This article is part of the the Ultimate Guide to Hip Pain Relief.
Hip pain can greatly impact your mobility and the activities that you do on a daily basis. Hip pain sufferers may think that the only cure is to get a replacement, when that’s not always the case.
Fortunately, there are other minimally-invasive options to explore that can treat the cause of your hip pain, such as hip arthroscopy.
IBJI recently chatted with Dr. David Beigler, board certified orthopedic surgeon with fellowship training in total joint surgery and trauma. Dr. Beigler answers some common questions about hip arthroscopy. His responses—below—have been edited and condensed for space. Read our Q&A on hip arthroscopy to learn more.
Q&A on Hip Arthroscopy with Dr. Beigler
What is hip arthroscopy?
Dr. Beigler: A hip arthroscopy surgery is a minimally-invasive procedure involving two or three small incisions. The surgeon utilizes a camera and additional instruments to see and work inside of the hip.
The surgeon will make a small incision in the hip and then insert a small camera called an arthroscope. This camera allows the surgeon to see inside to assess the joint. From there, one or two additional incisions may be made in order to use other instruments needed to repair the joint or other structures. With this procedure, the surgeon can resolve the issue without a large incision to fully expose the joint.
What is the success rate of hip arthroscopy?
Dr. Beigler: The success rate of a hip arthroscopy is around 85 to 90 percent. The procedure is primarily performed to help restore your hip’s function, but it has been most successful at easing hip pain. The success rate depends on the underlying problem and baseline condition of the joint.
How long is the procedure?
Dr. Beigler: The surgery typically takes about two hours or less.
What conditions does it treat?
- Femoral-acetabular impingement (FAI)
- Abnormalities of the femoral head
- Abnormalities of the acetabulum
- Labral tears
- Ligamentum Teres Tears
- Bone cysts
- Cartilage damage
- Loose bodies
- Iliopsoas tendinitis
- Trochanteric bursitis
- Synovial disease
- Adhesive capsulitis
- Joint sepsis
What are the advantages of hip arthroscopy?
Dr. Beigler: The primary advantages of hip arthroscopy are less surgical tissue damage, less postoperative pain, faster recovery and shorter hospital stay (typically outpatient surgery). Since this is a minimally-invasive procedure, the body does not need as long to recover from the surgery.
Who are the candidates for hip arthroscopy?
Dr. Beigler: The best candidates for hip arthroscopy are young and healthy patients who suffer from severe pain or experience decreased mobility. These patients typically have one of the conditions mentioned above. The common age range we see is anywhere from the late teens to people in their 50’s and 60’s. However, after the age of 55 or so arthroscopic hip surgery has a lower success rate.
It is also important to note that arthroscopic hip surgery is not necessarily the right treatment for every patient. “When a patient comes in with hip pain, we will first treat them conservatively. This may include anything from physical therapy, injections or medication, pain management, etc. If those methods do not improve the pain or mobility of a patient and their symptoms correlate with their examination and imaging studies, then we discuss surgery as the last option.”
Get Relief from Your Hip Pain Today
Hip Care and Treatment at IBJI
Whether you are just starting out in your hip care journey or need a second opinion for your hip pain, IBJI’s hip surgeons are here to help provide you with the necessary care for your ailment. Get the relief you are seeking with the help of IBJI.
Request an appointment with an IBJI hip surgeon to discuss treatment options and create an individualized approach to your care.
*The blog is for general information and educational purposes only regarding musculoskeletal conditions. The information provided does not constitute the practice of medicine or other healthcare professional services, including the giving of medical advice, and no doctor-patient relationship is formed. Readers with musculoskeletal conditions should seek the advice of their healthcare professionals without delay for any condition they have. The use of the information is at the reader’s own risk. The content is not intended to replace diagnosis, treatment or medical advice from your treating healthcare professional.
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