Diagnosis

My hip hurts!

Why do I have to travel to Lake Charles for my hip?

Traveling to Lake Charles could be a necessity if your surgeon or therapist has referred you to Dr. Cascio. You may benefit from his particular expertise and experience with hip arthroscopy. You are not alone. Many patients with challenging or unclear diagnoses are referred to Dr. Cascio from across the region for his expertise in hip arthroscopy. He specializes in diagnosing hip and groin pain. Dr. Cascio is one of the few surgeons in the region to complete a fellowship in hip arthroscopy. In 2007, he performed the first athroscopic hip labrum repair in Louisiana. Since then he has performed over 100 arthroscopic hip labrum repairs. Dr. Cascio and his team are sensitive to the time and financial commitment necessary to travel to see him and they work with doctors and therapists in your town in order to limit your travel.

Hip pain can come from many sources. A full diagnosis of your symptoms will help in addressing the underlying problem.

Dr. Cascio will work with you to perform the necessary exams and tests to diagnose the source of your hip pain and then provide you with your options. Although labrum tears and their treatment are Dr. Cascio’s specialty, he is also able to diagnose and treat other causes of groin and hip pain including tendinitis, chondral lesions, osteoarthritis, bursitis, synovitis, cysts, stress fractures, avascular necrosis and other, more rare causes such as tumors.

If you have hip pain, some common causes may include:

1) Hip Labrum Tear:

The hip labrum is a rubbery cushion that surrounds the socket or cup of the hip joint. Tearing of the labrum can lead to pain and arthritis. Dr. Cascio has performed a fellowship in the arthroscopic treatment of hip labrum tears under Dr. Marc Philippon in Vail, Colorado at the Steadman-Hawkins Clinic. He specializes in the treatment of hip labrum tears with arthroscopic hip labrum repair. He teaches other surgeons how to perform technically demanding arthroscopic hip surgery all over the country. He is a consultant for Smith and Nephew, a company that produces hip arthroscopy equipment.

(Click here) to see a video of a labrum tear.

(Click here) to see a video of Dr. Cascio repairing a labrum tear.

2) Femoroacetabular Impingement (FAI):

FAI is an abnormal shape of the hip ball or socket or both that leads to pinching and tearing of the acetabular labrum and can lead to pain and arthritis. Dr. Cascio can reshape the ball and socket and repair the hip labrum with two small incisions.

(Click here) to see a video of Dr. Cascio performing a debridement of the CAM lesion or “bump” on the femoral head.

Treatments

What are the best treatments for hip pain?

Treatment depends entirely on the cause of the problem.

~ Remember, hip pain can come from many different sources.

Dr. Cascio will work with you to perform the necessary exams and tests to diagnose the source of your hip pain and then provide you with your options. Although labrum tears and their treatment are Dr. Cascio’s specialty, he is also able to diagnose and treat other causes of groin and hip pain including tendinitis, chondral lesions, osteoarthritis, bursitis, synovitis, cysts, stress fractures, avascular necrosis and other, more rare causes such as tumors. Therefore, it is of utmost importance that you understand the cause of your symptoms before embarking on a treatment program. If you are unsure of your diagnosis, or the severity of your condition, you should seek medical advice before beginning any treatment plan.

~ Some common non-surgical treatments for hip pain are listed here. Not all of these treatments are appropriate for every condition, but they may be helpful in your situation.

  • Rest
  • Ice and Heat Application
  • Stretching
  • Physical Therapy
  • Anti-Inflammatory Medication

Please use the following link
(AAOS “The Hip”) for additional information. The official web site for the The American Academy Of Orthopaedic Surgeons(AAOS) offers comprehensive information on patient education, patient care, and research.

Videos

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