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The labrum does not have a blood supply to it that allows healing, but sometimes people with a torn labrum do not have any symptoms. Thus, for those with symptoms that are the result of a labral tear the initial treatment involves rehabilitation and those that have symptoms that persist, arthroscopic surgery may be indicated. The long term sequelae of labral tears is not known though it is assumed they can lead to arthritic progression. If the tear is the result of abnormal bone formation about the hip, hip arthroscopy is recommended to remove the causative factor (the excessive bone) of the labral tear, in addition to removing the labral tear.
A course of physical therapy may be initiated along with activity modification. This includes exercises to help with strengthening of the hip and sometimes to help stretch the muscles about the hip.
Corticosteroid injections into the hip joint can help provide pain relief and reduce joint inflammation. These injections are performed under X-ray or ultrasound guidance.
Arthroscopic surgery to repair or remove the torn tissue is usually recommended when symptoms do not allow a continuation of desired activities. The procedure is done on an outpatient basis (go home the same day) and full recovery normally occurs by eight to 12 weeks. If excessive bone is removed or if additional procedures need to be done at the same time, then rehabilitation and return to sports activities may be longer.