Conservative management of acetabular labral tear in female caseworker with chronic low back pain: a case report




Cavazos, Sarita

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Angelo State University. Department of Physical Therapy.


Background and Purpose: The prevalence of labral tears in patients with hip or groin pain is reported to be between 22-55%1. Though there is plenty of research regarding rehab post-arthroscopic labral repair, there is currently a lack of research regarding the conservative management of acetabular labral tears. The purpose of this case report is to describe the clinical management and outcomes associated with conservative management of an acetabular labral tear in a female caseworker with chronic low back pain (LBP). Case Description: A 43-year-old female with a past medical history significant for osteoarthritis (OA), fibromyalgia, anxiety, and depression presented to a physical therapy (PT) outpatient clinic with right hip pain secondary to an acetabular labral tear and LBP. The patient’s primary deficits were decreased lumbar and hip range of motion (ROM) and decreased gross right lower extremity (LE) strength. The patient was not a candidate for surgical intervention so a multimodal, conservative treatment approach that included dry needling, electrical stimulation, hip mobilizations, and aquatic therapy exercises was implemented. Outcomes: Outcome measures used include LE manual muscle testing (MMT), ROM, the visual analog scale (VAS), the Lower Extremity Functional Scale (LEFS), and the Oswestry Disability Index (ODI). Clinically important improvements were seen in the patient’s lumbar ROM, hip flexion ROM, hip internal rotation ROM, VAS rating, and LEFS score Discussion: This case supports the notion that conservative management of acetabular labral tears can be effective.