What is the treatment for subspine impingement?
Patients with mild symptoms of subspine impingement are likely to respond well to non-surgical treatment measures. Physical activities, particularly those that aggravate symptoms, should be modified or avoided. The combination of rest and non-steroidal anti-inflammatory medications (NSAIDs) can manage the pain and inflammation associated with this condition. Attending a physical therapy program, when appropriate, that is focused on hip strengthening and improving range of motion is strongly encouraged. Occasionally, a hip injection with steroid, platelet-rich plasma (PRP), or stem cells may be necessary.
However, surgical intervention may be needed if the subspine impingement symptoms fail to improve with non-surgical therapies. A minimally invasive procedure known as subspine decompression is performed with a small camera (arthroscope) and specialized surgical instruments. Dr. Patel may implement one or more repair techniques to accomplish all of the necessary revisions:
- Debridement: Irregularities such as bone spurs or inflamed tissue are removed from the hip joint.
- Resurfacing: If a bony eminence is identified, a specialized motor shaver is utilized to smooth the surface of the bone.
- Avulsion Fracture Removal: A piece of bone from the subspine can break off in the event of a severe hip injury. This bony fragment is removed, and the resulting muscle and tendon damage is repaired.
- Femoroplasty: This procedure is reserved for patients that experience subspine impingement in the presence of femoroacetabular impingement (FAI). The hip joint is reconstructed to facilitate painless joint movement and return full function and range of motion to the hip.
- Labral repair: This procedure is necessary if there is damage or a tear of the labrum.