Dr. Bharma featured in HELIO publication "Understanding Groin Pain at the Source"
Posted on: March 17, 2025
In a recent HELIO feature, Dr. Srino Bharam, director of hip preservation at Lenox Hill Hospital, highlights how detailed anatomical insights-drawn from cadaveric studies-can sharpen diagnosis and imaging of groin-related hip pain.
"Our understanding of groin anatomy may improve our imaging interpretation and clinical diagnosis," Bharam said.
Dr. Srino Bharam and Dr. Dante Parodi hosted a one of a kind international hip symposium on Hip Preservation Twenty Years’ Experience at the New York Academy of Medicine on December 9, 2022.
Posted on: 16-December-2022
Dr. Srino Bharam and Dr. Dante Parodi hosted a one of a kind international hip symposium on Hip Preservation Twenty Years’ Experience at the New York Academy of Medicine on December 9, 2022. The faculty included world-renowned orthopedic surgeons who pioneered and contributed to the field of Hip Preservation over the last two decades.
We were honored to have such a prestigious group of faculty members contribute to this event and who have helped make Hip Preservation what is today: Robert Buly MD, MS, Thomas Byrd MD, Patrick Carton MD, Alexis Colvin MD, Bryan Kelly MD, Michael Leunig MD, Hal Martin MD, Travis Matheney MD, Joel Matta MD, Michael Mills MD, Marc Philippon MD, Anil Ranawat MD, Michelle Rodriguez PT, and Mark Zoland MD.
We are excited to tune into the tennis open! Best of luck to all the players.
Posted on: 18-Aug-2022
Just Not Hip
A serious hip injury is a diagnosis no player wants to hear, but with early attention and advanced treatment options, it's no longer the career ending-problem it once might have been By DR. SRINO BHARAM
It's important to remember that those aches and pains you've always shrugged off could in fact be something more serious . . . get that hip checked out.
Apprehension would have flooded through Lleyton Hewitt's mind after hearing he'd be missing both a Davis Cup tie and the 2008 US Open to repair a labral tear on his left hip. If the same diagnosis were given about 10 years ago, nearly every doctor would have told him his tennis career was over. Thanks to relatively new advanced techniques in the field of orthopaedics, however, minimally invasive surgery called hip arthroscopy can allow athletes like Hewitt to return to competition within a few months.
The problem many athletes face with hip injuries, and labral tears in particular, is that often times these injuries go misdiagnosed. One study conducted by the Journal of Bone and Joint Surgery in America concluded that patients go through an average of 3.3 health care professionals before receiving the correct diagnosis of a torn labrum.
The majority of tennis-related hip injuries are characterised as hip flexor injuries. However, several of these may actually be more involved and complex, and may be the result of a cartilage tear in the hip. Bony growths occurring inside the hip joint can rip the labrum, resulting in a labral tear and hip impingement. Untreated hip injuries like this one can lead to further cartilage damage, and over time osteoarthritis in the hip.
Due to the frequent repetitive motions during performance and training, tennis players are particularly prone to cartilage tears in the hip. Essentially, it's that loading and rotating motion of the hip coupled with the open stance forehand that applies stress to the hip, causing pain and inflammation over time. Many elite players go through the common routine of hitting multiple hoppers through a ball machine in one training session, which places the hip at risk for injury.
The best preventive tool in avoiding a painful injury to the hip is awareness. It's important to make sure you properly stretch your hips before a workout routine, and to minimise frequent repetitive motions that will cause stress on your hips. It is imperative that a good hip-strengthening program is a part of any tennis player's workout, as developing the surrounding muscles will decrease stress on the hip.
A labral tear is usually first presented by a dull ache or soreness in the hip during or after activity, and is sometimes associated with a clicking sound. If you think you may be suffering from a potentially serious hip injury, consult with your primary care physician to refer you to an orthopaedic specialist who can give you an accurate diagnosis. Neglecting a labral tear could potentially lead to irreversible osteoarthritis in the hip.
It's important to remember that those aches and pains you've always shrugged off could in fact be something more serious. Make sure you don't play through the pain - get that hip checked out.
Dr. Srino Bharam is a US hip specialist and orthopaedic surgeon who has been performing advanced techniques in hip arthroscopy over the past eight years, including the treatment of elite and recreational athletes nationwide. For further information visit srinobharammd. com
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It was honored to speak among my esteemed colleagues at the annual AANA conference on hip and groin conditions in athletes. It's always a pleasure to be part of this great organization.
Posted on: 16-August-2022
Cornell Executive MBA/MS in Healthcare Leadership Class of 2022
Posted on: 20-Jun-2022
Understanding Hip Pain and Injuries
Posted on: 21-Jun-2021
Hip cartilage repairs are typically referred as labral tears. The labral of the bumper cartilage of the hip joint, that becomes a pain generator, and it serves as a stability structure to the hip joint. When these tears occur, these can lead to disabling hip pain. This is what typically brings the patient in for consultation. But these conditions usually occur from underlying conditions from structure abnormalities of the hip joint that leads to labral tears and breakdown of the cartilage.
Hip Labral Tear NYC
Posted on: 21-Jun-2021
Typical injury pattern that we see in the hip are labral tears. These are cartridge injuries into the hip joint. These typically result from a mechanical process that leads from a condition called impingement. Other injuries that we see around the hip joint are muscle-tendon injuries, to the hamstring injuries, and groin related injuries, conditions called sports hernia where there is a muscle imbalance that occurs and the athlete experiences pain during, and, or after or the activity.
We see a spectrum of injuries to the hip. These could be traumatic related injuries to the hip or groin or repetitive injury from their activity that leads to disabling hip or groin pain. Traumatic injuries to the hip can be related to a car accident to a sport related injury.
Some of these injuries can be treated conservatively and then others can be treated with a surgical option. Patients can also be seen with chronic hip pain. These can result from an overuse injury from their activity or sport. Over my years of experience with patients with hip disorders, I’ve also learned that collaboration with other specialists can also really assist our patients. Here at the center, we have accessibility to other specialists that we continue to collaborate with.
The unique part of my practice is being here in Manhattan. This allows us to focus on patients with just hip disorders. The concept of hip preservation is really understanding about the hip joint itself and how it impacts your daily activity. Our goal is to preserve that hip joint and give it longevity.
Dr Bharam and James Gist
Posted on: 21-Jun-2021
American professional basketball player James Gist poses with Dr. Srino Bharam on the court. James shares his love for being blessed to come back to the sport of basketball.
James tells his fans, “Truly blessed to be back playing the game that I love the most. After being out almost 4 months I would like to thank everyone and all the fans, family, and friends for all your support, well wishes and believing in me. I want to give a special shout out to the doctor that made it possible for me to keep living out my dream, Dr. Srino Bharam. Thanks for everything! #GuessWhosBack.”
Specializing in Hip and Groin Injuries
Dr. Bharam loves to see his patients from initial consultation to surgery, when necessary, all the way through therapy and training. Specializing the the interconnectedness of hip and groin injuries makes Dr. Bharam a leader in the field of getting athletes back into the game.
Dr. Bharam is so happy to see James recovering so well and wishes him the best of luck for the rest of his lengthy professional career.
Keep with with James and his professional success on his instagram account.
Biography – Hip Preservation and Groin Center
Posted on: 21-Jun-2021
Hip preservation is an emerging field in orthopedics. I got interested in the hip because I saw…my passion of seeing how the hip joint works, and how it can greatly impact the patient.
I am an orthopedic surgeon, board certified in orthopedic surgery as well as a subspecialty in sports medicine. I graduated from New Jersey Medical School and then I continued my training and residency in orthopedics at Lenox Hill Hospital. I then proceeded to do a specialty in orthopedic trauma at Harvard Mass General Hospital. I currently hold the position of Director of Hip Arthroscopy at Lenox Hill Hospital, and I’ve been recently appointed Clinical Professor of Orthopedic Surgery at Mount Sinai School of Medicine.
When a patient comes in with hip pain, our goal is to understand where the pain source is coming from and give them a diagnosis that they can understand.
Introduction to Hip Preservation and Groin Center
Posted on: 21-Jun-2021
The concept of hip preservation is to treat conditions of the hip as an alternative before hip replacement where we try and preserve the hip joint. There is a subset of patients who also may have coexisting or separate groin injury that can be related to their hip symptoms.
A typical patient that we will see is an older patient who would still like to be active but they developing disabling hip pain. We can help those patients by first, understanding where their problem is in their hip with comprehensive examination. We then share with the patient their options that they have. This could be non-surgical options including therapy, rehabilitative methods, to minimally invasive techniques called Hip Arthroscopy, to delay or avoid a hip replacement surgery. This will allow the patient to get back to their activities that they would like to do. And that’s the joy of what we do at the Hip Preservation Center, is to see these athletes returning back to their sport.
Snapping Hip Syndrome
Posted on: 21-Jun-2021
Snapping hip syndrome, is where you have muscle tendons that can snap over the hip joint, and can lead to a painful hip or an audible snap.
Proximal hamstring repair
Posted on: 21-Jun-2021
A proximal hamstring repair is when you have a condition where the tendon has torn off the bone, called an evulsion, and this can lead to disabling hip pain. So the purpose of the repair is actually reattachment of the tendon to the bone.
Gluteus Medius Tendon Repair
Posted on: 21-Jun-2021
Gluteus medius tendon repairs are muscle tendon injuries that occur on the side of the hip joint. This can be from a repetitive injury or traumatic injury. This can affect the patient’s gait and walking patterns, and also give disabling hip pain. The purpose for repair is to reattach the tendon to the bone.
Athletic Pubalgia
Posted on: 21-Jun-2021
Athletic pubalgia typically occurs in the sports population. These are typically associated with repetitive groin injuries leading to disabling groin pain for the athlete. These conditions usually occur from muscle imbalance or injuries to the core muscles of the pelvis.
Keynote Speaker – 2017 ISHA Annual Meeting
Posted on: 09-Jun-2021
Dr. Srino Bharam was a keynote speaker talking about a decade of Hip Arthroscopy and Athletic Groin Injuries at the 2017 ISHA Annual Meeting Santiago, Chile.
Below are the lectures and panels he participated in:
Podium Paper Presentations
Hip Arthroplasty Co-Chair – Orthopaedic Summit 2017
Posted on: 09-Jun-2021
Dr. Srino Bharam recently was a Faculty Member, and Co-Chair of Hip Arthroplasty Program, at the Orthopaedic Summit 2017, in Las Vegas, NV.
Below are the lectures and panels he participated in:
Hip Preservation for Life
Lecture
My Approach to the Lateral Pelvis – Gluteals and BeyondPresenter
Hip Preservation for Life Panel
Discussion
Hip Preservation Case Panel
Faculty
Hip Preservation for Life
Lecture
It’s Athletic Pubalgia
Presenter
Hip Preservation for Life
Lecture
Complete Technology Over Reason – Do It Open
Presenter
