I’m 12 weeks post op for FAI and labral tear. Did PT for two years, am a competitive swimmer, I worked my butt off to try to get it to stabilize and it just wouldn’t work. 12 weeks post op and finally pain free and getting the stabilizing muscles to fire and work again. Was the last resort but im glad I did it.
Thank you for this information! I have post car accident labral tear and I'm a yer into PT and 2 steroid injections with things getting only worse. Leaning toward the surgery
I have to get labral tear op, I been delaying it and trying to keep doing PT, can’t go jogging can’t squat, how long would you say it takes for pain after op
She is very thorough in her explanation. I was diagnosed with a hip impingement. The pain was bad for a good two years till i finally saw the right PT. My pain went away as long as i did my PT regularly. 4 years later i had a baby and now have torn labrum on both sides. Starting PT again.
I have watched this video after being given the option of surgery. I’ve been in rehab for 2 months. I am 26- a trainer. And very uncertain about getting back to movement. Your video is the first one which gave me hope. I am determined to strengthen my muscles - wait and watch. And support my body to heal.
I am just about to arrive at my three week post-op FAI of my left hip. I had a malformation of my femoral head that according to MRI findings was congenital. I went from running like a deer leaping with joy to almost falling while simply walking. The pain was deep and unbearable most of the time and my daily life took a drastic decline, from cleaning to grocery shopping I was challenged. I started off with PT but was in so much pain I could not finish. I liked you video. One thing in your list that you may want to add is the question of where the labral tear is on the labrum. Mine was superior/anterior and I was told that a labral tear in that region is definitely felt more than a posterior tear. I was also told and it made sense that, the region of superior/anterior is painful because it's the part that we use most for walking and running, so therefore felt more. After surgery I was told I had one continuous tear that left my larum "flopping" from 10 o'clock to 1 o'clock. I believed it, as I lived in agony for over 1 year before finally getting this surgery. They originally thought I only had a small tear and then a second opinion with another MRI, done on a Tesla 3.0, revealed what was thought to be two seperate labral tears. However, once in surgery, the surg cam revealed the large flopping labral tear. So two things to add to your video that make sense and should not be ignored is the fact that if you have a congenital malformation, that must be considered as well as where the tear is located. If one does not consider these facts into the "should or should I not" get surgery, they could really hurt themselves worse by not getting surgery and continuing to work on musculoskeletal side of the issue to no avail. I didn't have a prior injury, this was due to a misshapen femoral head and over time caused my labrum to anteriorly tear! No injury from a workout gone wrong. Also, your video absolutely does not apply to someone who had a workout injury, that already has strong muscles like glutes, quads, and core. Granted, some folks can always stand to firm those aforementioned areas, however your video is geared towards someone who truly is lacking strength in those areas. Someone who works out regularly has already done that work and their labral tear is likely caused from something else. Blessings to all on that labral tear journey. I hope you find the right surgeon and lmk if you want my surgeons contact information as I will gladly refer you. He and his team are like a band of healing angels from heaven!
Thank you so much for this video! I am located in Colorado Springs, and just got diagnosed with a hip labrum tear after finally getting an MRI. I powerlift, so its extremely frustrating already taking 5 months off of lifting, to now find out that it may be even more of a long road to recovery. This gave me hope, thank you
I am a racing driver and I have FAI with labral tears , just find it difficult to get into to low seating position and my butt hursts so badly by evening. I hope I recover with PT as surgery isn’t an option for me now
Tried pt for 6 months didn't get better. Had surgery to repair labrum and filed the bone down. It's been a year and a few months and I'm still dealing with pain and popping. I would love to get some better help than what I have gotten.
Hello, Lori, Thank you for the great video. I would like to have your opinion on my story: I have discoid meniscus on both of my knees and both have a tear (one of them has 2 surgeries). I had to go to a ski course for my university while my knee was still recovering from the surgery. So, in order to save my knee, I had to put more pressure to my other leg. On the last day of the ski course I experienced pain in my hip joint. This pain hasn’t gone away for 9-10 months. Two months ago I did a MRI, which showed that I have labral hip tear on both of my hips (of a higher degree on the leg that I had put more pressure on during the ski course) I got 1 corticosteroid shot (a month ago), followed by a corticosteroid shot + hyaluronic acid(1 week ago). However, my pain still hasn’t decreased. The big problem is that my pain is dull, deep and constant (sometimes 24 hours a day because I can't sleep more than 4-5 hours a night due to the pain). The main thing that is worrying me is that I have constant pain even when I'm lying or sitting (i.e. when I’m relaxed). The pain gets exacerbated(sharp), when I flex my glutes hard(e.g. while i do hip extensions, especially from closed chain). There isn’t a suitable PT in my town that I can go to. (for long term work: 8-12 weeks), so I’m not sure how can I proceed with this. I’d really appreciate your advice on what can I do to improve my condition.
Hi Petar. If you didn't get relief from the injection your pain is likely NOT from the joint, but from the myofascial tissue around it. This is what I see all the time. I do offer online consults if you are interested. You can email me at lori@duncansportspt.com
I have been dealing with a heap of diagnosises for 2 years, 8 months. Finally had MRI with dye, showing a Labrum tear. I tried PT at least 3 different times before the last MRI. The days are miserable, even my hamstring is contracted. I have another appt. with a surgeon recommended by my regular surgeon because he says very few surgeons know how to do this repair! Why is this so hard to figure out and why is surgery done by so few?
Hi Great videos! I had a MRI of hip with these results: Moderate chondrosis at the left hip with areas of intermediate to high grade partial thickness cartilage loss superolaterally. Degenerative tearing of the superolateral labrum. Is this the problem of my four year lateral hip pain?
Thank you for this video. I have an appointment which should be scheduled in April/May. I thought that it'd be better that I book an appointment with a specialist and talk further regarding any exercises. This video made me realise that surgery may not be necessary, but at the same time I have been doing sumo squats for god knows how long and I still get groin pain after my football training session. Sometimes this uncertainty kills me to be honest.
That is a common mistake. I had a massive pain in knee - then in groin from excessive cycling and powerlifting. Of course continued to power lift and added more mobility and stretching excersises. Of course it did it all worse. I feel stiffnes in my whole leg. The pain is not making life impossible, it's just very frustrating and makes me think about it all the time. I tried everything from the guys on the internet telling me "you don't need a surgery", all the excersises, I modified my activities, nothing helped. So I guess sometimes surgery is an answer.
Hi. This channel is for education with the hope you will seek PT with a stability/Pilates before surgery. Everyone is different so exercise prescription (especially for hip labral tears) varies quite a bit. Hope you are encouraged to look for a PT to help. 😀 Thanks for reaching out.
I had pain from first day from lower back to the sole. All the muscles around were pulled and stiff. Also because it is in my stronger side. Realsing those and stretching has made the pain better and doing muscle exercises makes it flare up but it hasn't gone away within five years and I developed spinal stenosis and discs degeneretives
It took my pain mgt team forever to even diagnose my injury as a labrum tear because initially I went in and they misdiagnosed me with si pain. After getting a few injections in those joints I didn’t need which just made my hips more the obvious problem they did mri and confirmed I have pretty significant tears in both hips, though currently only my right hip seems to stop me in my tracks pain wise. I have done pt twice now, before and after steroid injections, and more recently the last steroid injection I got into my right labrum didn’t work this time so they opted for prp and that’s been a hellish journey. I’m about 10 days out from that having been done and it really feels like physically I struggle walking more now than before. At least before it would just become so physically painful I couldn’t continue walking ,now I feel like the muscles are angry, tight and fatigued . My next option is the final which of course is surgery
Thanks for the video, more of a positive one then most! Which gives me hope, I have a minor right hip labral tear, being an Ironman athlete have found this to be quite frustrating. I am working on hip stability here in Australia, from your experience do athletes runners and cyclists get back to doing what they did before? Kind regards
Lori Duncan PT thank you, I believe the exercises I am doing are stability and strength, are you able to lead me in the right direction of best exercises or can I consult with you? thanks so much
PT made my labral tear issues so much worse and i developed arthritis from Continuing to use my hips and do extreme exercises on a torn labrum (bc I was told “my muscles were just weak”) and then everything else in there trying to overcompensate for that. I’m in much more pain than I was before! I have to have surgery and now there’s even more damage from letting it go on for 6 months torn while I continued PT, yoga, daily life having my joint wear down more and more each day
Thanks Lori for your video. I was told I “most likely” have a labrum tear (insurance won’t pay for an mri until 6 weeks of PT) been doing PT 2 days a week for 3 weeks now. I’m a big guy, but I can move and love long distance running. Hoping to get back into it. The web can be a dark and Awful place to research, but your video gave me hope that I can run again. Thanks for this video. Also, do you think losing weight my help? (210 lbs, 6’3)
Hi Bobby. Yes, the web is filled with a lot of nonsense so I'm glad you found this video. Keep doing the PT and yes any loss of weight is always helpful. Even 10 pounds can make a huge difference on the joint load. Hope that helps!
Hi Lori, Thank you for this informative video-talk. One question, at 5:50, it is unclear whether you are saying that runner's need to learn to run from their glutes, or if you are saying the problem is that most runners run from their glutes. Would like to get clarity on that. Thank you
Hi Erwin. Thanks for the question. The problem is that most runners DO NOT run from their glutes. Most run from their hamstrings, TFL, quad, or back. This leads to strange loading on the body. Does that help?
Yes it was worth it for me and it changed my life around. Physical therapy is crucial to this surgery. I do Physical therapy 3 days a week. The first month or 2 follow strict doctors orders. Get the ice machine. Any questions message me. Great video! I also had an impingement going on.
@Padjoe Ceall physical therapy will help this over time. I had the same issues. And no i believe it has to do with tight muscles in the Hip Flexor. I am not great with the medical terms. It took me 4 months to be able to cross it comfortably. Stick with PT it will get better. I highly recommend this surgery.
Just had surgery yesterday for hip labrum tear. Injury happened eight months ago tried Cortizone injections and PRP injections to help speed up the healing process but it never got better I was trying to avoid surgery but I was told that was my only option. I had hernia like symptoms sharp pain if I cough or sneeze while sitting and sharp pain trying to pick something heavy up off the ground I start physical therapy in two days and I hope the surgery was worth it
Is it common to have hip issue after lumbar fusion now healed and cycling 100 plus miles per week over past year then hip pain MRA say posterior linear tear could the fusion and scar tissue have brought that on
Hi. I can't say it's common. It's likely that tear existed before your fusion and now is chatting with you after weakness that is always a result of surgery. I would work on stability glute/core and lat and see a good PT.
True. Again, there is a time and place for surgery especially if the bony environment is a key player. That said, most people do not have pain from the bone impingement but from myofascial pain. So, on the flip side, they get surgery but their pain never changes.
So do I get it or a new hip? I've had three injections. This last one hurts so bad and didn't really help as much. So I'm going to crossroads as to which direction do I go. Yes I have arthritis in the hip too. I was hoping one of the doctors whether it be hip or the labrum would point me in the direction of physical therapy to at least strengthen that leg before I decide on either surgery but neither one of them seem to think it's very important. I know that leg is a little bigger and I know my ankle tends to swell when I'm hurting in the leg and pelvic junction that's where my pitch and pain is. Basically I'm kind of out of options for doctors where I live. Also two years ago my plantar fasciitis flared up, instead of going to my original doctor I decided to go one closer. Big mistake! And because it took 6 months before she gave me my shot, yes I should have just gone ahead to my original doctor The pain was so bad in my foot and then that my opposite leg is where my hip problem is really flared up and I put that off not knowing what it was exactly so I couldn't walk. I walked 5 days a week with my best friend 3 mi everyday and I got to the point I couldn't do it anymore so needless to say wait on the last 2 years at least 25 lb. I've lost 5 and I'm stuck because of I have to watch what I can do when this leg hurts I have to stop or else I'm wanting three heating pads and a whole bottle of Ibuprofen.
I developed a hip groin pain 18months ago and was told I had early signs of hip arthritis and perhaps a torn labrum. I hobbled around for more than 10months cos I was stuck overseas due to Covid and couldn’t get proper medical treatment. At the same time I was also dealing w a fractured wrist , surgery that went badly wrong. Upon my return immediately after I removed the too large for my wrist plate I had a cortisone injection for my labrum tear . It did not help. I then had a course of PIT injections and PRP about two months ago . My pain levels over this year has improved from 8 to 4. I do physio, hydro and myorfascial release. My groin is still sensitive and inflamed. What kind of PT do you recommend?
Hi. I’m a keen cyclist and have recently been diagnosed with a labral tear on my left hip. I’m not keen on surgery and am happy to go down the PT route but am wondering if my cycling is doing more damage than good? It’s about the only exercise I can do due to ankle and knee injuries. After watching your video I’m convinced a lot of my pain is not necessary coming from the injured hip. I have buttock and back pain all in the same side which can be more painful than the actual hip pain. Would be interested on your thoughts. Many thanks Liam
Hi Lori, so...maybe or maybe not? My joint is stable, PT didn't help, after MRI the doc says bad tear and bone spur on the cam that will continue to wear out the joint. The dull pain is manageable but I'm not the same athletic-wise or as active playing with the kids. Poor range of motion, sharp pain if I move the leg outward, and dull pain while I sleep on my side. The stories where others are 1.5 to 2 years post-op but still in pain scare me. Would you say my situation is a maybe?
Hi. Bone spurs can cause more damage over time depending on the size. My question would be if your pain is from the bone spur/hip joint or from the muscle/fascia around it. If it's the latter, try PT! (stability based, not strength based)
I was diagnosed with complex labral tears in both hips about two years ago. Pain levels were really high at the time, like 8 or 9. Two years of PT has helped a lot, 60-90 min daily, 4-5 days per week. Right side has mostly cleared up. But left side is real stubborn, and pain has been at about a 5 for a year now. Cant sit down for more than a few minutes without pain. Not sure if i should pursue surgery or if i need a different PT approach. Looking for any help i can get. Thanks!
Hi, that's positive about your right hip feeling better. If you feel you had great PT (stability-based, not just strength-based) then it might be time to look into surgery on the left hip. I'm the last person to tell anyone to get surgery but there is a time and place for it.
Hi. I have had hip pain for over a year and I’m only 15. I just recently got diagnosed with the labrum tear last month. Last year I did months of therapy to try to help what my doctors thought was “bursitis”. I was able to play pain free for a month ish and thought my pain was gone. One day I was running up the stairs and I felt This extremely painful pinching in the hip and I could feel it in the hip joint and labrum area deep inside. This is when I went to get an MRI. They found the tear and it was non-displaced. So it was questionable whether or not to get surgery. My doctor told me since I’m young and an athlete and I’m still having pain AND the fact that it’s been over a year and I’ve already done therapy that I should get the arthroscopic surgery. I have it scheduled for the 28th of may and I’m still questioning it. I also have one more question. My mri reports say I have no bone deformities or FAI / impingement of any kind. Although my doctor says that I do. So I’m very worried that he is unsure of my diagnosis. THANK YOU
Hi, how are you doing months after your surgery ? I have been diagnosed with a labral tear too. Even though I am not for it, I am curious to know if it helps
Do hip labrum tears have similar symptoms to hernia, sharp pain while coughing or sneezing while seated. Also sharp pain picking something heavy like over 60lbs off the ground. I had an ultrasound done and a hernia check and was told there was no hernia I knew something was wrong so I pushed for the MRI where it was discovered I had a hip labral tear I waited eight months while doing Cortizone injections for it to heal but it never did I just completed the surgery yesterday and start physical therapy in three days however I am worried that I might have a hernia as well….
Hi Rob. I have never heard of that symptom with a hip labral tear (coughing/sneezing causing groin pain). That said, there are always outliers. I always tell my patients that if you have an instinct that there is something more going on then push for more information. It's your body and you know it best.
Excellent video, but according to Dr. John Gibbons (DO) torn labrum causes chronic tight psoas (to protect the hip joint), which inhibits glutes, my left glutes won’t fire with the PT causing all sorts of imbalances as well as tight piriformis and a bit of si joint issues . Any advise?, I’m doing core activation and strengthening. What’s the best hip stabilization exercise program. Haven’t been able to play soccer in 2 yrs 😢 so frustrating Thanks
Lori Duncan PT Thanks, I started with postural restoration and corrective exercise which uses some of pilates approaches, I’m seeing some improvement and results
I've got this too (tight weak psoas and hard time getting glutes to work) - What did you do? Any progress? Still doing lots of reading before surgery but most people have suggested injection and potential surgery
@@johnsmith-yv7rp I’m finally getting results with PRI (Postural Restoration Institute) in 2 and half months ( something I never got with a bunch pf physical therapist or other physician), my pain has reduced significantly and range of motion, you most be dealing with a postural/pattern issue, these guys go the the root cause, inhibited glutes and weak psoas are just symptoms. Check Neal Hallinan youtube channel, there are more but you shuld try with a PRI provider. Don’t get surgery by any reason, worst case try prolotherapy injections (never cortisone injections) good luck. Torn labrum doesn’t cause pain on its own
Thank you for this video. I have a slight labral tear on my left hip, I’m still doing weightlifting and squatting below parallel. No issues really at the moment, I’m in PT still. But when lifting weights specially below parallel it freaks me out if I’m ever going to tear really bad where I need surgery. Do you suggest not going below 90? Or Only if it becomes uncomfortable?
Hi Tim. I do not suggest going past 90. The pelvis/glutes are no longer the "base" of the lift beyond 90 and there is more stress at the hip joint. To keep it protected and still enjoy lifting, stop at 90.
@@LoriDuncanPT thankyou for the advice. But i have zero pain or feelings of pain when i got to my bellow 90, although they said i have a very slight tear i feel no discomfort. I always keep my glutes activated and pelvis locked in when in my lifts to ensure i stay healthy below 90 (usually do my routine glute activation exercises). For me being below 90 has always been more comfortable then at 90 or above.
I’ve had a labrum tear 8mm for 27 years with 3 cysts . My hip feels like it wants to come out of socket at times as well as a catching on inner groin and tearing feeling. Starting with popping but now it’s stuck. I hurt it in PT while rehabbing my spinal fusion. I’m now on 2 months of hip PT and not much improvement. My main concern is putting it off and then developing major arthritis that turns into a hip replacement. Any thoughts?
Hi Nate. Sounds like your hip is craving stability. That's different than strength. I highly recommend Pilates-based movement for you. Great for your spine too.
@@LoriDuncanPT thank you I will try but I’ve done a lot of isometrics and band workouts, all the hip movements I can do. I put off my spinal fusion too long and I have bad nerve damage. Can a torn labrum make it more likely to need a hip replacement in the future? I don’t think I can fix this , but I am prehabbing Just in case surgery is my last option
@@ushgambala1 Hi. Absolutely a hip labral tear can lead to a hip replacement, but not as much as some might think. And, just for your knowledge, isometrics and band workouts are not hip stability. Remember, you still know your body best so if you feel you need to get surgery, go get it!
Lori, is 2-3 months enough time to stabilize the hips? I've seen pole fitness people have incredible hip stability but it took years of work to get there. Is it possible to do PT for longer to build up the hip stabilizing muscles? Also, what do you think about pole fitness for FAI?
@@ANPennsylvania I honestly never improved from baseline with just pt. I've had one fixed going for a second soon. If you're young and healthy, the recovery shouldn't be too bad for you. Wasn't for me. Although it sucked for the first couple days.
This is an old video so the odds of a reply are likely low, but I do have a quick question. What if all conservative methods of treatment have failed? I've tried PT, I've tried numbing/corticosteroid injections (however I'm 18, so they were conservative with this), I've tried NSAIDs and rest, I've tried activity modification, but nothing has reduced/eliminated pain from my tear. Then what?
@@LoriDuncanPT I do about an hour and a half from home! I've got an appointment scheduled for June 1st (the day before my birthday). Is there anything I need to plan on asking or should know going into this appointment in your opinion?
I’m 12 weeks post op for FAI and labral tear. Did PT for two years, am a competitive swimmer, I worked my butt off to try to get it to stabilize and it just wouldn’t work. 12 weeks post op and finally pain free and getting the stabilizing muscles to fire and work again. Was the last resort but im glad I did it.
Thank you for this information! I have post car accident labral tear and I'm a yer into PT and 2 steroid injections with things getting only worse. Leaning toward the surgery
I have to get labral tear op, I been delaying it and trying to keep doing PT, can’t go jogging can’t squat, how long would you say it takes for pain after op
@@36nairnI'm about to schedule my surgery but I've seen a lot of people say they had next to no post-op pain within the first week.
can somebody tell me what is PT ? why they cant spell it out here ? I amnot American
@@margueritebeson8498 It means physical therapy. We all just say PT in the US.
She is very thorough in her explanation. I was diagnosed with a hip impingement. The pain was bad for a good two years till i finally saw the right PT. My pain went away as long as i did my PT regularly. 4 years later i had a baby and now have torn labrum on both sides. Starting PT again.
I have watched this video after being given the option of surgery. I’ve been in rehab for 2 months. I am 26- a trainer. And very uncertain about getting back to movement. Your video is the first one which gave me hope. I am determined to strengthen my muscles - wait and watch. And support my body to heal.
I'm glad you feel hopeful. In general most people just do not have the stability required at the hip to even know if surgery will help or not.
How it went?
I am just about to arrive at my three week post-op FAI of my left hip. I had a malformation of my femoral head that according to MRI findings was congenital. I went from running like a deer leaping with joy to almost falling while simply walking. The pain was deep and unbearable most of the time and my daily life took a drastic decline, from cleaning to grocery shopping I was challenged. I started off with PT but was in so much pain I could not finish.
I liked you video. One thing in your list that you may want to add is the question of where the labral tear is on the labrum. Mine was superior/anterior and I was told that a labral tear in that region is definitely felt more than a posterior tear. I was also told and it made sense that, the region of superior/anterior is painful because it's the part that we use most for walking and running, so therefore felt more. After surgery I was told I had one continuous tear that left my larum "flopping" from 10 o'clock to 1 o'clock. I believed it, as I lived in agony for over 1 year before finally getting this surgery.
They originally thought I only had a small tear and then a second opinion with another MRI, done on a Tesla 3.0, revealed what was thought to be two seperate labral tears. However, once in surgery, the surg cam revealed the large flopping labral tear.
So two things to add to your video that make sense and should not be ignored is the fact that if you have a congenital malformation, that must be considered as well as where the tear is located. If one does not consider these facts into the "should or should I not" get surgery, they could really hurt themselves worse by not getting surgery and continuing to work on musculoskeletal side of the issue to no avail. I didn't have a prior injury, this was due to a misshapen femoral head and over time caused my labrum to anteriorly tear! No injury from a workout gone wrong.
Also, your video absolutely does not apply to someone who had a workout injury, that already has strong muscles like glutes, quads, and core. Granted, some folks can always stand to firm those aforementioned areas, however your video is geared towards someone who truly is lacking strength in those areas. Someone who works out regularly has already done that work and their labral tear is likely caused from something else. Blessings to all on that labral tear journey. I hope you find the right surgeon and lmk if you want my surgeons contact information as I will gladly refer you. He and his team are like a band of healing angels from heaven!
How is your hip now? Do you have any problem
Would love Info on your surgeon. How are you feeling post op
Thank you so much for this video! I am located in Colorado Springs, and just got diagnosed with a hip labrum tear after finally getting an MRI. I powerlift, so its extremely frustrating already taking 5 months off of lifting, to now find out that it may be even more of a long road to recovery. This gave me hope, thank you
Glad it was helpful!
Please make video on exercises for labral tear
Thankyou. I myself am a collegiate runner. Thanks for the insight
I am a racing driver and I have FAI with labral tears , just find it difficult to get into to low seating position and my butt hursts so badly by evening. I hope I recover with PT as surgery isn’t an option for me now
How to stabilize a hip if you have hyper mobility?
Tried pt for 6 months didn't get better. Had surgery to repair labrum and filed the bone down. It's been a year and a few months and I'm still dealing with pain and popping. I would love to get some better help than what I have gotten.
How are you doing now?
What did you do about 2year.? How is your hip?
@@qianlei2753 hi how ara you? Do you have any problem
@KM-vl4ix did you have popping before the surgery? How is your hip now after 2 years?
Doctors should explain everything aabout the problem.
like you are doing
Hello, Lori,
Thank you for the great video.
I would like to have your opinion on my story:
I have discoid meniscus on both of my knees and both have a tear (one of them has 2 surgeries).
I had to go to a ski course for my university while my knee was still recovering from the surgery. So, in order to save my knee, I had to put more pressure to my other leg. On the last day of the ski course I experienced pain in my hip joint. This pain hasn’t gone away for 9-10 months.
Two months ago I did a MRI, which showed that I have labral hip tear on both of my hips (of a higher degree on the leg that I had put more pressure on during the ski course)
I got 1 corticosteroid shot (a month ago), followed by a corticosteroid shot + hyaluronic acid(1 week ago). However, my pain still hasn’t decreased.
The big problem is that my pain is dull, deep and constant (sometimes 24 hours a day because I can't sleep more than 4-5 hours a night due to the pain). The main thing that is worrying me is that I have constant pain even when I'm lying or sitting (i.e. when I’m relaxed). The pain gets exacerbated(sharp), when I flex my glutes hard(e.g. while i do hip extensions, especially from closed chain).
There isn’t a suitable PT in my town that I can go to. (for long term work: 8-12 weeks), so I’m not sure how can I proceed with this.
I’d really appreciate your advice on what can I do to improve my condition.
Hi Petar. If you didn't get relief from the injection your pain is likely NOT from the joint, but from the myofascial tissue around it. This is what I see all the time. I do offer online consults if you are interested. You can email me at lori@duncansportspt.com
Lori, you are great! Can you recommend anyone in the Los Angeles, Westside, Santa Monica area? I very much appreciated your expertise. Mark
I have been dealing with a heap of diagnosises for 2 years, 8 months. Finally had MRI with dye, showing a Labrum tear. I tried PT at least 3 different times before the last MRI. The days are miserable, even my hamstring is contracted. I have another appt. with a surgeon recommended by my regular surgeon because he says very few surgeons know how to do this repair! Why is this so hard to figure out and why is surgery done by so few?
Did you ever get your surgery?
Thank you. This was very helpful information.
Whats is the two minutes set you gave to avoid surgery?
English is not my first language and i couldn’t understand that part completely. Thank you!
sound quality is very poor, looks like good info
Yep, it is. Recorded several years ago but content is good.
Does wearing a hip brace help with stability ?
Hi
Great videos!
I had a MRI of hip with these results:
Moderate chondrosis at the left hip with areas of intermediate to high grade
partial thickness cartilage loss superolaterally. Degenerative tearing of the
superolateral labrum.
Is this the problem of my four year lateral hip pain?
Hi Lori, did You have hip bursits? how is your hip or labrum now?
You have just convinced me to pursue physio. Thank you!
YES!!
If you have a tear the only way is to fix it through surgery. The labrum does NOT heal on its own.
Thank you for this video. I have an appointment which should be scheduled in April/May. I thought that it'd be better that I book an appointment with a specialist and talk further regarding any exercises. This video made me realise that surgery may not be necessary, but at the same time I have been doing sumo squats for god knows how long and I still get groin pain after my football training session. Sometimes this uncertainty kills me to be honest.
That is a common mistake. I had a massive pain in knee - then in groin from excessive cycling and powerlifting. Of course continued to power lift and added more mobility and stretching excersises. Of course it did it all worse. I feel stiffnes in my whole leg. The pain is not making life impossible, it's just very frustrating and makes me think about it all the time. I tried everything from the guys on the internet telling me "you don't need a surgery", all the excersises, I modified my activities, nothing helped. So I guess sometimes surgery is an answer.
@@mateuszparys6995 Unfortunately not everyone's situation is the same. Always talk with a physio first.
can you provide some exercises
Hi. This channel is for education with the hope you will seek PT with a stability/Pilates before surgery. Everyone is different so exercise prescription (especially for hip labral tears) varies quite a bit. Hope you are encouraged to look for a PT to help. 😀 Thanks for reaching out.
Great info, terrible audio 😣
Ok
I had pain from first day from lower back to the sole. All the muscles around were pulled and stiff. Also because it is in my stronger side. Realsing those and stretching has made the pain better and doing muscle exercises makes it flare up but it hasn't gone away within five years and I developed spinal stenosis and discs degeneretives
It took my pain mgt team forever to even diagnose my injury as a labrum tear because initially I went in and they misdiagnosed me with si pain. After getting a few injections in those joints I didn’t need which just made my hips more the obvious problem they did mri and confirmed I have pretty significant tears in both hips, though currently only my right hip seems to stop me in my tracks pain wise. I have done pt twice now, before and after steroid injections, and more recently the last steroid injection I got into my right labrum didn’t work this time so they opted for prp and that’s been a hellish journey. I’m about 10 days out from that having been done and it really feels like physically I struggle walking more now than before. At least before it would just become so physically painful I couldn’t continue walking ,now I feel like the muscles are angry, tight and fatigued . My next option is the final which of course is surgery
did you get surgery
i’ve had a tear for 6 months and have been doing pt for about 2 and a half months
Did it help?
Thanks for the video, more of a positive one then most! Which gives me hope, I have a minor right hip labral tear, being an Ironman athlete have found this to be quite frustrating. I am working on hip stability here in Australia, from your experience do athletes runners and cyclists get back to doing what they did before? Kind regards
They do! But, I can't stress this enough...the hip labral tears MUST have stability. This is not just strength.
Lori Duncan PT thank you, I believe the exercises I am doing are stability and strength, are you able to lead me in the right direction of best exercises or can I consult with you? thanks so much
@@benstevenson7925 absolutely. If you are interested please email me at lori@duncansportspt.com and we can set something up!
I have a torn labrum,but also subchondryl thickening,my ortho says he is concerned with bone loss,why is he?
PT made my labral tear issues so much worse and i developed arthritis from Continuing to use my hips and do extreme exercises on a torn labrum (bc I was told “my muscles were just weak”) and then everything else in there trying to overcompensate for that. I’m in much more pain than I was before! I have to have surgery and now there’s even more damage from letting it go on for 6 months torn while I continued PT, yoga, daily life having my joint wear down more and more each day
Good PT should NEVER make your symptoms worse. I'm sorry that was your experience.
Thanks Lori for your video. I was told I “most likely” have a labrum tear (insurance won’t pay for an mri until 6 weeks of PT) been doing PT 2 days a week for 3 weeks now. I’m a big guy, but I can move and love long distance running. Hoping to get back into it. The web can be a dark and Awful place to research, but your video gave me hope that I can run again. Thanks for this video.
Also, do you think losing weight my help? (210 lbs, 6’3)
Hi Bobby. Yes, the web is filled with a lot of nonsense so I'm glad you found this video. Keep doing the PT and yes any loss of weight is always helpful. Even 10 pounds can make a huge difference on the joint load. Hope that helps!
Hi Lori,
Thank you for this informative video-talk. One question, at 5:50, it is unclear whether you are saying that runner's need to learn to run from their glutes, or if you are saying the problem is that most runners run from their glutes. Would like to get clarity on that. Thank you
Hi Erwin. Thanks for the question. The problem is that most runners DO NOT run from their glutes. Most run from their hamstrings, TFL, quad, or back. This leads to strange loading on the body. Does that help?
yes that's clear. I will keep it in mind. I will practice it when walking, since running isn't quite comfortable.
You're a good PT. I am in LA or I would intend to see you. Thank you
Thanks Erwin! If you ever want a video consult, email me at lori@duncansportspt.com. Thanks for watching.
Yes it was worth it for me and it changed my life around. Physical therapy is crucial to this surgery. I do Physical therapy 3 days a week. The first month or 2 follow strict doctors orders. Get the ice machine. Any questions message me. Great video! I also had an impingement going on.
@Padjoe Ceall physical therapy will help this over time. I had the same issues. And no i believe it has to do with tight muscles in the Hip Flexor. I am not great with the medical terms. It took me 4 months to be able to cross it comfortably. Stick with PT it will get better. I highly recommend this surgery.
Just had surgery yesterday for hip labrum tear. Injury happened eight months ago tried Cortizone injections and PRP injections to help speed up the healing process but it never got better I was trying to avoid surgery but I was told that was my only option. I had hernia like symptoms sharp pain if I cough or sneeze while sitting and sharp pain trying to pick something heavy up off the ground I start physical therapy in two days and I hope the surgery was worth it
Can u describe what was your pain like
@@rlopez36183 How are you doing now?
@@Joakley305 hi my friend. I have labral tear bursit and inpingement. How is your hip now? Surgery is worth it
Is it common to have hip issue after lumbar fusion now healed and cycling 100 plus miles per week over past year then hip pain MRA say posterior linear tear could the fusion and scar tissue have brought that on
Hi. I can't say it's common. It's likely that tear existed before your fusion and now is chatting with you after weakness that is always a result of surgery. I would work on stability glute/core and lat and see a good PT.
Hello I have labor tear on both hip can u help me l do PT 35 sections
What about hip impingement? Because this is to do with the bones? And no exercise will change your bones…?
True. Again, there is a time and place for surgery especially if the bony environment is a key player. That said, most people do not have pain from the bone impingement but from myofascial pain. So, on the flip side, they get surgery but their pain never changes.
Lori Duncan PT thanks for your reply. I’m meant to be having surgery for my FAI. How do you know if it’s myofascial pain or from the impingement?
So do I get it or a new hip? I've had three injections. This last one hurts so bad and didn't really help as much. So I'm going to crossroads as to which direction do I go. Yes I have arthritis in the hip too. I was hoping one of the doctors whether it be hip or the labrum would point me in the direction of physical therapy to at least strengthen that leg before I decide on either surgery but neither one of them seem to think it's very important. I know that leg is a little bigger and I know my ankle tends to swell when I'm hurting in the leg and pelvic junction that's where my pitch and pain is. Basically I'm kind of out of options for doctors where I live. Also two years ago my plantar fasciitis flared up, instead of going to my original doctor I decided to go one closer. Big mistake! And because it took 6 months before she gave me my shot, yes I should have just gone ahead to my original doctor The pain was so bad in my foot and then that my opposite leg is where my hip problem is really flared up and I put that off not knowing what it was exactly so I couldn't walk. I walked 5 days a week with my best friend 3 mi everyday and I got to the point I couldn't do it anymore so needless to say wait on the last 2 years at least 25 lb. I've lost 5 and I'm stuck because of I have to watch what I can do when this leg hurts I have to stop or else I'm wanting three heating pads and a whole bottle of Ibuprofen.
Big question. When function becomes a big problem (gait, sleeping, get up/down from chair or bed) then you need to consider surgery.
I developed a hip groin pain 18months ago and was told I had early signs of hip arthritis and perhaps a torn labrum. I hobbled around for more than 10months cos I was stuck overseas due to Covid and couldn’t get proper medical treatment. At the same time I was also dealing w a fractured wrist , surgery that went badly wrong.
Upon my return immediately after I removed the too large for my wrist plate I had a cortisone injection for my labrum tear . It did not help. I then had a course of PIT injections and PRP about two months ago . My pain levels over this year has improved from 8 to 4. I do physio, hydro and myorfascial release. My groin is still sensitive and inflamed. What kind of PT do you recommend?
Hi. I’m a keen cyclist and have recently been diagnosed with a labral tear on my left hip. I’m not keen on surgery and am happy to go down the PT route but am wondering if my cycling is doing more damage than good? It’s about the only exercise I can do due to ankle and knee injuries. After watching your video I’m convinced a lot of my pain is not necessary coming from the injured hip. I have buttock and back pain all in the same side which can be more painful than the actual hip pain. Would be interested on your thoughts. Many thanks Liam
lol I'm pretty much in the same situation. How are you mate?
@@mateuszparys6995what did you do? Have surgery? How is your hip now
Thank you!
What do you think about surgery for FAI?
Hi Lori, so...maybe or maybe not? My joint is stable, PT didn't help, after MRI the doc says bad tear and bone spur on the cam that will continue to wear out the joint. The dull pain is manageable but I'm not the same athletic-wise or as active playing with the kids. Poor range of motion, sharp pain if I move the leg outward, and dull pain while I sleep on my side. The stories where others are 1.5 to 2 years post-op but still in pain scare me. Would you say my situation is a maybe?
Hi. Bone spurs can cause more damage over time depending on the size. My question would be if your pain is from the bone spur/hip joint or from the muscle/fascia around it. If it's the latter, try PT! (stability based, not strength based)
@@LoriDuncanPT Thank you for sharing your advice.
"/REAL PT " ...what is PT ?
Nice video! Thx
Will it make your walking difficult
Hi. It can. Depends on the person.
I was diagnosed with complex labral tears in both hips about two years ago. Pain levels were really high at the time, like 8 or 9. Two years of PT has helped a lot, 60-90 min daily, 4-5 days per week. Right side has mostly cleared up. But left side is real stubborn, and pain has been at about a 5 for a year now. Cant sit down for more than a few minutes without pain. Not sure if i should pursue surgery or if i need a different PT approach. Looking for any help i can get. Thanks!
Hi, that's positive about your right hip feeling better. If you feel you had great PT (stability-based, not just strength-based) then it might be time to look into surgery on the left hip. I'm the last person to tell anyone to get surgery but there is a time and place for it.
Hi. I have had hip pain for over a year and I’m only 15. I just recently got diagnosed with the labrum tear last month. Last year I did months of therapy to try to help what my doctors thought was “bursitis”. I was able to play pain free for a month ish and thought my pain was gone. One day I was running up the stairs and I felt This extremely painful pinching in the hip and I could feel it in the hip joint and labrum area deep inside. This is when I went to get an MRI. They found the tear and it was non-displaced. So it was questionable whether or not to get surgery. My doctor told me since I’m young and an athlete and I’m still having pain AND the fact that it’s been over a year and I’ve already done therapy that I should get the arthroscopic surgery. I have it scheduled for the 28th of may and I’m still questioning it. I also have one more question. My mri reports say I have no bone deformities or FAI / impingement of any kind. Although my doctor says that I do. So I’m very worried that he is unsure of my diagnosis. THANK YOU
Hi! Did you get the surgery? Sorry for my delayed response.
Yes I got it. I’m doing good now
@@reaganackermann7658 oh good!
Did you get the surgery?
Hi, how are you doing months after your surgery ? I have been diagnosed with a labral tear too. Even though I am not for it, I am curious to know if it helps
Do hip labrum tears have similar symptoms to hernia, sharp pain while coughing or sneezing while seated. Also sharp pain picking something heavy like over 60lbs off the ground. I had an ultrasound done and a hernia check and was told there was no hernia I knew something was wrong so I pushed for the MRI where it was discovered I had a hip labral tear I waited eight months while doing Cortizone injections for it to heal but it never did I just completed the surgery yesterday and start physical therapy in three days however I am worried that I might have a hernia as well….
Hi Rob. I have never heard of that symptom with a hip labral tear (coughing/sneezing causing groin pain). That said, there are always outliers. I always tell my patients that if you have an instinct that there is something more going on then push for more information. It's your body and you know it best.
How many time full hip moment
Hi...I'm not sure what the question is. Can you ask it another way?
@@LoriDuncanPT after labral repair surgery how many time full recovery
Excellent video, but according to Dr. John Gibbons (DO) torn labrum causes chronic tight psoas (to protect the hip joint), which inhibits glutes, my left glutes won’t fire with the PT causing all sorts of imbalances as well as tight piriformis and a bit of si joint issues . Any advise?, I’m doing core activation and strengthening. What’s the best hip stabilization exercise program. Haven’t been able to play soccer in 2 yrs 😢 so frustrating Thanks
PILATES!!!
Lori Duncan PT Thanks, I started with postural restoration and corrective exercise which uses some of pilates approaches, I’m seeing some improvement and results
@@loui2w118 fantastic!
I've got this too (tight weak psoas and hard time getting glutes to work) - What did you do? Any progress? Still doing lots of reading before surgery but most people have suggested injection and potential surgery
@@johnsmith-yv7rp I’m finally getting results with PRI (Postural Restoration Institute) in 2 and half months ( something I never got with a bunch pf physical therapist or other physician), my pain has reduced significantly and range of motion, you most be dealing with a postural/pattern issue, these guys go the the root cause, inhibited glutes and weak psoas are just symptoms. Check Neal Hallinan youtube channel, there are more but you shuld try with a PRI provider. Don’t get surgery by any reason, worst case try prolotherapy injections (never cortisone injections) good luck. Torn labrum doesn’t cause pain on its own
Thank you for this video. I have a slight labral tear on my left hip, I’m still doing weightlifting and squatting below parallel. No issues really at the moment, I’m in PT still. But when lifting weights specially below parallel it freaks me out if I’m ever going to tear really bad where I need surgery. Do you suggest not going below 90? Or Only if it becomes uncomfortable?
Hi Tim. I do not suggest going past 90. The pelvis/glutes are no longer the "base" of the lift beyond 90 and there is more stress at the hip joint. To keep it protected and still enjoy lifting, stop at 90.
@@LoriDuncanPT thankyou for the advice. But i have zero pain or feelings of pain when i got to my bellow 90, although they said i have a very slight tear i feel no discomfort. I always keep my glutes activated and pelvis locked in when in my lifts to ensure i stay healthy below 90 (usually do my routine glute activation exercises). For me being below 90 has always been more comfortable then at 90 or above.
@@timkotowski5037 hey did your slight tear heal? I am in same situation.
@@adisondenham2426did yours heal
I’ve had a labrum tear 8mm for 27 years with 3 cysts . My hip feels like it wants to come out of socket at times as well as a catching on inner groin and tearing feeling. Starting with popping but now it’s stuck. I hurt it in PT while rehabbing my spinal fusion.
I’m now on 2 months of hip PT and not much improvement.
My main concern is putting it off and then developing major arthritis that turns into a hip replacement.
Any thoughts?
Hi Nate. Sounds like your hip is craving stability. That's different than strength. I highly recommend Pilates-based movement for you. Great for your spine too.
@@LoriDuncanPT thank you I will try but I’ve done a lot of isometrics and band workouts, all the hip movements I can do. I put off my spinal fusion too long and I have bad nerve damage. Can a torn labrum make it more likely to need a hip replacement in the future? I don’t think I can fix this , but I am prehabbing Just in case surgery is my last option
@@ushgambala1 Hi. Absolutely a hip labral tear can lead to a hip replacement, but not as much as some might think. And, just for your knowledge, isometrics and band workouts are not hip stability. Remember, you still know your body best so if you feel you need to get surgery, go get it!
Where are the cyst location?
@@ushgambala1what did you do?
Lori, is 2-3 months enough time to stabilize the hips? I've seen pole fitness people have incredible hip stability but it took years of work to get there. Is it possible to do PT for longer to build up the hip stabilizing muscles? Also, what do you think about pole fitness for FAI?
Hi did you have hip labral tear surgery? What did you do? How is your hip now
I can't hear him my phone I guess I have to plug in speaker
Sorry. But if you're any kind of an athlete you need to get this fixed with surgery. PT won't solve it.
Can confirm, as an athlete with labral tears who is friends with another athlete with labral tears 😂
@@christianmcclaine9990 you improve from baseline somewhat but you’re just never 100% the same...I’m considering surgery very soon
@@ANPennsylvania I honestly never improved from baseline with just pt. I've had one fixed going for a second soon. If you're young and healthy, the recovery shouldn't be too bad for you. Wasn't for me. Although it sucked for the first couple days.
How much does the surgery cost?
@@jaydavis0927 4-8K out of pocket
audio is too quiet
It’s been a year
email me at lori@duncansportspt.com if you would like to set up an online consult.
I am not able to view your video because your volume is way way too low
Look into prolotherapy
Still not sold on that as a great intervention. Hope you had good luck with it.
This is an old video so the odds of a reply are likely low, but I do have a quick question. What if all conservative methods of treatment have failed? I've tried PT, I've tried numbing/corticosteroid injections (however I'm 18, so they were conservative with this), I've tried NSAIDs and rest, I've tried activity modification, but nothing has reduced/eliminated pain from my tear. Then what?
Hi Hayley. Well, if you feel like you've given it a good go then you may actually be a candidate for surgery. Is there a reputable one in your area?
@@LoriDuncanPT I do about an hour and a half from home! I've got an appointment scheduled for June 1st (the day before my birthday). Is there anything I need to plan on asking or should know going into this appointment in your opinion?
PT PT PT PT What is it ? why not just articulate it
Physical Therapy
@@LoriDuncanPT thanks
poor volume
I can't hear it at all. Horrible audio.