May 12, 2018

Hip pain killing you? There’s a better way.

By Dr. Michael W. Manning, DO – Novatio


If you or somebody you know has been living with hip pain, you understand how difficult or even seemingly impossible it can be trying to do even regular everyday things. It’s hard to imagine being able to enjoy walking, hiking, gardening or riding a bike when it is so painful just getting in and out of bed, a chair or a car. Living with hip pain becomes less about truly living and more about just trying to endure through another pain-filled day. There has to be a better way.

When non-surgical treatments haven’t helped you with the pain, hip replacement surgery may be the best option. However, not all hip replacement procedures are the same. There are actually different surgical approaches or techniques a surgeon may use. One approach that not all orthopaedic surgeons are trained in is the anterior approach, where the hip joint is accessed from the front of the hip (anterior means “front”).


The benefits for patients whose surgeon applies the anterior approach include:

 Less trauma to muscle and surrounding joint tissue

 Less postoperative pain

 Potential to walk sooner after surgery

 Decreased risk of dislocation

 More accurate and reliable determination of leg length and implant location


A primary reason for the improved outcomes is that surgeons trained in the anterior approach, work between the muscle planes with little to no muscle damage, whereas the other approaches generally require cutting more muscles before accessing the joint. Because not everyone may be a good candidate for the anterior approach, patients should be evaluated by their surgeon to determine the best approach.


For those suffering from hip pain in St. George, UT, there’s a better way to help you return to the activities and pain-free life you’ve been missing. At Novatio, the pioneers of Full-Circle Orthopaedics™, we’ve pulled together a complete suite of non-surgical and surgical solutions that best fits your needs. Plus, our chief surgeon, Michael Manning, DO has performed over 500 hip replacements with over 300 anterior approaches completed since 2011 alone.


Novatio has also partnered with the state-of-the-art St. George Surgical Center (SGSC), and together are proud to announce the purchase of their new Hana® table, uniquely designed to optimize the anterior approach hip replacement surgery. This table and Dr. Manning’s technique allows for computer image guided implant placement assuring optimal position as well as the need for less staff thus reducing tissue damage and risk of infection respectively. As a result, patients can now return home same day or within only 23 hours of their procedure, dramatically saving them time and expense of having to stay in a hospital 2-4 days with additional rehab.


To learn more, contact Dr. Manning’s office, Novatio, located at 700 S 900 E. Suite 202 in St. George by calling 435-688-1152 or visiting You can also learn more by contacting the St. George Surgical Center located at 676 South Bluff Street by calling 434-673-0095 or visiting


Michael W. Manning, DO is a Board Certified orthopaedic surgeon who provides Full-Circle Orthopaedic™ services for St. George, Cedar City, and Mesquite, NV. His pioneering approach addresses the health of the whole person including body, mind, movement and nutrition. Dr. Manning has over 14 years of experience in orthopaedics, including time at the world-renowned Scripps Clinic in California specializing in hip and knee replacement and reconstruction. He is at the forefront of the orthopaedic industry and is fluent in English and Spanish. He loves mountain biking and spending time with his family.

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