Do labral tears matter?

Many times people who have been told they have FAI have been told that their labrums are “shredded up” or “badly damaged” or something similarly scary sounding.

When you read articles on the internet, it seems like labral tears have been definitively shown to cause you pain and that nothing but surgery could possibly help you.

The perspective that is often missing is that labral tears have not been shown to definitively lead to pain. In fact, surgeons who keep up with recent research can tell you that the correlation between a labral tear and pain is not at all one to one. Labral tears are believed to cause pain, but many people with labral tears have absolutely no symptoms at all.  This study provides a clear example of people with labral tears and NO problems.

And here is another study as a great example of how many things can be found in an MRI when there are no actual problems being caused by those allegedly “pathological” issues.

This third study concludes that some of the apparent “pathologies” in asymptomatic individuals are likely just natural variations.

A stronger case needs to be made that labral tears are definitely the cause of hip problems. In the meantime, there are alternatives to jumping into surgery. A more conservative approach to hip pain/diagnosed FAI problems would be to deal with the many, many muscles that surround and control the hip joint.

And that is our approach.

Kristen was diagnosed with FAI, labral tears, and “degeneration” in her spine in her mid 20s. She was literally crippled and put out of a job because of her pain levels. After many failed attempts to get out of pain, she ended up following our approach.

You can see her results after a year of careful training and careful progression in the video below.

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