Hip preservation
Hip impingement and labral tears: is arthroscopy the right discussion?
A scan finding becomes useful when it explains your symptoms and points toward a treatment with a clear purpose.
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Read what our patients share about hip preservation care. Each clinician section brings together accounts that mention this subject, so you can explore the details and follow the source.
This collection shows written reviews rated 4 or 5 stars. These are individual experiences. A topic mention does not establish who performed a procedure, medical suitability or a typical result.
People behind your care
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Hip arthroscopy for FAI is a real, minimally invasive procedure, and finding a surgeon who specializes in it makes all the difference.
Prem N. Ramkumar, MD, MBA
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I had a hip arthroscopy surgery.
Prem N. Ramkumar, MD, MBA
Read all 10 matching accounts for Prem N. Ramkumar, MD, MBA →
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hip dysplasia and labral tears (scope + PAO), and we are certain that we could not have picked a better surgeon.
Tigran Garabekyan, MD
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I went back to Dr. G and he showed me on the x-ray that hip arthroscopy would be the best choice to fix the problem.
Tigran Garabekyan, MD
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15 written reviews
Highest rated first · Newest within each rating
As a Div 1 Track athlete with bilateral hip pain before meeting Dr. Ramkumar no one I went to could accurately tell me what was going with my hips. After the first visit with Dr. Ramkumar he explained in detail what was going on and what my options were, from there I decided that I wanted to go through with getting a bilateral hip arthroscopy. He explained exactly what was going to happen during the procedure and about the recovery process before hand so there were no surprises. The procedure went great and I would say the recovery went even better. There was minimal to no pain within the first few days and I was walking the day of the procedure. It has now been around 4 months since the surgery and with the help of physical therapy and strength training my hips feel way better than they did before and I am able to run pain free again. I am very grateful to Dr. Ramkumar for playing a major role in my journey of getting back on the Track.
Prem N. Ramkumar, MD, MBA
Dr. Prem Ramkumar performed FAI hip arthroscopy on me, and I can’t recommend him highly enough. I come from a combat sports background - Muay Thai, BJJ, grappling, and powerlifting - and years of that caught up with my hips. What I want people to know is that this surgery exists. A lot of athletes get told hip pain is just wear and tear, something to live with or manage until a replacement down the line. That’s not the only option. Hip arthroscopy for FAI is a real, minimally invasive procedure, and finding a surgeon who specializes in it makes all the difference. Dr. Ramkumar explained exactly what was happening in my joint, was realistic about recovery timelines, and clearly understood the demands athletes place on their bodies. I’m scheduled to have the other side done with him - which says everything. If you have hip pain that won’t resolve, get it looked at properly instead of delaying.
Prem N. Ramkumar, MD, MBA
I had a hip arthroscopy surgery. I spent months in pain with no signs of recovery while playing soccer until I met Dr. Ramkumar. The surgery went well, the recovery time was good. The office was always paying attention to any needs. The Doctor was great and changed my life for the better. My hip problem is 100% gone and I feel rejuvenated.
Prem N. Ramkumar, MD, MBA
I first came to see Dr. Ramkumar because I was doing heavy miles and experiencing some knee pain and hip fatigue. He quickly diagnosed that I needed a hip arthroscopy surgery that would alleviate the pain and the fatigue. He did an amazing job in surgery and I began PT the very next day. I attacked the rehab hard with his guidelines and after 3 months I’m back to running around 30 miles a week preparing for a marathon! Dr Ramkumar is so cool and has been amazing throughout the whole process. I put a lot of trust in him and he gave me a lot of confidence as well that I would be back and better. Thank you Dr Ramkumar!! Much love.
Prem N. Ramkumar, MD, MBA
I had hip arthroscopy surgery with Dr. Ramkumar at Long Beach Lakewood Orthopedic Institute, and I could not be happier with my experience. Going into surgery, I was honestly a little timid and unsure of how good or bad the whole process could be, but everything went very smoothly and my healing has been going really well. Dr. Ramkumar, his nurse practitioner, and the entire staff were amazing throughout the process. They were thorough, supportive, and always took the time to answer questions and make me feel comfortable. You can genuinely tell they care about their patients and the outcomes they achieve. I also really appreciated having physical therapy onsite because it made recovery much easier and convenient. The whole team made me feel supported every step of the way. If you are dealing with hip or knee issues and want a doctor and team that truly care, I highly recommend Dr. Ramkumar and Long Beach Lakewood Orthopedicd Institute.
Prem N. Ramkumar, MD, MBA
Dr. Ramkumar performed my right hip arthroscopy 10 weeks ago. I was born with bilateral hip dysplasia, which led to labral tears in both hips. I initially tried physical therapy, but unfortunately it did not improve my symptoms. I was then referred to Dr. Ramkumar, who recommended hip arthroscopy. He took the time to ensure I fully understood the treatment plan and addressed all of my questions with care and professionalism. Before the surgery, I experienced significant pain while sitting or driving for extended periods. I am pleased to report that I am now pain-free in my right hip. The outcome of the surgery has been excellent, and based on my experience, I plan to proceed with left hip arthroscopy under his care as well. Dr. Ramkumar is an outstanding physician, and his office staff are consistently polite, professional, and attentive. I highly recommend him to anyone seeking expert care for hip conditions.
Prem N. Ramkumar, MD, MBA
Dr. Ramkumar did my husband’s hip arthroscopy and went so great! My husband is very active and he was back to working out without pain in his hip! Highly recommend
Prem N. Ramkumar, MD, MBA
If all doctors were like Dr. Garabekyan, the world would be a better place. My husband and I moved from Idaho for me to get treatment with Dr. G for my bilateral hip dysplasia and labral tears (scope + PAO), and we are certain that we could not have picked a better surgeon. He has completely redefined my outlook on healthcare; I never knew doctors could be this patient, involved, compassionate, and genuine. He is clearly an expert in his field and has been meticulous at every step of my care from pre- to post-surgery, always taking the time to explain, answer questions, and go the extra mile to ensure I feel listened to and supported. I have never once felt rushed or overlooked by Dr. G, and I know my family would wholeheartedly say the same. Surgery can be really scary to consider, but Dr. G will absolutely do his due diligence and more to make you feel supported and confident throughout the recovery journey. Despite being less than 3 weeks post-RPAO and 4 weeks post-arthroscopy, I am already so ecstatic about my progress and I can’t thank Dr. G enough for giving me a new lease on life towards a healthier and pain-free future. I also want to give my kudos to Schevonne, who is Dr. G’s right hand and assistant. She is so kind, responsive, and is incredible at staying on top of everything. She made all the technical and clerical parts of getting ready for surgery a breeze for me, and it made things so much less stressful, especially when dealing with insurance and needing to temporarily put life on pause. Schevonne’s absolutely been the cherry on top for my experience with Dr. G and Commons Clinic, and I really appreciate how invested she’s been in my ongoing care.
Tigran Garabekyan, MD
I had my second hip arthroscopy with Dr. Ramkumar in April 2025 for cam impingement and a labral tear - and I can genuinely say this experience changed my life. Having already gone through one hip, I knew what recovery could be like, but the second time with Dr. Ramkumar’s approach felt smoother, more focused, and incredibly effective. His knowledge, precision, and support before and after surgery made a huge difference. As of today, just a few months post-op, I’m walking 20,000 steps a day, pain-free - and I’m regularly doing 250 lb squats at the gym. My strength, mobility, and overall quality of life are better than they’ve been in years. If you’re considering hip arthroscopy - especially for bilateral or repeat procedures - you’re in the best hands with Dr. Ramkumar. I can’t thank him enough.
Prem N. Ramkumar, MD, MBA
Exceptional surgeon — and someone I trust without hesitation, both professionally and personally. I’ve seen his work firsthand over multiple years, and his technical skill is truly unmatched. He treated my own sister for a labral tear with arthroscopic hip surgery — she was back to playing hockey with zero pain. That kind of precision, care, and outcome is rare. Salute to Dr. Ramkumar.
Prem N. Ramkumar, MD, MBA
March 2025 update I love you, Doc! I’m back to doing two things I love - running and yoga! Had arthroscopy done on both of my hips now and I’m so happy. As long as you don’t have arthritis yet, this procedure is amazing if done properly, and this doctor is the best! 2022 Look no further, this is the doctor you want to see for your hip issues. I saw Dr. G almost a year ago after running my 25th marathon and developing pain in my right hip, I really did not want to do surgery and he gave me options to see if this pain will go away with physical therapy and no running. After six months of no results, I went back to Dr. G and he showed me on the x-ray that hip arthroscopy would be the best choice to fix the problem. I went to other famous orthopedic surgeons in Santa Monica and West LA for second and third and fourth opinions. And it would be fine to choose one of them for the surgery but going with Dr. G felt like the right choice. The level of care and attention you get from this doctor is well above average! He’s meticulous, thorough and has the first-hand experience of this procedure as a Patient. Him being a runner himself gave me confidence I can return to the sport I love.. His assistant Zohra is amazing, any questions - I get answers via emails promptly. She guided me through preparation for the surgery, post-op, etc. it’s six weeks post-op and the doctor saw me three times already to follow up on the progress of my recovery and physical therapy. I have been recommending him to my friends.
Tigran Garabekyan, MD
Dr. Ramkumar is an excellent surgeon who performs Hip Arthroscopy Surgery which is the surgery I received. For me, the surgery was a same—day release operation and I was off crutches two and half weeks later. I highly recommend Dr. Ramkumar as his experience and expertise is unmatched in the field when it comes to this operation.
Prem N. Ramkumar, MD, MBA
Dr. Garabekyan is the best. He's helped heal me in ways unimaginable. I never realized how much pain I truly was in my whole life living with hip dysplasia until I had the corrective surgery. Everyday activities such as walking up and down stairs are now so achievable when before it felt so exhausting. I can't even begin to thank Dr. Garabekyan enough for making me love working out again. Hiking and long walks are now some of my favorite activities when before I was known to hate these things. I feel reborn as if I never truly understood what life was like without the bother of the clicking bones I had prior. Thank you so much Dr. Garabekyan!
Tigran Garabekyan, MD
We learned that our daughter would likely need to have PAO surgery to correct the congenital hip dysplasia of her left hip in the summer of 2019. She found Dr. Garabekyan online and came to her dad and I (both physicians in Indiana) and asked if we could talk to him. At the time, I thought of the idea of going all the way to California to have the surgery was a long shot. I reached out to Zohra, who put us in contact with Dr. Garabekyan. He took the time to meet with my husband and I over the phone and answered all of our questions and concerns. He had a second meeting with our daughter to address all of her questions. We read his research and papers published on the CU-PAO and were convinced that he was who we wanted to do her surgery. With the way Dr. Garabekyan talks to his patients about the mechanics of the hip, we were assured that this is his passion and he is very skilled at what he does. Our daughter had a hip scope in late June of 2020 and her PAO a week later. Her recovery has been amazing and working with Dr. G was our best decision. We cannot say enough good things about Dr. Garabekyan, Zohra, and his staff.
Tigran Garabekyan, MD
Dr. Garabekyan has been my Orthopedic doctor for well over a year now. He preformed a left hip arthroscopy last April on me, a right hip arthroscopy this past May, and I’m currently in recovery from a periacetabular osteotomy (PAO) on my left side (I will post an updated review once I’m fully recovered). I’ve been through quite a journey so far with my hips, and am still going through recovery, but I wanted to express my feelings about him at this point in my journey in hopes that someone else reads this and feels comfortable and confident in his work. I can’t say enough great things about Dr. Garabekyan. From the moment I met him I immediately knew I had found someone who was actually going to help me try to figure out what’s going on with my hips and help me get my life back. So far, he has done exactly that and 100x more. I’ve never met a doctor who cares so much about his patients. He’s kind, patient, confident, knowledgeable, concerned, and everything in between. I’ve had a really tough couple years dealing with my hips, but if it wasn’t for Dr. G, I would have never been on the path to getting my life back that I'm on now. If only there were more doctors like him, the world of medicine would be a far better (and less scary) place. Hats off to him for what he does everyday, there is no better. Thanks for all you do Dr. Garabekyan, appreciate it from the bottom of my heart!
Tigran Garabekyan, MD
Understand your options
Hip preservation
A scan finding becomes useful when it explains your symptoms and points toward a treatment with a clear purpose.
Read the guideHip preservation
A hip preservation discussion should connect socket coverage, cartilage health and your symptoms before comparing rehabilitation, PAO or other options.
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