New innovative treatment is cutting pain for hip surgery

News Archive (2012)


New innovative treatment is cutting pain for hip surgery

Popping the bone out of the socket, huge incisions that leave huge scars and a lot of down-time, is what many hip-replacemnt-arizona surgery patients have to go through.

A new innovative treatment is cutting pain and recovery time with much smaller cuts.

She used to run 26.2 miles at a time, but recently, Meghan Krein couldn't even do this without excruciating pain.

Meghan Krein, Runner, explains her first thoughts when she heard she needed surgery, "You know the worst case scenario, going through my mind, and I might never be able to do this again."

She was suffering abnormal contact between the bones of her hip. It can tear the labrum, soft tissue that cushions the joint like a gasket. Doctor Matthew Hansen of the CORE Institute specializes in helping people with the painful problem.

Matthew L. Hansen, MD, Orthopedic Sports Medicine Specialist, The CORE Institute, explains what the problem was for Meghan, "In somebody like Meghan, when the socket was a little bit too deep and rotated toward the back, this predisposed her to getting pinching of the labrum, particularly when she tried to flex her hip."

Surgical repair used to mean a large eight-inch incision, even dislocating the hip. The latest arthroscopic technology allows surgeons to trim bone and repair labral tears through a few one-centimeter incisions. Depending on the patient, recovery time varies from four to 12 months. Bouncing back from traditional hip replacement surgery can take up to 18 months.

Dr. Hansen, MD, explains how big of a breakthrough this procedure, "So, this is a tremendous breakthrough from a patient's perspective because the recovery is so much quicker."

Meghan was on a stationary bike just hours after surgery and walking on crutches the same day. Now she's pedaling fast toward a full recovery.

Krein, explains how happy she is with the surgery, "I could do cartwheels. I'm so thrilled!"

This procedure isn't just for adults. Doctors perform hip arthroscopy on patients in their teens and younger.

It's typically covered by insurance and generally gives patients permanent relief from their pain.



BACKGROUND: The labrum is a unique structure found in the hip. It lines the edge or rim of the hip socket. The shape and function of the labrum is similar to a bumper cushion on a pool table. The shape of the labrum is triangular in cross-section. It acts as a cushion between the ball and socket of the hip joint during flexion of the hip and it holds the thighbone (femur) in place. The labrum is filled with nerve fibers that make tears in the labrum very painful. (SOURCE:

CAUSES: A hip labral tear involves the labrum. Labral tears typically occur from: repetitive motion; osteoarthritis, trauma, or it may be caused by a birth defect. (SOURCE:

SYMPTOMS: Some labral tears have no signs or symptoms. However, when symptoms are present, they include: radiating pain in the hip and groin, a catching or locking sensation in the hip joint, stiffness in the joint, or a limited range of motion. (SOURCE:

RISK FACTORS: People with pre-existing hip problems are at a higher risk of experiencing a hip labral tear and also people who participate in sports or other activities that require repeated twisting or pivoting motions. (SOURCE:

TREATMENT: The level of treatment depends upon the severity of the condition. Some patients recover in only a few weeks using conservative treatments. However, patients with severe labral tearing may require surgery. One or a combination of these treatments may be used: rest and activity modification, medication, physical therapy, or surgery may be needed to repair or remove the torn portion of the labrum. (SOURCE:,

LATEST BREAKTHROUGHS: Hip arthroscopy is an excellent solution for relieving hip pain. The surgery repairs the damaged hip by separating the ball and socket in the hip joint. The procedure is an outpatient procedure that requires small leg incisions and promotes accelerated rehabilitation. For patients younger than 40, who have good cartilage and healthy joints, it is a great solution for treating hip pain in a minimally invasive manner. For patients over 40, who have the preservation of articular cartilage, arthroscopy can provide significant relief for the specific conditions. Recovery time for arthroscopic surgery is much less than the traditional procedure. People who have this surgery can return to their normal activities in four months to a year, unlike with the traditional surgery which could have patients out for a year and a half. (SOURCE:

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