As surgical and imaging techniques have improved, we are now more aware of injuries and conditions about the hip joint that can be a consistent cause of pain. This can include:
- Acetabular Labral Tears
- Loose Bodies
- Cartilage Injury
- Recalcitrant Trochanteric Bursitis
- Femoroacetabular Impingement (change in the bony morphology of the femoral neck and acetabulum)
In patients with hip pain that present with minimal to no arthritis, basic radiographs and potentially an MR arthrogram of the hip can provide a significant amount of information for diagnosis.
Awareness of these conditions in the past, however, was met with a frustrating lack of options for treatment. Often times, an anti-inflammatory medication in combination with physical therapy can be a source of relief and return to activity.
However, what about those patients that are not able to overcome their discomfort through conservative means? In the last decade, hip arthroscopy has emerged as a viable means of treating a host of hip conditions. Reparative as well as debridement techniques can be used through small (< 1 cm) portal sites (much like other arthroscopic surgeries) to treat the aforementioned conditions.
As an outpatient procedure, patients are able to go home the same day with basic pain medication.
Post-operative rehabilitation is surgery specific and designed to get each person back to work as well as elective activities.
In patients that have hip pain that does not make sense, consider an MR arthrogram or referral to orthopaedics as there may be an underlying structural hip problem that has viable treatment options.
To contact Dr. White or Physicians’ Clinic of Iowa—Orthopaedics at (319) 398-1545.