Treating Hip Pain in Young Populations

I’m Doctor Jared Tyson, I’m an orthopedic surgeon. Hip pain in young people can be challenging to diagnose. There’s one study that showed that it can take over three providers to finally diagnose the correct problem with some people with hip issues. Though the most common causes of hip pain in a younger population is impingement. It’s known as Femoroacetabular Impingement. Which means there’s either extra bone on the socket part of the femur or up on the top part of the femur and when someone goes to move their hip, those bones bump up against each other and cause impingement.

The most common cause is just an abnormality that people are born with and we think it develops and gets worse through adolescence. Typically, people with this hip impingement complain of pain in the groin that can sometimes wrap around the side and sometimes even into their buttock. There’s certain exams we can do in the office that can help pick up on this. Another big part of this in diagnosis is x-ray. X-ray can usually show us some of the bony over growth or the abnormalities of the socket and the femur.

The surgery itself involves going through a few poke holes with an arthroscope. That means it’s a camera that goes into the hip joint. It typically is done with two, sometimes three incisions about a half inch in length. The first thing that is done is put the instruments into the hip joint,assess the whole hip joint for any injury, and identify the areas that need to be addressed. After doing all that, we close up the capsule,capsule’s the lining that surrounds the hip joint,we close that back up as we leave,and then it’s onto the recovery process.

If these symptoms seem to be describing what you or your family members may be experiencing, we’d love to have the chance to help you work through that. We’ve got a great team at Mountain Orthopedics and at Lakeview Hospital and feel like that we have as good of outcomes as anywhere.

Treatments for Shoulder Injuries

Acute shoulder injuries, the most common are going to bea tear of the labrum. Labrum is a soft tissue bumper that runs around the socket part of the shoulder. That’s typically seen from a shoulder dislocation. So when the shoulder comes out of socket, then back in. So that’s where that labrum can get torn as the head of the humerus comes back out.

Obviously there’s fractures in both the humerus and/or the parts of the shoulder blade or the clavicle as part of acute injuries. Also someone who slips and falls on the ice can tear their rotator cuff. That’s another common injury that we see in an older population. And then it’s a matter of getting you back after with physical therapy. I would say for labrum repair, labrum takes about four months to heal down. So back to a sport is around four months for a labral repair.

A rotator cuff repair is around a six month recovery as far as getting your full strength and motion back. Now from day one you can type,you can talk on your phone,you can use your arms down here. You can’t raise your arm for six weeks or longer in a sling. So it’s a little bit of a longer recovery for a rotator cuff, and that allows it time to heal back down. But typically patients with rotator cuff pain have a hard time sleeping at night. Wakes them up at night. They describe pain on being on the lateral aspect,or the outside aspect of their arm.

So all those make us think,is the rotator cuff the problem? In order to diagnose this we look at physical exam,looking at your motion, looking at your strength. We get x-rays to make sure that we don’t pick up on any arthritis or other problems. And oftentimes we’ll use MRI scans to help diagnose tears as well. If you’re experiencing pain in your shoulder,it can be coming from many different things. At Mountain Orthopedics and Lakeview Hospital we’d love to help find a diagnosis for you and get you feeling better.