Femoroacetabular impingement (FAI) is a common hip condition involving abnormal contact between the ball of the thigh bone (femur) and the socket of the hip joint (acetabulum). As an orthopedic surgeon specializing in hip conditions, delving into the complexities of FAI is crucial for accurate diagnosis and personalized treatment plans.  

 

Causes of Femoroacetabular Impingement 

FAI can develop due to various factors, including structural abnormalities in the hip joint, such as excess bone growth or irregularities in the shape of the femoral head or acetabulum. These abnormalities can cause friction and impingement during hip movements, leading to pain and potential damage to the hip joint. 

Symptoms of Femoroacetabular Impingement 

  • Limited range of motion
  • Clicking or locking sensation in the hip 
  • Hip pain, particularly during activities involving flexion or rotation of the hip joint, such as sitting for prolonged periods, squatting, or certain sports activities

 Diagnosis and Treatment 

 Diagnosing FAI involves a comprehensive evaluation by an orthopedic specialist, including a physical examination and often imaging studies like X-rays, MRI, or CT scans to assess the hip joint’s structural abnormalities. Treatment strategies aim to alleviate symptoms and prevent further damage. Conservative treatments such as:

  • Activity modification
  • Physical therapy
  • Anti-inflammatory medications
  • Hip joint injections

However, severe cases may require surgical intervention. 

 Surgical Intervention 

Surgery for FAI aims to correct the structural abnormalities causing impingement. Procedures, often performed arthroscopically, involve reshaping the bone or repairing the damaged labrum to reduce friction and restore proper hip joint mechanics. Surgical techniques aim to preserve the hip joint and prevent future damage. 

Rehabilitation and Recovery 

 Rehabilitation plays a crucial role in the recovery process following either non-surgical or surgical treatment. Gradual progression through rehabilitation helps individuals regain optimal hip function and return to daily activities. Physical therapy focuses on:

  • Strengthening the hip muscles
  • Improving flexibility
  • Optimizing hip joint function.

Understanding hip femoroacetabular impingement empowers individuals to recognize symptoms early, seek timely medical evaluation, and explore suitable treatment options. If you’ve been experiencing persistent hip pain or limitations in hip movement, consulting with an orthopedic specialist can provide insights into personalized treatment plans aimed at restoring hip health and function. Call us at 812-477-1558 to request an appointment with Dr. Shayne Kelly. 

 

Hip Labral Tears Middlefield, Geauga County | Hip Arthroscopy Chardon

Hip labral tears are common injuries affecting the ring of cartilage (labrum) surrounding the hip joint. As an orthopedic surgeon specializing in hip conditions, exploring the intricacies of hip labral tears is crucial for accurate diagnosis and tailored treatment plans. 

 

Causes of Hip Labral Tears 

Hip labral tears can result from various factors, including repetitive motions, trauma, structural abnormalities, or degenerative changes in the hip joint. Activities involving sudden twisting or pivoting motions, such as certain sports or occupations, can contribute to these injuries. 

 Symptoms of Hip Labral Tears 

Individuals experiencing a hip labral tear often report pain in the groin area or deep within the hip joint. Pain can worsen with activities such as:

  • Walking
  • Prolonged sitting
  • Specific movements like twisting or bending
  • Patients might also notice a clicking, catching, or locking sensation in the hip. 

 Diagnosis and Treatment 

 Diagnosing a hip labral tear involves a comprehensive evaluation by an orthopedic specialist, including a physical examination and often imaging studies such as MRI or arthroscopic evaluation for a definitive diagnosis. Treatment strategies aim to alleviate pain and improve hip function. Conservative treatments like rest, activity modification, physical therapy, and anti-inflammatory medications may be initially recommended. However, severe or persistent cases may require surgical intervention. 

 Surgical Intervention 

Surgery for hip labral tears is often performed arthroscopically, where the torn labrum is either repaired, trimmed or reconstructed to alleviate symptoms and restore hip joint stability. Surgical techniques aim to preserve as much healthy tissue as possible while addressing the tear. 

 Rehabilitation and Recovery 

 Rehabilitation plays a vital role in the recovery process following either non-surgical or surgical treatment. Physical therapy focuses on:

  • Strengthening the muscles around the hip joint
  • Improving flexibility
  • Restoring normal hip mechanics

Gradual progression through rehabilitation helps individuals regain optimal hip function and return to daily activities. 

Understanding hip labral tears empowers individuals to recognize symptoms early, seek timely medical evaluation, and explore suitable treatment options. If you’ve been experiencing persistent hip pain or discomfort, consulting with an orthopedic specialist can provide insights into personalized treatment plans aimed at restoring hip health and function. 

 

Who to call:  

If you or a loved one are experiencing any of these symptoms it may be time to call a doctor at Tri-State Orthopaedics. Dr. Shayne Kelly’s practice focuses on orthopaedic sports medicine including hip, shoulder, and knee arthroscopy, shoulder replacement, and cartilage/joint preservation. Dr. Kelly has the skill set and drive to ensure you return to the life you knew before your pain began. To book with Dr. Kelly call us at 812-477-1558.

 

 

Hip arthroscopy has emerged as a minimally invasive surgical technique revolutionizing the treatment of various hip joint conditions. As an orthopedic surgeon specializing in hip arthroscopy, exploring the intricacies of this procedure is essential for providing comprehensive care and facilitating optimal outcomes for patients.

 

 

What is Hip Arthroscopy?

Hip arthroscopy is a minimally invasive surgical procedure used to diagnose and treat a range of hip joint conditions. It involves the use of small instruments and a tiny camera (arthroscope) inserted through small incisions around the hip joint. This allows surgeons to visualize, diagnose, and address issues affecting the hip joint, including labral tears, femoroacetabular impingement (FAI), cartilage damage, and loose bodies.

Procedure and Benefits

During hip arthroscopy, the surgeon navigates the arthroscope to examine the interior of the hip joint. Depending on the identified issue, surgical instruments are used to address the problem. Benefits of hip arthroscopy include:

  • Smaller incisions
  • Reduced tissue trauma
  • Less postoperative pain
  • Faster recovery
  • Potentially quicker return to normal activities

Conditions Treated

Hip arthroscopy is employed to treat various hip conditions, including

  • Repairing, trimming or reconstructing labral tears
  • Reshaping bone to address impingement
  • Removing loose cartilage or bone fragments
  • Treating synovitis
  • Addressing damaged cartilage.

Recovery and Rehabilitation

Following hip arthroscopy, rehabilitation plays a vital role in the recovery process. Physical therapy focuses on regaining strength, flexibility, and restoring hip joint function. Patients typically begin with gentle exercises and gradually progress to more challenging activities, guided by a physical therapist.

Patient Selection and Expectations

Patient selection for hip arthroscopy is crucial. Not all hip conditions can be effectively treated with arthroscopic surgery, and patient-specific factors must be considered. While hip arthroscopy offers significant advantages, the success of the procedure depends on various factors, including the specific condition being treated, the patient’s overall health, and adherence to the prescribed rehabilitation program.

 

Hip arthroscopy has revolutionized the treatment of various hip joint conditions, offering a minimally invasive approach with numerous benefits for patients. As an orthopedic surgeon, the focus remains on accurate diagnosis, appropriate patient selection, and delivering optimal surgical outcomes while prioritizing patient care and well-being throughout the recovery process. If you are experiencing any of these symptoms or want to learn more, call 812-477-1558 to schedule an appointment with Dr. Shayne Kelly.

Replacing a disc in the neck can alleviate neck pain that is stopping patients from performing everyday activities. Our spine is stacked with two components: vertebrae (bone) and discs. Discs act as shock absorbers, allowing your spine and neck to bend, flex, and rotate. Let’s look further into cervical disc pain and replacement.

Pain can include:

  • Severe neck pain
  • Numbness and tingling in one or both arms
  • Shooting pain in the arm
  • Weakness of the arm

Management

Patients often undergo a trial period of non-surgical care which is often successful. This six-week trial of non-surgical care will determine if the patient is a candidate for cervical disc replacement.
Six-week non-surgical trial includes:

  • Rest
  • Anti-inflammatory medication
  • Physical therapy with traction on the neck
  • Epidural steroid injections

If this six-week trial is unsuccessful, the patient will become a candidate for cervical disc replacement surgery.
“Cervical Disc Replacement”

Evansville, IN, July 18, 2023 Tri-State Orthopaedics is proud to announce the addition of Shayne R. Kelly, D.O. to our orthopaedic practice.  Dr. Kelly adds to our sports medicine team and will be accepting patients starting the week of August 14th at both of our Evansville offices; East office – 225 Crosslake Drive and West office – 5625 Pearl Drive.

Dr. Kelly earned his medical degree from Texas College of Osteopathic Medicine at University of North Texas.  He completed his residency in orthopaedic surgery from Valley Consortium for Medical Education in Modesto, CA.  After residency, Dr. Kelly went on to complete a fellowship in sports medicine at the University of Missouri.  His practice focuses on orthopedic sports medicine including hip, shoulder and knee arthroscopy, shoulder replacement, cartilage/joint preservation.


“Tri-State Orthopaedics adds a new Sports Medicine Surgeon, Shayne R. Kelly, D.O.”