Overview
Diagnosis
Diagnosing a hip labral tear begins with a detailed medical history and physical examination. Your healthcare provider will ask about your pain, activity level, and any prior injuries. The physical exam typically includes moving your leg and hip joint through various positions to assess pain, stiffness, and range of motion. Your provider may also observe how you walk to identify signs of joint instability or altered movement.
Imaging scans
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X-rays: These are used to visualize the bones of the hip joint. X-rays can help detect arthritis, bone deformities, or structural abnormalities that may contribute to a labral tear.
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Magnetic resonance arthrography (MRA): This imaging technique provides a detailed view of the hip’s soft tissues. During an MRA, contrast dye is injected into the joint space to make a labral tear more visible.
Anesthesia injection
To determine whether hip pain is caused by problems inside or outside the joint, an anesthetic may be injected directly into the hip joint. If the injection relieves the pain, it suggests the source of discomfort is within the joint itself.
Treatment
Treatment for a hip labral tear depends on the severity of symptoms and the extent of the damage. While mild cases may improve with rest and physical therapy, more serious tears might require surgical repair.
Medications
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Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen sodium can help reduce pain and inflammation.
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Corticosteroid injections may be used for short-term pain relief directly in the affected joint.
Therapy
A physical therapist can create a tailored exercise program to improve hip flexibility, stability, and strength. Therapy may focus on strengthening core and hip muscles and avoiding motions that aggravate the joint.
Surgical and other procedures
If conservative treatment doesn’t provide relief, arthroscopic surgery may be recommended. During this minimally invasive procedure, a surgeon uses a small camera and instruments to either remove the damaged labrum or repair it with sutures.
Possible surgical complications include infection, bleeding, nerve injury, or persistent pain if the labrum does not heal properly. Most patients can expect to return to sports or normal physical activity within 3 to 6 months after recovery.
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