Hip Preservation - Hip Impingement & Labral Tears | Dr. Phil Downer | Orthopedic Specialists
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- Опубликовано: 27 фев 2023
- In the video interview, Dr. Philip Downer, an orthopedic surgeon specializing in hip surgery, delves into the complexities of hip preservation. He explains that his ultimate goal is to help patients regain their mobility and eliminate pain, with an emphasis on preventing the need for future hip replacements.
Dr. Downer discusses the condition known as hip impingement, which he identifies as a mechanical issue caused by irregular bone structures in the hip joint. This can lead to friction and damage to components like the labrum and cartilage, eventually escalating to arthritis if untreated.
Addressing the diagnostic process, Dr. Downer emphasizes that hip pain can manifest in various ways but generally is felt in the front or to the side of the hip. He recommends initial conservative treatments such as modifying exercise routines and taking anti-inflammatory medication. However, if pain persists, he advises consultation with experts like himself for more specialized treatments.
Dr. Downer also highlights the evolution in treating hip impingement and labral tears. He notes that the focus has shifted from invasive surgical approaches to arthroscopic techniques, which have improved outcomes and reduced post-surgery pain. By better identifying and addressing the mechanical issues causing these problems, treatments not only provide immediate relief but also contribute to long-term hip preservation.
Overall, Dr. Downer advocates for a holistic, patient-focused approach to diagnosing and treating hip issues, emphasizing the importance of early intervention and modern arthroscopic techniques in achieving successful hip preservation.
#orthopedicsurgeon #orthopedics #hipsurgeon #hiparthritis #hippreservation
Thank you for this informative video. You seem like a kind and compassionate doctor... I have been having hip pain on and off probably for a year or so. Finally the pain was debilitating. Went to orthopedist who kind of fluffed me off and said "its muscular- take some Tylenol." I insisted upon getting an MRI which shows tears in labrum and a tear in the greater trochanter. I also have a cam deformity which from what I have read might have caused the tears to begin with. The internet beats an encyclopedia, but there is so much information and I am not a doctor. I guess I won't know anything until I go back to the orthopedist. Here is my guess-- if I were younger, a surgical repair where they could shave down the bone and repair the labrum would be the plan. Since I am in my 60s, ultimately it will be a hip replacement. But I would first like to maybe get a steroid shot and see if that gives me some relief. Wish me luck- I have an appt with doc next week...
Appreciate the information ℹ️👍
Thank you for sharing this. I'll be having surgery soon and really hate not being able to exercise for many weeks but it will be worth it.
Excellent ! You have explained it very well and I feel there is hope since I just got diagnosed with a labral tear on a MRI. My hip pain has been going on for two years and I was told it was bursitis back then
Exactly the same as me - I also have FAI. The pain has increased over recent months, so I’m having an arthroscopy in May.
One day I want to see research on the role of infection in joint degradation. I feel infection is at the root cause of most joint problems problems
Great video. Thank you for posting. I have a labrum tear posterior and anterior on the right hip and one on left hip plus an L5-S1 right disc bulge with a fissure tear. Causes burning pain feeling. I'm seeing a surgeon in a few days to discuss.
you and I are similar
I have the same on the left hip. Are you considering surgery? 😮
@catiavescovi9846 I went to PT for 9 months, and after that, I saw a chiropractor to help. He said I had a military straight neck, which caused the disk bulge to happen caused by forward meck (phones, computers, bad posture from sitting all day to work) So adjustments helped my 4 degree curve in my spine that was developing and my hips that were rotating and affecting my walking gate. This helped me tremendously going to him. Was also given a neck pillow to unwind the spine and hips. The burning pain stopped, so it appears to have healed, and I am back in the gym weight training . There is hope. Healing takes time. Took me a good year to get back to where I wanted to be. But I still get a little pain in the lower back here and there. My hips are better, but overall, I still take caution to these areasevery day. I will always have that tear in the hips, so I have to be careful what I do at the gym. It takes a long time to heal or maybe won't heal, but it will get better with care. Lots of us who have hip labrum tears don't even know they have a tear, so we can live with it. I had the MRI to find out. But watching RUclips videos and surgeons talk about it, surgery is not necessary for tears. I wouldn't recommend it, in my opinion, due to what i learned about it.. But always get an opinion if that eases your mind.
One more thing, stay away from vibration plates, that can tear it.
I'm 48 yo, MRI was done
Found out I had a labrum tear posterior on the left hip (FAI) with arthritis cartilage loss, and My surgeon said I’d be needing a hip replacement eventually, my treatment currently is steroid shots, furthermore, in stage 3 osteoarthritis on both knees.
I had hip arthroscopy 5 months ago for FAI Impingement which caused a labral tear. 2 anchors were needed for the labrum and bone was shaved back. My original symptom was a sharp groin pain and i still have those symptoms 5 months after. What could be causes for this continued sharp stabbing type pain?
I am 38, I was born with dysplasia on both sides (right more flagrant) and was treated when I was a baby. Last 4 years, I have been living in pain. I have had arthroscopic labrum repair on my right side 2 years ago. Following the same on my left side, which didn’t work so I had to have labrum reconstruction with a tendon from my left leg (so I can not lift very much anymore). Pain is much less but still there. Long walks became a distant dream… in the mean time, because of walking wrong, I have developed other problems in my back and in my spine. However doctors still hesitate to give me a prosthetic. How much do you think it shall continue?
It has been a year since my labrum was repaired. 3 months off work because my job is physical many mo ths if pt months before I could hike and I'm still having issues, primarily with muscles abductors hip flexors, hamstring. In some ways the pain is much better but the muscle flareups are so aggravating. I did my due diligence and found the best surgeon in my state and still feel I'll need a hip replacement some day. Problem is i have the same issue on the other side and don't want to go through this again. Any suggestions?
I'm diagnosed as OA and suggested hip replacement, kindly help🙏
Not enough specificity as how you repair labrum, prognosis and tgerapy
Is there an age limit of when you would do the surgery? My PT person said after the age of 40 doctors won’t do the hip surgery… only replacement and I really don’t want to do that.
Im 37 and had THR three months ago and am weight training, golfing, hiking and cycling pain free
I’m 61, have impingement w/ labrum tear, hip orthopedist told me arthroscopy to fix the tear is a useless surgery at my age, had I been in my 40’s that would be another story, otherwise it’s a replacement for me.
Ain’t that great! It makes one wonder if the replacement just provides higher insurance payments for the doctor.
Did you get replacement ? I’m 58 and hip guy wants to do labral repair and capsular tightening . I’m thinking would replacement just have it over and done with ?
@@jilldiprose3265 I did get replacement, have had lots of issues with lingering pain and stiffness. I still think doing a labrum repair surgery is a waste, you’ll need the replacement eventually and the recovery for either surgery is the same.
A PT friend told me labrum repair takes 6 weeks for recovery but if there is arthritis a replacement is necessary. She is waiting for her Orthopedist to say when on surgery because she has both problems.
Bone spurs are not helping
Hip impinchment sucks
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I'm diagnosed as OA and suggested hip replacement, kindly help🙏