Hip Joint Damage: Treatment Options and Recovery Insights

Hip joint injury

Hello doctor, a year ago I fell while carrying a heavy object, which severely caused external rotation of my left hip joint.
At that time, it was extremely swollen, and I experienced popping and significant friction at the lateral aspect near the greater trochanter when walking.
An X-ray was taken, which suggested fluid accumulation, but after the swelling subsided, both the inner and outer sides of my hip joint became very tight, and I could hear a grinding sound from the joint surface on the inner side.
My standing posture looks strange, so I consulted an orthopedic specialist and underwent an MRI.
One doctor mentioned that I have a labral tear, while another said I have a strain of the iliopsoas muscle.
I'm really unsure how to manage my injury.
I would like to ask if PRP treatment is feasible for the damaged hip labrum (considering I'm uncertain if surgery is suitable for my age).
Additionally, I want to know if muscle injuries can cause tightness and shortening afterward (as both the inner and outer sides feel very tight).
Would stretching help restore length and elasticity? Thank you very much.

Xiao Wen, 20~29 year old female. Ask Date: 2016/01/06

Dr. Li Weiqiang reply Rehabilitation

Dear Xiaowen,
Hello.
A year ago, I fell while carrying heavy objects, which severely caused external rotation of my left hip joint.
At that time, it was extremely swollen, and I experienced popping and significant friction in the area where the greater trochanter connects to the outer side while walking.
An X-ray was taken, which indicated fluid accumulation, but after the swelling subsided, both the inner and outer sides of my hip joint became very tight, and I could hear a grinding sound from the joint surface on the inner side.
My standing posture looks quite abnormal.
Have you had an MRI? This could help confirm the diagnosis and treatment options.
Damage to the hip labrum can be treated with PRP therapy, which primarily aims to accelerate the healing of the injured area.
After a muscle injury, it may shorten depending on the severity of the injury.
Physical therapy involving stretching can help restore the elasticity of the injured muscle.
Thank you, and I wish you peace and health.
Sincerely,
Li Weiqiang
Director, Rehabilitation Department
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2016/01/06

More Info

Understanding hip joint damage and the associated treatment options can be quite complex, especially following an injury like a fall that results in significant trauma. Based on your description, it seems you have experienced a multifaceted injury involving your left hip joint, which includes potential damage to the labrum and possibly the muscles surrounding the hip.

Hip Joint Damage and PRP Treatment
The hip joint labrum is a ring of cartilage that surrounds the hip socket, providing stability and cushioning. When it is damaged, as indicated by your MRI results, it can lead to pain, instability, and a range of functional limitations. Platelet-Rich Plasma (PRP) therapy is a treatment option that has gained popularity in recent years for various musculoskeletal injuries, including labral tears. PRP involves drawing a small amount of your blood, processing it to concentrate the platelets, and then injecting it back into the injured area. The growth factors in the platelets can potentially enhance healing and reduce inflammation.

While PRP therapy can be beneficial, its effectiveness can vary from person to person, and it may not be a definitive solution for all types of labral injuries. It is essential to have a thorough discussion with your orthopedic specialist about whether PRP is appropriate for your specific condition, especially considering your age and overall health. If surgery is recommended, your doctor will evaluate your individual circumstances, including your activity level, pain, and functional limitations, to determine the best course of action.

Muscle Tightness and Recovery
Regarding muscle tightness following an injury, it is common for muscles to become tight or shortened after trauma. This can occur due to protective mechanisms in the body, where muscles tighten to stabilize the injured area. Additionally, prolonged inactivity or altered movement patterns due to pain can contribute to muscle stiffness.

Stretching and physical therapy can play a crucial role in restoring muscle length and elasticity. Gentle stretching exercises can help alleviate tightness and improve flexibility. However, it is essential to approach stretching cautiously, especially if you are experiencing pain. A physical therapist can design a tailored rehabilitation program that includes stretching, strengthening, and functional exercises to help you regain mobility and strength in your hip.

Conclusion
In summary, it is crucial to address both the labral injury and the associated muscle tightness through a comprehensive treatment plan. PRP therapy may be a viable option for your labral tear, but it is essential to consult with your orthopedic specialist to determine the best approach for your specific situation. Additionally, engaging in a structured rehabilitation program with a physical therapist can help you recover muscle function and alleviate tightness.

Always remember that recovery from hip injuries can take time, and patience is key. Regular follow-ups with your healthcare provider will ensure that you are on the right track and allow for adjustments to your treatment plan as needed. Your proactive approach to understanding your condition and seeking appropriate treatment is commendable and will aid in your recovery journey.

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