When hip pain stops you from doing what you enjoy, it’s time to find a treatment that helps you regain function and get back to life.
- Femoroacetabular impingement (FAI): an underlying structural abnormality in the hip joint formation of the ball or socket that results in soft tissue getting trapped between bones
- Hip labral tears: tears in the cartilage located on the rim of your hip joint socket
- Hip dysplasia: misaligned hip socket or misshapen hip joint
- Trochanteric bursitis: inflammation of the fluid-filled sacs at outer aspect of the hip joint
- Lateral snapping hip: constant popping in the outer hip when walking, getting up from a seated position or swinging your leg
- Hip arthritis in the young and active patient: often the post-traumatic result of an injury to a joint
- Osteonecrosis: a disease that results in reduced blood flow to bones in the joints and inability for the body to make new bone to replace broken down bone
Symptoms of hip injuries or conditions
- Stiffness or limitation of activity
- Pain during and after activity
- Pain in the hip and groin area provoked by motion
- Pressure or tightness
- Locking or catching sensation in your hip joint
Diagnosis of hip injuries
Athletes and active individuals may describe pain differently because of the variety of ranges of motion and muscle forces each may use. We want to understand where you’ve been with your condition, what you’ve done to manage it, what your limitations are and the affect your condition has on the quality of your everyday life. Our initial patient evaluation starts with a detailed history, review of prior treatment records and physical examination. During the evaluation of your hip, diverse maneuvers and arcs of motion are performed to better gauge the symptomatic areas. X-rays and advanced imaging of the hip, including CT (computed tomography) and MRI (magnetic resonance imaging) scans, are used to detect structural abnormalities, labral tears, hip fractures and other cartilage damage.
Nonsurgical treatments for injuries of the hip
- Applying heat to a stiff hip or a cold compress to swollen areas around the hip several times, at 15-minute intervals
- Reducing or eliminating load-bearing activities
- Considering dieting if being overweight is deemed the cause of excess pressure on your hips and knees
- Working with your doctor to incorporate supplements that may help your condition, like chondroitin and Omega-3 fish oil
- Using assistive devices
Surgical treatments for labral tears, FAI, and other hip conditions
Patients use crutch assistance for about two to three weeks after surgery.
Direct Anterior Total Hip Replacement
For patients who have cartilage damage, labral tears or relatively mild degenerative changes in their hips, hip subchondroplasty may be an option to preserve the native hip. During the procedure, a bone substitute material is injected into a small hole in the joint, filling any voids or lesions in the bone. Over the few years following surgery, a patient’s body replaces the bone-hardening material with their own healthy bone, leading to potentially permanent repairs.
Subchondroplasty is less invasive than a total hip replacement, usually performed along with a hip arthroscopy, which allows patients to get back on their feet sooner.
Why Ohio State?
Why choose The Ohio State University Wexner Medical Center for treatment of sports-related hip injuries?
Diagnostic Expertise: Through collaborations with researchers in the Department of Radiology at the Wright Center of Innovation, Ohio State has developed advanced imaging techniques for the hip, including cartilage-imaging sequences. Preoperatively, our patients undergo a 3D CT scan of the hip joint, creating a picture of exactly what areas of the bone need to be corrected, allowing more precise surgical management.
Surgical Expertise: We are experts at reshaping, repairing and restoring the hip joint through such surgical techniques as hip arthroscopy and direct anterior total hip replacement. In fact, our fellowship-trained hip preservation specialist is one of just a handful of surgeons in the region offering this innovative treatment option.
Research: Our Hip Preservation Division maintains a clinical outcomes database to capture pre-surgical, surgical and post-surgical data points so we can understand patient recovery and improve the future of patient care.