York, ME (207) 363 3490 | Portsmouth, NH (603) 431 1121

Hip Treatment & Care

20Hip Care
10Hip-Conditions and Injuries
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Deep Gluteal Space Syndrome
Labral Tears
Psoas Impingement (Internal Snapping Hip)
PVNS
Trochanteric Bursitis
10Hip-Treatment and Surgeries
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Reconstruction
Labral Repair
Nanofracture
Psoas Release
Trochanteric Bursa Debridement
33Knee Care
13Knee Conditions and Injuries
ACL Tear
Cartilage Injury
Discoid Meniscus
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Osteochondritis Dessicans
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
20Knee Treatment and Surgeries
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Medial Patellofemoral Ligament (MPFL) Reconstruction
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Knee Replacement (MAKO)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Total Knee Replacement (MAKO)
Trochleoplasty
20Shoulder Care
10Shoulder-Conditions and Injuries
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
10Shoulder-Treatment and Surgeries
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement

HIP CARE

Dr. Welch is one of the few surgeons on the seacoast who performs arthroscopic hip surgery. Dr. Welch has extensive training in hip arthroscopy; during his fellowship at the Kerlan Jobe Clinic in Los Angeles, Dr. Welch trained under thought leaders in the field, including Jason Snibbe, MD, Michael Gerhardt, MD and Michael Banffy, MD.

Hip injuries are not as common as knee injuries, but such injuries can lead to severe discomfort and often hamper one’s function. The hip joint is made up of the end of the femur bone (“ball”), pelvis (“socket”) cartilage that lines the bones, ligaments, tendons, and the labrum (“bumper” that lines the socket). Some patients injure the hip during a sports injury or traumatic injury (such as a car accident); more commonly, pain develops without a clear injury. This type of pain may be related to femoro-acetabular impingement, a condition that leads to grinding between the two bones that make up the hip. Other, less common, conditions include gluteal tendon tears on the outside of the hip.

For each patient, Dr. Welch performs a detailed review of each patient’s story as well as a comprehensive physical exam to assess each patient. If necessary, Dr. Welch will obtains x-rays and/or an MRI to further evaluate the structures in the hip. Most patients may benefit from non-surgical management for injuries in the knee, including a dedicated physical therapy program. For those patients who require surgery, Dr. Welch treats multiple hip conditions with minimally invasive arthroscopic hip surgery, including labral tears, femoro-acetabular impingement (FAI), cartilage injuries, tendon injuries (snapping hip syndrome), gluteal tendon tears, and trochanteric bursitis, among others.

Dr. Welch treats patients from all walks of life and considers each patient’s lifestyle when formulating a treatment plan for each patient. Many patients often respond well to non-surgical treatment, which may include a dedicated physical therapy program. In those patients who require surgery, Dr. Welch tailors his surgical plan to each patient’s goals.