Hip impingement (FAI) is one of the fastest growing orthopedic surgeries, but much of this growth has outpaced our current understanding of this condition. A key question involves the additional bone development (cam and pincer lesions) found among athletes. Many of these athletes remain asymptomatic despite having positive findings of impingement on x ray and...
Hip impingement or femoroacetabular impingement (FAI) is common hip condition causing pain in the front of the hip and groin. This condition has received considerable attention in the medical research and our clinical practice because of the sky rocketing rates of advanced imaging including MRI and surgical procedures to “correct” the condition. Of greatest concern...
Arthroscopic hip surgery is one of the fastest growing orthopedic surgical procedures today. This procedure is commonly utilized to treat hip impingement and hip labral tears. The rapid growth of surgery for this condition is thought to result from both an increase in surgeons trained in hip arthroscopic surgery, as well as, the increased utilization...
Inherent risks, such as infection and blood clots, are associated with orthopedic surgeries and should be considered in decision making between surgical and conservative treatments for musculoskeletal diagnoses. In addition to these inherent risks, patients should also consider other hidden or less common risks after surgery including increased healthcare costs (office visits, additional surgeries, hospitalization)...
Arthroscopic hip surgery rates have dramatically increased in the last decade due in part to increased MRI imaging. MRIs are very sensitive, but lack specificity in many musculoskeletal disorders with high rates of false positives among asymptomatic populations. Hip pathologies such as impingement (cam or pincer) and labral tears can be found in up to...
The labrum is a dense connective and fibrocartilage tissue lining the socket of the hip joint. It functions to deepen the hip socket and improve stability and weight bearing during functional activities. The labrum is highly innervated on top and front portions of the joint and often refers to the front of the hip when...
Hip impingement, or the compression of the soft tissue or bony structures of the hip joint, has become the flavor of the week in orthopedic surgery. Surgical rates have risen 18 fold over the past ten years outpacing the available research on the condition. Previous research has shown up 68% and 67% of asymptomatic hips...
Hip impingement, femoracetabular impingement, is a common source of pain for patients. Much research is needed on this more recent diagnosis secondary to the high rates of impingement found in pain free athletes. In addition, more research is needed on the comparison of conservative versus surgical management of the condition. Patient’s undergoing arthroscopic surgery to...
Dry needling is an effective Physical Therapy intervention for the treatment of muscle pain and injury. Our previous post described a recent review article supporting its’ use for the reduction of short term pain and disability in multiple body parts including the spine and hip. Painful trigger points and muscle pain can also be treated...
Over 200,000 Americans undergo a total hip replacement often as a result of severe hip osteoarthritis. Patients who enter the surgery in a weakened, less functional state have worse outcomes up to 2 years post operatively compared to their higher functioning peers (Fortin et al. 1999, 2002). This is concerning because the most rapid recovery...