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Submitted by: Bart - SII

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Let me first off say that you are lucky to have had an orthopedist who actually considered a labral tear in the hip and tried to fix things. They are few and far between, not to mention the fact that most orthopedist will not touch labral tears as treating these surgically in the hip is fairly complicated. I only know of one doctor in our area (within 500 miles) who does hip arthroscopies - he is in Memphis. From what you describe, it sounds like you are still suffering from some type of hip joint pathology. What you describe about pushing on the inside of your thigh making the pain go away magically suggests to me that the problem lies within the joint, either on the articular surfaces or within the labrum. When you push on the inside of your thigh, you are actually separating the joint surfaces and releasing pressure on the ball and socket. We call this traction and it is a technique used to treat many joint problems. The first thing that comes to mind with your injury is that you may have some excessive motion in your hip joint - this is especially true if they removed part of your labrum during one of the surgeries. The labrum helps to keep the joint stable. The other thing that can happen after surgery is development of scar tissue, or adhesions within the joint capsule. During your physical therapy, did your PT ever perform any type of hip joint mobilizations? Did they examine how your hip joint was tracking when you flexed and extended your leg? Do you feel like you have restrictions in your range of motion (can't rotate, extend, etc equal to the other side)? The hip is a fairly complicated joint when it comes to the way the joint capsule and ligaments work during activities. Restrictions in different parts of the capsule will lead to altered motion and increased stress in different areas. I am not familiar with MAT techniques, but this may be something to look into. The other thing to explore is joint mobilization techniques and whether or not you have a movement pattern dysfunction. If you are still in contact with your PT, these are things that I would recommend talking to them about. I wish I could give you more insight into what might be causing your pain, or what you can do to help, but without actually evaluating you, all I can do is give educated guesses and recommendations. Please keep us posted on how you progress, and comment back if you have other questions. Bart

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