I just got back from seeing my orthopedic surgeon, and he said that there are not that many differences between the symptoms of a hip labral tear and a hip flexor strain, and only a MRI is definitive. Because an MRI is expensive, I would like to make sure this is true. I originally hurt my hip flexor from reaching for a ball while lifting my leg in soccer in early May 08. It doesn't hurt to run, but when I do any leg lift movements especially bringing my knee towards my chest, it starts hurting, but when I stretch it by bringing my knee to my chest and holding it, it immediately goes away. Also, when I wrap my hip flexor with ace wrap, I can play soccer with absolutely no pain while slide tackling and lifting my leg--it is only tight sometimes but no pain. My main concern that it is a labral tear is that there was a sort of popping sensation immediately before it started hurting, but that never happens when I wrap my hip. Does this sound more like a hip flexor strain or a labral tear? If it is a hip flexor strain how long do you think it will recover, and is it ok to run with a wrap if there is no pain?
An MRI can be definitive, especially an MRI arthrogram. That is, when dye is injected in the joint before the MRI is completed. The dye is usually injected under flouroscopic guidance. When I suspect a torn labrum, I ask the radiologist to inject a long acting anesthetic into the joint as well. If the pain and symptoms are eliminated, this is diagnostic for a labral tear.
If flexing the knee and hip to the 90/90 position and rotating the hip internally produces pain and popping, this supports the diagnosis of torn labrum over hip flexor strain. Absence of pain with this maneuver tends to eliminate torn labrum.
If wrapping the hip eliminates the pain, and you are satisfied with that, I would be inclined to continue with that. As far as the long term, I'm not sure anyone really knows the answer to that question presently.
Just making sure, when you say "flexing the knee and hip to the 90/90 position and rotating the hip internally produces pain and popping," do you mean lifting the knee up and bringing it towards the chest and rotating it inward? Do you think the wrap eliminating the pain eliminates the chance of a labral tear?
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.