Understanding the Basics Behind Hip Labral Repair
What is Hip Labral Repair?
Many people of all walks of life struggle with hip pain. Labral tears, a common hip injury, occur when there is damage to the cartilage that surrounds the bony edge of the socket in the pelvis.
These tears can come from repeated use of the hip or a traumatic event like a fall or accident that causes the joint to twist.
The highly-trained orthopedic hip physicians at Kansas City Orthopedic Alliance have performed thousands of hip labral repairs in Kansas City. We have the expertise required to treat a variety of hip issues, both surgically and non-surgically. When you visit a specialist at KCOA, we focus on creating a treatment plan based on your specific conditions, symptoms, and recovery goals.
Signs you may need hip labral repair include:
- Pain in your groin while sitting or walking
- Hip pain or tightness with physical activity/sports
- Pain along the side of your thigh and/or buttocks
- Inability to stand up normally
- Swelling in your hip or groin
- Difficulty laying on or sleeping on your hip
Kansas City Orthopedic Alliance hip Injuries Assessment
Assessing the Injury
Finding the right hip treatment in Kansas City starts with an assessment.
You can think of hip pain as a spectrum, with some instances being more severe than others. The KCOA orthopedic specialists always focus on each individual patient and their concerns before creating a treatment plan.
Therefore, during your initial appointment, we will often ask questions such as:
- Does your pain currently limit you or your activities?
- Has your pain progressed or worsened recently?
- Have you experienced any locking in your hip or an inability to stand or walk normally?
- Have you noticed any change in your symptoms that has made it more challenging to function?
- What are your lifestyle goals?
- How has pain affected those goals?
From there, we can decide which treatment option aligns best with your needs and lifestyle goals. After a proper assessment, we often begin with a physical examination to help determine the origin point of your pain. In some cases, advanced testing may be required for a full diagnosis.
Also called radiographs, an X-ray captures a picture of the hip. Orthopedic physicians may order an X-ray to rule out the possibility of a fracture (broken bone), osteoarthritis, or other hip-related conditions.
Magnetic Resonance Imaging (MRI)
MRI captures images of muscles, bones, intervertebral discs, and tendons to help provide information other tests can’t detail. During an MRI, you will lie on a table that slides into a tube-shaped scanner. The machine creates a magnetic field around you, using pulsed radio waves to form the MRI images.
A physician inserts a needle in the hip and injects medicine into the joint. In most cases, the provider uses a real-time X-ray (fluoroscopy) or ultrasound to see where to place the needle in the joint. If the shot does not relieve pain within a few days, then the hip joint may not be the source of hip pain.
Establishing a Care Plan
Based on the results of your interview, examination, and imaging studies, our experts develop a custom care plan catered specifically to you.
Many people believe it’s best to wait until pain becomes severe, leading them to “put off” or delay treatments.
If you are in constant discomfort, have shooting or stabbing pains, have limited range of motion, or an inability to perform your daily activities, hip arthroscopy may be right for you.
New technologies allow patients with hip pain to fully recover and enjoy the benefits of a more functional, pain-free lifestyle.
Prior to surgery, you will typically receive at least 2 phone calls:
- A hospital registration representative will call to gather insurance and other personal information.
- A registered nurse will call to review your health history and medication information.
Dependent on your health history, your physician may require:
- Pre-surgical laboratory tests
- Primary care clearance
Pre-operative instructions will vary depending on your physician and the location of your surgery.
Always check with your physician prior to surgery.
Most physicians require that patients not eat or drink after midnight prior to surgery the next day.
Additionally, you will need a designated family member or friend to drive you home on the day you are released from the hospital. Surgical patients cannot drive themselves home.
Day of Surgery
If you schedule your surgery with a KCOA physician, you can expect the following on surgery day:
- A receptionist will check you in at the hospital registration desk.
- A nurse will take you back and prepare you for surgery. They will start an IV, prepare the surgical site, and review your medical history and medications.
- Your surgeon and anesthesiologist will visit with you prior to your operation.
- The surgical team will take you to the operation suite for surgery.
How it Works
A hip arthroscopy in Kansas City is a minimally invasive procedure that allows surgeons to see inside the joint. A small tube with a camera is inserted through a minor incision, allowing the surgeon to make a more definitive diagnosis, and eliminating the need for a large surgical incision.
We typically use arthroscopy to make a diagnosis when X-rays and other imaging tools do not provide answers. In many cases, KCOA physicians use arthroscopy to treat orthopedic conditions as well. Once your surgeon makes a determination regarding the root cause of your hip issue using arthroscopy, they may utilize the following procedures to treat the problem:
Labral tear repair – The doctor will reattach the torn labrum to the socket (acetabulum) using small plastic “anchors” and sterile thread.
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. For example, the surgeon may repair the labrum and shave down bony abnormalities that cause hip impingement.
After your surgery, you will remain in the recovery room before being discharged.
Our experienced clinical team will monitor you during this recovery and provide pain relief medication, if needed.
Depending on the type of repair performed, you may need crutches or another assistive device after surgery to aid in mobility and to ensure you’re not putting too much stress on the repaired joint.
Your provider team will give you and your family members specific instructions about whether you can put weight through your leg or not following surgery.
What to Expect
Your physician may refer you to a physical therapist to begin rehabilitation shortly after surgery.
It’s crucial to follow through with physical therapy to rebuild strength and regain range of motion.
It’s important you monitor your incision sites to ensure they are kept clean, dry and free from infection. You will be sore and the area may be bruised and swollen—that’s to be expected.
Pay attention to to your body and be sure to report any concerns to your care team.
Causes of Hip Pain
First, it is important to understand the anatomy of a hip joint. There are different types of joints in the body; the hip is a “ball-in-socket” joint. Just as the name suggests, a ball-in-socket joint consists of a ball-like structure that moves inside a depression in the bone to allow for rotational movements. In the hip, the ball-shaped head of your thigh bone (femur) that fits into the hip socket (acetabular socket) creates the joint.
Around the hip socket is a ring-shaped ligament called the labrum. This ligament has 3 main functions: Sealing the femoral head to keep fluids within the joint, helping stabilize the hip joint, and protecting the surrounding cartilage.
Oftentimes, patients choose hip arthroscopy or other surgical treatments after failing to see results from more conservative treatments. Kansas City Orthopedic Alliance physicians prefer non-surgical measures in most cases, and we usually only suggest surgical options after exhausting multiple less-invasive treatments. Non-surgical treatments for shoulder injuries include:
Physical Therapy – Movement can actually reduce pain and encourage healing in the hip, as movement increases circulation in the joint, supplying oxygen and other nutrients that support joint health and function.
- Injections – Cortisone injections can help with inflammation, and the effects tend to last for 3 to 6 months before you might need another one. Many people manage their pain with injections and exercise.
Medications – At times, the pain becomes too much and hinders movement. In those instances, your doctor may recommend over-the-counter NSAIDs (Non-steroidal anti-inflammatory drugs, such as Advil) or prescription medications. Especially with NSAIDs, you should always talk to your doctor to ensure they are the right treatment for you. Side effects can include stomach irritation, ulcers, or even kidney damage. Reasonable dosing and monitoring can help alleviate those side effects.
Regenerative Medicines – Regenerative medicines like stem cell injections or platelet-rich plasma can help nourish worn or damaged tissue. This option works best if you have mild-to-moderate hip pain.
Frequently Asked Questions
Turn to KCOA for hip labral repair in Kansas City.
Our care is personal. Our team is knowledgeable. And we’re more available than ever.
With access to board-certified specialists across Kansas City, we have the tools to meet almost every musculoskeletal condition.
Overland Park, Kansas10777 Nall Ave Suite 300 Overland Park, KS 66211
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Dr. Ting and his staff are the best!
Dr. Ting and his staff are the best! Sarah his nurse is kind and supportive. Dr. Tings nurse for surgery was absolutely the best! Dr. Ting, I have complete faith in. He is who I shall go to for anything he handles! Can’t say enough about him! Thank you all for making a scary time a completely peaceful event. You are the best!!
Staff is great
…just did my husbands hands on Wed. last week and can’t believe how well he is doing. We have already recommended you to our son and a few others. Your staff is great and my husband doing well. Thanks to you.
I left a very happy patient.
…I arrived a little bit late. I got checked in quickly and was back in a room within 10 minutes. Dr Rhodes was very friendly and took the time to pull up pictures of my surgery and show them and explain them to me. I left a very happy patient.
Dr. Scott Ellsworth is one of the best
Dr. Scott Ellsworth is one of the best I have ever worked with. He is knowledgeable, efficient, caring, and knows his patients. He has a special bedside manner that makes any patient in any situation feel comfortable. All of the nurses and office staff are wonderful as well.
I'm consistently impressed
In the process of treating my particular problem I’ve been to Apex probably 4-5 times. I’m consistently impressed by the professionalism of the staff and the amount of care & time they spend with me as a patient. They’re always very careful to make sure I understand the nature of the medical problem, the reasons for the diagnosis, and the type of treatment recommended. Stephanie’s care and concern is especially appreciated.