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Understanding Shoulder Arthroscopy for Rotator Cuff Tears
Understanding Hip Arthroscopy
Expertly Written by Dr. Scott M. Levin, MD Orthopaedic Surgery & Sports Medicine Specialist
Dr. Scott Levin was recently interviewed by Tim Tyler of Professional Physical Therapy, where he discussed how hip arthroscopy is transforming the way we diagnose and treat hip pain. During the conversation, he highlighted the C sign—a gesture patients often make when describing discomfort around the hip—which can be an early clue to conditions like labral tears.
Hip arthroscopy is a minimally invasive procedure that allows our team to see inside the hip joint using a tiny camera and specialized instruments. With just a few small openings, each smaller than a pea, we can look at the joint and address problems like torn cartilage, extra bone, or loose fragments. It’s a bit like inserting a tiny camera through a keyhole and being able to see the entire room on the other side—offering the chance to view and treat problems without having to take everything apart.
Why Patients Have Hip Arthroscopy
One of the most common ways patients describe hip pain is by making a “C” shape with their hand, wrapping it around their hip. Dr. Levin refers to this as the C sign—a critical clue that points to deep joint pain, often from conditions like a labral tear.
We usually recommend this procedure for patients whose hip pain hasn’t improved with nonsurgical treatments such as physical therapy, medication, or activity changes. Common reasons include:
- Torn labrum (the cartilage ring around the hip socket)
- Hip impingement (FAI), where extra bone causes pinching in the joint
- Cartilage injuries
- Loose fragments inside the hip
The goal is to help the hip move more smoothly, reduce discomfort, and allow patients to get back to daily activities.
Is Hip Arthroscopy a Major Surgery?
Hip arthroscopy is less invasive than open surgery. The small openings generally make recovery easier and proper healing and rehabilitation are important.
Recovery: What Patients Should Know
Recovery looks different for everyone, but these are general guidelines we discuss with patients:
Walking
Many patients use crutches for 1–2 weeks. Some may begin light walking sooner depending on the procedure.
Work
Desk jobs may be resumed in a week or two, while jobs requiring standing, lifting, or moving around usually take longer.
Driving
Surgery on the right hip often requires waiting 2–3 weeks before safely pressing the pedals. Surgery on the left hip sometimes allows for earlier driving, as long as patients are off pain medication and comfortable.
Full healing
Most patients notice improvement within a few months, though it can take longer depending on activity level and the extent of the repair.
Questions Patients Often Ask
- “Will it hurt?” – Some discomfort is normal at first, but pain medication, ice, and therapy usually help manage it.
- “How do I sit on the toilet?” – A raised seat or higher chair can help limit hip bending during the early stages of recovery.
- “What should I avoid?” – Avoid deep squats, twisting, or high-impact exercise until the hip has had time to heal.
Who May Not Benefit from Hip Arthroscopy
Hip arthroscopy tends to be most effective for patients without advanced arthritis. Those with significant joint wear may not see the same benefits, and in those cases, our team discusses other treatment options.
How Our Team Supports Patients
When we recommend hip arthroscopy, our focus is helping patients reduce pain and return to their normal activities safely. Each person’s timeline is different and our team works closely with patients before, during, and after the procedure to guide them through the process and answer any questions along the way.
If you’re searching for a hip arthroscopy specialist near me or a hip surgeon near me, our team at Somers Orthopaedics is here to help. We treat patients across multiple locations, including:
Carmel, NY
Newburgh, NY
Mt. Kisco, NY
Fishkill, NY
Danbury, CT
About Dr. Scott Levin
Dr. Scott M. Levin, MD Orthopaedic Surgery & Sports Medicine Specialist is located in Carmel, NY, Newburgh, NY, Mt. Kisco, NY, Fishkill, NY & Danbury, CT. Scott Levin specializes in hip and knee procedures. He focuses on minimally invasive techniques, joint preservation, and supports patients on their recovery journey.
To request an appointment, call 845-278-8400
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