Hip Impingement | Treatments

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Contact the Child and Young Adult Hip Preservation Program

  • 617-355-6021
  • International: +1-617-355-5209
  • Visit our Locations

In assessing treatment options, your Boston Children’s hip specialist will consider the type, extent and severity of the impingement as well as age, and overall health and medical history.

Some patients are treated non-surgically with pain medication and physical therapy while others  may need minimally invasive (arthroscopic) surgery and others open surgery. Your Boston Children’s care team will discuss options and answer any questions you may have.

Non-surgical approach for hip impingement

Non-surgical treatment may include conservative approaches such as rest, activity restrictions, anti-inflammatory and pain medications. Your doctor may also recommend exercises and physical therapy to strengthen the muscles around the hip joint and reduce stress.

If these don’t relieve discomfort, your doctor may suggest surgery.

Surgical treatment for hip impingement

Most teens and young adults with hip impingements who don’t respond to conservative treatment can be treated with arthroscopic surgery. 

What is arthroscopic surgery?

Arthroscopic surgery is a minimally invasive technique. Some patients return home the same day as the surgery. Others may stay overnight for one night in the hospital. The main reason for an overnight stay is to help manage pain after surgery.

During the surgery, the doctor makes two or three keyhole incisions. He inserts a thin scope to see the joint. Then he  repairs the hip impingement. Repair may include fixing damaged cartilage or labral tear, if present. Surgery also may reduce friction between the femur head and socket.

How long does it take to recover from arthroscopic surgery?

Your care team will help you stand and walk with crutches after surgery. For the first two to three weeks, crutches are used to support your weight. Physical therapy to help restore muscle strength and range of motion begins after surgery. Most patients can return to full activities, including sports, three to four months after surgery.

What is the long-term outlook for patients with hip impingement?

For many patients, early diagnosis and treatment offer the best outcome. The hip joint is preserved, and cartilage damage does not progress.

A complete repair and long-term recovery can be more difficult if the hip cartilage has been severely damaged.

How does Boston Children’s support my family?

Boston Children’s supports families in many ways.

Teen Advisory Committee

To help teenagers take a more proactive role in their care and to have their needs recognized, Boston Children’s developed the Teen Advisory Committee. The group—made up of current patients, ages 14 to 21—serves as a team of peers who can listen to other patients’ needs and ensure that their voices are heard.

Center for Families

We offer services to make your child's—and your own—hospital experience as pleasant as possible. Visit the Center for Families for all you need to know about:

•   getting to Boston Children's
•   accommodations
•   navigating the hospital experience
•   resources that are available for your family

The hip care team at Boston Children’s can connect you with resources to help you and your family cope, including:

•   patient education: From doctor's appointments to treatment to follow-up, our nurses and physical therapists will
    walk you through diagnosis, surgery and recovery. After you return home, we'll help you coordinate care and support

•   parent-to-parent: Do you want to talk with someone who has been treated for a hip impingement? Our Orthopedic
    Center can often put you in touch with other families who've been through the same experience.

•   faith-based support: If you're in need of spiritual support, we'll connect you with the Boston Children's chaplaincy.
    Our program includes nearly a dozen clergy—representing Protestant, Jewish, Muslim, Catholic and other faith
    traditions—who will listen to you, pray with you and help you observe your own faith practices during your hospital
    experience.

•   social work: Our social workers and mental health clinicians have helped many other families in your situation.
    We can offer counseling and assistance with issues such as coping with your child's diagnosis, handling stresses
    related to coping with illness and dealing with financial issues. 

 

We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944

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