Hip Arthroscopy

Hip Arthroscopy

Hip Arthroscopy has revolutionized how we can treat the causes of hip pain in our patients. Before we had to dislocate the hip in order to access the joint. Now via tiny holes, we can treat patients and get back to sports and work quicker with less risk.

One of the more common causes of hip pain is FAI or Femoral Acetabular Impingement. This is a term that describes a miss-match between the shape of the femoral head and the socket (acetabulum).

What this mismatch can cause is tears of the labrum and the cartilage of the joint. If left untreated many believe this will lead to arthritis, but in a small number of patients. That is why we call hip arthroscopy “Hip Preservation” Surgery.

Symptoms of FAI and labrum tears are usually anterior groin pain. Worse with activities such as running, kicking, twisting, and even prolonged sitting. The first line of treatment is always conservative. Even if we discover a tear on your MRI, therapy to help strengthen your core and hip muscles can relieve symptoms in a large percentage of people.

Sutures in a repaired labrum.

For those patients who fail therapy and medications arthroscopy may be recommended. The goals of surgery include restoring the bone anatomy to “normal” and repairing the labrum. The labrum acts like a suction seal of the hip joint.

Hip pain doesn’t have to sideline you for long.

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Hip Arthroscopy

Hip Arthroscopy

hip arthroscopy

Specialized care

Hip arthroscopy is a minimally invasive surgery used to treat hip issues. It’s called minimally invasive because only a few very small incisions in the skin of your hip are needed in order to insert the arthroscope into your hip joint.


The arthroscope includes a camera and a light that lets Dr. Hersch identify and repair any damage inside your hip. At the same time, he will also be able to insert any other small tools he needs to repair damage to your bones or connective tissues.


Dr. Hersch is one of the few surgeons in the country who specialize in hip arthroscopy.

Hip Arthroscopy illustration

Conditions Treated

Dr. Hersch typically uses hip arthroscopy to treat conditions such as

  • Labral repair
  • Labral reconstruction
  • Femoral acetabular impingement correction


However, hip arthroscopy can also be used to treat conditions such as:

  • Tendon tears
  • Tendon releases
  • Bone or cartilage removal
  • Hip dysplasia


Additionally, Dr. Hersch performs hip arthroscopy without a post using the Guardian system

The procedure

Hip arthroscopy is usually an outpatient surgery, meaning you should be able to go home the same day as your procedure. Most people need to wear a brace on their hip for around three weeks after surgery, and you’ll need to use crutches for a few weeks. Most people will need physical therapy after hip arthroscopy in order to increase strength and flexibility.


Dr. Hersch will give you a personalized recovery plan and will go over the results of your surgery with you.

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