Several hip injuries can occur outside of the hip joint, causing pain and limited function. These injuries include bursitis, abductor tendon (gluteus) tears, IT band syndrome (external snapping), piriformis syndrome, and hamstring tendon tears. Many of these injuries improve with non-surgical treatment, including anti-inflammatory medication, therapy, manual massage, and activity modification. When non-surgical treatments fail, surgery may be an option. Most of these injuries can be effectively treated using a minimally invasive approach, similar to arthroscopy of the joint. Endoscopy is performed in any space that is not a joint using small incisions that allow for insertion of a small camera and tools. Through these small incisions, bursa can be removed, tendons can be repaired, and tendons or fascia can be released or lengthened to treat all of the injuries listed above. The benefits of endoscopy over an open approach include much smaller incisions, less bleeding, potentially lower risk for infection, better visualization, and more rapid recovery. Occasionally if the injury is severe or chronic, endoscopy may be used in addition to an open approach.
Endoscopic surgery for hip injuries is performed on an outpatient basis, allowing patients to go home the same day. After surgery, therapy will be prescribed to facilitate swelling and pain control, gradually increase motion and muscle activation, and eventually improve strength to maximize function after surgery. A specific protocol unique to your surgery will be provided to your therapist to help guide them through this process.