Hip Labral Tears: What They Are and How to Treat Them 

How lovely to see real professionals (not utube experts) discussing this issue in a more lay man’s way for everyone to understand. Thank you for all your time and expertise. Appreciated.

These 4 docs are excellent in their presentation and care, conservative and thoughtful approach.

Brilliant panel and interview.

Very helpful thank you

Great information and a wonderful team of doctors. Awesome that you consult with one another. Would like to have seen excessive femoral version touched on as this can be a cause of hip pain and labral tears as well.

Dr. Danyal Nawabi at 3:55 states that the hip labrum "has a good blood supply." But a "good blood supply" suggests that the hip labrum also has a potential to heal on its own. So hip pain resulting from labral tearing could become asymptomatic if given enough time to allow for healing, and if the patient ceases the activity that caused the tear. Would have appreciated some discussion on this point regarding labrum's blood supply and healing potential.

Thank you for your presentation! I myself have had multiple lower back surgeries by a experience neurosurgeon, going to him, this time I did have my MRI with contrast, and while speaking to the radiologist I did mention that hip area. As a point that I wanted him to concentrate in. I am presently going to physical therapy and hope that I don't need any large surgery. I have had shattered vertebrae's in my neck being replaced with titanium. Successfully. Also, antagonizing synovial cysts in my lower back area., To reverse total shoulder replacements, and I plan to see a couple of different doctors to get the analogies. I certainly want to think the doctors for the video! This was helpful

patients please post as much as u can about your experiences with this

I went to chiro, acupuncture, family doctor, PT....with more back pain than hip. Finally found a Pelvic floor doctor who was a God send and found the tear. Have been dealing years with this discomfort mostly from the back and pelvic floor compensating. Headed to surgery this July. Praying for a complete recovery to go back to running and just basic living 👏🏼🙏🏽

Great webinar! I’m getting my hip surgery with Dr Ranawat in the beginning of July and have really appreciated the thoughtful analysis to prepare for surgery. Love the team approach at HSS!

Great webinar! I have been to the ER about 6 times over the last 5 years, 3 in the last year. The last time was for back and hip pain. Went through PT for back. Still have hip pain. Saw a hip doctor who recommended a MRI. Dr. saw a subtle tear of the superior labrum. Scheduled for corticosteroid injection on June 15. I am a very active 72 yr old male. I run 5-6 miles per day and bowl 3 times per week. I really hope that the injection works.

This is very helpful,I have bilateral labrum tears as well as gluteus minimus tears with fluid and edema chronic tearing at the Greater Troncentric,I have RA Na OA, Crp is extremely elevated

Thank you for sharing this video. It is so reassuring to hear this information from a team of experts. Where is your practice located? Thank you.

Helpful video Grazie I will now be contacting special surgery in NYC for a second opinion. Which means I have to fly cross country.

Really interesting. I have a labral tear. It's really painful. I'm waiting for mri in 2 weeks

Key point taken here , Pathway for patient... This gets missed constantly and continues to get overlooked... This is a good idea with a multidisciplinary team approach. Congratulations 🎊

Thank you so much for this information. I was referred to an ortho surgeon. Possible labran tear. Ifeel better prepared for this visit. I appreciate you

First, this webinar is welcome relief to me that there are medical specialists who absolutely believe in a team concept to really get a patients problem and ultimately the solution. This taught me so much and I happened on it by accident as I await an MRI for literally an 8-9 on pain on a 10 Pain Scale. Like many who likely get to this point, this likely should have been handled months ago after I was injured. I was in Orlando and was walking in a backyard at the place we were staying at night. The place had a pool. It was dark outside and I accidentally, while walking at a quick pace, stepped into the pool off the edge. For lack of a better explanation, I essentially got split in two. The right leg went all the way in the water, while the left leg bent awkwardly and i caught myself after right side submerged on the edge of the hot tub. Hot Tub was a part of the pool. I instantly knew I was hurt. The pain was terrible. I couldn’t walk or put any weight on my right leg (leg that went in water and hit the bottom). I couldn’t straighten my foot. We all thought I broke my hip. Went to urgent care and they sent me straight to the hospital, but when urgent care said, if it is broke you have to have surgery, I didn’t want to be stuck in Orlando for surgery if it was broke. My daughter was competing in world’s cheer finals the next day so I knew if I could get through he night and the next day, I could fly home and get to a hospital I knew. I could not walk those two days and we bought a wheelchair. It was a tough deal but didn’t want to make a huge scene. When we got back, I went to our specialized orthopedic urgent care. They took an X-ray. The PA attending that evening said, “It’s not broke, just a bad hamstring pull”. Take some ibuprofen and stretch. I left completely frustrated. Still couldn’t walk and knew it had nothing to do with my hamstring. My hip, by now, was black and blue and it was also cut where I hit one of the concrete structures. Everything was swollen from my hip to my elbow. The pain persisted so I saw my Spine Specialist and pain dr. I am fused l4-s1 and have neck fusion. I have a high threshold for pain. This hip (or bad hammy) was seriously bothering me. My Dr, did an MRI of my lower lumbar spine. It showed a big herniation and it penetrated the thecal sack. I got a steroid injection to see what relief I might get. I get steroid shot in S1 and various Lumbar vertebrates and Cervical spaces. I know they take a while to work in some cases. It seems to have helped with the outer leg pain, but the groin pain continued to grow and I had now been limping since the first week of May. The pain in my groin is awful….thought it was hernia maybe…..anything. It just continues to get worse and to the point where it hurts so bad you feel like you should go to emergency room because something has to be going on……yet, I don’t want to do that and take the place of a heart attack patient or someone in really bad shape. Went back to my dr. Thursday. Can’t lift my right leg from sitting position and every way he tried to move it about put me through the wall as i jumped out of my skin. My dr. Said you may have a hip labrum tear - let’s get an mri of the hip and see. He also told me that in traumatic emergencies, sometimes damage isn’t picked up right away on X-ray. The X-ray the PA used as the absolute - it’s your hammy. I have an mri Wednesday (no contrast) to see if there is damage in the hip. Listening to you guys gave me hope. I have known pain in back and neck. I used to be a runner and now with this, I can’t even react quickly without my leg giving out completely. I feel the pop and i still have to put my right foot out to the left (opposite of pigeon toed) to even limp. I trust my dr. 100%. He has always been right and when he wants to run things by other dr.’s, he does. He is very thorough. He doesn’t want us eating meds and he wants his patients fixed. I really think it is a tear of some sort. I pray they figure it out because this pain is the worst I have felt ever. Back surgery walk cake compared to this. Thank you for giving me hope that Dr.’s do care and ones like you go the extra mile. My daughter wants to be a dr. And I hope she is as thorough as you. Great examples for those young collegians who aspire to medicine such as this. If anyone else has had these symptoms…….severe groin pain, knee starting to get involved, can’t walk, and can’t lift leg - let me know what your diagnosis was. Appreciate y’all.

I will be seeing Dr Ranawat soon, they are going over all my records from previous Dr I was seeing. After seeing this video, I'm excited at the possibility they can figure out what is going on with my hip pain and diagnosed labral tear on the MRI.

Can you please recommend a doctor in Virginia?

I had a labrum tear while waiting for a hip replacement. The pain was very difficult and it felt like my hip was popping out of it’s socket each time I sat down or stood up. Walking was an experience in yelp suppression. Terrible.

Thank you I just had my mri results with larval tear I have so much pain

What about a finding of a reduced Labrum?

Anyone having hip labral tear problem in the UK. Still waiting for an appointment . How did yours go thorugh NHS? Thanks

What if you had revision total hip replacement and now I got a labrum tear from the cup impingement.

Why isn't MRI or MRA a good idea for part of the micro diagnosis for what's going on with the fai impingement and labrum and cartilage?

So it is unlikely tears occur from a traumatic acute injury such as falling directly on the upper trochanter?

Can someone please suggest good dr as I am having hip lebral tear in both my hips. Please help

What State?

I was wondering if anyone can share input on stem cell or platelet-rich plasma injections. Thanks.

I find it incredibly funny how much these guys act like they care. But in the real world, you have a hip injury and you actively seek medical help for it. It takes a year to get a requisition for an MRI, another 14 months to get an MRI. another year to get you to a PT that understands your injury, and by the time you end on a waitlist for surgery it has been 5 years. You still don't know the first thing to do so you start finding your own help through youtube.

Investigate poor blood flow/circulation caused by continuous wearing of tight wears around the hip joint .Elasticated underwear needs to be continuously adjusted for relief.

I had an mri and did not get any treatment remedies or team discussion. 😢 Therefore I fell and needed emergency surgery 😢

Doctors, will having a cortisone injection negatively impact what you see from the MRIs/scans? I've had chronic Pelvic instability ( left hip labral tear and L4-L5 issues) and walking creates pain, especially when on crowned dirt roads or non flat yards. But driving, sitting, and being in sexual positions also are painful. 🤔 I'd 💕 to know better positions to enjoy intercourse without pain. 🙏🏼 you'll revisit this post and reply to comments on this thread. I bet this issue is more common than most even know, huh? 👍

Hip falls?trauma?

Absolutely petrified about weather or not to get this surgery. It’s so hard to definitively know if it’s causing the pain or not

You know what makes me tired with you doctors. It seems you've never had to fix your own hips. You know "what's best" for everyone else, but you rarely go into non operative success.

I hear total hip replacement stops the destruction of OA