Hip Labral Repair Rehabilitation: What To Expect

The hip labrum is a cartilaginous ring that extends around the outside of the hip socket as seen in the illustration below. Hip labral tears manifest as sharp, nagging pain deep in the hip or the groin areas. Pain associated with a hip labral tear may also refer down the thigh towards the knee. Car accidents and chronic repetitive stress imposed from years of sports or yoga are often root causes of hip labral tears. Women appear to be much more susceptible to this type of injury.

Hip labral surgery is a comparatively new orthopedic procedure that seeks to repair the labrum and thus stabilize the hip socket. This type of surgery is becoming less invasive from year to year: the patients that we see now have very small surgical scars and fewer post-operative precautions.

Precautions & Expectations in Regards to Hip Labral Repair Surgeries

1. Almost all post-operative labral repair patients are “non-weight bearing” for a minimum of two weeks following the surgery. Patients use crutches during this time frame. In terms of rehabilitation, I ask patients to lie flat on a bed or on the floor for a period of time each day that he or she is using crutches. The purpose of this is to allow the hip flexor muscles to relax into a neutral position, as suspending one’s leg while using crutches does require prolonged flexion of the hip.

2. Swelling in the hip area is an inevitable effect of surgery and causes the surrounding muscles to “shut down.” Isometric exercises are typically started shortly after surgery in order to minimize the negative effects of swelling. The gluteus maximus, gluteus medius, hip adductors, and hip flexors can all be trained gently through isometric exercise. There are many resources on the Internet that can lead you in the right direction in terms of isometric exercise instruction.

3. Pain in the lower back and pelvis following labral repair surgery is common because of muscular imbalance. The spine in general does not handle asymmetry well: if one leg cannot accept weight well for a prolonged period of time, the lower back and pelvis are loaded too heavily from the stronger side. In order to minimize this effect, in rehabilitation we encourage the patient to work on idealizing the mobility of the lower back and pelvis through a series of exercises. It also goes without saying that the sooner the patient regains his or her strength and weight bearing capacity on the surgical side, the better the lower back and pelvis will feel.

We have two (2) exercises on our “media” tab under the abdominal section: “pelvic clock” and “pelvic control” are good ideas in terms of restoring lower back and pelvic alignment. The password to get into the exercises is “patient.”

4. Healing from this surgery generally takes a long time! It is not uncommon for patients to experience discomfort six months after the fact. The important thing to remember is that if you notice positive differences from week to week (or month to month), you are going in the right direction! We will typically ask patients to record the distance that they can walk before pain sets in and then use this as a baseline for comparison.

5. With hip and knee surgery in particular, people have the long-term tendency to develop habits that keep them from maintaining full weight and strength through the leg. Avoid crossing your surgical leg over the uninvolved leg when seated, and when standing, force yourself to bear your weight equally through both legs. The body will often unconsciously try to default over to the non-surgical side because it has learned to do so. Initial post-surgical weight bearing precautions are a necessary evil: people need to re-teach their bodies to accept weight equally, and this may takes months of practice.

Discussion

  1. Emma says

    3 weeks 5days since my hip labral tear repair… I have been cycling, doing my excercises all as asked but still find my hip clicking and clonking… Does this mean my surgery hasn’t worked or is there something else I should be doing? Soo confused and doing everything I am told too! Thank for any help!

  2. Amy Boring says

    I have had right hip/groin pain for 11 months. I’m currently taking 800mg Ibuprofen 4X each day. In looking for exercises to lessen pain and strengthen right hip, I came across information detailing Labra Tear of the hip. In doing the research, I came to the conclusion that this might be what is happening with my right hip. What I am asking: Where do I start to have this diagnosis confirmed? My regular doctor is a family practioner. Should I start with her, describe my symptoms and information on
    Labral Tear or straight to an orthopedic doctor? Are there any exercises I can do to ease the pain?
    Thank you-Amy Boring

    • says

      I would see an orthopedist Amy. There should be one or two of them in your area that specialize in hips. You may also need to get an MRI to confirm any hip labral issues.

      There probably are exercises that you can do. I would start with “bent knee fallouts” (under abdominals), glut max contractions (hip), and sidelying clamshells (hip). All of these exercises are in our media tab on our website. The password to get in is “patient”.

  3. Chase says

    I had surgery to repair a labral tear as well as treat some arthritis that had developed in my hip. The surgery was five months ago. I have completed physical therapy and have begun to incorporate some light jogging (a mile or so at an easy pace) into my workout program. While I experience no pain from the actual activity, I have noticed that whenever I do any moderate cardio work (jogging, elliptical, bike, etc.) I experience a shooting pain around my hip and through the IT band for the 3-4 days that follow. It is not a constant pain, but rather a pain that is triggered by some very minimal motion (walking, sitting down, etc.) and can be somewhat debilitating for 30 seconds or so. After that the pain goes away, only to return a short time later when it is triggered again. Any thoughts as to what is causing this? Thanks.

    • says

      It might be a strength issue in the gluteus maximus or gluteus medius. The ITB can become irritable if the strength is off. It wouldn’t hurt to see a PT and get a fresh look at how you are moving and what your strength is.

  4. Rendy says

    I’m a healthy 63 year old woman that was in a car wreck in January 2014 and was on crutches for weeks due to a cut on my heel. This caused SI inflammation which has persisted until the present time. Meanwhile, the wrecked worsened pain I was having from a previously diagnosed labral tear so I had it repaired (debrided–Too large of a tear to repair) in August 2014. . Surgeon said it was very difficult to get into my hip and he had to use a lot of traction. I was on crutches for about 6 weeks and had extended PT (20 visits) but nothing fancy–no water therapy– just exercises and modalities. Doctor said in October I still had lots of inflammation and injected it in his office. t. After Christmas I complained that the SI pain was still severe (uneven gait from surgery kept it aggravated I suppose.

    So my hip surgeon referred me to a pain specialist who injected the SI joint under anesthesia and sent me home with a TENS unit. First shot helped for a couple of weeks but second shot hasnt seemed to help. Meanwhile I still have a deep ache in the bend of my leg near the surgical site. I am SO discouraged. Forget sports-I’d just like to ride in a car and walk in Walmart without constant pain. I’ve read that some clinics won’t do this surgery on people beyond their 20’s due to poor outcome. I have been on célèbrex for months and wish I’d never done this. Any suggestions or insight?

    • says

      Rendy some of this SI problem has got to be because you do not plant your weight evenly through your legs. Find the best PT that you can in your area and get some recommendations in terms of safely strengthening up your weak side.

      It might not be a bad idea to get into a pool and do some weight bearing exercises in that type of environment. A good PT should be able to give you some direction with that.

  5. Cindy says

    I had a hip scope done 2 years ago to repair my torn hip labrum. After MRI it is revealed that I again have a torn labrum. I did not injure myself so how does this happen? I did all my post PT and was feeling great. Going to a hip specialist this week but just thought you could give your take on this. Hate to have to go back thru 6 months of post surgery again but in pain and cannot do normal things.

    • says

      Ugh. I cannot tell you how that happened again Cindy, but I would try a conservative approach prior to having another surgery. Find out who the best PT’s are in your area and try the rehab approach first. You may find that you can get the pain to go away without going under the knife.

  6. Samuel Rhys says

    Hi There,

    I am 21 and had 2 labral tear operations on both hips. One in september 2013 a month before I planned to travel to Australia for a year and then got told I need another one and got that done in July 2014, I went to paris a 3 months ago and was in pain for a few weeks after but that went away (groin, butt, hip pain). 2 weeks ago I was painting my office climbing ladders etc and then went on a 7 mile walk with friends and the wednesday after started to get quite bad back pain and butt pain when sitting for a while and a small bit of groin pain and my feet feel kinda numb I also have a tiny bit of hip pain but nothing unusual.

    I went to see a PT in my area, and she moved my hips around quite a lot and got no pain in my hips however when I do one of the exercises she gives me, which is to lay down put my hand under my back tilt my pelvis so the pressure is on my back and lift my leg, my right hip cracks I get no pain when this happens is this ok?

    I plan on finally going traveling in April after 4 years of waiting and am just hoping this pain goes away.

    Thanks

    Sam

    • says

      Generally I think that cracking by itself is not really a big deal. If the cracking hurts that is a different story.

      If you are worried about traveling I would scale back the long walks and do some basic hip and core strengthening under the guidance of the PT.

  7. Ellen Hill says

    Had complete labral tear that took about 2 years to diagnose. Had fai surgery 11 weeks ago Felt fantastic for 8 weeks. Then I had 4 very active days and l the original pre surgery pain returned. Have been is bad pain for 4 weeks. Do you think surgery failed or should it get better. Pain is actually even down my leg

  8. Ryan Kemp says

    I had a right hip arthroscopy, femoral osteoplasty and labral tear repair on the 8th Nov 14. The labrum was completely detached in one area and they had to anchor stitch it back on.

    I have been seeing the physio and he tells me everything is progressing really well and I have began a return to run program.

    I can deep squat, lunge walk, run with no pain at all which is good.

    My only worries at the moment is an ache that develops when I remain in a sitting position for too long. After about 30-40 mins sitting at a desk chair, the ache develops and gets worse the longer I sit.

    I find standing up and walking, stretching helps with the ache, but if I sit down again the aching comes back.

    I had a similar ache before I had the surgery, so would this just be residual aching from where the labrum was repaired? How long would should I expect the labrum to be full healed?

    • says

      You probably still have a ways to go to get the hip back to full, maybe another 2-4 months? The aching may be from over-use of the hip flexors that cue in while you are seated. Keep working on gluteal strengthening under the supervision of the doc / PT.

  9. Kyle Waite says

    I had FAI/Labral repair 6 weeks ago. I seem to be progressing well. However, prior to surgery I had sciatica like symptoms, but an MRI revealed no back issues. I am still getting sciatic like symptoms. Is this referred pain, or could it be piriformis syndrome? I thought it was reffered pain from the fai/larbrum issue.

    • says

      Sciatica type pain more times than not is more of a muscle weakness or imbalance, which in your case is certainly not surprising. Once your gluteal muscles get stronger you should notice a decrease in sciatica type pain. The piriformis muscle tends to become more relaxed when everything else gets stronger. (Sciatic pain and piriformis syndrome have quite a bit of overlap in terms of causality.)

  10. Jordan Pauly says

    I am 122 Days, 3 hours, 11 minutes and 45 seconds…. ah now 46 seconds from my right FAI and labrum repair.
    Over the weekend I happened to be sitting Indian Style and remember reading a Mens Health article that if a person could get up sitting Indian Style using no hands they would lead a long healthy life (I’m an idiot for #1 believing this crap #2 even trying).
    After doing this I’ve noticed quite a bit of soreness in my op hip in the groin area… I’m hoping and praying I didn’t re-tear something being an idiot… I’ve also noticed some popping coming back after sitting for awhile.
    I hope that some RICE will help get me back to where I was. Why do I hurt? Why the popping? Is this scar tissue or fluid build up?
    I know this is a question for my OS… I just need someone to tell me it’s somewhat normal for what I tried to do.

  11. Michele says

    Hi there I am 2 weeks post labral tear repair I don’t see physio for another 2 weeks. I have been carrying out my exercises as given by the physio on discharge but I appear to be experiencing sciatica type discomfort the entire length of my leg. PWB with crutches is extremely difficult with a young child just wondering if this may be the reason for my pain? Thanks

    • says

      Yes that is possible. PWB is rather important early on. I would try to stick to the protocol. The joint still needs to heal a bit, and full weight bearing early on will slow that down and cause other problems such as tendonitis.

  12. says

    Hi I had hip labrum repair 2 weeks ago today and was told crutches for 3 weeks with no weight bearing on right hip. Having REAL trouble sleeping getting comfortable when laying. Lots of pain in groin still, butt and when laying , numbness in shin. Is this normal ? Have tried pillow between leg, under leg, under butt. Not seeing Phsyio for another week and not given many exercises to do so not sure what next. Please any ideas.

    • says

      What you are describing is not that uncommon for after this type of surgery. The muscles around your hip are probably very weak and inflamed. See if you can get the doc’s permission to start maybe doing some very basic exercise on the bed. You could call your PT and ask for some ideas in the interim before your appointment.

  13. michelle says

    Hello, I will be 3 months out on April 2nd and, I still continue to have knee pain. It bothers me when I bend or walk up stairs if I go to sit on the floor with my kids I can’t just sit down and get back up like I could do before the surgery. My orthopedic surgeon thinks it could be a meniscus tear, is that common issue after having a labrum repair?! Unfortunately I have to wait until the 21st to have an MRI he’s hoping that the exercises will help, but it’s been 3 months and, no change. Could it be a meniscus tear or, just very weak muscles?

    • says

      It could be a meniscal tear, but the two are not necessarily related. It is entirely possible that your weakened gluteal muscles are having an effect on how your knee is carried when you do stairs. 3 months is not that long of a time frame, so if it is not a meniscal tear it may take several more months for it to iron out.

      I would ask your PT what he or she thinks about it.

  14. Caleigh Judd says

    Hi, I had my surgery in August and for the past few months I’ve been exercising regularly, including tough terrain hikes, running, and occasionally biking. In the past 3-4 days I’ve had extreme hip pain, almost if not as bad as it was before surgery. Soccer season recently started, but I have been going to practice once a week for the past month, so I don’t know why it’s so inflamed or painful all of a sudden. I’ve had no complications or difficulty until this point, so I’m a little worried. Any advice/suggestions?

    • says

      Get it checked out Caleigh and take the week off. It sounds like a bit of inflammation. Uneven terrain can place weird stresses on the joint and the surrounding muscles, particularly if your body is not used to doing that.

  15. Joanne Amorello says

    Hello I had FAI surgery almost 3 weeks ago and am supposed to be pwb. Anyhow I had to run down a flight of stairs to stop a person falling and I didn’t take my crutches and since then I have pain in my hip,stiffness,butt pain and a pinching discomfort constantly. Could this be a retorn labrum please? I had 2 anchors. I’m not sure but it feels strange.
    Many thanks.

  16. Saskia says

    Hi
    I had FAI surgey for cam impingement and torn labrum just under 4 weeks ago. Was feeling no pain since the surgery, however after accidentally lifting and rotating my leg when getting into bed as well as walking a little without crutches am experiencing all the same symptoms as before surgey (clicking in the hip, pain, discomfort sitting etc). Is it possible that i retore the labrum? I only see the surgeon again in a few weeks and am worried that i have caused damage and basically reversed the results of the surgey.
    Thanks

  17. carly says

    I had a right hip labrum tear and FAI file down on both ball and socket on April 7. I went too fast on crutches today and broke my fall putting weight on my leg. I have intense pain in my groin. I had no pain days 3-6 post op and now for two days it’s unbearable. I’m worried. Is it possible I ruined my surgery?

  18. Tom Block says

    I am two weeks from surgery to repair rt hip labral tear, decompression subspinoos impingment and femoroplasty…. I have a couple of questions: 1) since it’s my Rt hip how long realistically am I looking at not being able to drive? 2) I am 44yrs old, and before this injury I was a Marathon runner (23) and an Ultra Runner….That all came to a hault 3 months ago. I have come to realazation that my Ultra Days are gone, realistically, what future do I have with running or is this truley a “runners death sentence.”

    • says

      Tom you should probably be driving within 4-6 weeks from when you had the surgery. It kind of depends on the doctor’s protocol.

      My physical activity adage is one word: “Variety”. Ultra marathoning is going to degenerate the knees and hips for even the most conditioned of people. You should consider mixing it up once all of this is behind you. Biking, swimming, eliptical, weight training, and SOME jogging are a good idea.

  19. Jessi says

    I had hip arthroscopy on my left hip in October 2014. I did what PT said and did 12 weeks of PT. I saw some improvement, but not much my PT wouldn’t listen to my problems I was having. My main problem was moving my left leg out or getting dressed. I stopped going and did PT on my own was getting better expect my leg still goes numb and most of the time I have loss of sensation all down my left leg. Two weeks ago my leg had gotten worse. I am having Charlie horses, numbness, extreme pain in my hip and lower back. I am in more pain than before my surgery and my surgeon says this is normal and won’t see me until June unless I fall. Is this normal?

    • says

      No this is not normal. I would try to find a very experienced PT and get an impression of what he or she thinks needs to be addressed. (Ask around, find someone who has at least ten years of experience.)

      It sounds to me like your back is hollering at you because of your unequal weight bearing over the last six months. You may need to be doing some spinal and abdominal exercises to correct this.

  20. RGM says

    My son had FAI surgery for labral tear and psoas release on L-Hip back in November. Injured making a diving tackle during a game. He did PT 2x/wk once he was cleared to start it on January 1 as well as on his own at home. After lots of hard work with rehab he was cleared by the MD on April 1 and back at football for conditioning and now Spring Ball. For the most part just had some complaints about “locking/popping” but we were told this was normal (he sits for 1.5 hrs per class each day) and NOT labral and he needed to stretch more. However, this past week he’s been complaining about a lot of pain, especially after testing – broad jump/40-yd/Pro Agility. Some sharp stabbing pain but mostly ache that won’t subside. Is this overuse? Is it considered a form of tendonitis? He was told to not do any squats/cleans or cutting/change of direction drills for the rest of this week to let it calm down. I’m concerned because he starts full pad contact next week. What can we do now and to prevent this given he’s playing ball starting next week until his Spring game end of May? We plan to ice/compress with a GameReady system we have at home. Is this going to happen all through summer workouts and into Fall season or will this taper off and resolve sooner?

    • says

      If this is happening now, I would gather that this does not bode well for full contact. I would back him off for a week or two and see how much it heals. The unfortunate truth here is that your son’s hip joint took quite the beating, both from the initial accident and from the surgery. The psoas release is a bit uncommon and this adds some complication to the big picture. Without a normally functioning psoas, his hip flexor mechanism is going to be less than ideal in terms of efficiency with sprinting and cutting motions. It may take his body a while to figure out how to work with the slightly altered mechanics.

      The timing for this spring season does not sound ideal. If the pain becomes consistently sharp I would pull him and get him back in to PT to address any weakness issues.

      • RGM says

        Thanks for responding Dan. He’s going to the PT today to evaluate again for next week contact. I do like his PT and he usually takes a conservative approach but we will see. We also have a 2nd opinion MD visit scheduled next Tue AM (5/5) and a followup visit scheduled with the original surgeon next Wed afternoon (5/6). So, he will be seen 3x in the next 7 days. He’s a very frustrated high school sophomore wondering why guys with ACL surgery, etc are back to full speed and he’s not. We were led to believe that after 4-6 months he should be back to his full capability. Is that not the case with this type of surgery? Also, i was told that the surgical psoas tendon release WAS common with FAI impingement when they also resurface the top of the leg bone and that a “return to college, high school, and recreational sports can be expected after an arthroscopic release of the iliopsoas tendon”. The only information I could find when this was not the case stated “The researchers say the psoas tendon may be an important stabilizer in the hips of patients with high anteversion, and the tendon’s release in these patients may result in a delayed return to activities after surgery and inferior outcomes.”. I guess we will ask the doctors if he has this high anteversion condition. Should we be looking to get him myofascial massage directly on the psoas by a myofascial certified professional to get rid of any scar tissue? Are there other questions we should be asking the 2nd opinion doc? His original surgeon is very laid back and just says “that’s normal” or “nothing to worry about” when we’ve brought up other issues over the last few months so i assume we will get the same from him again. Appreciate your thoughts on what we should be asking – we are so in the dark with this whole thing.

        • says

          I would definitely ask the doc if he thinks that your son has hip anteversion. Anteversion is an increase in the relative rotational angle that the head of the femur makes with the shaft of the bone. From what I have seen, high anteversion angles are not really that compatible with lots of running over long periods of time.

          Psoas releasing has to be done by someone who knows what he or she is doing. It involves going in with the fingers through the abdominals. You should be able to find some good PT or LMT’s in your area that do it.

          I would also have a PT look at the glut max and Glut medius strengths to make sure that they are coming back. Weakness in either of those will usually complicate things and slow down the whole process.

  21. says

    Hi I just had hip arthroscopy on my left hip. About 7 weeks ago I also had a bone spur shaved,bursectomy and labral repair with 5 anchors.I am still having soreness when I sit too long and get in and out of a car.Do you think I am doing too much of physical activities ?? I do go to P/T 2 times a week too.Can you please give me a time frame as to when I should be 100% again..

    • says

      You had a fair amount of work done Nancy. It will probably be about another 3 of 4 months before you are feeling close to one hundred percent. PT twice a week sounds appropriate for 7 weeks post-op.

      The old adage still applies: listen to your body. If the hip gets very sore, back off the exercises for several days.

  22. Steven Evans says

    I am two weeks post-op from hip labral tear repair. Labrum was reattached and had psoas release.

    While hip did hurt before surgery, primary complaint was in back.
    Since surgery, pain in the lower back around si joint has been awful. Does this mean surgery will not help back pain, or is this just a result of increased referred pain due to surgery soreness?

    • says

      My guess is the SIJ pain comes largely from your unequal weight bearing. Get the strength in order according to the doc’s protocol and make sure that your PT is addressing the lower back issues. Hopefully in the long term you will be more symmetrical because of the hip repair, and that in turn should help the lower back.

  23. Eduardo says

    Hi Dan, i had three weekend ago a hip Labral tears repair with four anchors and the bone shaved. Doctor told me that it was normal that i had quite a lot of pain, because the labrum was quite damage but the cartilague was good and everything looked fine when they connected the labrum. They told me to walk controlling the weight bearing and try to jeep the crutches till 4 weeks. I have a bit of pain sorrounding the hip, which i believe is normal, but i have a strange pain on the míddle of the gluteus, it is like something is pinching it, when iam sitting. Do you thing i should train the muscle?
    When do you think is the normal time to use the crutches?

    • says

      Use the crutches for the duration that the doctor recommended (usually 4 weeks). The gluteus pain is probably from the weakness that resulted from the surgery. Weak muscle does not absorb stress well. Strengthen it slowly and according to what the doctor prescribed.

  24. Leona Duval says

    I had femoral labral surgery about 10 months ago. I have noticed that I am still getting painful knots in my femur close to the incision site. It gets worse the more I walk around. Is this normal? Should I go back to my surgeon? Is there anything I can do to help this?

    • says

      Hmmm. Knots could be tight scar tissue, or it could be muscle stiffness. Either way I would have either your doc or a PT take a look at it to get an impression. You might see an improvement if you had the muscles worked on (and possibly strengthened).

  25. Carrie says

    Hello,

    I had a superior lateral labrum tear repair surgery about 14 weeks ago. I would say the recovery was going okay, I was in a hip brace for about 6 weeks. I then went to PT 3x for six weeks and I have been going on long walks (~4 miles or so) and doing the eliptical for a max of 20 mins. But in the last two weeks I have noticed a good amount of pain in my butt, hip joint, and knee. Do you think that something could have happened or that my surgery didn’t fix my SI pain?

    Thanks

    • says

      Carrie unless if you fell on to your butt, I would guess that this is a side-effect of having some residual weakness in the hip muscles. Buttock weakness is HUGELY tied in to SI dysfunction. I would go and see a PT just to get some feedback in terms of how the strength is progressing. In the mean time I would not push things, let the inflammation calm down.

  26. Nadine says

    Very glad to find this resource! I was dealing with radiating pain from my butt to my foot (no lumbar disc issues, probably piriformis-centric) for almost 5 years. My very hot-shot orthopedic surgeon snapped his fingers, diagnosed a semi-large labral tear and operated 9 weeks ago, on March 4th. He said that I should be good to go almost immediately.

    I’m possibly worse off than ever, with intense burning and shooting nerve pain into my knee, calf and heel (especially after my first PT session on 3/17, which is when the intense pain started). The pain is far worse. My surgeon seems perplexed and has shuffled me off to a pain specialist and neurologist. PT is certainly still a good idea but the pain has been too intense to get very far with the new one I got (after that horrible initial session). So, if you might advise:

    Should I get a second opinion? I’m paranoid that I reinjured something and everyone is ignoring me.
    Do labral tears have anything to do with radiating butt-to-heel pain, or did he just pick something he could fix and have at it?
    is 9 weeks post-op with this much pain even possible?

    Thanks- I know there’s no substitute for a physician who knows your situation, but my surgeon seems to have washed his hands of me.

    • says

      Hip pain and labral tears do not typically refer down to the foot. I don’t think that this pain is coming from your hip. The not-so-fun thing here is that the weakness that has resulted from your hip surgery will make it difficult for a while to figure out exactly what is causal. Pain at nine weeks is not uncommon, but the amount that you are describing is a bit disproportionate.

      I would do some very light gluteal exercise (gluteus maximus and medius) for strengthening in the mean time and minimize your walking for a few weeks. A second opinion is not a bad idea. A good physiatrist (physical medicine and rehab) would be well equipped to give you a qualified opinion.

  27. Karen sargeant says

    Dear Dan,
    I hope you can offer some advice.
    Background:
    I have a daughter turning 12 who does roughly 6hrs of dance a week; occasionally (like recently) she will do more hours in readiness for competitions or for special workshops. She has been dancing for 5-6yrs.
    She had issues with her jaw clicking and shoulder ‘popping out’ a couple of years ago and the Osteo determined hyper mobility.
    4weeks ago she complained of significant pain in her left hip at acrobatics class and they iced it. She continued to dance and compete although continued to mention varying degrees of discomfort. 2weeks in we noticed a clicking sound and sometimes something more significant (Thud?!) as well as feeling movement when she walks. A visit to the local Physio (who had given her a clean bill of health on assessment for pointe shoes some months earlier) diagnosed labrum tear and rotation of the hip.
    My Question/s:
    What course of action; in your opinion would give her the best outcome for recovery?
    Is this a chronic injury or can it fully recover?
    With the best course of action what kind of time frame might recovery require.
    The Physio recommends ‘easing off on the dance’ and specifically notes certain ‘positions to avoid.’ My daughter is under some pressure (real and imagined) to meet dance commitments, do exams and ‘perform’ (the teacher has not been particularly concerned thus far with the diagnosis) and is still encouraged to do high rotations off the hip, back bends, leaps etc
    I hope you can assist me with some clarity as I’m stuck between a battle of opinion between the physio and the dance teacher and a distraught daughter!
    Much thanks in advance

    • says

      I am going to side with your daughter’s physio here. Ease of the dancing for a good while. There is no need for your daughter to be pushing herself with moves that might be worsening what is going on in her hip. I have worked with very high level athletes before your daughter’s age, and it has been my impression that elite coaches are not experts in orthopedics and rehab.

      I would allow for the symptoms to subside, and I would also find a hip orthopedist to get an opinion.

  28. Dawn says

    Hi I had an Mri of my rt hip with a excellent of labral tear which I went in and had anterior rt hip angioplasty .after the surgery I complained of my left leg and lower back hurting they said it was from my leg being strapped down any way after I came home I started with extreme pain in my neck and head followed by dry heaves followed by extreme pain in my back with muscle spasms felt like I was being electrocuted called the surgeon and went for Mri of lower lumbar the exact came back that I had a spinal bleed was told the anesthesiologist punctured my dural sac and caused the bleed .when I went to spinal Dr he advised not to have any pt because it was exacerbating my spine .my surgery was on April 2 the Dr now wants me to start pt and my leg is still numb from my hip to my knee I’m afraid if I start pt while I’m still numb it could cause further pain what would you advise as a professional physical therapist?

    • says

      Dawn I would at least get an evaluation from a physical therapist. If the doc okayed your PT, You could probably start with some very basic things and very slowly work your way up. Take it slow, you had a lot of things happen, and this will take many months to improve.

      • Dawn says

        Ty so much Dan for responding I’m looking for one in my area hasn’t been easy but I’m bound and determined I’m just so glad I’m walking peace be with you

  29. Carolyn says

    I had hip Labral tears repair with four anchors, bone shaved and impingement with arthritis and a cyst (also I have hip anteversion), on January 26, 2015. Never used crutches. Didn’t need to. Everything was going great. Two weeks after surgery I bent to pick something up and had a horrible pain in groin and couldn’t put leg down to walk; Had xray dr said it looks ok, probably tore a stitch. Since then I’ve made a few mistakes, by accidently rotating my foot, horrible pain, I have to raise my leg up, step forward and then start walking to release my hip. I’m 62, 5’5″ 120 lbs extremely active, tennis, running, dancing, etc. I walk on the treadmill doing a 15 minute mile, leg extentions, core exercise daily. Still, I cannot move my hip from side to side, feels like it wants to pop out of socket. I can bend over now without pain or locking, I can now paint my toe nails. BUT, I’m not the same…Is this too early…? It’s been almost 4 mos. Can I ever play tennis again (I’m a 4.0 player) can I ever run (just a mile daily)?

    • says

      Carolyn it is probably a bit early, I would give it another month or two of doing the rehab exercises (supervised). YOu also need to keep the doctor in the loop in terms of what is going on.I have found that the lateral movements tend to be among the last things to come back because it requires some of those smaller muscles for control.

      It is also important that you give the hip muscles adequate time to recover in between exercise sessions. I do advise many of my clients to take a day off in between each session.

  30. Gen says

    I am 55, female, active and fit (113 lbs). I am scheduled to have surgery in 2 1/2 weeks for left hip arthroscopy, femoroplasty, acetabuloplasty, and labral repair (versus debridement). I was told I will most likely be toe touch weight bearing after surgery. This all began last summer marathon training (had to drop out 3 weeks prior to race due to groin/hip pain). I have been told I have bilateral FAI and labral tears in both hips. I stopped running, but did not stop exercising (can do lunges, squats, etc. with minimal discomfort) and I also spin (although I’m having knee issues now as well, so cutting back on how many times I spin/week). I am so concerned by the different outcomes I have been reading about and wonder if I am going to be able to get back to where I am today or if I am going to regret having this surgery. I hear stories about people who are in more pain afterward than they were before the surgery. If I am not too active, I have mild pain…maybe 2-3 (sometimes less) when just going about everyday activities. Do you think I should be rethinking this surgery? Will this get worse, even if I cut back on activities, with time/age? Thanks for your advice…getting a bit panicky.

    • says

      Gen it sounds like you are having a lot of work done. The purpose of the surgery I am guessing will be to get the pain under control so that you are 0/10 with regular activities. From what you are describing, that might take up to 4-6 months to get there. Don’t even worry about the higher level exercise until you have comfort with daily activities.

      I would also get a second opinion if possible. You may be able to get the pain down low enough with a more conservative approach (injections? physical therapy?). In my opinion it is worth your time to at least try the conservative approach, if you have not already done so.

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