Dr. Eric P. Rightmire: A lot of my patients come into the office with hip pain, which can be related to a condition that we call hip impingement, particularly in the younger athletic patients where an x-ray shows that there’s really no arthritis or other cause of hip pain. Hip impingement is where there is a bump on the femoral head-neck junction, which in certain positions of the hip can pinch a labrum, which is a ring of tissue that sits around the socket or the acetabulum. Overtime or in traumatic incidents, this labrum can tear, leading to symptoms usually deep within the groin, sometimes deep within the buttock where you have pain, a pinching, a catching with certain movements of the hip.
Unfortunately, this is usually an irreversible condition that may respond to conservative measures, such as physical therapy but quite often need surgery. The surgery is a simple hip arthroscopy, which we can do just like in the knee or the shoulder, tiny little poke holes where we can introduce instrumentation in the camera to either clean up the labral tear or repair it and at the same time remove the bump that’s causing the impingement. If you’re having any of these symptoms in your hip, particularly pain within the groin or deep within the buttock or any type of mechanical symptoms, you may have a labral tear, and it would be worth coming in to see one of us for an evaluation.