Hip Pain - Torn Labrum
Hip Pain - Torn Labrum Hip
Dr. Edmond Cleeman -
This is an educational video about Hip Labrum Tears. There are many causes of hip pain. Hip pain can come from problems within the joint such as a torn Hip Labrum, or problems outside the joint such as Hip Bursitis, Hip Muscles, Hip flexor injury or even sciatica. In this video we review Hip Anatomy, the function of the Hip Labrum, causes of a hip labrum tear, and non surgical management such as Hip exercises.
However, labrum tears often do not heal and for many active patients Hip Arthroscopy is a good option to provide Hip Pain Relief and improve motion.
In this video I show a Hip Arthroscopy surgery video treating a Hip Labrum tear and CAM-Pincer FAI. We have included diagrams and surgical videos to help demonstrate this injury and the treatment.
This video is for educational purposes only, it is not a substitute for medical advice or treatment from a licensed healthcare professional. Thank you for watching, we look forward to your comments.
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Arthroscopic hip surgery,
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Informative video. I am 55 and was told that I am too old to repair labrum tear and should wait until hip replacement. I am a active ultra hiker. Will excercise assist in controlling the pain especially after 8km. Carrying a bag pack will that cause more harm. Look forward to your reply
hello i was wondering if u could help me i was playing football or soccer and i kicked the ball and i heard a pop in my upper leg and i felt an instant pain and couldnt walk so i didnt do any exersice or use my leg for a month or so then the other day i was running and heard the pop again and the same pain in the same pain and i can still feel it what gave i done
My right leg goes out of the hip socket freely. I had an mri and they found “degenerative fraying of the labrum”. I am 34. Could surgery possibly help?
Very educational video - thank you doctor for your expertise and sharing the information. I now have more questions for my doc going into surgery in a couple of days, but at least I know what to ask. Thanks again.
E98: Hip Pain after
E98: Hip Pain after Running is Gone after 1 Simple Test
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If you’re interested in reading more on HIP FLEXOR, here's the article I wrote about it. https://www.p2sportscare.com/hip-pain/#Chapter1
Here's the link to the HIP FLEXOR/ PSOAS MAJOR Playlist: https://www.youtube.com/watch?v=H7olrwfU2zQ&list=PL4ia_VsGiqb-b4KDcCiEvBuGmKvOPEUVI
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Pain in the front of your hip when lifting up your knee?
Hurts when you step into the car?
Gets worse after doing core exercises with your legs?
Hip Flexor Tendonitis is a very common condition that can plague runners, mainly those of the distance variety. If you run ½ marathons or further, you are at high risk of Hip Flexor Tendonitis.
You don’t have to run in pain any more. Rehab for Hip Flexor Tendonitis is highly successful when done correctly. I, personally, have not had this injury, but I have managed many cases of it over the years.
Funny, one of my most popular videos still to this day is on “Stretching the Psoas.”
I have learned a lot more since making that video back in 2009.
I’ll share the updated comprehensive video below… It’s 30 mins long but there’s a good reason for it. Consider it like an episode of Married with Children and watch for 30 mins.
What is Hip Flexor Tendonitis?
Tendonitis is irritation to a tendon. This can be chronic (long term) or acute (new injury).
The main hip flexor is the iliopsoas. The what, you say? The iliopsoas… you have probably heard of it called the psoas, but it is really two muscles and one tendon. The tendon is what you could be having an issue with.
What causes Hip Flexor Tendonitis?
Hip Flexor Tendonitis is caused when the hip flexors become dominant in the running gait.
You’re probably thinking how can this happen, right? Do some floor core exercises, and you’ll probably find your hip flexor can get super tight super fast. Muscles have what is called a normal “length/tension relationship.” They want to be a certain length so they can work well. If your core is not holding your pelvis in an optimal position, then your hip flexor length will change.
Think about being at work… I’m sure you have optimal working conditions.
– Not too cold but not too hot.
– Not too many emails.
– Not too much background noise.
Muscles need their optimal environment in order to not breakdown. Having proper core strength and the ability to hold the pelvis in the correct position when running will decrease the probability of having downtime from this injury.
How can you rehab Hip Flexor Tendonitis?
As you can guess, in order to rehab Hip Flexor Tendonitis properly, we need to create the optimal environment. This is not hard to design, but it is a lot of work on your part. Rehab exercise progression usually includes one that goes from easy to challenging.
Before making things more challenging on the muscles, we always teach proper pelvis and trunk position. This is often a mental game that is frustrating to runners, but it is one that’s very teachable.
Here’s a theory of progression that we often use in cases of Hip Flexor Tendonitis:
Open chain exercise to closed chain exercise
Lightweight to heavyweight
Complete rest to incomplete rest
What does rest have to do with it?
Running form, lifting form, posture, you name it… it all breaks down as you become out of breath. So we need to teach you how to have control of it. The Lewit Exercise is a great starting point for a core program. We always teach breathing and bracing before we start any core program. This is extremely challenging to most people.
What kinds of treatments can be done for Hip Flexor Tendonitis?
Here are some other treatments that can assist you in recovering from Hip Flexor Tendonitis:
Active Release Technique
Deep tissue massage
Regenerative Cell Therapies
Chiropractic adjustments or mobilizations
Running gait training
Movement Pattern Correction
Real good demonstration of root cause analysis here Doc. So tough to get folks “it hurts here, there problem must be here” - videos like this will really help!
WOW, those two pains pointed out at the beginning are exactly what I'm experiencing. Thank god I found this video. Thanks!
Completely dodged her question at the end regarding nerves. Based on the video my guess would be impingement to the Femoral nerve as it passes through the psoas musculature and/or its posterior branch.. forming into the saphenous nerve. Goodluck!
Well ... how the pain is gone??
This isolates her issue, but what are the exercises that correct it? Thanks!
Dr. James Kasper,
Dr. James Kasper, Orthopedic Surgeon practicing in Pismo Beach and Santa Maria, CA, gave this talk at the San Luis Obispo Health & Fitness Expo on March 23, 2013. In it he takes a look at what most commonly causes hip pain in athletes: conditions, symptoms, and what you can do about them.