Hip Labral Tear Over 40: Is Hip Surgery Better Than Physical Therapy?

Is arthroscopic surgery for hip labral tears better than physical therapy? Dive deep into this randomized controlled study comparing physical therapy for hip labral tears to surgery in patients over the age of 40. The results will shock and surprise you.
Original Study and appendices: Hip Arthroscopy vs Physical Therapy for Acetabular Labral Tears: Analysis of a Prospective Randomized Controlled Trial: journals.sagep...
Hip Arthroscopy Versus Physical Therapy for the Treatment of Symptomatic Acetabular Labral Tears in Patients Older Than 40 Years: A Randomized Controlled Trial (2021):pubmed.ncbi.nl...
iHot33 PDF - www.carlosguan...
Modified Harris Hip Score PDF: www.howardhead...
Modified Harris Hip Score Online: orthotoolkit.c...
Stonybrook Levels of evidence: guides.library...
The Levels of Evidence and their role in Evidence-Based Medicine: www.ncbi.nlm.n...
Evidence-Based Practice: Levels of Evidence and Study Designs: ascension-wi.l...
Effect of Crossover on the Statistical Power of Randomized Studies: pubmed.ncbi.nl...
HELPFUL LINKS
🎥UK NHS Hip Impingement Trial Using iHot33: • Hip Impingement Surger...
🎥Hip Impingement Tests Don't Work (FABER and FADDIR): • The "Best" Tests for H...
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At Upright Health we give you strategies and research to get your life back.
With principled functional training, we believe everyone can beat chronic pain and get strong, mobile, and resilient.
Our home training programs help you troubleshoot and train your body safely. We help you tear down fear and build up muscle. We help you think right, move right, and feel right.
Matt Hsu's own battle with chronic pain from the age of 16 in his feet, knees, hips, back, shoulders, elbows, forearms, wrists, hands, and head gives him a uniquely thorough understanding of musculoskeletal pain, the ways in which it can undermine an entire life, and the mental and physical hurdles that keep people from getting out of it.
When not filming videos, he's working out in the living room, surfing, learning dance or gymnastics moves, or riding a bike with his son in tow.
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ABOUT THIS VIDEO
Does physical therapy work to fix hip labral tears? How effective is surgery for hip labral tears? This hip labrum tear research study claims that arthroscopic surgery is more effective for hip labrum tears than physical therapy, but the study is plagued with problems. It had a very high crossover rate, a terrible physical therapy protocol for hip pain, and massive problems with bias in how the study was constructed. Even so, the study still showed that surgery for hip labrum tears is largely ineffective.
#HipLabrumTear #HipLabralTear #HipSurgeryResults #HipPain #HipPainResearch #UprightHealth

[@Uprighthealth]

What did you learn from this video? Drop me a comment! 👉Rebuild Your Body At Home uprighthealth.com/diy

[@denisecorcoran6775]

If labral tears do not cause hip pain, then what is causing my acute onset (now chronic) pain??? I have all the classic symptoms of an anterior labral tear (e.g., clicking, catching, pinching, sharp pain, etc.).

[@vivienarguelles5857]

In 2017, while hiking in Shenandoah, I fell on my side, but with little pain I continued short hikes for two days. To make sure that there was no stress fractures, as I was 75 at the time, Dr. recommended an MRI. The MRI showed I had "tearing of the superior acetabular labrum" plus partial tearing of the gluteus minimus, and of course bursitis. I went to PT, strengthen my hips (ATM) and glutes, and to this day, I am now 89, I am still doing intervals of 6 miles and hiking. Not as long as before but no pain on my hip. However, I do have stenosis (yep, I am getting older) and that contributes to pain on my side (like sciatica) and just try keep strengthening my legs, back and hip muscles. Listen to him, is all about the muscles and strengthening them. If it hurts so much you can't walk, then you let it go too long.! That my 3 cents.

[@Earthether]

Thank you

[@PikesCore24]

If your pain started with a fall to the side, then that doesn't sound like labral pain. Labral pain usually develops over a period of months or years, with lots of ups and downs along the way.

[@adeladavis3532]

Thank you for your encouragement. At 70, I'm at, the fall, the MRI. NO SURGERY NEEDED! Yay, now to strengthen!

[@adeladavis3532]

​@@PikesCore24hmm, now I'm confused. Before the fall, my hip was 'tweaky' from time to time. I'm sure 5 mile walks aggrevated the sitiation.

[@marciajohnson8999]

I was having a mri on my left ankle and the lady was telling me to keep my right leg bend, so I asked her was my knee clear and she said yes, but anyway my knee got struck against the machine as I went in. Knee didn't hurt rt then but the following Friday it started to buck so went back to hospital fluid back of knee meds and left so I continued to go on about my life then I started developing lower back and hip pain and sciatica nerve problems 2019 few months apart and still having problems I have been meloicam and PT , shots nothing is helpful, it's very depressing and I can't keep going like this mri shows a tear in my labrum. Please help I want to avoid surgery. I have tried everything possible

[@nicholascurran4290]

I’m glad I got my surgery. I’m 1 week and a few days out and already feel better than the last 1.5 years.

[@laurakearley3107]

How was your rehab and recovery? I'm hearing it's more difficult that a hip replacement. Have tried physical therapy and hasn't helped

[@laurakearley3107]

PT prior to surgery and hasn't helped at all.

[@nicholascurran4290]

It’s going well. I’m 12 weeks out and I don’t have anymore impingement. Starting squats. Recovery is tough at first, but I was crutch free after 4 weeks. I think a lot depends on your surgeon. I’m still happy I got the surgery. You need someone to help you through the first two weeks.

[@nicholascurran4290]

@@tob855 Good idea. Make sure you get someone with a lot of experience if you can. I’m really glad I had surgery.

[@yurijanssen2148]

likewise! I had a (possible) impingement in my hip and opted for surgery as the pain was getting to me. The surgeon was fantastic (and was very fair to me in the succes rate). I had 9 months of PT but mostly wasn't in any pain post surgery, building back all the muscle lost from the surgery & traction took the longest and was a little daunting at first but once i was off the crutches the progress went quick. Don't want to bust Upright Healths theories ofcourse, just sharing my own experience. Do what feels good for you, i opted for surgery without doing PT prior because i trusted the Surgeons expertise on this one. The diagnosis, scans & appointments had been going for over a year. Feel great now, back in business!

[@lazrface]

Brilliant video! As a physician, I applaud your careful, easy to understand, and humorous journal article review. Bravo sir!

[@uimprovedpt]

As a Doctor of Physical Therapy who has had to rehab his own hips and has helped patients rehab their hips from FAI and labral tears, I agree that not all PT or PTs are equal. I actually emphasize how important it is for patients to take control of their own therapeutic exercises, as MOST clinics will just see patients for 2-3 days a week for an hour, which is not enough to change how your hips move, and have to see 3 others patients at the same time. I have found that emphasizing shorter exercise sessions several times throughout the day encourages habit formation and gives the patient more input and feedback so they can make changes to their movement quicker. Love the info from the research and the comment on "bad PT", appreciate it!

[@michaelregan427]

I really appreciate how you take the time to break down studies and show how the results can be skewed depending on the variables people plug in.

[@gracefoster4861]

Thank you so much. When I compared my physical therapy for my labral tear, (not part of this study) with your exercises your exercises won out over physical therapy and so far no need for surgery. Pain is much better and I plan to keep exercising.

[@Louie406]

How are u feeling now?

[@DevHazy]

?

[@AnnaMariaWolf]

I have been doing FAI FIX for 30 days or so and am significantly better. I am 59 and now can do a 60 minute plank, and able to hike an hour yesterday at a pretty good clip. Just was not going to go down the surgical route and was looking for options that made sense - as a holistic vet this is also what I do for animals. Anyhow highly recommend and am very grateful for all your dedication and hard work. I am doing the All in One Routine for Stiff People 6 out of 7 days right now. Thank you!

[@Uprighthealth]

Nice job, Anna! Kudos on healing yourself! ❤🔥

[@meekolou]

What is fai fix. I am in constant pain, spondelothesis spondylitis, hips ache, thigh pain.

[@meekolou]

What is stiff people, a program?

[@adeladavis3532]

​@@meekoloufollowing...

[@patriotestherj]

I'm a holistic vet also!!! I think I have a hip labral tear... Surgery is not an option for me... LAST RESORT!!! I'm 54... What do you think about prolotherapy? Stem cell???

[@daniellehurley7386]

Thank you for this video. I am in my early 30s and was recently diagnosed with a labral tear. My pain has reduced my quality of life and prevents me from doing activities I love. I have been so discouraged by my options. Your video has given me some hope. I will be seeking out a movement professional.

[@AlexProudfoot1]

What a lovely sense of humour you bring, Matt. Thank you.

[@patricia753]

Thanks for taking this apart for us Matt!!! I really appreciate your EXTENSIVE Research, Dedication, and Generous Sharing!! You are Amazing, and Inspirational. Thank you...

[@heatherbinns3262]

Thanks for this informative video! Wish I came across it back in 2021 :) I had labral hip tear surgery in June 2021...wish I knew this information beforehand as I probably would not have opted for surgery. What's interesting is that my surgery was delayed due to COVID, so they gave me a cortisone shot to hold me off until surgery. I am a runner and athlete, and the shot allowed me to continue running with minimal pain, and then eventually no pain. When it was finally time for surgery, I was actually not having hip pain, but thought that was because of the cortisone shot (their "temporary" solution for me). Now I am thinking I may not have needed surgery. Hhhhhhmmmmm......can't undo it now. What sucks, is that I still occasionally have hip pain, but it's mostly in the outer region where my arthroscopic surgery scars are located.

[@umit777.]

Hi I have labral tear and inpingement my hip. How is your hip now? Have you any pain? Which information did you need know before the surgery?

[@heatherbinns3262]

@@umit777. My hip is fine now...I don't have pain but I am aware of that area on occasion as the structures are different now. As for the information I wish I new before, it was everything he shared in this video :) I was having no pain at the time of surgery, but assumed it was just due to the cortisone shot, but maybe not.

[@umit777.]

​@@heatherbinns3262 thank you for this great answer. How old are you? I have labral tear and inpingement in my hip. İm 39 a man. You think surgery is worth it for long years or full life surgery is work it

[@renov8fitness]

@@umit777. I was 47 when I had surgery and it's been 2 years. I recommend going with your gut instinct.

[@umit777.]

​@@renov8fitness Do you have any pain now in your hip?? Love your writing

[@PikesCore24]

First of all, congratulations on very well produced video! I love analyzing research, and I learned some new stuff here. Thanks for explaining "intention to treat". I thought I just wasn't smart enough to understand the concept. Now I know that I'm not stupid; rather, intention to treat is just bad science. Also, I had read this study earlier, and I came to the same conclusion as you, which is that they had a physical therapy protocol that was poor, or in your words, "destined to fail". In any case, we agree on a lot, but I have some bones to pick with you. First some background on me. I suffered from labral pin off-and-on for a few years. At times, the pain was crippling. Fortunately, there were windows of time where the pain was manageable and I could continue to pursue an intense workout regimen. I managed to stay in excellent physical shape through it all. Today I am virtually pain free. However, I want to emphasize that over the last few years I have pursued a detailed program of lifestyle modification. That just means that I located the movements that hurt and I stopped doing them. Here is the bone I'm going to pick with you: In your video, you seem to mock the advise that people should avoid movements that hurt. I disagree. If you have labral pain then you absolutely must avoid the movements that hurt. You mentioned straight leg raises. In fact, straight leg raises are a pain trigger, so I don't do them. On the other hand, I can run up stairs with a 20 lbs ruck sack and it doesn't trigger pain. I can swing a kettlebell, jump rope, bench press, and so on. There is lots of stuff I can do. I've recovered because I avoid the stuff that hurts and capitalize on the stuff that doesn't hurt. Maybe I'm misinterpreting your message. I look forward to your thoughts.

[@DevHazy]

@@PikesCore24 what about horse riding?? It doesn’t hurt but the day after my symptoms are back. Help!! Thanks

[@chrisbuchanan1193]

This was so well done! Extremely informative. And I love your bony assistant! I am 70 and have right hip pain- X-ray looks "great" but MRI shows labral tear with cyst. From my own research these are extremely common in elderly people. I really don't want to have arthroscopy or total hip replacement unless I really need it. It's hard to find a PT who doesn't just go into auto-pilot in giving exercises, some of which made my pain worse. A cortisone shot helped but that is nonspecific. Will be patient and keep researching. I appreciate people like you are out there giving so much information.

[@chrystalmalone2454]

So glad I seen this. I’m 46 now and in August 2020 I had a labral tear, IT band and hip bursitis surgery and omg it was painful! Now 4 years later I can tell the tear is worse. I can’t put any weight on my right leg. Hurts to drive or even sit on potty. I have Ankleyosing spondylitis also and other issues in my spine, si joints and facet. So tired of hurting!

[@cyclone99x]

Im 36 and just got diagnosed with fai impingement and hip labral tear. I had surgery for labral tear in the shoulder 2 years ago and although it feels better then before the injury it's still not a hundred percent and I still have flare ups. I want to do everything I can to avoid surgery for the hip labral tear. So far I've done pt for a few months it's definitely better but the pain is not gone completely. I just want to get back to my active lifestyle!

[@kristianharley7231]

Labral tears rarely heal on their own without surgery, especially if the labrum is torn away from the acetabular which is in most cases of labral tears. Anchors and sutures are needed to keep the labrum in place otherwise movement and friction will cause inflammation but not healing with regards to scar tissue binding which is completely relevant for the cartilage to attach itself back together or back to the bone. Exercise and PT can improve symptoms but will never get rid of symptoms. Yes you can alleviate pressure by strengthening the hip joint but you are not fixing the underlying problem! A lot of surgical research concludes that most hip labral tears are caused by cam or pincer lesions or combination of both causing bone on bone friction leading to tears and damage to the labrum. This is called FAI impingement. 30% of the population have it and 15% will present symptoms at some point in their life. No PT will not fix FAI.. FACT. Removing the bone spur in cam or pincer form which impinges the soft tissue leading to damage and inflammation will fix it 80-90% of the time. Stop avoiding surgery and seeking non surgical approaches if you have had symptoms for over 3 months. You are just risking further damage and pain which most likely will lead to arthritis in the future. I talk from many years experience as a FAI sufferer in both hips having had surgery surrounded by many others in the form of friends and forums with labral tears & FAI. The best outcome for mobility and diminished symptoms is surgery then exercise to strengthen the hip joint.

[@stevenlake5278]

It has nothing to do with the bone this is false. Almost all injures are from muscle imbalance. I did martial arts for years. And kicking was a direct correlation to my injury. It caused extreme muscle imbalance. And not proper training.

[@tingwang1540]

HI Matt! Thanks for all you do, and for being such an independent and rigorous thinker. May I ask what you think about alternative treatments for soft tissue injuries such as (Acoustic) Shockwave Therapy and Electromagnetic Transduction Therapy (EMTT)? Much appreciated--

[@flipjupiter1]

I am 44. After a few x-rays and 2 MRI's we've learned I have a right hip labral tear as well as a little bit of arthritis. I met with 3 orthopedics and all 3 say do not do the surgery. They say I'm too old and also most people do not recover after the surgery. I'm going to have to live with the pain for the rest of my life. It's been a couple years already and it hurts every day and the discomfort never leaves. I always feel it. Physical therapy did not help at all. I tried 3 times. The cortisone shots slightly help for 2 or 3 days. I've had about 4 or 5 shots in the last 2 years. I've tried some medications and Norco and Tramadol help but obviously, they're pain killers. Over the counter stuff like Ibuprofen, Advil and Tylenol give me stomach aches. I think I may be allergic to something that's in them. The pain meds do not give me stomach aches. I used to do a lot of activities like basketball and running so I'm not sure what caused it exactly. I can't sit cross legged at all because it's hard to stand up when I do. Getting in and out of my car is sadly uncomfortable. I can't lay on my stomach because my lower back starts to hurt. I can't sit for too long without fidgeting and then when I stand up it feels like I'm carrying dead weight when I try to walk. A couple of years into this and the pain medications are the only thing so far that have helped. If anyone has ideas or thoughts or suggestions, I'd love to hear them. Thanks everyone. ✌️

[@patricia753]

May I just say, Hang in there, keep going, and persevere! I was told that I had a right hip label tear along with SI joint disfunction. For years after my injury, I was in a lot of pain. I dont really know where the pain actually originated, or what the cause of it was; labral tear, muscle weakness/imbalance, SI misalignment????? Who could actually say for certain. Anyhow, years later, after much experimentation with various movement protocols including PT, yoga, pilates, isolated exercises to target muscles in and around the hip area with abdominal and back work, walking, biking, and just trying ANYTHING holistic that Might help ie. massage, cupping, meditation, visualization, deep breathing, qigong, etc...my hip/back pain is SIGNIFICANTLY BETTER!!!! I don't know why? Maybe just the passing of time to allow the body to heal itself. I can't say I know For Certain which technique worked. Maybe All of it, bit by bit. I think it just basically takes patience, perseverance, gentleness, and creativity, along with acceptance to just Let it be, trust, pray, and keep going. Keep searching, stay open to 'I wonder...🤔'. Blessing and healing to you 🙏🌈

[@AnnaMariaWolf]

I would sign up for the FAI Fix but also maybe acupuncture, curcumen, CBD, anf herbal pain med alternatives can help in the meantime, but start working with these videos at least.

[@flipjupiter1]

@@patricia753 thank you so much. Happy to learn you are healing. I wish us all the best.

[@flipjupiter1]

@@AnnaMariaWolf thank you for the info. I will look in to the FAI Fix.

[@amandaridgway8661]

Hey Flip, your journey sounds very similar to some of mine but I was refusing suggestions for THA. I had a tear and mild arthritis to start and tried most everything over 4 years. Labrum tear surgery was not recommended by my ortho at the onset due to small tear, specialized surgery in a different city and resesrch indicated good outcomes are not guaranteed. Unfortunately it took 2.5 years for a tear diagnosis. Thankfully discovered Matt during this time but not soon enough. I tried to avoid pain killers until I no longer functioned. Cortisone and artificial lubricant worked for a few months each time but relief diminished each treatment. Everything kept getting worse and I couldn't do any thing anymore. Walking and standing upright was hard and sitting became impossible. So one year ago I gave in and agreed to do thenow recommended THA. In June I had the surgery and felt immediate and profound improvement in pain inside my hip. I was stoked. The implant is 'rock solid' and the soft tissue healing is clearly happening. BUT, all the muscle imbalances that either caused, or were an outcome of my condition or more likely both, remain. Yes I no longer have a labrum, so no tear. My skeleton is improved, yay. The muscular improvements have again become the focus as i dont have searing pain anymore. Recovery is slow partly because i am realigning my leg into its socket. In a way I just feel like I am back to beginning before the tear and the arthritis started. I feel like my misaligned leg caused much of the problems. I wasn't able to prevent the THA. However I imagine if other factors in my life didn't negatively impact my capabilities to adequately follow all pre-surgery treatment recommendations believe I could have. If I had a diagnosis and Matt's philosophy and recommendations earlier, I would not have deteriorated that bad. That said, I did and I am glad I had the surgery. I can again sit cross legged. Getting in and out of the car gets easier everytime. I can sit for short durations but will now consider careers I dont have to sit. I can sleep again on my side. I'm walking almost evenly and going in light unweighted hikes. Now I am excited and hopeful for getting back to my favourite activities, trail running and mountain biking. I agree with so much of Matt's wisdom and if our health system and medical profession here in Canada implemented this approach, everyone would be much healthier and there would less need for invasive and costly procedures. I feel your pain. Trust your instincts.

[@hluvv7607]

Recently found out the pain on my left hip was labral tear posterior FAI with OA...presently am getting steroid shots in the hip and my orthopedic surgeon said the best option is to do hip replacement..both my knees are OA and need full replacements as well. I get gel shots in both my knees and now steroids in the hip...very depressing situation for me...am47yo..

[@mindandbodyreboot]

Thank you so much for such a detailed information Based on scoring and all facts you shared I don’t have confidence in following such a studies We should work hard all on working on more natural approach to healing and consider surgery as very last option indeed

[@boxcarwillie5113]

Amazingly entertaining way of explaining things. Thank you for helping.

[@zigasporin7444]

Hey everyone, i know a lot of you are here with the same problem so i will ask here. Im 26 and have been diagnosed with labral tear. Im a acrobatics coach and movement is everything to me. How is your experience with surgery? Should i try with PT first? I really want to get back into tricking(sport i participate in, look it up if you would like) and movement in general after. Im scared that after surgery i will never fully recover and wont be able to do things anymore, because right now i still can, it just starts hurting after like 30min of going at it. So the real question, what is your suggestion PT or surgery? Whats your experience with both?

[@ishkacarreon3079]

I had a tear since 2019. I did 4 rounds of p.t. and 2 cortisone shots. I am scheduled for tear repair in Oct. I hve daily pain, locking and shooting to groin pain. I also hve a beautiful bone spur causing extra pain

[@lisamartinez6899]

I had surgery and physical therapy . It was an absolute train wreck ! I went from walking 5 miles a day to not hardly walking at all . They waited 3 1/2 years before trying to repair them told they just had to cut it out because it was like cotton candy . It’s horrible something that can fixed and people are left disabled . Can’t walk you can’t function ! When It could have just been Fixed !

[@umit777.]

How are you now? You have any pain? İs surgery worth it

[@kimberlyjenkins9245]

I'm under 40 so do you think the surgery will help me?

[@12strocky92]

The licking elbow ad was wild 😂😂

[@sweetdestiny2011]

So it sounds like surgery is a no go..what do I do? I do glute bridges clam shells,ice I’ll check your program out!

[@LukeDeGance]

So I am a senior year kicker in high school, and since fathers day of last year I have had a actabular hip labrum tear. after almost a year of pain meds even a cortizone shot to finish of my football season, i still sometimes have pain. I cant do weighted squats or deadlifts things that are good to train for kickers. would you advise getting surgery for this injury while i am young? this might not be your specialty but please let me know your opinion? the docter said it is a very slight tear and he wants to avoid surgery as much as possible, except that i want kick in college and need to know if the surgery is worth it or if i should just continue pushing through?

[@Truebluenat1111]

I'm 34 and have mediums maximum glute lateral tear feels like hip aching pain on the hip.

[@PuneetSharma-np3jx]

I am from India and I am suffering from both hip morphology, FAI, labral tear. My one hip is already undergo surgery but I haven't had much relief. Sometimes my pain worse. I am looking for a treatment. Kindly help me. 🙏 please please help me.

[@foody4385]

Indian doctors failed to correct it.

[@triciaf5348]

Thank you for the video. It is very informative. It is so hard to know what to do. I have a posterior and superior labrum tear on my right hip and an L5-S1 right disc bulge and fissure annual tear. Left hip labrum tear, tendinitis on both hips to hamstring. I click or clunk bones all the time no pain (coming from the back of hips) with moving my legs around. My right hip is always feeling it's on fire. Uncomfortable. I feel like my pain is caused by my back bulge touching nerves....and hip leg misalignment. I do yoga poses, stretch, do PT back exercises I learned from KZbin, gentle biking, and I have a very good range of motion. My pain normally goes away after I take advil and do stretches. I've been working out for years, too, and I'm 51 now and developed this issue. Surgery or no surgery or PT? I dont want surgery, but the pain does scream at the hip. I am seeing a surgeon on Monday, which then goes back to everything in this video and making a wise decision. Feeling vulnerable. :(

[@Corinna-Mom]

So...if arthritis and labrum tears aren’t suppose to cause pain....why am I in pain all the time? Not a strength issue, I am stronger than most men. Not mobility, I stretch every day sometimes twice a day. 3 hip doctors told me get a hip replacement. I said nope...I’ll rehab it myself. I have become super strong, but my hip still causing severe pain and buckles on me daily 🤷‍♀️ what do you think?

[@Uprighthealth]

If you define "strong" as being able to outperform most men in specific lifts, then you are not seeing the full spectrum of strength. You have trained some muscles to be quite strong in certain positions at the expense of many other muscles in many other positions. I cannot rule a mobility problem because you stretch twice a day. Number of times per day is not a measurement of flexibility. I've had men tell me "i stretch EVERY DAY" and it turns out they stretch for 5 minutes a day, 15-20 seconds for a couple muscle groups and then think they did their "mobility homework." Expand your definition of strong.

[@Corinna-Mom]

@@Uprighthealth thank you for your response. I’m trying to say that if what you’re saying is that I need to strengthen and mobilize the area around my hip joint then I can say I’ve been doing this for years and I’m still in severe pain. So how strong do you have to make a muscle group to get to the point you’re not in pain? I’m not just some run of the mill person who doesn’t understand muscles and flexibility. I believe you’re on to something but at what point is there pain relief is what I’m asking.

[@erino5528]

@@Corinna-Mom What did you end up doing ?

[@Corinna-Mom]

@@erino5528 I continue to strengthen the muscles around my hip and stretch. I still have pain on a regular basis. I did get a shot in my hip and the pain was gone for about 2 months. It was very nice to be out of pain for a bit. I continue to train but my hip does give out from under me, like it will collapse. I’m trying to see what I’m capable of still doing without having to get surgery.

[@formantaudio]

a summary vs a 34 minute video would be nice

[@1lapmagic]

Then go look for a summary. Would you complain after ordering a shake when you wanted a steak?

[@BengleRapProductions]

I’m 27 and have had a torn labrum w impingement for the last 8yrs.. Was supposed to get surgery 2020 but chickened out.. How is recovery and should I expect to come back full form in basketball (vertical, speed, strength, etc.)

[@Louie406]

How is it playing on a torn labrum??

[@DevHazy]

Update!!??

[@Doingmybest700]

Hi how important would you say massages are for an athlete?

[@4vii347]

Excellent Matt!! 👍

[@guppy0536]

Getting ready to turn 55 dont know whither or not to let them hack on me docs saying need hip and knee replacement. Very common in southern ohio along with shoulders. All want to do is cut joints but read something said joint replacement was rare REALLY ??

[@Uprighthealth]

Couple helpful reads: www.uprighthealth.com/blog/avoid-orthopedic-surgery-joint-pain www.uprighthealth.com/blog/chronic-joint-pain-atm-theory

[@guppy0536]

@@Uprighthealth Thank You will be looking into this

[@amyphillips9846]

My loved one is in a very difficult position. They have severe knee pain from a fall in June. The extenuating situation is that their weight is >300 lbs. they have not done any physical therapy because it is too painful, nothing shows on scans. Just found out she had a labrum tear, and now that ‘may be the reason’ for the knee pain. She also thinks PT is too expensive, which it is with a bad plan like you mentioned in the video. Now she is talking about surgery and I am so worried that she is going to do this and be so much worse. She is in Pittsburgh, PA (NW of city). I have a little bit of money to pay for a little non-traditional PT for her, but she doesn’t have the money to do this long term. I am 300 miles away, so I cannot assist her with exercises or massage. Is there anyone on the PGH area that can create a plan for her specific needs instead of working with someone who will make her worse off? I can visit her monthly for support, but can not be there more often than that. Anyone have ideas??

[@bonniedivinamaa4129]

So helpful! Thank you!

[@bernardobellini4947]

I am not sure what to do. I have hip pains for over 10years. I have been getting treatment and doing exercises for this and have seen noticeable improvements. (many from your videos) I finally got x-rays done and saw noticeable bone growth on each exterior side, that is restricting my movements. Do I continue just improving my strength or have the operation to remove the bone growth? I am 45 years old and enjoy playing goalie in hockey.

[@Icebergsalad]

Hi, I wonder if you can help me, as I cant find any info online. Everytime I do RDLs or lunges there is this feeling in my left glute like a movement of tendon or muscle. It's fast, like a click, but feels more soft tissue. It's been like that for at least 6 months, and not getting any better. There is no pain, just discomfort. Should I be concerned?

[@epb881]

Thoughts on stem cell therapy?

[@Uprighthealth]

That falls under...Don't get caught in RIIPS: www.uprighthealth.com/blog/riips

[@opcomment]

Dang, I thought the title said "liberal tears" and was confused a minute

[@elmalloc]

lol read man read

[@patricia753]

😁😂

[@titanmaximum239]

Ben Shapiro want to know your location.

[@lorimidwife]

😁

[@lakshmiu1841]

Hi Matt, Does the irregular shape of the acetabulum cause sciatic, hip flexors and groin pain stay chronically tight?

[@Uprighthealth]

Never seen any evidence of that. Likely more medical mythology unless someone can provide any study that demonstrates some correlation.

[@annettestevens2260]

Thanks

[@Uprighthealth]

Thanks for your support!

[@CharleneMathShaman]

Thanks!

[@Uprighthealth]

Thank you very much for your support!

[@mynameisburhanaltintop]

Anyone having hip labral tear problem in the UK. Still waiting for an appointment . How did yours go thorugh NHS? Thanks

[@kazyjacko40]

@@mynameisburhanaltintop hi it’s been a while since you posted and maybe you have some news I’m in Lancashire and just refused the gadolinium mri from Ramsay health (read bad things about the dye) got to go back see him end of month see what’s next

[@mynameisburhanaltintop]

@@kazyjacko40 I get diagnosed in my country and told that there is no tear by doctors. I was given bursitis diagnosed with other things. They told me that the report is not important, more important is the picture. I still have some sort of pain and discomfort but better than before after the injection. I am still waiting for an NHS appointment, by the way, for 1 year. If I would not see any other doctor, I would be more hopeless. I haven't still seen any doctor in the UK, they tell me to wait and get paracetamol for the pain.

[@mynameisburhanaltintop]

@@kazyjacko40 thank you for your response, hope you can get some good news

[@leboned3076]

Hmm, I’ll trust my surgeon over a guy on KZbin talking to a skeleton

[@gissie391]

I had problem for30years physio wouldn't look at MrI I had to get privately .mine has nothing to do with age but stinking Drs giving unprsecribed neuroleptics.i don't believe in "age ",garbage that's a get out clause for Drs to evade responsibility certainly in my case I was still looking for ten seconds for100m I used to be100m ahead in 200m I was still improving esp after infection.yes dopamine inhibitors are performance de enhancing and affect muscles etc etc they also cause vitamin D deficiency hence broken ankle/foot.

[@krystynacollier57]

You added ti the confusion, it us good for conference on subject, not to general public, statistical analysis good for statisticians, not patient

[@1lapmagic]

Then look for another video. Do you walk onto university campus and shout that the material is confusing to you? Your behavior makes no sense.

[@annwilson3941]

❤❤❤

[@AT-xe8cy]

I think your videos and comments you've made are damaging. I have a hip lambrum tear, I'm 48, I work in the OR, I am going to PT, I have 2 dogs that I can't walk , I can't walk my dogs and I can't sleep. I'm in constant pain. Your "advice" is dangerous.

[@Uprighthealth]

If the randomized controlled trial data from this and several other studies on arthroscopic surgery for hip impingement are accurate, you can expect the surgery to provide you with a small amount of improvement but nothing even close to full resolution. That's consistent in every study. Good luck. I hope you find your way safely and with a minimum of suffering.

[@kimberlymarie9512]

I agree, there is a difference between having a labral tear with arthritis, or a traumatic tear that gets addressed before arthritis sets in.

[@kimberlymarie9512]

I also did 2 rounds of physical therapy, my groin pain never went away, however when my physical therapy ended my gait was improved. My situation might be a little different because my tear was caused by a MVA. Before agreeing to the surgery I read as many peer reviewed studies I could, I found a lot of studies that "Sucked". Surgery is in September, I am hopeful it will help me. I am 47 years old, too young for a hip replacement.

[@1lapmagic]

​@@kimberlymarie9512How did your surgery go?

[@lisaf7688]

💛👍

[@jostoney6501]

You should title this video The psychotic ramblings of a professional.....

[@ogs7138]

Stupid role play with skeleton. How is anyone supposed to take this information serious 🤮

[@tim1878]

Your videos are too long, perhaps the result of self-infatuation.

[@Woowoooph]

Any thought on the acetabular paralabral cystes that appear because of labral tears and leaking synovial fluid through the damaged labrum, thus causing pain? How can you get rid of a cyste with FT?

[@zz-t8109]

Try: hochenergie-induktionstherapie-zimmer-emfieldpro, magnetic therapy!!!

[@EternalLust]

Thanks!

[@Uprighthealth]

No problem!

[@jillsmithson5051]

Thanks!

[@Uprighthealth]

Huge thanks, Jill!