Hip surgery · Dallas
Hip arthroscopy for impingement and labral tears, plus anterior and posterior replacement — decided by demand, exam, and imaging together.
Surgery is never a single-factor decision. Age, activity level, and demand matter as much as the MRI. What’s right for an Olympic athlete is not what’s right for someone sedentary — and pretending otherwise is how people get the wrong operation.
Imaging influences the decision a lot. It does not make the decision alone. An MRI can’t tell us if surgery is right for you. Some findings will clearly improve; some will clearly not. When the clinical picture and the imaging line up, we review non-surgical options next.
Non-surgical care is worth taking seriously when it can realistically help. Sometimes it isn’t a realistic option — and it’s worth skipping. We’ll say which is which, not put you through theater.
Hip care fails when arthroscopy is sold into an arthritic joint — or when replacement is delayed past the point where your life is already shrinking. We draw that line honestly.
A real consult first — then imaging read in context — then a plan you can understand.
X-rays show bone problems, joint space, and anatomic variants. MRIs show soft-tissue damage — cartilage, meniscus or labrum, bone bruising, swelling. We use both with your exam. Neither replaces the other.
Recovery reality: Hip replacement is often better tolerated than people expect. Arthroscopy recovery depends on what was fixed and your demand level. Shoulder-type “slow” recoveries are less typical here than for cuff surgery — we’ll still give you a case-specific range.
Preserve the hip when biology allows. Replace it when arthritis has taken the joint.
For impingement and labral tears when the joint is still worth saving. Skills built in labral surgery compound across joints — shoulder excellence translates here.
Recovery: Protected progression early; return to impact is criteria-based over months for many patients.
Muscle-sparing anterior approach for appropriate candidates. Often among the better-tolerated major orthopedic operations when indicated.
Recovery: Walking with support often begins quickly; independence rebuilds over weeks.
Chosen when anatomy or complexity calls for it. Approach follows your hip — not a marketing preference.
Recovery: Modern recovery arcs are strong; details depend on your starting function.
Patients choose this practice for breadth of experience. Surgical skill compounds. Getting excellent at a shoulder labrum makes you better at a hip labrum. Knee skills translate across analogous joints. Experience peaks over years — shorter operative times, higher success rates, lower infection risk, faster recoveries, better outcomes.
Surgery is often a one-way street. You want a surgeon who understands how the body works, takes care of his own, knows how to operate and how to heal — and stays invested in your recovery until the outcome is right.
Hip and shoulder labral work are analogous — depth in one raises the ceiling in the other. That’s the kind of compounding experience you want on a one-way surgical decision.
“Dr. Pradhan is totally engaged during all office visits… presenting the best options for surgical success.”
— Dave K. · Pre-operative consultationGet a surgical second opinion — imaging review, consult, written plan. Transparent cash price. Stay for surgery if it’s right, or take the plan back to your original surgeon.
Explore second opinion — $750It influences a lot. It doesn’t decide alone. We match imaging to your exam, age, and activity demand — then review non-surgical options when they’re realistic.
When it can’t realistically change the outcome. We’ll review what’s worth trying and what would only delay an indicated operation.
Anatomy, complexity, and your goals. Neither is universally better.
Many patients tolerate hip replacement better than they feared. Your starting function and the approach still matter — you’ll get a realistic picture before you schedule.
Yes. Transparent cash second opinion with imaging review and a written plan.
Takes about a minute. We’ll follow up within one business day. Prefer to talk now? (972) 457-1530