Hip pain makes walking, sitting, work, and sports a challenge. Nathan Boes, MD is a board-certified orthopedic surgeon and fellowship-trained in Sports Medicine, providing comprehensive hip care to patients in Frisco and the North Dallas area. He starts with conservative care and uses hip arthroscopy and other advanced procedures only when they’re clearly the best path to durable function.
Caring for patients from Frisco, Plano, McKinney, Allen, Prosper, Little Elm, The Colony, and across North Dallas/DFW.
Common Hip-Related Conditions & Injuries
Scar tissue restricting motion after injury or prior surgery.
Focal cartilage defects leading to sharp or activity-related pain.
Extra bone on the femur (cam) and/or socket (pincer) that pinches the labrum and cartilage.
Lateral hip pain from bursa and/or IT band irritation.
Capsular laxity or structural factors causing a sense of giving-way.
Inflamed joint lining (often after overuse or injury) with aching and stiffness.
Rim cartilage injury causing groin pain, catching, or clicking.
Hip flexor, gluteal, or core deficits that overload the joint.
Hip-Related Treatments & Procedures
Non-Surgical Care
- Activity modification & graded physical therapy (mobility, hip/core strengthening, gait mechanics)
- Targeted injections when appropriate (e.g., bursa or joint)
- Anti-inflammatory strategies and load management
Hip Arthroscopy & Soft-Tissue Procedures
- Arthroscopy — minimally invasive camera-guided treatment for labrum, cartilage, and bony impingement.
- FAI Correction — femoroplasty (cam) and/or acetabuloplasty (pincer) to relieve impingement.
- Labral Repair/Reconstruction — restores labral seal for pain relief and stability.
- Capsular Plication/Repair — tightens the capsule for hip instability or hyperlaxity.
- Synovectomy — removes inflamed synovium for persistent synovitis.
- Lysis of Adhesions — frees scar tissue to recover motion after injury or prior surgery.
- Chondroplasty / Cartilage Restoration — smooths damaged cartilage or restores focal defects (technique tailored to lesion and patient).
- Endoscopic Bursectomy / IT Band Lengthening — for recalcitrant trochanteric bursitis when non-operative care fails.
Arthritis & Joint Preservation
When arthritis is advanced, joint-preserving strategies are discussed first; if needed, patients are counseled on options outside the scope of hip arthroscopy.
Personalized Treatment Plans for Every Patient
Evaluation & Diagnosis
- Thorough history and hands-on exam (impingement tests, gait, core/hip strength)
- X-rays to assess shape and alignment; MRI (often arthrogram) when labrum/cartilage detail is needed
- Clear explanation of findings with a step-wise plan aligned to your job, sport, and goals
Non-Surgical Care Comes First
- Structured PT for mobility, hip/cores strength, and movement retraining
- Activity modification with return-to-run/return-to-sport progressions
- Anti-inflammatory strategies and targeted injections when appropriate
- Education on posture, ergonomics, and training load
Surgical Expertise (When Needed)
For patients whose pain or mechanical symptoms persist, Dr. Boes offers hip arthroscopy and soft-tissue reconstruction designed to relieve impingement, repair the labrum, protect cartilage, and restore stability—paired with a detailed rehab pathway.
