Center for Hip Preservation and Athletic Hip Injuries

The Columbia University Center for Hip Preservation and Athletic Hip Injuries is a multidisciplinary team of physicians, nurse practitioners, physician assistants, physical therapists, and athletic trainers with a passion for getting patients of all ages back into action – whether they are a competitive gymnast with femoroacetabular impingement (FAI), a weekend warrior tennis player with chronic hip pain due to an undiagnosed joint disorder, or child with hip dysplasia. Columbia Orthopedics and NewYork-Presbyterian provide comprehensive care for the entire spectrum of hip disorders utilizing cutting-edge diagnostic and therapeutic techniques, including both non-surgical and surgical procedures from nationally recognized innovators in the field.

Our multidisciplinary hip preservation team provides cutting-edge nonsurgical and operative care for the full spectrum of hip injuries and disorders affecting patients ranging from infants to older adults. Whether caring for competitive athletes with a traumatic injury, managing chronic hip disorders, or treating degenerative conditions, our providers are focused on joint-preserving interventions to relieve pain, restore function, and halt further damage to the hip joint.

Non-Operative Management of Hip Pain and Chronic Disorders

• Comprehensive physical therapy
• Targeted rehab
• Biomechanical augmentation of poor posture and inefficient athletic technique
• Medication-based anti-inflammatory management

Interventional Orthopedic Management 

• Ultrasound Diagnostics
• Ultrasound-guided needle-based therapies 
  • Joint injections
    • Diagnostic lidocaine injections
    • Corticosteroid
    • Platelet-rich-plasma
    • Dextrose-based prolotherapy
  • Percutaneous needle tenotomy
    • Tenex ultrasonic percutaneous needle tenotomy
  • Hydrodissection
  • Nerve block

Surgical Orthopedic Management 

• Hip arthroscopy & minimally invasive surgeries
  • Labral repair
  • Femoroacetabular impingement (FAI)
  • Capsular reconstruction
  • Minimally invasive tendon and ligament repair/reconstruction
  • Bursitis
• Joint-sparing reconstructive surgeries 
  • Periacetabular osteotomy (PAO)
  • Surgical hip dislocation
  • Femoral osteotomy
  • Legg-Calve-Perthes management
  • Avascular necrosis
  • Slipped capital femoral epiphysis (SCFE)
  • Infection
  • Management of post-surgical complications
• Hip replacement
  • Complex primary and revision pediatric and adult hip reconstruction

Diagnostics

• Advanced imaging
  • CAT scan and 3D printing
  • MRI
    • dGEMERIC cartilage evaluation
• Diagnostic injections
• Gait analysis