Hip labral tear

Limited Range of Motion, Deep Groin Pain, Catching – All Clues to a Hip Labral Tear

A Hip labral tear occur when the ring or seal around the hip socket is damaged.  The labrum cushions, seals and creates stability for the hip joint. Hip labral tears are generally the result of one of three causes: structural abnormalities, repetitive hip rotation activities, or high impact collisions.

Structural abnormalities. Some hip problems are the result of congenital bone abnormalities that cause impingement with hip motion.  This leads to excessive wear and tear at the joint that can eventually leads to a hip labral tear.

Physical activities that involve repetitive twisting, pivoting and repetitive hip rotation activities (e.g. golf, ballet, soccer, softball) cause strain on the joint that can lead to deterioration and ultimately a hip labral tear.

Finally, collisions when the joint is loaded at its greatest range of motion – such as falling or violent collisions found in sports like football or hockey –hip dislocations or instability can occur that may also result in hip labral tears.

Symptoms

Surprisingly, hip labral tears frequently show no signs of pain. When symptoms do present, they generally take the form of deep groin pain, gluteal pain, clicking, catching, locking, or giving out. If symptoms don’t resolve with time, or if they worsen, medical attention is needed. Limited range of motion or stiffness can also be indicators of a hip labral tear, which is why physicians test range-of-motion as part of an examination. Extensive hip and leg range-of-motion testing and walking analysis offer indications of possible labral tears. A more conclusive tear assessment is best provided by imaging technology such as an MRIs. These scans can also identify corresponding problems such as structural abnormalities or fractures.

Treatment

Treatment options depend on the severity of symptoms and from the severity of joint or soft tissue damage. Conservative options include a short course of NSAIDs (eg. Advil or naproxen), brief periods of rest, the correct type of physical therapy, and occasionally injections. In addition, physical therapy can increase hip strength, stability and range of motion.

If conservative options do not resolve the joint pain, arthroscopic surgery may be required to treat the damaged joint. With this minimally invasive approach, the labrum is repaired, and the impingement caused by the bone is corrected.

Post-Surgery

Post-surgery rehab physical therapy is an important part of recovery. Our doctors have a detailed rehabilitation process that helps the patient and the therapist achieve the quickest and most successful recovery. This allows patients to improve their pain, improve their function, and get back to competition, sports, work and an active lifestyle.

Prevention

Strength, stability and flexibility are your body’s best defense against hip labral tears. Exercises that foster hip and core strength and flexibility optimize the function of the hip joint to prevent tears or to diminish symptoms of a known labral tear. Cross-training exercises, exercises that properly activate the muscles around the hip, and those that increase strength and stamina of the muscles are paramount.

Dr. Justin Newman and Dr. Presley Swann both specialize in the diagnosis and treatment of hip labral tears. To learn more, or schedule an evaluation, click here.

Dr. Justin Newman

Dr. Justin Newman Recognized as a 2018 Forty Under 40 Honoree

Dr. Justin Newman

Advanced Orthopedic & Sports Medicine Specialists’ Surgeon
Honored for Community Involvement and Business Leadership

DENVER – February 28, 2018 – Advanced Orthopedic and Sports Medicine Specialists is pleased to announce that Dr. Justin Newman was selected for the Denver Business Journals’ prestigious 2018 Forty Under 40 class.

Dr. Newman is one of forty winners from more than 250 nominees evaluated in three specific categories: community involvement, leadership in business, and business recognition.

According to the Denver Business Journal, the 40 winners, all under age 40, represent the best in business that metro Denver has to offer. As in years past, the caliber of nominees and their accomplishments was unprecedented.

Dr. Newman’s selection highlights his role as a team physician for the US Ski and Snowboard teams, and as team physician for Lutheran, Littleton, Heritage and Arapahoe High Schools. He is on the board for the Colorado High School Activities Association (CHSAA) medical advisory committee, the public relations committee for the American Orthopedic Society of Sports Medicine and is involved with many other professional organizations and local groups.

As an orthopedic surgeon, Dr. Newman uses the most innovative techniques supported by the best research, and his practice focuses on returning his patients to sports, work and activity as quickly as possible. This includes helping patients to resolve sports injuries and to heal and preserve their hips, knees and shoulders. Dr. Newman specializes in sports medicine, hip arthroscopy, knee reconstruction and arthroscopy, and shoulder repair, reconstruction and arthroscopy.

About Advanced Orthopedic & Sports Medicine Specialists

Advanced Orthopedic and Sports Medicine Specialists is widely recognized as the regional leader in comprehensive orthopedic services. The 19 physicians of Advanced Orthopedic and Sports Medicine Specialists have received specialized training in orthopedic surgery and in subspecialty areas within the field of orthopedic medicine. They diagnose and treat even the most complicated orthopedic conditions and are supported by a professional staff of physician assistants, medical assistants, x-ray technicians and administrative personnel at our two offices in Denver and Parker. Learn more at advancedortho.org. Follow us on Facebook, Twitter, Pinterest and Instagram.