Hip Labral Tears: What They Are and How to Treat Them

[@karenlindley.9756]

How lovely to see real professionals (not utube experts) discussing this issue in a more lay man’s way for everyone to understand. Thank you for all your time and expertise. Appreciated.

[@dannypratt9406]

I agree!

[@SophiaGarcia-nt6xs]

Dr. Danyal Nawabi at 3:55 states that the hip labrum "has a good blood supply." But a "good blood supply" suggests that the hip labrum also has a potential to heal on its own. So hip pain resulting from labral tearing could become asymptomatic if given enough time to allow for healing, and if the patient ceases the activity that caused the tear. Would have appreciated some discussion on this point regarding labrum's blood supply and healing potential.

[@Soccertz1]

Pretty sure that once torn there is a gap in the tear so it can’t heal fully.

[@thomashelm6931]

I've undergone every treatment available, short of surgery . I look forward to seeing a surgeon on this, soon, as I've tried every option for the last 4 years. I wish that you were correct, but I'm sure that surgery is the only resolution

[@SophiaGarcia-nt6xs]

@@thomashelm6931 Thanks for your comment

[@monicam4230]

Just what I needed to hear. This has brought much clarity to my own journey with a labral tear. Thank you.

[@mz-dz2yn]

These 4 docs are excellent in their presentation and care, conservative and thoughtful approach.

[@morkoan70]

Brilliant panel and interview.

[@ArielASMR]

Really interesting. I have a labral tear. It's really painful. I'm waiting for mri in 2 weeks

[@jeffarmstead9182]

Great webinar! I have been to the ER about 6 times over the last 5 years, 3 in the last year. The last time was for back and hip pain. Went through PT for back. Still have hip pain. Saw a hip doctor who recommended a MRI. Dr. saw a subtle tear of the superior labrum. Scheduled for corticosteroid injection on June 15. I am a very active 72 yr old male. I run 5-6 miles per day and bowl 3 times per week. I really hope that the injection works.

[@vinceagashi1121]

Did they not tell you what the injection was for when you saw the doctor? They also tell you in this video quite clearly what it is for. What do you think it "working" means?

[@umit777.]

What did you do? How is your hip

[@thomashelm6931]

I've had multiple injections over the past 4 years. None were effective, including PRP. Praying that surgery resolves it. No way to live life. I'm 72 and ran marathons. Best wishes to you

[@reneeh9431]

Thank you for sharing this video. It is so reassuring to hear this information from a team of experts. Where is your practice located? Thank you.

[@mz-dz2yn]

patients please post as much as u can about your experiences with this

[@briandunnigan603]

Key point taken here , Pathway for patient... This gets missed constantly and continues to get overlooked... This is a good idea with a multidisciplinary team approach. Congratulations 🎊

[@reddhole3422]

Should you see the hip preservation surgeon or physiatrist at HSS first?

[@sarahbier4515]

I went to chiro, acupuncture, family doctor, PT....with more back pain than hip. Finally found a Pelvic floor doctor who was a God send and found the tear. Have been dealing years with this discomfort mostly from the back and pelvic floor compensating. Headed to surgery this July. Praying for a complete recovery to go back to running and just basic living 👏🏼🙏🏽

[@ShaePiepszowski]

That's great! can I ask how your hip is feeling now, after the surgery?

[@vajaynunthandass676]

Suffering with chronic hip pain and best advice to me was pain killers(overcounter), hot rubs.massages,hot water bottle helps.Using loose wears around hip helps .

[@vajaynunthandass676]

Doctor quick to recommend expensive treatment. Should try dry cleaning business ! Quack quack

[@carmenpalenske6685]

I had a labrum tear while waiting for a hip replacement. The pain was very difficult and it felt like my hip was popping out of it’s socket each time I sat down or stood up. Walking was an experience in yelp suppression. Terrible.

[@danbutler3757]

Thank you for your presentation! I myself have had multiple lower back surgeries by a experience neurosurgeon, going to him, this time I did have my MRI with contrast, and while speaking to the radiologist I did mention that hip area. As a point that I wanted him to concentrate in. I am presently going to physical therapy and hope that I don't need any large surgery. I have had shattered vertebrae's in my neck being replaced with titanium. Successfully. Also, antagonizing synovial cysts in my lower back area., To reverse total shoulder replacements, and I plan to see a couple of different doctors to get the analogies. I certainly want to think the doctors for the video! This was helpful

[@Jenna-cc3oc]

Great information and a wonderful team of doctors. Awesome that you consult with one another. Would like to have seen excessive femoral version touched on as this can be a cause of hip pain and labral tears as well.

[@TheDonnap63]

This is very helpful,I have bilateral labrum tears as well as gluteus minimus tears with fluid and edema chronic tearing at the Greater Troncentric,I have RA Na OA, Crp is extremely elevated

[@shellymoore656]

First, this webinar is welcome relief to me that there are medical specialists who absolutely believe in a team concept to really get a patients problem and ultimately the solution. This taught me so much and I happened on it by accident as I await an MRI for literally an 8-9 on pain on a 10 Pain Scale. Like many who likely get to this point, this likely should have been handled months ago after I was injured. I was in Orlando and was walking in a backyard at the place we were staying at night. The place had a pool. It was dark outside and I accidentally, while walking at a quick pace, stepped into the pool off the edge. For lack of a better explanation, I essentially got split in two. The right leg went all the way in the water, while the left leg bent awkwardly and i caught myself after right side submerged on the edge of the hot tub. Hot Tub was a part of the pool. I instantly knew I was hurt. The pain was terrible. I couldn’t walk or put any weight on my right leg (leg that went in water and hit the bottom). I couldn’t straighten my foot. We all thought I broke my hip. Went to urgent care and they sent me straight to the hospital, but when urgent care said, if it is broke you have to have surgery, I didn’t want to be stuck in Orlando for surgery if it was broke. My daughter was competing in world’s cheer finals the next day so I knew if I could get through he night and the next day, I could fly home and get to a hospital I knew. I could not walk those two days and we bought a wheelchair. It was a tough deal but didn’t want to make a huge scene. When we got back, I went to our specialized orthopedic urgent care. They took an X-ray. The PA attending that evening said, “It’s not broke, just a bad hamstring pull”. Take some ibuprofen and stretch. I left completely frustrated. Still couldn’t walk and knew it had nothing to do with my hamstring. My hip, by now, was black and blue and it was also cut where I hit one of the concrete structures. Everything was swollen from my hip to my elbow. The pain persisted so I saw my Spine Specialist and pain dr. I am fused l4-s1 and have neck fusion. I have a high threshold for pain. This hip (or bad hammy) was seriously bothering me. My Dr, did an MRI of my lower lumbar spine. It showed a big herniation and it penetrated the thecal sack. I got a steroid injection to see what relief I might get. I get steroid shot in S1 and various Lumbar vertebrates and Cervical spaces. I know they take a while to work in some cases. It seems to have helped with the outer leg pain, but the groin pain continued to grow and I had now been limping since the first week of May. The pain in my groin is awful….thought it was hernia maybe…..anything. It just continues to get worse and to the point where it hurts so bad you feel like you should go to emergency room because something has to be going on……yet, I don’t want to do that and take the place of a heart attack patient or someone in really bad shape. Went back to my dr. Thursday. Can’t lift my right leg from sitting position and every way he tried to move it about put me through the wall as i jumped out of my skin. My dr. Said you may have a hip labrum tear - let’s get an mri of the hip and see. He also told me that in traumatic emergencies, sometimes damage isn’t picked up right away on X-ray. The X-ray the PA used as the absolute - it’s your hammy. I have an mri Wednesday (no contrast) to see if there is damage in the hip. Listening to you guys gave me hope. I have known pain in back and neck. I used to be a runner and now with this, I can’t even react quickly without my leg giving out completely. I feel the pop and i still have to put my right foot out to the left (opposite of pigeon toed) to even limp. I trust my dr. 100%. He has always been right and when he wants to run things by other dr.’s, he does. He is very thorough. He doesn’t want us eating meds and he wants his patients fixed. I really think it is a tear of some sort. I pray they figure it out because this pain is the worst I have felt ever. Back surgery walk cake compared to this. Thank you for giving me hope that Dr.’s do care and ones like you go the extra mile. My daughter wants to be a dr. And I hope she is as thorough as you. Great examples for those young collegians who aspire to medicine such as this. If anyone else has had these symptoms…….severe groin pain, knee starting to get involved, can’t walk, and can’t lift leg - let me know what your diagnosis was. Appreciate y’all.

[@spiff-FPV]

I know this is an older comment but I appreciate your story and your history lines up along with mine. Fusions etc. Still can't figure out what I did to it, but I appreciated your words and hope you get some relief soon.

[@mysweetangels6259]

Thank you I just had my mri results with larval tear I have so much pain

[@toddmayta7615]

What area are you feeling the pain?

[@Jawrathful]

I will be seeing Dr Ranawat soon, they are going over all my records from previous Dr I was seeing. After seeing this video, I'm excited at the possibility they can figure out what is going on with my hip pain and diagnosed labral tear on the MRI.

[@tedshep]

How did it go?

[@Jawrathful]

@@tedshep I'd say it was a success. Had the surgery 4/2021. It's now 6/2023 and I've been so much better. 100%? No but I'm able to walk without a limp and very little pain. However, I will eventually need a hip replacement. I'm just hoping I get a few more years out of the surgery I did go thru. Oh, one more thing... my rehabilitation was quite long. Started going back to work in 12/2021 for 4 hours per day. Then in March 2022 I started back full time.

[@tedshep]

@@Jawrathful thanks for the reply. I am just trying to figure out what to do about my tear, if anything, and it sounds like the team at HSS is very good. Glad to hear you’re doing well

[@umit777.]

​@@Jawrathfulwhy you think you need hip repalcement afew year Letter. Labral surgery isnt worth it?

[@Jawrathful]

@@umit777. Dr. Ranawat told me I would eventually need a hip replacement however it's not wise to get one at a young age (many factors involved as to why. Look it up.) So therefore I went through with the arthroscopy instead. 7/2023 and still ok so far.

[@hholds1]

Great webinar! I’m getting my hip surgery with Dr Ranawat in the beginning of July and have really appreciated the thoughtful analysis to prepare for surgery. Love the team approach at HSS!

[@_jav_jav9897]

Hi there. How did it went?

[@umangwav]

Hey, how'd it go? How are you doing post surgery?

[@madisonhughes6352]

did you have a good outcome from surgery?

[@marahadley923]

Thank you so much for this information. I was referred to an ortho surgeon. Possible labran tear. Ifeel better prepared for this visit. I appreciate you

[@FlyFlyPiuPiu]

Thank you!

[@mynameisburhanaltintop]

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

[@paulsolon6229]

Helpful video Grazie I will now be contacting special surgery in NYC for a second opinion. Which means I have to fly cross country.

[@helenngo18]

Very helpful thank you

[@doors1708]

Why isn't MRI or MRA a good idea for part of the micro diagnosis for what's going on with the fai impingement and labrum and cartilage?

[@vinceagashi1121]

I find it incredibly funny how much these guys act like they care. But in the real world, you have a hip injury and you actively seek medical help for it. It takes a year to get a requisition for an MRI, another 14 months to get an MRI. another year to get you to a PT that understands your injury, and by the time you end on a waitlist for surgery it has been 5 years. You still don't know the first thing to do so you start finding your own help through youtube.

[@prithimadawson434]

Same for me

[@tstwahine]

That sounds like your insurance not the doctor…

[@vinceagashi1121]

@@tstwahine What are you even on about?

[@leanneferguson804]

That’s exactly how the process is for me and I live in England U.K just had an arthroscopy, still waiting for results and it’s been 5 years already 😞

[@shivapejman8155]

This is SO not true.

[@Laz10777]

So it is unlikely tears occur from a traumatic acute injury such as falling directly on the upper trochanter?

[@deannasiff5090]

I had an mri and did not get any treatment remedies or team discussion. 😢 Therefore I fell and needed emergency surgery 😢

[@suzanneobrien2279]

Emergency surgery for what???Certainly not for a labral tear alone

[@vajaynunthandass676]

Investigate poor blood flow/circulation caused by continuous wearing of tight wears around the hip joint .Elasticated underwear needs to be continuously adjusted for relief.

[@dylancarey988]

Absolutely petrified about weather or not to get this surgery. It’s so hard to definitively know if it’s causing the pain or not

[@AA-cp8ry]

Dylan Carey It’s spelled “whether”, not weather. FYI.

[@josephriccardi9735]

What if you had revision total hip replacement and now I got a labrum tear from the cup impingement.

[@lindajohnson2149]

Doctors, will having a cortisone injection negatively impact what you see from the MRIs/scans? I've had chronic Pelvic instability ( left hip labral tear and L4-L5 issues) and walking creates pain, especially when on crowned dirt roads or non flat yards. But driving, sitting, and being in sexual positions also are painful. 🤔 I'd 💕 to know better positions to enjoy intercourse without pain. 🙏🏼 you'll revisit this post and reply to comments on this thread. I bet this issue is more common than most even know, huh? 👍

[@heatherhorton8252]

We have the exact same issues..darn it the pain is so bad , I use to hike and no amount of mind over matter is helping. Good luck to you.

[@mischiefgaming]

Same for me. I am only 26 and still don't have a definite diagnosis still trying to figure it out. I am going to ask my doctor if i can get a MRI of my labrum to see if i am right. I have been dealing with this pain for a year in a half :( Sleeping in a pain in the butt and going out for a nice walk is as well :( For about 4 days i have been doing a lot of research with the hip labral tears and all of my symptoms line up with pain, burning and all of that. Fingers crossed that i am right 🤞

[@diannahill9430]

I was diagnosed with labral tears in both hips last year The left hip is way worse than the right hip. Went to ortho Dr. He said do physical therapy. Not very empathic. Did PT for 12 wks Now it's been 3 mths and will see another Dr in June 2024. I have a lot of discomfort. I'm not athletic, so I don't know why I have the tears. Looking forward to a 2nd opinion.

[@lindajohnson2149]

@@diannahill9430 Telling the male doctors that this pain was interfering with my sex life was what finally got the surgeons' attention. Can you believe it? Who would've known THAT was the priority to hear so they'd take us serious. Don't hold back. The therapist I'd seen after returning to work was a younger female athlete who hadn't yet born children but was actually 6 weeks ahead in recovery of the same surgery. She'd shared that in women especially which had a hip labral tear repair surgery it's usually just as matter of time before the other side needs to be done too. The left side gets repetitive motion due to getting in/out when driving cars. Ooh, also be sure you know what your bone density score and your vitamin D level are. Many are not in the optimal 60-80 (Vit D) range and often have osteopenia or osteoporosis, too. I'm learning it's often connected to hormonal imbalances, thyroid dysfunction, and thus leading to early menopause. (I was 42. Later discovered I had hashimotos, osteopenia and Osteoporosis. I try to educate young women the importance of doing weight bearing exercises, eating healthy fats and proteins (less carbs & sweets) to avoid this. Using bioidentical hormones, Vitamin D3 and K, being better hydrated now is foundational. 🙏🏼 Follow Dr Mary Claire Haver on social media and see her newest book for help connecting the dots regarding hormonal balancing.

[@msbutterflyz]

@@diannahill9430 Hit the gym. Get your glutes and legs, (even arms and back) mega strong before even considering surgery.

[@hanansaad2573]

Can you please recommend a doctor in Virginia?

[@_jav_jav9897]

I was wondering if anyone can share input on stem cell or platelet-rich plasma injections. Thanks.

[@nicolamcl4484]

I second that!

[@_jav_jav9897]

I had hip labrum reconstruction on 22nd. Feel a lot better. I guess I could share phone to talk over experience.

[@chetkelsey1447]

Synvisc with PRP is a option as well. I get synvisc injections to hold me over well waiting for surgery

[@natelloyd9701]

@@_jav_jav9897 hey may I speak with you?

[@dmcsub]

What about a finding of a reduced Labrum?

[@PuneetSharma-np3jx]

Can someone please suggest good dr as I am having hip lebral tear in both my hips. Please help

[@msbutterflyz]

Hit the gym and get your glutes and legs strong then consider other stuff.

[@AA-cp8ry]

What State?

[@marianmartinez1494]

Hip falls?trauma?

[@TheDonnap63]

I hear total hip replacement stops the destruction of OA

[@xrpreacher6000]

You know what makes me tired with you doctors. It seems you've never had to fix your own hips. You know "what's best" for everyone else, but you rarely go into non operative success.