Hip Labral/Labrum Tears
The labrum of the hip is a cartilage (specifically fibrocartilage) that is located along the outside rim of the acetabulum. The labrum is a very important structure in facilitating range of motion of the hip joint, maintaining hip stability and providing fluid balance of the hip joint.
Causes of labral tears include congenital structural abnormalities of the hip joint such as abnormal size and shape of the femoral head and acetabulum which can predispose the patient to femoral-acetabular impingement. This can accelerate wear and tear of the hip joint and cause early labral tears. Certain sports such as cycling, basketball, soccer and gymnastics involve repetitive motions that can cause pinching and pressure on the labrum and eventual causing labral tears.
Symptoms of labral tears include hip pain, locking or clicking of the hip joint and decreased range of motion of the hip joint.
Diagnosis of Labral tears
Physical exam can infer a labral tar but is not specific. X-rays can evaluate bony abnormalities and abnormal shape of the hip bones that can predispose the patient to getting a labral tear. X-Rays will not, however, be able to evaluate soft tissue structures including the acetabular labrum. The gold standard of diagnosis a labral tear is MRI. In addition, MRI can help diagnose other causes of hip pain (cartilage defects, early avascular necrosis, muscle strains, bursitis).
Treatment of Labral tears
Conservative measures are the treatment of choice of labral tears of the hip. This includes Physical Therapy to maximize hip strength, range of motion and hip stability. In addition, Non-Steroidal Anti-Inflammatory Medications like naproxen and ibuprofen can help relieve pain and reduce inflammation.
Cortisone (corticosteroid) injections into the hip joint have also been traditionally used to reduce hip pain from labral tears. The problem with cortisone is that although it does a great job at reducing pain, it only masks the injured tissue and does not promote healing. Furthermore, repeated cortisone shots are discouraged as they can promote cartilage and labral degeneration.
Our clinic mainly performs Platelet Rich Plasma (PRP) injections of the hip under ultrasound guidance to help relieve hip pain and facilitate healing of labral tears. We have performed the largest number of ultrasound guided PRP injections of the hip in Orange County. The procedure can also be performed multiple times for healing and pain control without any side effects and no downtime. Finally, surgery is the last option if all conservative methods have not helped.
Contact the Advanced Healing Institute today if you would like to schedule a consultation and treatment. We are dedicated to helping our patients find effective relief from labral tears of the hip and other painful hip conditions.