| Author |
Topic: Hip Arthroscopy & Labral Tear: Please help! |
marathon15
Member |
 posted Oct-02-2007 08:27 AM
   
Hi Windie
It is not that difficult to get your leg in and out of the machine, but the machine itself is heavy. I did need help putting it on and taking it off of the bed. It weighs about 30 pounds so maneuvering it while on crutches would be tricky. I had to be in it 4-6 hours a day--not necessarily continuously so I would have someone move it a few times a day. When I wanted to just sleep-I had trouble doing that in the machine. You will be exhausted for the first few days post op.Good luck! Sue
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Daisymtnbiker
Member |
posted Oct-03-2007 01:06 AM
Sue, please check your email. I sent you answers there. I just read the rest of your stuff on page 11 of this forum. Glad to hear that you are doing better. Again, my surgeon said the same thing as yours. He suggested to me and to my husband that I really shouldn't run on a regular basis because that would make my next surgery sooner rather than later. I am spinning (but not for more than 15 minutes at a time)...and doing well walking (I do get sore near the end of the day). I never used the braces or the CPM machine. I am now taking gluco and condr (I just can't spell tonight!), which should help alleviate some of the arthritis symptoms in a couple of months but of course won't help it go away.Best, Karin
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NotSoFast
Member |
posted Oct-04-2007 09:49 AM
Need help finding good surgeon for labral tear in Michigan.I'm not an athlete, butI have just been diagnosed with labral tear, anterior and am trying to find a good surgeon in Michigan -- Ann Arbor - Detroit area, for hip arthroscopy. So many have said it is important to really research the surgeons. My physiatrist in Ann Arbor referred me to a hip surgeon, but he does few of these. He recommended another surgeon, in Ann Arbor, Brighton, MI area who does 2 to 3 per week. I can find names of Detroit area orthopedic surgeons, but I don't know how to find out if they are practiced in hip arthroscopy and their outcomes. Can anyone help me with how to find and research a surgeon?? Thanks in advance. ------------------
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amy18
Member |
posted Oct-05-2007 05:53 PM
Can anyone recommend an orthopedist in the Washington, DC area? I'm on year 7 of hip and groin pain as a result of a sports injury, and my symptoms sound very similar to everyone else's on this message board. My chiropractor in southern Virginia suspects a labral tear based on my symptoms and his findings, and wants me to go to an orthopedist skilled in this area for an MRI w/contrast and an accurate diagnosis. Unfortunately, he can't recommend anyone in the DC area, so I'm kind of back to square one. I've been to orthopedists before over the years, and they've told me it's either all in my head, or I haven't had enough PT (cumulatively, I've had about 4 years worth of PT...), so I'm kind of weary of returning to any of the ones I've seen. If anyone has any recommendations for a referral, I'd be very grateful!!!
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fancyshorts
Cool Runner |
posted Oct-08-2007 01:13 PM
Hi Windie-As Sue said, everyone is different with it. I needed a LOT of help the first few days. (Even more so if you are drugged out on viacodin and muscle relaxers, which were prescribed to me b/c of the psoas release.) I was pretty useless the first week. The velcro is the hardest thing to manage on the CPM. you need to tighten it around your foot to make a "boot" and I just couldn't reach it. i don't think that would have been a problem if i didn't have the psoas issue. My biggest issues were socks/shoes and putting on pants. other than that i was ok. again, most of that was due to the psoas, since i was having problems bending and lifting my leg. I was spoiled throughout the healing process, and had people taking care of me for the first 3 weeks. i'm sure if that wasn't the case i would have figured things out a lot earlier. Please let me know if you have any more questions, and good luck! ps- Sue- great to hear you're on the road to recovery!
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Julia Child
Member |
posted Oct-08-2007 05:24 PM
Amy18 asked: "Can anyone recommend an orthopedist in the Washington, DC area?"I have learned the hard way that the DC area has a dirth of orthopedists skilled in this injury. You could start with Dr. Mark Theiss in Northern Virginia. He's a good, thoughtful ortho surgeon, on the Wash Best Docs list, who can prescribe you the MR arthrogram and will take the time to review your case with you. He doesn't fix labral tears himself, but can refer you to someone who does, given the specifics of your case. If you want a more direct route, I have heard that Dr. John Klimkiewicz at Georgetown University has done at least a few hip scopes for labral tears, so you could try him. There's a Dr. Kevin Murphy at Walter Reed, if you're in the military health system, who I am told is also experienced in this realm. Alternatively, you might consider going an hour farther to Johns Hopkins University's sports medicine/ortho clinic. You can find their info on the web. You'll have to ask their office, who specializes in hips there, but they are team physicians for the Orioles and are experienced and networked, so you'd likely be in good hands. Surgeons I would not recommend for this injury include Commonwealth Orthopedics & Rehabilitation and Dr. Peter Bruno. If you've already done the conservative treatments (PT, chiro, NSAIDs...) to no avail, then it's time to be directive...whomever you see, you need to tell them "I think I have a labral tear. Please give me a prescription for an MR arthrogram." Good luck and keep us posted.
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Jenna77
Member |
posted Oct-11-2007 10:18 AM
quote:
Originally posted by kcstone017:
Hello all,After 3-1/2 years, countless doctors and misdiagnoses, and never giving up... I finally found a doctor who ordered an MRI arthrogram and found an acetabular labral hip tear in my right hip, and loose bodies. Before signing up for Hip Arthroscopy, I’m having a "right hip intra-articular injection of local anthestic and cortisone" to be certain of the tear. Has anyone had this injection before? The last few years have been awful to say the least. I went from being very active to nearly sedentary. So I'm grateful to finally have an answer, however I'm concerned how well my body will recover. The tear itself occurred 3-1/2 years ago... I'll never forget the sharp pain with each step, and yes, I remember the torture of moving my foot from the gas to the brake pedal. Since then though, the area surrounding my right hip joint has changed bio-mechanically in order to support the instable hip joint. My right pelvis developed an anterior tilt, the oblique muscle does not function as well, I have burstitis, lower back pain… I’m hoping if I go through with the surgery that this area of my body will eventually “move” back to it’s normal position and function. Is there anyone who has had this type of experience? And has had the surgery years after the injury occurred? I was also wondering how all of your surgeries and recovery went? Personal experience, doctors, websites… any information and experience you would be willing to share would be greatly appreciated. I’m desperate to run again. To have an active life again. I’m just 31 years of age. Far too young to cash in my chips. Thanks in advance!!!
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Jenna77
Member |
posted Oct-11-2007 10:25 AM
quote:
Originally posted by kcstone017:
Hello all,After 3-1/2 years, countless doctors and misdiagnoses, and never giving up... I finally found a doctor who ordered an MRI arthrogram and found an acetabular labral hip tear in my right hip, and loose bodies. Before signing up for Hip Arthroscopy, I’m having a "right hip intra-articular injection of local anthestic and cortisone" to be certain of the tear. Has anyone had this injection before? The last few years have been awful to say the least. I went from being very active to nearly sedentary. So I'm grateful to finally have an answer, however I'm concerned how well my body will recover. The tear itself occurred 3-1/2 years ago... I'll never forget the sharp pain with each step, and yes, I remember the torture of moving my foot from the gas to the brake pedal. Since then though, the area surrounding my right hip joint has changed bio-mechanically in order to support the instable hip joint. My right pelvis developed an anterior tilt, the oblique muscle does not function as well, I have burstitis, lower back pain… I’m hoping if I go through with the surgery that this area of my body will eventually “move” back to it’s normal position and function. Is there anyone who has had this type of experience? And has had the surgery years after the injury occurred? I was also wondering how all of your surgeries and recovery went? Personal experience, doctors, websites… any information and experience you would be willing to share would be greatly appreciated. I’m desperate to run again. To have an active life again. I’m just 31 years of age. Far too young to cash in my chips. Thanks in advance!!!
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Jenna77
Member |
posted Oct-11-2007 10:41 AM
helloI have been DX with a anterior labrum tear and bursitis. would like to know from anyone who has the same thing and has had surgery if the bursitis resolved after surgery, and if the bursitis is caused by the labrum tear. I also have tight IT bands. Would like to hear from anyone in this similar situation. thanks in advance for any information you can provide. I will see Dr. kelly at the HSS on Nov 7 thanks again
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kristina
Member |
posted Oct-11-2007 07:46 PM
I'm 4 months out of surgery. I'm doing pretty good. I started to run 3 1/2 weeks ago. I'm running every other day. I started with 5min and I ran 40min today. I'm running very slow. My biggest concern is the limited range of motion and tightness. I talked to the doctors office and they want me to try ART to break up scar tissue.
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gburgdiscus
Member |
posted Oct-11-2007 11:33 PM
I'm 11 weeks out and I'm doing really well! I went kayaking and camping with some friends this weekend since we had Monday and Tuesday off from school. Kayaking is not too hard on the hip, but it felt so awesome to be able to go and be a college kid again! The track season starts in a week and a half. I won't be cleared for full practice at the beginning, but I'm definatley getting closer. I'm a thrower, not a runner, so I'm not as worried about getting back to running. I figure I will get there when I'm ready too. I'm more worried about the fast, harsh hip movement thats required to throw shot put and discus. The good news is that I don't really have to be ready to throw in a meet until January, still plenty of time. I still feel a difference between my 2 hips, mostly tightness in my adductors, but I notice it less and less each day.
To those of you who are just starting this journey, keep at it! It's been almost 2 years since my injury (and I just turned 21!) and I feel like my prayers are finally being answered. Good luck to all!
Jane
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dmargit
Member |
posted Oct-16-2007 02:26 PM
Hi Laura,I hope you are still checking this! I am planning to have an arthroscopy with Dr Philippon on Nov 20th, for FAI, labral tear and OA. I would be grateful to get any input that you would offer. I am a professional dancer and a little hesitant still because of the uncertainty regarding the success of this procedure. Please contact me! Thanks, Dana
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dmargit
Member |
posted Oct-16-2007 02:58 PM
Hi everyone, very glad to find this thread! As I mentioned above I am scheduled to have surgery on Nov. 20th with Dr Philippon. Some other docotrs that I have recently been in contact with are suggesting that it is better to have the open surgery (I have torn labrum, FAI, mild OA) but I am a professional dancer and this sounds crazy to me, also to the dance physios that I know in NY. Any thoughts on that? Any thoughts on Philippon?Any suggestions for pre-post op?Thanks for all of your stories, it is very helpful- Dana
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Siberifan
Member |
posted Oct-20-2007 05:45 PM
Hi everyone,I'm very glad to have found this site. I was diagnosed with a right posterior labral tear in August. It's been an ongoing problem for about a year though. Does anyone have any experience of having this surgery done in Canada (that's where I am). I am currently awaiting a consultation with the surgeon but it looks like it won't be for at least 4-6 months. Surgery may be another 10 months away! Does anyone have any tips on overall strength training in the meantime. I know the stronger you are going into surgery, the faster the recovery. Any thoughts or experiences with this? Did any of you do pre-surgery physio? Thanks for the help and good luck to all of you with your surgeries and recoveries. Siberifan 
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off track
Cool Runner |
posted Oct-22-2007 10:18 PM
Glad to have found this thread, I will post more once I've caught up on reading. My surgeon was optimistic about hip arthroscopy and getting back to running until he saw my MRI, now (last week) he says I should forget about ever running again, that I'd destroy my hip inside of 10 years.
I haven't run in four weeks, and I have to admit my hip (and herniated disc) feel better.
So if that's how it is, so be it; at least I can still hike, bike, etc., but I still cling to hope that I could get back to it. I plan to seek a second opinion, probably in Boston.
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marathon15
Member |
posted Oct-23-2007 07:55 PM
Hi Off Track
I had my surgery with Dr. Asnis at MGH. Even though I have been discouraged by what he found in surgery, I have been very impressed with him as a surgeon....I live North of Boston but have been going in and out of MGH for my PT. It takes me about 45 minutes to an hour to get there-depending on traffic. Last week, I was with my physical therapist when who walked in but Dr. Asnis to check up on me. The orthopedic office is located right across from the PT dept. He answered my questions, watched me walk and gave my physical therapist some suggestions on things to work on with me. I was so impressed by his appearance. I have found him to be very thorough. The night of surgery, he called me-I had a follow up with him at 10 days; I will have another follow up with him at 6 weeks and then again at 3 months and 6 months. There are physical therapists near me, but a lot don't seem to treat patients with torn labrums. That's the only reason I have been going in and out of Boston....I am now just over one month post op. I was also told that I should not run again. My labrum was shredded and I had far more extensive arthritis then he had anticipated....At this point in time, I am now riding the exercise bike about 25 minutes at a time, with no resistance--I don't get any type of sweat going, but at least I am moving my joint!!!I was told that it would be another month before I could use the eliptical. The pain in the front of my hip is still there. I am trying to be patient and hopeful but it is not always easy....I still haven't discounted giving running a try after I have healed a bit. It may not work but being hopeful helps me get though the discouragement. I am doing upper body work and doing the stretches and strength exercises given to me by my physical therapist....How are others of you doing post op with your rehab? Sue
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soccergirl12
Member |
posted Oct-23-2007 09:26 PM
I am new to posting on this site, however I have been reading the posts on here for several weeks. I am not a runner, I am 27 and have been a soccer player most of my life and have had a lot of similar exp.'s that most have had on here. I am going to try and put this into nutshell without going way over board...It all started almost three yrs ago with severe right hip/butt pain with no clear explanation. I was not playing soccer at the time on a team so I could not relate it to that. I went to the emergency room after a week of extreme persistant pain with no relief and they told me it was a bad muscle strain and to follow up with my ortho doc. I did and three yrs later and countless docs including a chiro, 2 neuro's, a gyno, and 2 ortho docs, I am finally getting somewhere. My pain has gone from bad to worse and has spread from my hip/butt to my groin to my low back. I have had 3 MRI's, a appendectomy and cystectomy, countless x-rays, a year of chiro adjustments and still going, and just recently my final doctor ordered a MR Arthrogram which gave the results of the labrum tear. I am not sure why up until now nobody had ordered this test before. When I had this test, which by the way was horrificly painful once the anastetic wore off. They were supposed to give me a pain injection into the joint for diagnostic purposes as well as relief and they didn't. I did however end up getting this done at a later point and it provided much relief for about a week so this told my doctor that surgery, as well as the result of the labrum tear, was needed. My doctor told me that basically they would be going in to see whats going on...they are not really sure. the Arthrogram said a tear, but he can't be sure. And there could be some impingement, but they won't know until they get in there. All of my films are inconclusive, but they know one thing for sure is it is in the joint because I got relief from the injection into the joint. Now my doctor does not perform the surgery and he is sending me to Dr. Kelly in NYC. I live in FL!!! I have my consultation with him in Dec and don't know what to expect. Can anyone out there who has had surgery with him tell me what I may expierence with him and if you had to travel for your surgery.Thanks,
Carrie
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marathon15
Member |
posted Oct-24-2007 06:29 AM
Hi Carrie
I am in Boston not NY so I can't answer your question about Dr. Kelly but I can't believe all you have gone through. There is so much ignorance about this injury and the pain that we experience. Because the hip joint is so deep, it is often difficult to determine where the pain is coming from. I will tell you that my arthrogram also said it was 'suspicious' for a labral tear and it showed some arthritis. When my doctor went in-he found the labrum to be shredded and the arthritis more extensive than he had anticipated.The arthrogram and x-rays do not reveal the extent of the injury. My doctor told me they are presently working on a diagnostic procedure to show more clearly how 'bad' the tear is but at present, they don't have any way of doing that.If you are in as much pain as you say, I guarantee you that your tear is fairly substantial. Maybe you even have areas of arthritis, which is the loss of cartilage or bone on bone---the impingement the doctor is talking about. That pain can be excruciating....I can't believe you have to travel for surgery.....Good luck. If you decide to go to Boston instead of NY, I highly recommend my surgeon, Dr. Asnis at MGH! Sue
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soccergirl12
Member |
posted Oct-24-2007 01:30 PM
Hi Sue thanks for your reply! I have gone through a lot, you sure have too, I have read all of your posts. It sounds like your surgery has provided you with much needed relief, which I am hoping mine will too. Unfortunatly I am on a daily regimine of pain meds which I do not like but have to accept at the momment. It's unbareable at times and I feel like I have tried avenue...my doctors do too other than surgery, well this one any way. As you read in my other post I had my appendix removed as well as an ovarian cyst. That was just in July. My doctors thought those issues could be causing my pain...wrong. That was a fun expeirence and another notch in my belt.Right now I feel like my soccer career, which isn't much at this point at my age, is over. I was playing on an adult competitive league, and now I can't play at all. I only can work 4 hours a day...which is a blessing in diguise cause who likes to work, but financially it takes a toll. I just hope this all ends soon. As far as your pain went before surgery. Did you find that it hurt even when you did nothing. As I lay here on the couch typing this post it seems my pain increases. I can get up and it seams to be relieved a little bit, but then if I put too much weight on my leg or too much activity...the pain is back. I'm damned if I do and damned if I don't. My groin pain is only occasional...if I move my leg the wrong way or something it hurts. My low back pain is occasional too, but the hip/butt pain is constant, it is always there...like a deep stabbing. I have some bursitis too so there is some surface pain as well. Did you have any of that and if you did, did it go away with surgery? As far as the traveling goes, I know, I'm scared!! I don't know what to expect or even know how to time it. How long do you think I should wait after surgery before I get back on the plane to fly home? Thanks for your response...hope your doing well!
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Julia Child
Member |
posted Oct-24-2007 08:37 PM
I too am curious about the post-surgery travel. Most of the surgeons seem to say you come in for a consult on day 1, surgery on day 2 and then you're on a plane on day 3 back home. Anyone done that? How did it go? Can you really get around on crutches so soon after? (I'm picturing airport security!)Also, in terms of choosing an out of town surgeon, anyone have experience with Sampson or Byrd or McCarthy? Finally, has anyone done microfracture work on the hip bone? If so, how did your recovery go? It's probably longer and harder than a simple labral debridement. Appreciate any answers.
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blkaykay8
Member |
posted Oct-24-2007 09:18 PM
Julia Child,Are you talking about McCarthy at MGH in Boston?
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soccergirl12
Member |
posted Oct-24-2007 10:09 PM
I wish I could consult on day 1 and then have surgery on day 2, but with Dr. Kelly they make you come in two trips. I have been trying to have my surgery done this year because my ins ded. has already been met, but it is highly unlikely because it takes 6 weeks to get a consult and then they won't even schedule surgery until after this appt. I'm sure it will be another 6 weeks to get that appointment and I don't see Dr. Kelly until Dec. 7th for my consult. I am hoping that my doctor here in Florida can pull some strings...He really wants me to go to Dr. Kelly, and from what I've read about him, I do too!
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jentheroadrunner
Cool Runner |
posted Oct-25-2007 02:15 PM
I am surprised your surgery/consult has such a delay. If you are living in Florida and already having to travel, I would begin researching other doc's that can do the surgery within this year. I have no idea why it would take so long!!!I have heard great things about Phillipon in Colorado, there are several doc's in Boston that people have mentioned, there are a few doc's in Chicago that are supposed to be good and my doc in Colorado was great. Both her and her husband trained under Phillipon. (Armando and Leslie Vidal are their names at Rose Medical in Denver, CO). I had my surgery consult on a Friday and was in surgery the following Friday. I would reccommend some research on Doc's if you are already going to have to travel!!!
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Julia Child
Member |
posted Oct-25-2007 02:56 PM
quote:
Originally posted by blkaykay8:
Julia Child,Are you talking about McCarthy at MGH in Boston?
Yes, I'm referring to Joseph McCarthy at Mass General and at Newton-Wellesly
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gburgdiscus
Member |
posted Oct-25-2007 09:50 PM
Hey Sue (and everyone),
I'm glad you seem to be doing well! I was worried about your delay after meeting you in August. I am now 14 weeks out. My hip and anterior region where I used to have so much pain feels wonderful. My upper inner thigh is still bothering me, a tight feeling like it needs to be stretched. I am back at college so it's hard without my PT and Doc around. I tried going to PT here, but I feel like they don't pay attention and don't have experience with labral tears. The track season started Moday (I'm a 21 year old thrower- as you can tell by the name). It's killing me not to be able to practice fully. We have an awesome new coach and I just want to get going!! My PT from home suggested that I try a little running as long as it doesn't make the pain worse. Maybe training my hip to work again will help the pain decrease.
For anyone who is still debating- GET SURGERY! I was in pain for a year and a half and did 2 full years of college track with a torn labrum. I didn't think it would ever get better. Even with the tightness I have now it is SOOOOO much better than it used to be. I had a 3cm anterior inferior tear caused by a freak shot put throw.
I'm hoping to be back to full strength in a few more months so I can have a succesful track season. Good luck to all!
Jane
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