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Regenerative, non-surgical treatments for painful hip conditions and arthritis have grown in recent years and with good reason. People want an alternative to the invasiveness of surgery and options that do not require anesthesia or a hospital stay. They also want therapies known to have successful long-term results. Regenerative Orthopedics can regrow cartilage and restore degenerated tissue so that decreased mobility and unrelenting hip pain from a hip labral tear can become a thing of the pastBeing diagnosed with a labral tear of the hip no longer has to mean surgery, prolonged downtime, and giving up leisure activities.

Labral Tear

Hip Labral Tear

 

The Hip and Labrum

          The hip joint is a ball-and-socket joint with very large ligaments that usually keep the hip pretty stable, helping to prevent injuries. The hip labrum is a ring of cartilage that seals the ball and socket, and aids in providing movement between the leg and pelvis. But we move our hips a lot and put them through high rates of wear, so more and more, hip injuries, including tears to the labrum, are becoming a source of pain and disability. Additionally, the excessive force required in different sports activities can push the hip and its labrum beyond their normal range, resulting in injury.
          The hip labrum also serves as a cushion and shock absorber to protect the hip and thigh bones. Damage or degeneration to the labrum will result in pain and instability of the hip joint. Labral tears can be caused by a sudden, specific injury or with repetitive motions that cause wear and tear type injuries. Symptoms include varying degrees of pain, including pain deep in the groin, as well as clicking, popping, and a locking sensation in the hip joint. A labral tear in the hip destabilizes the hip joint and is associated with early onset arthritis. Overgrowth of bone will occur in an attempt to stabilize the area. Let’s explain this arthritis connection further! The disrupted balance in motion that transpires after the original injury causes an uneven weight distribution inside the joint, prompting the joint surfaces to rub roughly and then generating a breaking down of articular cartilage, which limits joint function and promotes bone loss and the eventual bony overgrowth of arthritis.

Pain Relief, Restoration of Hip Function and Stability with Regenerative Orthopedics

          Regenerative Orthopedics aims to address the soft tissue weakness that transpired during the original injury. The treatment also restores the normal function of the labrum, correcting the imbalance, and stimulating repair where the degeneration has occurred. The labrum has a poor blood supply, which makes a tear or injury difficult to treat with conservative approaches since they are unable to repair the injured ligaments, torn labrum, or the resultant instability and imbalance caused by the injury. Standard therapeutic approaches such as pain medications, steroid injections, and arthroscopy, employed to address labral injuries, are often ineffective because they are not reparative and do not heal the underlying cause of the problem, the injured ligaments, labrum, and hip instability. Physical therapy can help strengthen the surrounding muscles, but cannot repair the labrum or prevent further degeneration from the abnormal motion the injury has caused in the hip joint.
          Non-Surgical Regenerative Orthopedics, including Stem Cell Therapy, PRP, and Prolotherapy are alternative modalities that can repair the injury and abnormal joint motion by stimulating the natural regenerative processes in and around the hip joint. The torn labrum and the involved injured ligaments are restored to a healthy state, which improves joint support and function, and reduces pain and symptoms. Degenerative conditions, such as hip labral injuries need regeneration. Regenerative Orthopedics repairs the labrum and supports the formation of cartilage in the hip environment. This regenerative therapy has been found effective for the treatment of labral injuries and involves the injection of natural substances into the degenerated hip to stimulate healing. Sometimes in the treatment of labral tears, cellular therapies such as PRP and Stem Cells are also needed, especially in very active people and athletes. These therapies involve the injection of an autologous preparation (from a person’s own blood, fat or bone marrow), which is then injected directly into the damaged joint, to accelerate the healing process in more severe cases of labral injury. The surrounding soft tissue would also be treated comprehensively.
          Regenerative Orthopedics is a highly successful non-surgical option for hip labral tears. We recommend this choice before considering surgery since surgical removal of the labrum will make the joint more unstable and will limit labrum flexibility by stapling part of it down, making it even more susceptible to tears and future degeneration. Most painful hip conditions begin with damage to the surrounding ligaments and progress into degenerative conditions like labral degeneration. Since the hip labrum along with the surrounding ligaments, provide most of the stability of the hip, all of these areas need to be treated. We have treated hip labrum tears successfully for many years at OrthoRegen, and offer an effective and much-needed alternative to hip surgery in cases of hip labral tears.

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