Hip Labrum Pain

About Hip Labrum Pain

The hip is a ball and socket joint, with the head of the femur forming the “ball,” and the acetabulum forming the “socket.” A band of thick fibrocartilage called the labrum surrounds the outer rim of the acetabulum, lubricating the joint and enabling it to glide smoothly. The hip labrum can be damaged or torn during intense physical activity, or due to femoroacetabular impingement (FAI), where the femoral head pinches against the acetabulum. causing hip labrum pain and stiffness in the hip and groin.

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Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

About Dr. Lev Kalika, Hip Pain Specialist

Dr. Kalika has developed his own unique approach to treating hip labrum tears, helping patients to avoid surgical repairs. His expertise in hip preservation therapy is sought by elite athletes, runners and professional dancers across the USA.

Dr. Kalika’s work has preceded multiple research studies that prove that most hip labrum tears and femoroacetabular impingement (FAI) can be successfully treated with conservative care. His approach is based on technological 3D analysis, high resolution ultrasonography, cutting-edge physical therapy, neuromodulation, ultrasound guided dry needling, and regenerative technologies and injection therapies.

Dr. Kalika also specializes in treating post-surgical arthroscopic FAI and labral repairs, where surgery was unsuccessful in alleviating pain and restoring hip function.

Get Superior Hip Labrum Physical
Therapy at NYDNRehab

Hip labrum tears and FAI are common athletic injuries in sports like football and soccer that require pivoting, cutting and quick directional changes. Labrum tears are also often seen in active older adults. Most physical therapy clinics use pre-set protocols that treat all hip labrum injuries the same.

Symptoms and Causes of Hip Labrum Pain

At NYDNRehab, we take a personalized one-on-one approach to patient care. When creating treatment protocols, we account for the unique anatomical makeup of individual patients, and their unique diagnostic profile. We use high-resolution ultrasonography and technologically advanced 3D movement analysis to get an accurate picture of each patient’s condition. We then create a personalized treatment plan, based on our results.

But we don’t stop when the pain goes away. We fully rehabilitate your hip to restore full pain-free function, then do feedback training to re-establish communication between your brain and muscles, to restore optimal motor patterns.

Our high-tech equipment and personalized approach to hip labrum pain sets NYDNRehab apart as a premier clinic for hip labrum pain in NYC.

Symptoms and Causes of Hip
Labrum Pain


  • Pain at the front of the hip joint

  • Groin pain

  • Soreness and stiffness around the hip joint

  • Hip locking, clicking or popping


  • Trauma from sports or accidents

  • Femoroacetabular impingement (FAI)

  • Hip hyper-mobility

  • Hip dysplasia

  • Degenerative joint disease

Accurate Hip Labrum Diagnosis is Key
to Successful Treatment


Many doctors rely on a physical exam, symptoms and X-rays to diagnose hip labrum pain. At NYDNRehab, we use the highest resolution diagnostic ultrasound imaging to examine the hip in real time, with the patient in motion and providing feedback. Ultrasound allows us to see the extent of damage, as well as the limitations it imposes on movement.

We then use computer assisted 3D motion analysis to measure and quantify the quality of hip movement pre-treatment, to provide a baseline for measuring progress.

With a thorough and accurate diagnosis in hand, we are able to design a personalized treatment plan, geared to the specific needs of the patient.


Please explore more advanced diagnostic option unavailable anywhere else:

Hip Labrum Pain Treatment Options

Hip Labrum Pain
Treatment Options

The clinic at NYDNRehab features advanced technologies rarely found in private physical therapy clinics. Combined with our experience and expertise, our treatment tools ensure fast and effective recovery.

  • Hip labrum physical therapy
  • Extracorporeal shockwave therapy
  • INDIBA therapy
  • NESA neuromodulation therapy
  • Regenerative ultrasound-guided injection therapies
  • Ultrasound-guided dry needling

Our Unique Regenerative
Technologies Accelerate Healing

Your body has its own innate healing mechanisms, but they sometimes need a nudge to stimulate the healing process. Regenerative technologies help to jump-start healing at the cellular level, for fast and effective recovery with minimal discomfort for the patient.

Focused Extracorporeal Shock Wave Therapy (ESWT)

Focused ESWT technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. It is especially effective for fibrocartilaginous structures like the hip labrum.

Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT is a fairly new technology that transmits high energy magnetic pulses to targeted tissues. The magnetic waves synchronize with the body’s own magnetic fields, causing a disturbance that triggers a regenerative response. EMTT waves can penetrate deep tissues up to 18 cm beneath the skin’s surface, to target difficult-to-reach tendons, muscles, bones and nerves.

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

EPAT, also known as defocused shock wave therapy, uses acoustic pressure waves to enhance blood circulation to targeted tissues. This speeds up the delivery of oxygen and nutrients to damaged tissues and stimulates cellular metabolism, to accelerate the healing process.

High Energy Inductive Therapy (HEIT)

HEIT uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes. HEIT generates a magnetic field 600 times stronger than the field of a normal magnet, to stimulate healing of nerves, muscles and blood vessels.

NESA Neuromodulation Therapy

NESA Neuromodulation Therapy

The NESA device generates an algorithm that delivers a biphasic low-frequency electrical current via semi-electrodes attached to the hands and feet. It emits a series of intermittent and cyclical stimuli that travel through autonomic neural pathways, restoring optimal neural signaling to the brain.

INDIBA Radiofrequency Therapy

INDIBA converts electrical current into a stable frequency of 448 kHz, designed to increase the exchange of ions in damaged cells. The current evokes a regenerative response that accelerates healing.

INDIBA Radiofrequency Therapy

Ultrasound Guided Injection

Injection therapies use natural/neutral solutions that stimulate cellular repair by either nourishing or irritating the targeted cells. Guidance by ultrasound ensures that the injected substances hit their mark, for maximum effectiveness.

Focused Shockwave Therapy

Platelet Rich Plasma (PRP)

PRP therapy uses a sample of the patient’s own whole blood, which is spun in a centrifuge to extract a high concentration of platelets. When injected into damaged tissues, PRP initiates tissue repair by releasing biologically active factors such as growth factors, cytokines, lysosomes and adhesion proteins. The injected solution stimulates the synthesis of new connective tissues and blood vessels. PRP can help to jump-start healing in chronic injuries and accelerate repair in acute injuries.

Proliferation Therapy, aka Prolotherapy

Prolotherapy uses a biologically neutral solution, often containing dextrose, saline or lidocaine. The solution irritates the affected connective tissue, stimulating the body’s own natural healing mechanisms to encourage growth of new normal ligament or tendon fibers.

Electromagnetic Transduction Therapy (EMTT)
Prolozone Therapy

Prolozone Therapy

Prolozone therapy is a new regenerative needling procedure that takes Prolotherapy to the next level. With prolozone therapy, a combination of procaine, anti-inflammatory medications, vitamins, minerals, and a mixture of ozone/oxygen gas is injected into joints or tissues that have been injured or have degenerated. When performed under ultrasound guidance, Prolozone therapy quickly reduces pain and inflammation while jump-starting the healing process.

Ultrasound Guided Dry Needling

Dry needling targets myofascial trigger points that may contribute to hip labrum pain. Ultrasound guidance ensures accuracy, to minimize pain and discomfort for the patient.

Ultrasound Guided Dry Needling

Get the Most Advanced Hip Labrum Treatment in NYC

Hip labrum pain can be debilitating, keeping you from your favorite sports and activities. If left untreated, hip labrum tears are likely to get worse instead of better. Accurate diagnosis, early treatment and thorough rehabilitation are fundamental to fully restoring hip function in the least amount of time. You don’t have to live with hip pain. Contact NYDNRehab today, and get the hip labrum treatment you need so you can get back to doing the things you love.

Get the Most Advanced Hip Labrum Treatment in NYC

Our Awards

Clinical Case Studies

Case Study: Femoroacetabular Impingement

Our patient is a 29 year-old female, a professional fencer since the age of 11, who came to us with right-sided hip pain. She denied any past trauma, and at the time of her visit she had just recovered from COVID.

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    Range of Available Unique Physical Therapy
    Treatments at Nydnrehab


    In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

    Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

    The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

    Dynamic ultrasonography examination demonstrating
    the full thickness tear and already occurring muscle atrophy
    due to misdiagnosis and not referring the patient
    to proper diagnostic workup

    Demonstration of how very small muscle defect is made and revealed
    to be a complete tear with muscle contraction
    under diagnostic sonography (not possible with MRI)


    Complete tear of rectus femoris
    with large hematoma (blood)


    Separation of muscle ends due to tear elicited
    on dynamic sonography examination

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