chantasirivisal et al. (Mon,) studied this question.
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