Call Now For Knee and Hip Care: 212-606-1992

About your hips

The hip joint is a ball-and-socket type joint where the thigh bone (femur) meets the bones that make up the pelvis, include the ilium, ischium, and pubis. The ball-shaped knob of the thighbone fits into a socket in the hipbone.

In order for the bones to move against each other without pain, a white cartilage about ¼ an inch thick is kept slippery by fluid. The cartilage also serves as a “shock absorber” and changes shape when compressed. The bones are held together by large ligaments, tendons, and muscles surrounding the hip joint, called the joint capsule.

When working properly, your hip joint provides a full range of motion in your legs, allowing you to walk, run and crouch, among other physical activities.

A hip impingement occurs when the bones that make up the hip joint are abnormally shaped. Because these bones are abnormally shaped, they rib against each other, causing damage to the joint.

The hip joint is built to withstand large amounts of wear and tear over a lifetime of activity, but can be susceptible to sudden and chronic injuries such as hip impingement. These injuries can cause severe pain, and proper medical treatment is often necessary for recovery.

Hip impingement is believed to be a major cause of early osteoarthritis of the hip, particularly in those under age 40.

Common symptoms of hip impingement

In early stages of hip impingement, there may be no symptoms associated with the condition. Over time, pain when moving your hips to their limit may develop, and eventually you may feel pain after sitting for extended periods of time or during activities such as walking up a hill. However, symptoms of hip impingement may present in a few different ways, including:

  • Reduced motion in the hip
  • Pain in the groin area or toward the outside of the hip during or after activity, or after sitting for an extended period
  • Popping or clicking in the front of the hip

To ensure a proper diagnosis and treatment of your hip impingement, schedule an appointment today with hip surgeon Dr. Vigdorchik.

Commonly treated hip conditions

Hip impingement occurs when the hip bone does not form properly during childhood. When the hip bones develop abnormally, hip impingement later in life is likely. Athletes are most susceptible to developing hip impingement at a younger age, due to their extensive use of the hip. However, athletic activity doesn’t cause the impingement.

The two main causes of hip impingement include a deformity of the ball at the top of the femur (cam impingement), and deformity of the socket (pincer impingement). With cam impingement, a deformity of the ball of the thighbone (femur) causes damage to the socket. In pincer impingement, excess coverage of the ball of the thighbone “bumps” against the rim of the socket, causing damage over time.

Suffering from both conditions simultaneously is also possible, and is called cam and pincer impingement.

Physical examination, x-rays, MRI’s (magnetic resonance imaging) and CT (computed tomography) scans are used to diagnose hip impingements.

Hip impingement treatment options

Initial treatment options for hip impingements include:

  • Modifying activities that move the hip joint in a way that causes pain
  • Exercises recommended by your doctor to strengthen the muscles supporting the hip
  • Anti-inflammatory and pain medications

If further treatment is necessary, your hip surgeon may recommend hip impingement surgery.

Dr. Vigdorchik is a strong believer in prioritizing non-operative treatment, only recommending surgery when most beneficial to the patient. To determine the best treatment option for the patient, Dr. Vigdorchik carefully considers the patient’s condition, medical history, lifestyle, and personal preferences.

Hip impingement surgery may be minimally invasive (arthroscopic) or open. Arthroscopic surgeries are often outpatient surgeries, meaning you can go home the same day. Your hip surgeon may determine it best to “clean” or “sculpt” the hip bones to remove the impingement. In other cases, a partial or total hip replacement may be necessary.

Dr. Vigdorchik is one of the 1% of New York City hip surgeons experienced and knowledgeable in performing all advanced hip surgeries.

Are you experiencing hip impingement as a result of a sudden or chronic injury?

Hip surgeon Dr. Vigdorchik is here to help you with your hip impingement. With a non-operative priority, state-of-the-art surgical techniques and a track record of positive outcomes both performing and teaching other hip surgeons at the prestigious Hospital for Special Surgery, you can trust Dr. Jonathan Vigdorchik to provide you with an accurate diagnosis and positive outcome for your hip impingement.

Schedule an appointment immediately – 212-606-1992

If your hip impingement has been caused by a sudden or chronic injury and is accompanied by any of the symptoms below, please call New York City’s innovative hip surgeon Dr. Vigdorchik immediately and have someone drive you to our office.

  • Reduced motion in the hip
  • Pain in the groin area or toward the outside of the hip during or after activity, or after sitting for an extended period
  • Popping or clicking in the front of the hip