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how to repair torn hip labrum

by Marjolaine Skiles Published 2 years ago Updated 2 years ago
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Medication

The normal treatments to address a hip labral tear are either to repair the damage with sutures or to trim out the torn portion of the labrum. The decision of how to address the tear usually depends on factors including the tear type and location. Arthroscopic hip surgery is not without potential risks.

Procedures

Hip labral tears do not heal easily, so repair surgery may be necessary in many cases. The goal of surgery is to improve hip stability, function, and range-of-motion; decrease hip pain; and prevent additional damage to the hip joint. When Do Doctors Recommend Hip Surgery to Repair a Torn Labrum? A doctor may recommend hip labrum repair surgery if:

Therapy

Torn hip labrum may cause pain, reduced range of motion in the hip and a sensation of the hip locking up. Labral tears are typically caused by overuse, traumatic injuries or abnormalities in the shape or alignment of the hip bones. Hip labral tears can be treated with or without surgery.

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How do you treat a hip labral tear?

Do you need hip surgery to repair a torn labrum?

What are the symptoms of a torn hip labrum?

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Can a torn labrum in the hip heal itself?

A hip labral tear won't heal on its own, but rest and other measures can help manage symptoms of a minor tear. Nonsurgical treatments include: Anti-inflammatory medications: Over-the-counter pain relievers like ibuprofen (Motrin®, Advil®) can reduce inflammation.

How long does it take to recover from a torn hip labrum?

How Long Does Hip Labral Tear Recovery Take? After a hip labral tear surgery, most patients spend four months in one-on-one physical therapy sessions and can then ease back into their everyday activities subsequently. However, it can take them up to nine months to get back to their hundred percent.

Should I have surgery for hip labral tear?

If a hip labral tear causes significant hip pain and symptoms do not improve with medical treatment or therapeutic injections, NYU Langone doctors may recommend surgery to repair or reconstruct the labrum and fix any underlying structural abnormality that may have caused the labral tear.

What happens if you don't fix a torn hip labrum?

If a labral tear is left untreated, it will lead to ongoing and worsening pain. A normal labrum is important to the normal function of the hip joint. A torn labrum leads to cartilage damage and eventual arthritis of the hip joint.

Is a torn hip labrum serious?

Torn hip labrum may cause pain, reduced range of motion in the hip and a sensation of the hip locking up. Labral tears are typically caused by overuse, traumatic injuries or abnormalities in the shape or alignment of the hip bones. Hip labral tears can be treated with or without surgery.

How painful is hip labral tear surgery?

Generally, you'll experience some hip discomfort during recovery. This discomfort may also be experienced in your buttock, lower back, ankle and knee. We can use appropriate pain medication to reduce the discomfort.

What to avoid if you have a hip labral tear?

What Should be Avoided with a Hip Labral Tear? Positions of pain such as excessive hip extension, jumping and pivoting should be avoided as it can cause impingement of the hip joint and spasm of the surrounding musculature.

Can you live with a torn hip labrum?

Many patients inquire about hip labral tear recovery without surgery. Simply put, a hip labral tear will not heal without surgical treatment. However, many less severe hip labral tears can be managed for years, sometimes even indefinitely, with nonsurgical treatment.

How soon can you walk after hip labrum surgery?

Hip arthroscopy patients can expect to walk using crutches for 1-2 weeks afterward, and to undergo six weeks of physical therapy. It may be 3-6 months before they experience no pain after physical activity.

Is walking good for labral tear?

Movements like standing and walking might actually feel better when you have a torn labrum, depending on the location of the tear.

How successful is hip labrum surgery?

The success rate for labral tear hip surgery is high in most cases, however, depending on a variety of factors and the cause of the labral injury, a repeat procedure may be necessary after the primary surgery. One study found that 17% of patients required a second surgery.

Why is a hip labral tear so painful?

Why is a labral tear so painful? The labrum contains nerve endings that can stimulate pain fibers, which can cause pain in the hip region.

How soon can I go back to work after hip labrum surgery?

People who have open surgery may need to use crutches for about 6 weeks. People with sedentary jobs typically return to work 1 to 2 weeks after arthroscopic hip labrum surgery. Prolonged sitting is not recommended, so these people will be encouraged to stretch and move intermittently throughout the day.

How long does it take for a labrum tear to heal without surgery?

It is believed that it takes at least four to six weeks for the labrum to reattach itself to the rim of the bone, and probably another four to six weeks to get strong. Once the labrum has healed to the rim of the bone, it should see stress very gradually so that it can gather strength.

What is the procedure to repair a frayed hip labrum?

Debridement. This technique involves trimming or smoothing the area of the labrum that is frayed. The goal is to remove loose, damaged and pain-generating tissue. Other repairs. Hip problems are often intertwined, so it is common for a surgeon to repair the hip labrum and address other problems during the same surgery.

What is labral tear?

advertisement. Labral tears with hip impingement. Depending on their level of pain and disability, even patients who have relatively small tears may be encouraged to consider surgery if they also have a condition known as femoroacetabular impingement, also known as FAI or hip impingement.

What is hip impingement?

Hip impingement occurs when bony growths lead to abnormal contact between the hip’s bones. Research suggests that nonsurgical treatments have limited success for patients who have both a labral tear and hip impingement. 1. The hip labrum is made of tough fibrocartilage with a limited blood supply.

What is the goal of hip surgery?

The goal of surgery is to improve hip stability, function, and range-of-motion; decrease hip pain; and prevent additional damage to the hip joint. See Coping with Hip Labral Tears.

How long is a hip arthroscopy?

Special surgical tools and a video camera are inserted through 2 to 4 incisions that are approximately 1 cm long. Open hip surgery requires a single incision 8 cm to 10 cm long. During open surgery, the surgeon may dislocate the femoral head from the hip socket.

Can labral tear repair be done during surgery?

Save. Depending on the damage to the hip labrum, a surgeon may perform a labral tear repair and a debridement. The decision to do other repairs may be made during surgery. Pre-operative medical imaging cannot always reveal everything that is wrong in a joint.

Can labrums heal on their own?

Why labrums typically do not heal on their own. The hip labrum is made of tough fibrocartilage with a limited blood supply. Once it is torn from the bone, it is nearly impossible for it to re-attach itself and heal back to the bone without surgical intervention. See Considering Surgery for Hip Pain.

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