Q: What to bring to your visit with Dr. Bharam?
- Any hip imaging studies (X-ray, MRI, and CT scan) on CD/ film and reports.
- Primary care physician and referring physician contact information
- Medical history and medication list.
- You can bring your preferred examination shorts.
- Insurance card information
- Patient forms can be downloaded and filled out prior to visit.
Q: What is the purpose of required Images?
An x-ray is a form of electromagnetic radiation that shows the skeletal structure of the human body and may be used to detect structural abnormalities of the hip joint and the presence of osteoarthritis causing the patient’s pain.
- MRI (Magnetic Resonance Imaging)
Magnetic and radio waves are used to create a computer image of soft tissue such as nerves and ligaments. Evaluation of these structures is necessary to diagnose labral tears, cartilage injuries, and soft tissue damages surrounding the hip joint. When diagnosing hip fractures, MRI may reveal further causes of pain unclear from the x-ray images.
An MR arthrogram may also be needed to enhance any detection of labral tears.
- CT (Computed Tomography) scans
CT scans or CAT scans allow doctors to view a 3D image of the hip joint to assess for structural abnormalities.
An ultrasound displays a detailed image of the soft tissue surrounding the joints and tendons. Doctors may also use an ultrasound to guide intra-articular injections. MRI can detect certain structures like cartilages more clearly than ultrasounds; however, ultrasounds can be very useful when evaluating abnormalities near the surface of the hip joint such as trochanteric bursitis and damages to the labrum.
Q: What are other options besides surgery?
A: Prior to needing surgery, non-conservation treatments such as rest, activity modification, injections and/or physical therapy is advised.
Q: What is hip arthroscopy?
A: Hip arthroscopy is a minimally invasiveprocedure performed to repair damaged tissue and joints using an arthroscope (camera) and other small instruments. This is performed as an out-patient procedure and patients go home the same day.
Q: Any post-operative maintenance?
Protected weight bearing utilizing crutches for 2 weeks. This period may vary depending on procedure.
Patients may need to wear a hip brace for approximately 1-2 weeks following hip arthroscopy surgery.
- Suture removal
Make an appointment for the week after surgery.
- Post-op Physical Therapy
Generally 1-2 times a week for 12 weeks. This may vary depending on your procedure.
Q: Why physical therapy (P.T.)?
A: Patients may be referred to a P.T. either pre or post-surgery depending on severity of injury. P.T. helps strengthen the muscles of the hip joint and reduce pain.
Q: When do I schedule a follow-up appointment post-surgery?
A: Follow up consultations usually take place 10-15 days after surgery. This may vary depending on the specific surgical procedures performed by Dr. Bharam.