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11/18/2011 05:38 PM

Hip labral tear treatment options(page 5)

lacasajo
lacasajo  
Posts: 473
Member

Hi Marsha...good to hear from you! My ortho also trained under Philipon. Sorry you are having such a difficult time. Have you had any more ortho consults? I just had my cortisone shot today, so will let you know how it goes. I know that cortisone pre-surgery is often only temporary as the underlying problem is still there. My surgeon is quite optimistic...and so am I...that the cortisone will really help, as he can't see any other underlying reason for it than just a prolonged over-reaction of my body to the surgery. Having said that, I do have mild dysplasia so am definitely at risk for future problems.

Hope you have a good, (relatively painfree) weekend! Jo

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11/19/2011 07:39 AM
mehman
mehman  
Posts: 3050
Senior Member

Thanks Jo..I hope you have the same for the weekend...I am both scared and anxious at the same time to have surgery..guess I will know more after the consult.

11/26/2011 08:46 AM
lacasajo
lacasajo  
Posts: 473
Member

Well, good news/bad news so far 1 week post-cortisone injection 7 months after arthroscopy. The 'catching'/brief pain at the front of the hip almost every time I bent forward and stood up again has gone! Still have ache in hip Sad The radiologist who did the injection said if it wasn't better in a week it probably wouldn't get better. Makes me want to cry. See my surgeon in another 3 weeks... Jo

11/27/2011 11:09 AM
mehman
mehman  
Posts: 3050
Senior Member

So sorry that your still having pain Jo..so do you know why your having the pain and is it a pain that you had before surgery or is it a new one? I am just so scared right now not to have surgery and to have surgery...guess there is no guarantee but I know that I don't want to go through life like this...will you be able to return to work?

11/27/2011 12:43 PM
lacasajo
lacasajo  
Posts: 473
Member

It's a new pain that I didn't have before surgery...it's a deep ache in the hip joint. Having said that, the "pain flavour of the day" today I think is my SIJ..which is an old recurring problem. I see PT tomorrow so hopefully she can sort it out and fix that part up (if not, I'll go to my chiro this week). Then will see what I am left with... The surgeon told me the deep ache is inflammation. The cortisone has seemed to get me over the hump of groin pain, so that is good!

Besides the labral tear and arthritis in your back, do you have other known hip problems (dysplasia? FAI? arthritis?) How many opinions have you got from different surgeons? Arthroscopy can fix the labral tear and FAI. I have dysplasia, which I am told I am too "old" to get the surgery to fix (PAO). I do not have arthritis so am not a candidate for a THR. If there's some wear on the cartilage they can fix that a bit with arthroscopy too, but not when it gets widespread. Tough decision re surgery, but be sure you get ALL the information before you decide! Even with all the information, however, surgeons do sometimes find other things once they are in there. I was lucky because the surgeon didn't find anything else. Don't know if I mentioned I am about the same age as you, Marsha, a couple years older.

Jo


12/01/2011 03:41 PM
mehman
mehman  
Posts: 3050
Senior Member

Hi Jo..hope your doing better by now. My hip MRI just says left acetabular labrum tear, tiny joint effusion. I was very pigeon toed as a child and young adult so I think I have always had some hip problems due to his just not pain with it. I just know that now that the cortisone shot has worn off the groin pain and that pulling sensation is back full force now. I am anxious to see the dr. and dreading it at the same time. A xray showed that I had a bone spur in the left hip also.

I imagine it is pretty difficult to be off work for so long. I don't know if I will have a job to go back to if I am off for more than the alloted time so that scares me if I do have surgery. I just wish I had my old life back, I had the fact that I don't feel like do anything and some morning it take everything I have in me to get up and make it through the day, especially when I don't sleep well.

Marsha


12/01/2011 10:16 PM
lacasajo
lacasajo  
Posts: 473
Member

Hi Marsha!

The cortisone has definitely helped...not 100%, but a lot better. We'll see what happens when I try pushing the activity level a bit more Unsure I've been back at work part time since the beginning of October. My first full week will be the week before Christmas, but then I have a week vacation after that Smile My SIJ pain is mostly settled down again, so I think I will try my indoor bike tomorrow and see how it goes!

My x-rays and MRI didn't report dysplasia, but my surgeon could see it on the x-ray, so I am sure when you get your consult the surgeon will give you his interpretation of them, which may not exactly match what was previously reported.

I know what you mean about difficult to just get up and make it through the day and wanting our old life back! I used have a bzillion things to do and would just plow ahead, and do all sorts of different sports. Now I can swim (at least I have that!) but otherwise find it really hard to get motivated to concentrate on accomplishing anything or developing any new interests. How much time are you allowed off work? And how demanding is your job? I was off 5-1/2 months, but would have been back sooner except I have to lift heavy/awkward things in/out of my car and up/down stairs sometimes...fortunately I haven't actually had to do that since I've been back. I've had sometimes when it's flared up quite a bit, but so far it's been at the end of the week and I've had the weekend to recover! I know people who have been back to work in a few weeks.

Are you still on for a consult in January? Maybe start writing down a list of questions and concerns. Be sure to ask about all the options (including doing nothing) and what the prognosis is for each option. Sure hope the pain settles some in the meantime...are you taking any meds? tried ice? heat?

Keep in touch! Jo


12/04/2011 04:15 PM
silverbush
Posts: 6
New Member

Hi,

I have a labral repair and osteoplasty scheduled for this tuesday and am scared half to death after reading JO's story and others on this forum and others. I started having right hip pain after a car accident last year and ignored it and it almost completely resolved. For the last six months it has returned and progressed to the point where I can't exercise anymore and get pain after standing for more than 30 minutes (weight bearing). I went to one OS and was told I may have a labral tear, got an MRI arthrogram that proved it and then referred to one of two specialists in Los Angeles that does the arthroscopic repair. I met with him for a couple of quick minutes and he took a quick glance at my MRI and told me without repair I will likely get arthritis and need a THR. With repair, he said I would be off work for 1-2 weeks. On crutches weeks 2 and maybe 3 and back to full exercise (I play basketball) within 3 months and that there is a rate of 95% success. He said he's done 1500 of them and is fully confident.

After reading all the posts here and on other forums today, I'm really scared that he painted a more optimistic picture than reality. I could walk without a problem now but at 33 and with four little kidos at home that need their dad to be fully functional, I wanted to be normal again. I just don't know if I have a choice but am really anxious about the surgery and recovery. I'm supposed to be back to work in 12 days (already scheduled) based on his recommendation. I won't have time for more than one PT session a week after as I work 12 hours a day. Any advice?


12/04/2011 04:23 PM
TrixieT
Posts: 5
New Member

Hello,

I've been reading your comments, and I'm sorry to hear that you all our still having pain/issues. I am now 7 months post-op labral repair w/ 2 anchors and shaved off femur bone spur. I am doing quite well, I went back to work at 3 months (MRI tech), with the help of another cortisone shot. I was having a slight catch when I bent my leg upward toward my body, could not fully bring it up, and the cortisone shot seemed to loosen that up. I was having anterior hip discomfort like a shooting sting down my inner leg, on and off. The doctor thinks it is scar tissue around a nerve, so I have been massaging it, and exercising, it has gotten better but still not fully gone. He did release me to start back slow on jogging (really scared to do that). My physical Therapist told me this is one of the hardest surgeries to recover from, but I'm glad she pushed me to keep stretching and exercising and it has gotten a lot better. I am glad I had the surgery, and that I let myself recover and heal. I am still not 100%, but will I ever be again, I don't know, at least I feel better than before surgery. It was hard for me to be positive everyday, watching people dance and run on TV, and wondering if that will ever be me again. Keep your mind positive, I know that helped me get through this long and painful journey. Working in the Healthcare field has always given me a slightly different look on life, I am very thankful for my health I do have. I am sending positive vibes to all of you, hang in there, it does get better.

Trix


12/04/2011 04:54 PM
TrixieT
Posts: 5
New Member

Siverbush,

I only went to P.T. once a week (money reasons), but I was diligent about doing all of my stretches/exercises every day. I also stayed off of my leg for 4 wks, and gave it time to heal. I think I balanced on it only a few times, and it was only to not fall over. I read different time frames on Dr.'s having patients stay off of their hip, so for me, I don't think I was on a stationary bike until week 6 or 7. Unfortunately I think this is still such a newer surgery that Dr's are still trying to figure everything out. Recovery may be hard to determine, because they may need to put more or less anchors in, and cannot know until they get in there. Again I am happy I had the surgery, my Doctor had only been doing them about 1 1/2 yrs, only 3 Doctors to choose from in St. Louis. So, scared, YES, nervous that I would never be the same again, YES. But I knew it wasn't going to get better on it's own. I wish you all the best, go into surgery with a positive attitude, and work hard at taking care of yourself after. Smile

Trix

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