The hip joint, comprised of the femur (thigh bone) and the acetabulum (hip socket), is supported by the hip labrum—a cartilaginous ring providing stability and cushioning. A hip labral tear can result from repetitive movements, trauma, or structural issues like osteoarthritis or CAM morphologies, leading to pain, limited range of motion, and functional impairment in deep hip squatting movements. Importantly, some individuals may have a tear and remain asymptomatic, underscoring the importance of awareness regarding subtle changes and persistent discomfort.
Diagnosing a hip labral tear involves clinical evaluation and possibly imaging studies. While symptoms such as persistent hip or groin pain, a clicking sensation, and stiffness are indicative, definitive diagnosis often requires advanced imaging techniques like MRI or CT scans.
Common Signs and Symptoms noted in patients with a hip labral tear include:
- Persistent hip or groin pain.
- Aggravation of pain during activities like walking, running, or prolonged sitting.
- A clicking or locking sensation in the hip joint.
- Stiffness
Notably, some individuals may have a tear without immediate awareness, emphasizing the need for vigilance regarding subtle changes and persistent discomfort.
Physiotherapy plays the most pivotal role in managing hip labral tears, employing a variety of approaches, including:
- Ice therapy and anti-inflammatory measures to alleviate pain and reduce inflammation.
- MOST EVIDENCE supported engagement in an individualised targeted rehabilitation programs focusing on strengthening hip muscles to enhance joint stability and function (to unload to irritability on the labrum itself).
- Flexibility exercises to improve range of motion in the hip joint, but addressing mobility around the pelvis, lower back, knees and ankles are important too.
- Manual therapy techniques are employed when there’s major muscle inhibition (like major tightness) not effectively cared for with stretching/ strengthening.
- Surgical intervention may be considered in some cases, though non-surgical approaches are typically explored first.
In summary, consistent communication and adherence to the plan set out by your OHL Physio are vital steps for optimal outcomes in this injury. This comprehensive approach enables individuals with hip labral tears to experience significant improvements in pain and function, facilitating a return to an active and fulfilling lifestyle.
If you have a known hip labral tear annoying you and/or you suspect your hip pain could have a labral input, please reach out to an OHL Physio for an assessment and plan today. You can book via 9431 5955 or via our Client Portal on the website.
