Hip

Arthroscopic Surgery for Femoral- Acetabular (FAI)

Femoroacetabular impingement (FAI) is a condition where the bones of the hip are abnormally shaped. FAI occurs because the hip bones do not form normally during the childhood growing years. Because the hip bones do not fit together perfectly, they rub against each other and lead to joint damage and pain.

Hip pain was previously thought to be a problem primarily affecting individuals age 50 and over. But with the growing awareness of FAI, we’re discovering that hip pain is being experienced much earlier in active teens and younger adults. However, it is important to remember that exercise does not cause FAI, it is the hip bones not forming normally during the childhood years. Because young active people may work the hip joint more vigorously, they may begin to experience pain earlier than those who are less active.

Hip arthroscopy, a surgical treatment for this condition, is rapidly gaining attention and proving to be very effective in relieving hip pain in those diagnosed with FAI.

People with FAI usually experience pain in the groin area or outside of the hip. A sharp stabbing pain may occur with turning, twisting, and squatting, but sometimes, it is just a dull ache.

Hip arthroscopy is proving very successful for the treatment of FAI. It generally allows individuals to return to their active lifestyles within 4-6 months after surgery.


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hip

Fluoroscopic Guided Hip Injection

Fluoroscopic guided hip injections are an outpatient procedure performed to help relieve symptoms of hip arthritis, a painful inflammatory condition in the hip.

Fluoroscopy or live X-ray is commonly used in hip joint injections for guidance in properly targeting and placing the needle, and for avoiding nerve or other injury.

Fluoroscopic guided hip injections are often performed as a conservative treatment for patients with arthritis of the hip. The numbing medication in the injection will relieve pain and discomfort temporarily while the anti-inflammatory medication will help with long term relief.  Fluoroscopic guidance ensures accuracy to obtain maximum benefit to the hip joint.

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Hip Arthroscopy

Arthroscopy is a surgical procedure that gives doctors a clear view of the inside of a joint. This helps them diagnose and treat joint problems.

During hip arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your hip joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments.


The most common reasons for hip arthroscopy are to: Remove small pieces of bone or cartilage that may be loose inside your hip joint and causing pain or to repair a torn labrum (a tear in the cartilage that is attached to the rim of your hip socket bone.) This is by no means where it ends.

There are many reasons for the use of hip arthroscopy. Hip arthroscopy was initially used for the diagnosis of unexplained hip pain, but is now widely used in the treatment of conditions both in and outside the hip joint itself.


Minimally invasive hip procedures are becoming increasingly popular among patients as they may provide the pain relief patients need with smaller scars and less postoperative pain than open surgeries. This means patients can enjoy a quicker return to the physical activities and lifestyle they enjoy.

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Hip

Platelet Rich Plasma (PRP) Injection Overview

PRP or Platelet rich plasma is blood plasma that has been enriched with platelets.  Blood is mainly a liquid called plasma but it also contains small components of red cells, white cells and platelets.  These platelets are very important because they contain hundreds of growth factors which have been proven to aid in the healing of injuries. PRP is produced from a person’s own blood.

PRP is plasma with many more platelets and growth factors than what is typically found in blood. To develop a PRP preparation, blood must first be drawn from a patient. The platelets are separated from other blood cells and their concentration is increased during a process called centrifugation. Platelet rich plasma can then be collected and treated before it is delivered to an injured area of bone or soft tissue, such as a tendon or ligament.

PRP is given to patients through an injection, and ultrasound guidance can assist in the precise placement of PRP.

PRP is a great treatment option for various conditions.  It proves to play a significant role in the biology of healing.

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