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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Extensive Tearing Of The Labrum

i have been suffering from chronic hip pain for 2 years. 4 weeks ago I had an MRI of my left hip and the results were as follows: There is appreciated to be quite extensive tearing of the labrum extending from the anterior to posterior margin superolaterally, the tear anteriorly having quite a globular configuration. No paralabral cyst, no evidence of cam type deformity. I have since seen my Dr and he explained that this is unfortunately inoperable. My tears are from hyper-flexibility in the joint and cutting away the shredded labrum will leave only a fraction left which will cause more pain. I am thinking of getting a second opinion as his only suggestion was for PT to strengthen the pelvis muscles.
Thu, 31 Dec 2015
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
I have studied your case and I think that you need to get arthroscopic debridement of hip joint. In this condition surgery is done with help of arthroscope, no big cut is made and patient can go home same or next day. After that physiotherapy can be taken. Most patient feels better after such surgery. I hope this answer will be helpful for you. Let me know if there is any other followup questions.
thanks
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General & Family Physician Dr. ARUNESH UPADHYAY's  Response
dear friend

surgery is the only alternative to the condition but if in the opinion of your surgeon it inoperable it must be, surgeons are very adventurous by nature and will attempt the impossible most of the time and succeed, and if even then if he/she feels conservative management is better then you must trust them very few say so,

physiotherapy with proper pain management will give you fair amount of recovery in due course.
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Suggest Treatment For Extensive Tearing Of The Labrum

Hello, I have studied your case and I think that you need to get arthroscopic debridement of hip joint. In this condition surgery is done with help of arthroscope, no big cut is made and patient can go home same or next day. After that physiotherapy can be taken. Most patient feels better after such surgery. I hope this answer will be helpful for you. Let me know if there is any other followup questions. thanks