Hip

We treat a wide variety of hip conditions. If you are looking for a specific condition or procedure, please contact us so we can discuss all of your treatment options. We always attempt to use the most conservative treatments before considering surgery. Contact Us Today
What is Hip Arthroscopy?

A hip arthroscopy is a procedure used to examine, diagnose, and treat problems inside the hip joint. Your surgeon will insert a small camera into the hip joint to capture and display images that will be used to guide the procedure. The methods for hip arthroscopy are less involved than those required for standard, open surgery, and therefore result in reduced pain and a shorter recovery time period.

You might need Hip Arthroscopy if…

  • You experience persistent age and/or wear-and-tear-related hip damage
  • You have a painful condition that is unresponsive to nonsurgical treatment
What is Hip Arthritis?

Hip arthritis is the inflammation of your hip joint(s). The inflammation of a diseased hip commonly causes pain and stiffness in the affected area. The most common form of hip arthritis is osteoarthritis — ‘wear-and-tear’ that incrementally damages cartilage, often resulting in painful symptoms in people who are middle-aged. Inflammatory arthritis, on the other hand, affects people of all ages, and often emerges in early adulthood.

You might have Hip Arthritis if…

  • You have a dull, aching pain in the groin, outer thigh, knee, or buttocks
  • You have pain that worsens in the morning or after sitting or rest, and typically lessens with activity
  • You have pain and stiffness that increases with activity
  • You have intense pain in the hip joint that causes a limp or makes walking difficult
What is a Hip Fracture Repair?

A hip fracture involves a break in the top of the femur when the bone angles toward the hip joint. Hip fractures are especially common in older patients and those with osteoporosis. They are usually extremely painful and require surgical repair to relieve pain and restore proper functioning.

During hip fracture surgery, an incision is made over the affected area and the bones are aligned back in place. The bones are often held in place with metal pins, screws, rods or plates while they heal, which may or may not be removed later on. The incision is then closed with sutures or staples. This procedure usually takes two to four hours to perform.

What is Hip Replacement?

Hip Replacement is a procedure in which a doctor surgically removes a painful hip joint with arthritis and replaces it with an artificial joint often made from metal and plastic components. It usually is done when all other treatment options have failed to provide adequate pain relief. The procedure should relieve a painful hip joint, making walking easier.

You might need Hip Replacement if…

  • You suffer persistent hip pain
  • You have hip aches during and/or after exercise
  • You become significantly less mobile
  • Your medication and cane usage do not aren’t deliver relief of your symptoms
  • Your pain prevents you from sleeping
  • You experience hip swelling
  • Walking up or down stairs, getting in and out of chairs and bathtubs, etc. becomes increasingly difficult
  • You experience morning stiffness which can last for up to 30-45 minutes
What is Revision Hip Replacement?

Hip revision surgery is a procedure that repairs an artificial hip joint that has incurred damage from either an infection or the wear-and-tear that typically manifests in a prosthetic hip. Revision surgery is designed to correct the problems that affect such hips’ ability to function. Revision surgery might also be recommended if the tissue surrounding the patient’s joint develops an infection.

You might need Revision Hip Replacement if…

  • You experience a recurring dislocation of your hip replacement
  • Your hip replacement suffers mechanical failure
  • Your hip replacement suffers an infection
What is Hip Resurfacing?

Hip resurfacing is a procedure that may be recommended as an alternative to traditional hip replacement surgery for patients with advanced hip arthritis. Hip resurfacing does not remove the femoral head, but instead trims and caps it with a smooth metal covering. As in traditional hip replacement surgery, the patient’s affected bone and cartilage is also removed and replaced with a metal shell.

You might need Hip Resurfacing if…

  • You experience pain, stiffness, and/or joint deformity of the hip
  • You experience ‘start-up’ pain – specifically, a discomfort when standing after having been seated for an extended amount of time
  • You experience pain located in the groin, thigh, and/or buttocks, which can worsen with weight bearing (walking, standing, etc.) and/or twisting
What is a Labral Tear?

A labral tear affects the ring of cartilage, known as the labrum, located on the outside of your hip joint. Athletes are often at higher risk of developing a labral tear. This condition can also be caused by structural abnormalities of the hip.

You might have a Labral Tear if…

  • You hear locking, clicking or catching sounds from within your hip joint
  • You experience pain in your hip
  • You experience stiffness and/or limited range of motion in your hip

Femoroacetabular Impingement

If you’ve noticed pain in your hip at the gym or while sitting or walking, you may be one of the many individuals living with femoroacetabular impingement (FAI). This orthopedic condition can make it difficult to be active and requires diagnosis and treatment from professionals to avoid worsening. At High Mountain Orthopedics, we perform femoroacetabular impingement surgery and provide other nonsurgical treatments that can help minimize discomfort and let you move with confidence again.

What Is FAI?

FAI describes extra bone growth on one or both of the hip joint bones. These bones, including the acetabulum and the femoral head, give the condition its name. This irregular, extraneous bone growth makes the hip bones rub together when in motion. Over time, the friction damages the hip joint, causes pain, and limits hip movement.

The most common symptoms of FAI include limping, joint stiffness, and sharp or dull pain in the groin area or outer hip. If you experience any of these symptoms, visit High Mountain Orthopedics to learn more about this condition and the treatment options available to you.

What Causes FAI?

There are three types of FAI, each classified based on the pattern of extra bone growth that occurs in the joint. These include:

  • Pincer: This FAI variation occurs when extra bone extends over the rim of the acetabulum, potentially crushing its fibrocartilage ring.
  • Cam: Patients develop cam FAI when a bump forms on the edge of the femoral head to grind against the cartilage inside the acetabulum.
  • Combined: This type of FAI occurs when both pincer and cam FAI types are present.

FAI is the result of abnormal hip bone formation during the early stages of physical development. This irregular growth is related to a combination of genetic and environmental risk factors, including childhood physical activity and engagement in contact sports. However, athleticism may simply cause FAI symptoms to appear earlier than they normally would have. Once irregular bone growth occurs, little can be done to prevent FAI, but treatments are available today.

How Is FAI Diagnosed?

When patients visit High Mountain Orthopedics with symptoms that suggest FAI, our team performs an impingement test to determine the cause. During this test you’ll lie flat on your back while a physician brings your knee toward your chest, rotating it inward toward the opposite shoulder. If this movement causes hip pain, a diagnosis of FAI is likely.

After the initial impingement test, X-rays, CT scans, and/or MRI scans are used to identify excess bone growth and verify the diagnosis. Additionally, the application of a numbing agent can similarly support an FAI diagnosis.

How Is FAI Treated?

Treatment for FAI varies based on the type and severity of your condition. The physicians at High Mountain Orthopedics often begin treatment with a variety of nonsurgical methods, including:

  • Lifestyle changes: Avoid activities that cause symptoms to flare up, such as running, jumping, lifting heavy weights, and extended periods of sitting or walking.
  • Non-steroidal anti-inflammatory medications: Taking prescription-strength medications can reduce pain and inflammation.
  • Physical therapy: Special exercises help relieve cartilage stress, increase your range of motion, and strengthen joint-supporting muscles.

If your FAI persists after nonsurgical treatment, our experienced, board-certified surgeons would likely recommend a form of femoroacetabular impingement surgery called arthroscopy. This operation creates small incisions in the hip to trim pincer or shave down cam impingements.

Learn More about Femoroacetabular Impingement Surgery

At High Mountain Orthopedics, you can trust our team of experienced doctors to help alleviate your FAI symptoms. With locations in Wayne, Englewood, and Paramus, New Jersey, we provide expert care for patients with a wide range of injuries and orthopedic conditions. To schedule an appointment, call 973-595-7779 or contact us online today.

Hip Decompression

woman holding left hip due to painStiffness, inflammation, and other issues in your hip joints often become more apparent as you age, but these symptoms can also develop as a result of injury or illness. To alleviate your pain and discomfort, hip decompression is often a better alternative to more invasive procedures, and it’s one of the many diverse treatment options available at High Mountain Orthopedics in Wayne, New Jersey.

Our compassionate, board-certified orthopedic surgeons are skilled in hip decompression, resurfacing, and various other hip procedures. We do everything to ensure optimal results and a smooth recovery for each of our patients.

What Is Hip Decompression?

Hip decompression is a popular alternative to hip replacement and considered a regenerative technique for patients in the early stages of Osteonecrosis. It’s vital to treat Osteonecrosis before the disease reaches advanced stages, which leads to debilitating pain, loss of mobility, and destruction of the hip joint that often requires hip replacement surgery. To treat Osteonecrosis with hip decompression, our skilled orthopedic surgeons drill a small hole into your diseased hip bone near the joint. The cored area may be filled with a bone graft or injected with organic material, but this is optional.

Procedure And Purpose

Before we begin your procedure, we perform magnetic resonance imaging (MRI) on the affected hip joint. This allows us to identify the area or areas in which dead bone needs to be removed. When we remove the dead bone, it stimulates healthy bone production, increases blood flow, and allows new blood vessels to develop.

The purpose of hip decompression is to preserve the structure and function of your hip while alleviating the pain associated with Osteonecrosis and other degenerative diseases. By reducing the pressure and increasing blood flow, this procedure often slows or even stops joint and/or bone destruction. In contrast to hip replacement and other procedures, a simple hip decompression is less invasive and may be performed on an outpatient basis.

What To Expect After Hip Decompression

Hip decompression can relieve your discomfort and pain while sitting, standing, or walking for an extended length of time, but there’s a recovery process. An overnight hospital stay may be required, but this isn’t always necessary. Expect to be on crutches for approximately six to 12 weeks following your surgery. About two weeks after the procedure, we generally remove sutures from your surgery during a follow-up appointment. We then schedule monthly appointments to monitor how well your bones are healing, which may require MRI scans or X-rays.

As we monitor the healing process, your orthopedic surgeon directly supervises your physical therapist. By working closely together, your surgeon and therapist ensure you receive individualized treatment to attain the highest level of function and physical activity possible. It typically takes about six to 12 months to fully heal from the procedure.

Who Benefits From Hip Decompression?

Hip decompression is beneficial to anyone with stage one or two Osteonecrosis, which is also called avascular necrosis. When you suffer from this disease, your affected bone(s) don’t get an adequate supply of blood, which causes the bone to break down and eventually collapse and die. When this bone is near a joint, the joint could collapse. Once the joint collapses, hip decompression is usually less successful, but you may still experience relief from pain. You might also need hip decompression if:

  • There’s increased pressure within the diseased bone
  • Increased pressure is accompanied by intolerable pain
  • You’re exhibiting early stages of Osteonecrosis and want to slow or halt the disease

Speak With Our Skilled Orthopedic Surgeons

Hip joint pain can be debilitating and rob you of your quality of life. Our seasoned orthopedic surgeons treat a wide variety of hip conditions and offer an array of treatment options to help rid you of pain, so you can get back to enjoying the activities you love. We carefully evaluate your hip condition and always try the most conservative treatments before moving on to surgical options. If you want to learn more about the benefits of hip decompression, or any of our various procedures, contact us in Wayne, Englewood, or Paramus, New Jersey, at 973-595-7779 to schedule an appointment or discuss your condition and decompression options.

Schedule An Appointment Today!

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