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Author Archives: Tigran Garabekyan, M.D.

Labral Tear 

Hip labral tear occurs when the band of cartilage surrounding the hip joint, called the labrum gets injured. The injuries can occur because of trauma, such as a car accident or fall. However, they can also occur because of repetitive stress to the hip joint.

Individuals participating in soccer, hockey, and long distance running among other sports requiring extremes of motion are often diagnosed with labral tears. This involves activities that require sharp movements and repetitive twisting.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding communities.

Preventing Labral Tears

Risk of sustaining a labral injury is enhanced with repetitive motions, such as long-distance running or sports. It is important to be aware of hip pain, especially while squatting or sitting. These can indicate signs of potential hip injuries.

Identifying and addressing the injuries early in the treatment can be helpful. Physical therapists can help active individuals identify proper body movements for lessening the possibility of injury. You need to continue muscle strengthening practices and lower-extremity mobility after recovering from a hip labral tear.

This will play a major role in reducing the risk of further injury or irritation. Complete avoidance of the activity contributing to the symptoms may be suggested in some extreme cases.

Procedure of Hip Labral Tear Repair Surgery

Your doctor may perform the following during a surgery:

  • Labral tear repair: The torn labrum will be reattached by the doctor to the socket (acetabulum) by using sterile thread and small plastic anchors
  • Debridement: The doctor may trim or smooth the area of the frayed labrum. The goal is to remove any damaged, loose, or pain-generating tissue.
  • Other repairs: Hip problems are generally intertwined. Hence, it is common for surgeons to repair the hip labrum and address any other problem during the surgery. For instance, your surgeon may decide to shave any bony abnormalities causing hip impingement while repairing the labrum.

The decision of carrying out repairs may be made during the surgery. Everything wrong with a joint cannot be revealed during the pre-operative medical imaging. Your surgeon may discover or confirm other hip problems during the surgery.

Open Hip Surgery vs. Arthroscopic

Hip labral repair surgery can be performed using open surgical methods or arthroscopic methods. Hip arthroscopy is minimally invasive using special tools and a video camera. Larger incision of 8 – 10 cm is required in open hip surgery. The surgeon may dislocate the joint’s femoral head from the hip socket.

Labral Tear Reconstruction

Graft tissue from some other body part is used during labral reconstruction using graft. This completely replaces the torn labrum and the procedure is performed where the labrum is too damaged but the hip joint is healthy. The severity of your injury will determine the type of surgery that is recommended. Underlying conditions that need to be addressed will also determine the type of surgery performed.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.574.0375

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Labral Tear 

Acetabular labral tear causes pain if the labrum is frayed, torn, or damaged. Labral tears can result in pain in the anterior side of the hip, groin pain, and buttock pain. This condition is thought to result from excessive force at the hip joint.

For instance, a tear may decrease the acetabular contact area increasing stress. This may destabilize the hip joint by causing articular damage. Labral tears can be classified as:

  • Posterior labral tears: these are situated deep in the posterior buttocks or in the lateral region.
  • Anterior labral tears: the pain may become more consistent in this type of tear. It is situated at the groin, anterosuperior quadrant, or on the anterior hip. These are more common in United States individuals.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding communities.

Clinically Relevant Anatomy

The acetabular labrum comprises of the fibro-cartilaginous rim. This encompasses the circumference of the acetabulum and helps in keeping the femoral bone’s head inside the acetabulum. The labrum differs widely in form and thickness.

There are three surfaces to the labrum:

  • Internal articular surface is adjacent to the joint
  • External articular surface is in contact with the joint capsule
  • Basal surface is attached to the acetabular ligaments and bone

The labrum is triangular in the radial section on the anterior aspect. It is dimensionally square with a rounded distal surface on the posterior aspect.

Various functions of the acetabular labrum include:

  • Sensitive shock absorber
  • Joint lubricator
  • Pressure distributor
  • Joint stability
  • Decreasing contact stress between the femoral and acetabular cartilage

Epidemiology/Etiology

Labral tear injuries are attributed to several causes by researchers studying patients:

  • Direct trauma includes falling with or without dislocation, slipping, and motor accidents among others
  • Sporting activities requiring hyperextension or frequent external rotations, such as soccer, ballet, running, hockey, and sprinting
  • Specific movements include twisting movements, torsional movements, hyperextension, hyper abduction, and hyperextension with lateral rotation

This is not an age-related condition and can occur in anyone from 8 – 75 years of age.

Arthroscopy

Acetabular labral lesion repair can be performed in both lateral and supine position. A stand fracture table is used when patients are treated in the supine position. Traction is applied by keeping the patients in an oversized perinal post.

The affected hip will be slightly extended to approach the joint. There should be minimized pressure on the perineal area during traction for avoiding neurological complication. The procedure is performed under the guidance of fluoroscopy.

Tear edges are delineated and suture anchors placed on the acetabular rim for repairing a detached labrum. A suture is placed in the mid-substance of the tear if the labrum tear has a secure outer rim. This suture is placed in cases where the labrum is still attached to the acetabulum. It is done for securing the tear.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.574.0375

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Femoral Hernia

Femoral hernia refers to tissue pushing out through a weak spot in the inner thigh or groin muscle wall. Common causes of this condition include overstraining while exercising, coughing, or passing a stool, and being overweight.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding locations.

Femoral Hernia Causes

The exact cause of hernias is not known. You could be born with a weakened femoral canal, or the area may have become weak over a period of time. Straining can cause the muscle walls to become weak too. Factors, which may result in overstraining include:

  • Chronic constipation
  • Childbirth
  • Overweight
  • Heavy lifting
  • Chronic coughing
  • Urination difficulties because of enlarged prostate

Risk factors

These are a few risk factors:

  • Gender: Both men and women can develop femoral hernia. However, the condition is 10 times more common in females.
  • Age: Femoral hernia is common is adults as compared to children. Children may develop the condition because of connective tissue disorder or some other medical condition.
  • Family history: People with hernia in their close family history are 8 times more likely to develop the condition.

Diagnosis

Femoral hernia is diagnosed through physical examination. The doctor will gently touch or palpate the area while performing a physical examination. There will be bulging if the hernia is large. The diagnosis will be confirmed through an ultrasound of the groin and abdominal area. Ultrasound is recommended even if there is a suspicion of femoral hernia. Imaging technology is helpful in showing the muscle wall defect and the protruding tissue.

Surgical Treatment

Femoral hernia can be asymptomatic and small. These don’t require any specific treatment. Your doctor may monitor your conditioning for determining is any symptoms progress. Large or moderate femoral hernia require surgical repair. This is especially true if there is any level of discomfort.

General anesthesia is used for repairing surgical hernia. You will put to sleep for the procedure and won’t feel any pain. Open or laparoscopic surgery is used for carrying out femoral hernia repair. Larger incisions and longer recovery period are involved in open procedure. 3 – 4 key-sized incisions are involved in a laparoscopic surgery. This provides for minimizing blood loss.

These are a few factors that determine the type of surgery required:

  • Surgeon’s expertise
  • Size of hernia and other complications
  • Anticipated recovery time

Laparoscopic surgery involves minimal scarring and pain as compared to open surgery. The surgery also requires a shorter healing time. Your surgeon will make incisions in the groin region for accessing the hernia in both cases. The protruding tissue or intestines will be returned back to its original position.

The surgeon will suture back the hole and reinforce it using a mesh piece. This is to ensure the tissues don’t push through the weak spot again. There are certain tension-free repairs that don’t require general anesthesia and are minimally invasive.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.574.0375

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Femoral Hernia

It’s possible for the intra-abdominal tissues to get pushed through the muscle at a weakened spot if you overstrain. The portion of tissue that gets pushed through the femoral canal wall is called femoral hernia.

This condition appears as a bulge near the thighs or groin. The femoral canal is where smaller veins, femoral artery, and nerves exist. The femoral canal is located in the groin below the inguinal ligament. This condition is also known as femorocele.

Women are at a higher risk of femoral hernia compared to men. Overall, the condition is not common. Generally, inguinal hernia affects the groin with fewer than 3% hernias being femoral. Symptoms are not caused by most femoral hernia.

However, the condition can cause severe problems if the hernia blocks or obstructs the blood to intestines. This condition is called strangulated hernia and is a medical emergency requiring immediate surgery.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding communities.

Common Signs of Femoral Hernia

In some cases, you may not realize that you are suffering a femoral hernia unless it is a major condition. In most cases, the bulging is not noticeable at all. Large hernias tend to be more noticeable and can result in discomfort. Bulge may become visible in the groin area near the upper thigh.

Bulging may become worse when you lift heavy objects, stand up, or strain in any way. Many times, the femoral hernia is located close to the hip bone and may result in hip pain.

Severe Symptoms

Severe symptoms may signify that your intestines are getting obstructed in a serious condition called strangulation. Strangulation causes the bowel and intestinal tissue to die. These are a few severe symptoms:

  • Vomiting
  • Sudden groin pain
  • Nausea
  • Severe stomach pain

You should seek immediate medical attention if you experience these symptoms. Blood flow of the intestines can be cut off if the hernia obstructs the intestines.

Femoral Hernia Outlook

Generally, femoral hernia is not a life threatening or dangerous medical condition. However, strangulation of the hernia can quickly become life-threatening. This needs to be treated immediately through emergency surgery. The bowel, as estimated by the British Hernia Center, only survives for 8 – 12 hours roughly following strangulation. This makes it critical that you seek immediate medical attention if you experience any severe symptoms.

Repairing of femoral strangulation is safe and simple with little risk. You should be able to resume light activities within 2 weeks. Most people recover fully within 6 weeks. Femoral hernia recurrence is very low. Only 1% people suffering from femoral hernia are at a risk of recurring hernia.

Treating Femoral Hernia

Minor femoral hernias don’t require surgical repair. However, moderate to severe femoral hernias should be treated immediately. You should seek medical attention immediately if you experience any level of discomfort.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.574.0375

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Sciatica Pain 

Nearly 25 percent of all Americans have had sciatica hip pain (characterized as sharp and disabling pain) at some point in their lives. Sciatica pain flows down the sciatica nerve from the lower back to the hips and buttocks, down each leg. Sciatica pain can make simple actions, such as playing with grandchildren or sitting at your desk a huge problem.

The Journal of the American Academy of Orthopedic Surgeon reports that people suffering from sciatica pain have higher rates of heart disease, hypertension, strokes, and obesity concerns among other ailments. Rates of reported depression among sciatic patients are also nearly double the rate of the average population.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding locations.

Sciatica Hip Pain Causes

Herniated Disc

Disc herniation in the lumbar spine is the most common cause of sciatica hip pain. Herniated discs tend to place pressure on the nerve. They cause inflammation, which irritates the nerve.

Degenerative Joint Disease

Bony spurs on the facet joints are formed in degenerative joint disease. This can make the intervertebral area narrow. It can also cause the intervertebral disc to wear down and reduce in height. The discs may experience a loss of space causing the exiting nerve to compress.

Trauma

Trauma, such as sports injury or fall can place pressure on the peripheral nerve. This may cause symptoms along the nerve’s distribution.

Excessive Sitting

Piriformis muscle may tighten because of sitting too much. This can cause the sciatic nerve underlying the muscle to get compressed. Rowing or biking for long duration are other repetitive strain activities that can cause pain. The piriformis muscle is presented within the gluteal muscles. The sciatic nerve can experience a spasm when it contracts or shrinks.

Tight Pants

You can add tight pants to the mix, especially if you are prone to keeping your wallet in the back pocket. There is a huge risk of circulation being cut off, which may cause sciatica hip pain. You don’t need to toss out your tight jeans just yet. You can wear them for short periods as long as you keep moving.

Excess Weight

Excess body weight can result in chronic hip and back pain, including sciatica. Research has found that overweight and obese people generally suffer from sciatica. Furthermore, heavier uterus during pregnancy and poor posture can also contribute to sciatica pain.

High Heels

High heels can cause a wide range of spinal problems. This is because high heels make the body weight come forward. Your body flexes the hips in an unnatural way to keep you upright. This places increased stress on the lower back. It can also make the hamstrings overstretch, which may enhance your sciatica symptoms.

Quick Relief

You should consult with a spinal orthopedic therapist if your sciatica hip pain is severe. The therapist will design a customized treatment plan for helping you find quick pain relief and to prevent it from happening again.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.574.0375

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Hip Problems

Hip problems are a common concern for several patients because of the involved pain. This is particularly true for aging people that maintain an active lifestyle. The specific location of pain can help towards pinpointing the underlying cause. There can be issues with the muscles, tendons, ligaments, and soft tissues surrounding the joint.

There may be issues in the spine and lower back as well. Hip pain can be felt in the groin, outer hip and upper thigh. Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding communities.

Common Early Symptoms of Hip Problems

  1. Groin or Hip Pain

The pain is generally located between the knee and the hip. Hip pain can be felt during sleeping, exercising, and walking. It can result in loss of motion in the hip. Soreness and discomfort during or after exercising is one of the earliest signs of hip troubles. Hip issues can cause sleep problems as your natural movement at night may be hampered. You should immediately see a specialist if your hip pain prevents you from walking comfortably.

  1. Stiffness in the Hip

Stiffness in the hip may not allow you to put on your socks and shoes comfortably. You may have trouble bending down or picking up something.

  1. Limping When You Walk

Limping while walking can be a serious symptom of hip troubles. This can be chronic or acute. It should be treated with proper medical care by an orthopedist.

  1. Tenderness and Swelling in the Hip

Swelling and tenderness is another sign of hip troubles. Swelling can take place in the outer skin and muscle or internally. You should contact your doctor if the swelling doesn’t go away or becomes unbearable.

The symptoms can differ among different people. Hip pain can result in disability if it is not treated. This is why you should get in touch with a committed physician specializing in hip and other joints.

Choosing an Orthopedic Surgeon for Safe and Effective Hip Strain Treatment

Your hip pain can be quickly evaluated by experienced and skilled orthopedic surgeons to determine the root cause. They know the most effective treatments for decreasing pain and correcting the problem. It’s crucial that you always aim for the least expensive procedure for providing relief from hip pain.

A team of physical and occupational therapists may be recommended by the surgeon. They will teach you some strengthening exercises to increase movement by making the hip muscles stronger. This will prevent your hip muscles from overstressing. The team will also give you tips to keep your hips along with other joints in good condition.

It’s vital that you don’t delay seeking treatment if you have pain due to arthritis or any other condition in your hips. It is best to work with a skilled and accomplished orthopedic doctor that specializes in joint pain, especially hip joint.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.574.0375

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Hip Flexor Strain

Hip flexors are a group of flexible muscle tissues that allow you to bend knees and flex your hips. These are located in the pelvic region and near the top of the thigh. Overstretching or overusing these muscles can cause strain. This can significantly limit your mobility and activity.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding locations.

Hip Flexor Strain Injury

Typically, this orthopedic injury occurs when the hip flexor tendons and muscles are used too much. This causes excessive stretching and tearing. Hip flexor strain can be categorized into three grades depending on the extent of severity:

  • Grade I tear is a minor tear that involves a few damaged fibers. Your hip will function normally.
  • Grade II tear involves damage to several muscle fibers. You may experience moderate loss of function. Your hip may give out sometimes while walking or standing.
  • Grade III tear involves completely torn muscles. Your hip won’t be able to bear your weight.

Symptoms of Strain in the Hip Flexors

The primary symptom of hip flexor strain is pain in region where the thigh meets the hip. There are several other symptoms associated with this condition:

  • Cramping in the upper leg muscles
  • Sharp pain the pelvis or hip
  • Tender or sore upper leg
  • Difficulty in sprinting, jumping or kicking
  • Tugging sensation in the groin area
  • Stiffness or tightness after being still
  • Tenderness or pain when walking stairs

Sports related accidents a primary cause of strain in the hip flexors. However, other factors, such as poor posture, overuse, poor walking habits, and arthritis can cause this condition as well.

Hip specialists will examine your upper leg area to diagnose the condition. They will create a treatment plan after discussing the symptoms and related activity.

Treatment of Hip Flexor Strain

You can treat most hip flexor injuries at home. They don’t require invasive procedures or prescription medications. You may be asked to ice the area by your doctor. You would also be asked to avoid actions that make you overuse the hip flexors. Gentle stretching can greatly help in reducing muscle tension and decrease the risk of future injuries.

Your hip specialist will advise physic therapy if the injury is because of a larger muscle tear. On occasions, surgery for repairing the ruptured muscle may also be recommended. Most of the time, the recovery time depends on the severity of the injury. It may take a few days for mild strains to heal. Severe strains may need up to 6 weeks for complete recovery. You can worsen the injury or suffer greater pain if you fail to rest.

Your day can be brought to a grinding halt because of nagging hip pain. You can regain mobility by working with a proven and experienced hip specialist. The right treatment provider can get you on the road to recovery quickly.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patien

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.574.0375

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/ts from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.

Tight Hip Flexors 

A lot of people suffer from dysfunctional hip flexor muscles. This is due to faulty biomechanics and poor posture. The condition can be caused because of too much stress or sitting too much as well resulting in pain in the lower back area, ankles, knees, and feet.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding communities.

Understanding Hip Flexors

Hip flexor muscles are a group of muscles, namely, psoas major, psoas minor and iliacus. These begin at the front of the pelvis and spine, cross the hip on the front, and attach to the upper leg’s inside.

Function of Hip Flexors

Hip flexor muscles are useful in bringing the leg towards the spine on contraction. They allow the leg to move behind the body on lengthening. This movement is also called flexing the hip. The muscles are useful in stabilizing the upper body during walking, running, and standing among other weight-bearing movements.

Tight Hip Flexors

Prolonged and constant hip flexion from continuous sitting can result in the muscle group becoming restricted. They may become chronically tight, which may prevent the leg from correctly traveling behind the body while running or walking. Other body parts need to compensate when this happens.

Similarly, common movement and postural imbalances, such as knocked knees and flattening of the feet may make the leg and ankle rotate inwards instead of allowing them to travel behind the body. This disruption can result in further hip flexor dysfunction. It can alter movement patterns over time causing pain in the ankles, feet, and knees.

Loosening Hip Flexors

Stretching and massaging the hip flexor muscle group will improve your posture. It will decrease stress and prevent pains and aches.

These techniques can help in addressing the issues:

Massaging the Hip Flexors

You can begin the hip flexor rehabilitation program with self-massage using a foam roller. You can use a tennis ball if you don’t have a foam roller. Place the roller perpendicular to the front of your body at hip level and lie over it. Find the sore spot and hold your body weight on it till the muscles release.

Hip Flexors Stretching

Stretch the hip flexors by kneeling. This will make the hips move forward under the spine. Your lower back won’t need to overcompensate in this position by arching excessively. You don’t need to take the leg behind the body.

Using the Whole Body to Stretch Hip Flexors

This is a progressive stretch as compared to kneeling hip flexor stretch. You can integrate many parts of the body in this stretch. You can address tightness in the hip flexor muscles as well as in the shoulders, calves, and abdominals. You should combine upright posture with correct movement all the way from the feet to the head.

The exercise can quickly help you loosen your hip flexor muscles. Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.574.0375

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Hip Misalignment

The hip bones form a part of the pelvis. Your pelvis is probably tilted when the hips are uneven or one bone is higher than the other. This is also known as lateral pelvic tilt. Very few things cause this condition. The treatment and symptoms of the condition depend on the reason why your hips are misaligned or uneven.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical orthopedic treatments to patients in Los Angeles, Century City, CA, and surrounding locations.

Reasons for Uneven Hips

  • Scoliosis can cause mild to severe form of uneven hips
  • Your legs can be of different lengths because of incorrect stance and posture. This is a function concern rather than physical.
  • Structural or physical difference in the length of your legs

Causes Based Treatments

Scoliosis

  • Back x-ray may be performed on children with mild spinal curve every 4 – 6 months. The condition is generally not treated unless the curve begins to get worse. Only 10% people with the condition require treatment.
  • Children older than 10 years may be recommended to wear back brace so that their bones grow the right way. This will prevent the spinal curve from progressing. The brace is generally worn all times of the day and night, unless it interferes with activities, such as sports.
  • Doctors may recommend surgery in case of rapidly worsening or severe scoliosis. This is performed to fuse the vertebrae together with an artificial bone or rod to stop the curve from progressing.

Leg length discrepancy – Functional

There are a lot of things you can do to correct uneven hips if it is the result of improper stance or posture:

  • Massage can relax muscles and remove knots.
  • Exercise stretching side muscles can improve range of motions and mobility. These are usually the primary treatment for uneven hips.
  • Exercises for strengthening muscles.
  • Correcting bad posture so that the problem doesn’t return.

Leg length discrepancy – Structural

It is difficult to correct uneven hips if the measured length of the legs is unequal. Treatment depends on the difference in the length of the leg as per the Pediatric Orthopedic Society of North America:

  • Adolescents and young children may be observed without interference till their bone growth has stopped.
  • Back pain can be reduced by wearing a lift in the shoe. This is helpful in mild leg length discrepancy.
  • Surgery for evening out the length of the leg may be considered in more severe cases. This is when the difference is between 2 – 5 centimeters. Surgery can slow bone growth in the longer leg. In case the difference is more than 5 centimeters, a more complicated surgery would need to be performed for making the shorter leg longer.

Scoliosis and Uneven Hips

Children with scoliosis diagnosis may need a surgery or back brace if their condition is worsening to prevent the condition from progressing. Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and non-surgical orthopedic treatments.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.574.0375

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Hip Dysplasia

Hip dysplasia, congenital dislocation of the hip, or developmental dislocation is when a socket of the hip joint stops supporting the ball of the joint. The condition may cause a gradual dislocation of the hip or misalignment. This can cause wearing of the cartilage and result in early-onset osteoarthritis of the hip.

Dysplastic hip may also result in acetabular labral tear. This is a tear in the labrum, which refers to the soft tissue lining and securing the hip socket joint. Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical orthopedic treatments to patients in Los Angeles, Century City, CA, and surrounding communities.

Signs and Symptoms of Hip Dysplasia

These are a few signs and symptoms of hip dysplasia:

  • Pain in the hip
  • Loose or unstable hip joint
  • Limping when walking
  • Unequal leg lengths
  • Pain the side or back of the hip
  • Pain in the groin area

Symptoms of hip dysplasia can be differentiated from ‘growing pains’ that are common in children under the age of 10. Growing pains in the hips, knees and legs are generally felt at night after being active during the day. However, they go away by the next morning.

In serious conditions, such as hip dysplasia, the pain remains constant and may increase over time. The young adult or child with the condition will also hear a characteristic clicking, popping, or snapping sound while moving the hip. Most children develop a limp to avoid pain.

Causes of Hip Dysplasia

Hip joint is a type of ball-and-socket configuration which attaches the pelvis to the femur. The femoral head (top of the femur) doesn’t line up with the curved socket of the pelvis properly. The socket may not be deep enough in some cases to hold the femoral head in its correct place.

Most people with hip dysplasia are born with the condition. It develops when the baby’s position in the womb places pressure on the hips. The condition can also be genetic. Children born with the condition are called to have congenital hip dislocation or developmental dysplasia of the hip.

Treatment of Hip Dysplasia

Hip dysplasia treatment involves protecting the hip joint and managing pain. Your doctor will customize the treatment to meet your specific needs.

These are a few treatment options for hip dysplasia:

  • Brace: This is for babies under the age of 6 months. The doctor may use a harness or brace for holding the joint in place while the child grows.
  • Physical therapy: Exercises may be used for strengthening the joint and improving flexibility
  • Surgery: Doctors repair the hip joint using different types of operations, such as:
    • periacetabular osteotomy (the femur is repositioned into the hip socket)
    • arthroscopy (a minimally invasive procedure for repairing a torn labrum)
    • total hip replacement (restoring the hip using an artificial joint)

Hip dysplasia can usually be corrected with surgery. People can go on to live healthy lives. Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and non-surgical orthopedic treatments.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.574.0375

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

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