Hip Surgery

Should You Get Surgery to “Fix” Hip FAI? A Test of Construct Validity

If you read this blog, you know that I often write about what I experience on a day-to-day basis as a clinician. This weekend a hip surgeon on Linkedin and I went back and forth on the topic of why so many people without pain have FAI on their imaging and whether that means that…read more

Periacetabular Osteotomy: Should You Get Hip PAO Surgery?

You find out after a visit to the local orthopedic surgeon’s office that you or your young adult has hip dysplasia. One of the treatments offered is a surgery called PAO. You frantically search the Internet to figure out what that is and whether it’s a good choice. So today let’s explore hip PAO surgery.…read more

The Orthopedic Delusion that Hip Impingement Should Be Operated

One of the more bizarre trends of the past decade-plus has been the idea that we should be operating on people with Hip Impingement. I’ve been a big critic for two reasons. First, it makes no common sense. Second, the science doesn’t support that we should be doing this to patients. Today we’ll cover a…read more

How Well Do Hip Replacements Work? New Research Raises Questions…

You can’t watch TV or cruise the Internet without seeing ads for Hip Replacement surgery where you see active people doing everything from riding bikes to climbing mountains. Heck, these ads are even on the buses where I live. However, how realistic is that? Today we’ll focus on new Hip Replacement research that doesn’t really…read more

If You Have Any Arthritis Hip FAI Surgery Is a Bad Idea

The number of hip FAI surgeries has exploded in recent years. However, there has been a consistent finding in the research that shows that anyone with any type of hip arthritis is not a candidate for this surgery. A big super study on the topic was just published. Let’s dig in on what it told…read more

Why Is Hip FAI Common in People Who Have No Hip Pain?

One of the real problems in modern medicine is our over-reliance on MRIs to make a diagnosis. This is rampant in the world of arthroscopic hip surgery where detecting FAI can result in an invasive procedure. Several studies have shown time and time again that while hip FAI is treated as an abnormality, it’s actually…read more

How Successful Is Hip Labral Tear Surgery Really?

On this page: What is the hip labrum? What is a hip labrum tear? What is FAI? Can physical therapy help FAI? Can a hip labral tear heal itself? Will a cortisone shot help a torn hip labrum? What’s the hip labral tear surgery success rate? What is the hip labral tear surgery success rate?…read more

Can PRP Help Early Hip Arthritis Patients Avoid Surgery?

There’s a new concept that gets introduced with regenerative medicine. That’s the idea that we can reduce degeneration in early arthritis or intervene early in tendon and ligament injuries. We’ve done that for our patients for many years, but we’re now beginning to see the research catch up. This morning I’ll review a new study…read more