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Ischiofemoral Impingement Decompression - Procedure


Ischiofemoral Impingement Decompression Surgeon

Ischiofemoral impingement decompression is a minimally-invasive surgical procedure performed on athletes or very active individuals who place a lot of stress on their hip joint and want to have their hip pain relieved. Ischiofemoral impingement decompression surgeon Dr. Kelechi Okoroha provides diagnosis and individualized non-operative and operative treatment plans in Minneapolis. He also provides highly specialized care during and after surgery. Contact Dr. Okoroha’s team for an appointment today!

What is Ischiofemoral Impingement Decompression?

Ischiofemoral impingement decompression is a surgery performed to relieve hip pain caused by entrapment or compression of soft tissue in the ischiofermoral space present between the upper part of the thigh bone and the lower back part of the hip bone.

Dr. Okoroha has extensive training in ischiofemoral impingement decompression and provides this service for patients in Minneapolis, St. Paul, Rochester, Eden Prairie, Minnetonka, Minnesota and beyond.

What are the Indications of Ischiofemoral Impingement Decompression?

Athletes or very active individuals who place a lot of stress on their hip joint are likely to suffer from ischiofemoral impingement and may benefit from ischiofemoral impingement decompression. Signs and symptoms include hip pain, presence of edema and inflammation in the ischiofemoral space. A clunking, snapping, or locking sensation of the hip joint may also be reported by patients while walking, running, or taking big steps.

Diagnostic Tests for Ischiofemoral Impingement Decompression

The diagnosis of ischiofemoral impingement is based on a thorough physical examination and review of your symptoms and medical history performed by Dr. Okoroha. The underlying cause of the condition is determined, and certain diagnostic tests are ordered.

During the physical examination, Dr. Okoroha will try to feel for certain weak points in the hips that indicate ischiofemoral impingement. Other diagnostic tests employed include plain radiographs or X-rays, ultrasound studies of the hip and surrounding structures, and MRI.

Treatments for Ischiofemoral Impingement Decompression

Treatments to achieve ischiofemoral impingement decompression include both conservative management and surgical management. If conservative management fails to alleviate symptoms, then surgical option is recommended. Dr. Okoroha performs ischiofemoral impingement decompression surgery through very small incisions.

  • Conservative management is always the first line of treatment where Okoroha recommends physical therapy, activity modification, non-steroidal anti-inflammatory drugs, ultrasound, electrical stimulation and shock wave therapy.
  • Surgical management involves resection or reshaping of bone and distalization (slightly shifting the position of bone to open up the ischiofemoral space).

Procedure for Ischiofemoral Impingement Decompression

Ischiofemoral impingement decompression can be performed endoscopically or through open surgery. Dr. Okoroha will decide which approach is the best for your condition.

The surgery is performed under general anesthesia with you lying on your back on the operating table. After adequately sterilizing the surgical area, a few small incisions will be made through which the arthroscope and tiny cutting instruments will be inserted. Reshaping of bone will be performed to decompress the impinged tissue. The leg will be moved in various directions to check for satisfactory range of motion. The instruments will then be removed, and the surgical incisions will be closed with absorbable sutures.

Postoperative Care for Ischiofemoral Impingement Decompression

You will be discharged home a day or two after the procedure based on your condition. Dr. Okoroha may advise you to take certain precautions. Limited weight-bearing will be advised by Dr. Okoroha to facilitate the healing process. Crutches or other assistive devices should be used to aid in walking. Exercises to improve range of motion exercises will be prescribed.

Muscle strengthening exercises may be started a week post surgery under your physician’s guidance; however, you should keep away from exercises that aggravate pain and discomfort.

If you would like to have additional information on ischiofemoral impingement or would like to learn more about decompression surgery, please contact the office of Dr. Okoroha, Ischiofemoral Impingement Decompression Surgeon serving the communities of Minneapolis, St. Paul, Rochester, Eden Prairie, Minnetonka, Minnesota and beyond