Behandling
Flere store studier er på gang (2024), og mye tyder på at målrettet og riktig trening kan ha veldig gunstig effekt på tilstanden. Egenbehandling med aktive tøyningsøvelser har ikke vist en like god effekt, men kan likevel være aktuelt å forsøke seg på. I noen tilfeller kan det være aktuelt å prøve fysioterapi i starten. Medikamentell behandling kan kun lindre plagene. Ved manglende effekt av slike tiltak og ved tiltakende besvær anbefales kirurgi, vanlig vis i form av kikkehullsterapi. Oppståtte slitasjeforandinger på MR er en indikasjon på at den vanlige kirurgiske prosedyren ikke vil føre fram. Pasienter over ca. 50-års alder har dårligere prognose ved artroskopisk kirurgi på grunn av økt forekomst av ledsagende slitasjeforandringer.
Ved artroskopi føres et kikkhullsrør med lyskilde gjennom hud og muskulatur og inn i leddet. Undersøkelsen vil kunne avdekke bruskskader og disse kan repareres gjennom skopet. Studier har vist at behandlingen er effektiv hos opp mot 9 av 10. Det er lite komplikasjoner forbundet med inngrepet, i alle fall på kort sikt.
Etter operasjon vil en idrettsutøver vanligvis kunne være tilbake i full aktivitet etter 4-6 uker.
Dette dokumentet er basert på det profesjonelle dokumentet Hofteimpingement . Referanselisten for dette dokumentet vises nedenfor
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