| Author |
Topic: Hip Arthroscopy & Labral Tear: Please help! |
gburgdiscus
Member |
 posted Aug-28-2007 11:24 PM
  
Hi everyone!
Tomorrow I will be 5 weeks post-op and am feeling pretty good. Coming back to college has been hard because it is a lottttt more walking than I did at home. I have been trying to ride my bike around campus when I can and making sure I go to the athletic trainers to do my PT exercises everyday. I have been having some soreness and tightness in my adductors. My tear was large and anterior inferior- but my incisions are significantly higher than my adductors. Has anyone else had this? I am unclear as to why they would tighten up since regular activity does not include a whole lot of adduction. The "old" hip pain is gone as far as I can tell. I have not had any of that deep gnawing pain that had become my life. So I'm wishing my adductors would calm down, but I'm definatley a success story so far!
adkrunner- Dr. Nissen's number is (860)674-0609. The name of his practice is called Elite Sports. He is associated with the Children's, but does his surgery on older people at UConn. His office is up on rt. 10 on the Simsbury/Avon line. I don't know the other Dr's names, he just mentioned he was 1 of 4. fancyshorts- I spent about 1 week with both crutches and then 1 week with both. It is almost easier being on both because you're non weight bearing and don't have to worry about taking too many steps in a day. I'd say about 1-2 weeks of really low activity before returning to work. And I was able to take a shower the day after, just be careful getting in and out if it's a high ledge. Make sure you take time out of your day to do the stretches that the Dr./PT give you, they really help! Good luck to everyone! Jane
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adkrunner
Member |
posted Aug-29-2007 12:28 PM
gburgdiscus Thank you very much for Dr. Nissens #, I'm going to call him right away for an evaluation. And best of luck on your end, it sounds like you're doing great. Thank you again. Michael
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Gunner
Member |
posted Aug-30-2007 11:16 AM
Laura,I had two tears (labrum) and hip debridement three months ago. No weight bearing (crutches) for 4 weeks post op. I completed six weeks PT. I had my 8 week post op and was given green light to start some fast walking. I live by the beach and walked in the sand (cushion) and strengthening. I am 12 weeks out. At eight weeks, I was given green light to start increasing workout if I felt up to it and to introduce slowly. I was compliant with PT and "not being too aggressive." I was running about 2 miles 2x week very slowly. I used a GPS to make sure I was not pushing it. I ran 1 mile last week on the pavement. No pain while running. The next day I was in a lot of discomfort. I had the groin pain (I had prior to surgery) and buttock pain (charlie horse). I have been stretching and taking advil for one week. The pain is better but I am paraniod that I re-injured. I have a call into my doc and will await further consult. Did you have the same pain after increasing workout? I had no direction that "my injury" was anything but standard (no major tear, etc.) and doc was optimistic at my 8 week follow up. Now, I'm in the same pain as pre op (after a workout prior to getting the surgery). I feel your pain! Do you have the same pain when you work out? If so, what has your doc said? Thanks! quote:
Originally posted by coloradolora:
Hello Everyone, I'm five months out of my surgery at Steadman, with Phillipon--I guess I'm posting because I'm in a lot of fear about where I'm at, or, where I'm not. If anyone is thinking about a similar surgery, or is out of a similar surgery, I would love to be in contact. Would love to be able to even hike a decent trail, much less imagine running. Stay informed, anyone out there post-op? Laura
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runnersk8ter
Cool Runner |
posted Sep-03-2007 09:14 PM
I visited an OS at a local orthopedic specialty clinic. The surgeon I met with reviewed my 2-year-old MRIs (first time I'd ever seen them!) and showed me the tears. He also took new x-rays to check for arthritis (no sign on x-ray, whew) and talked about my options for treatment.I wasn't prepared with many questions, but he did tell me he's done "about 100" hip arthroscopies. He seemed to think my case was pretty straightforward: no impingement, no arthritis. I'm thinking about it... So is 100 a lot? Not very many? I liked this guy but everyone talks about going to see the Philippons and Byrds. Originally I was going to gut it out another 2 years and see what the "state of the art" is then (plus everybody will have more experience, right?)...however, now I'm having pain every day and I'm not even running any more. I guess I'm wondering if I should get a second opinion from one of the stars?
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Daisymtnbiker
Member |
posted Sep-03-2007 09:36 PM
I am scheduled for hip artho on my right hip on Wed. in Denver. Had a very negative experience with S-H Clinic in Vail so I switched docs. Very poor patient service at S-H. In fact, they never rescheduled my surgery after cancelling it twice. Now I am scared that I am not going there for the surgery. How much pain is there really? What pain meds are typically prescribed? How long before I can drive? The doctor I am going to go to now doesn't do half of the things that I was going to have to do at the SH Clinic. The CPM machine, the braces, the foot thing at night, PT right after the surgery (meaning the next day) (I am not scheduled for my first PT apptmt until Sat...three days after the surgery. Is that bad? Should I try to get in sooner? Thanks for whatever advice you can give me!
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Daisymtnbiker
Member |
posted Sep-03-2007 09:47 PM
quote:
Originally posted by sammyc314:
IMy family will be moving to Boulder in the Sept/Oct timeframe. Does anyone know of a good PT that has dealt with this type of injury?[/B]
The Boulder Center for Sports Medicine is great. I go there.
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Daisymtnbiker
Member |
posted Sep-03-2007 10:13 PM
Sue, I live in Boulder. I'll let you know how my surgery goes with Dr. Armando Vidal. I am going to have it done on Wed. at Fitzsimmons. Vidal has been super. I had been accepted as a patient at the SH clinic with Philippon, but it was a disaster. Also, Vidal told me things that Philippon did not, like, I may, since I was not diagnosed for a long time and now have some arthritis, have to still have a hip replacement in 5-10-15 years (hopefully they will have some incredible new scientific discovery by then - one touch on your hip and your hip is totally healed!). My ortho had originally suggested Lammens as well, but he doesn't have as much experience with the hip arthro as Armando Vidal has. I have had seizing up of the joint for quite some time. It is a typical symptom, I've been told, in labral tears.Karin quote:
Originally posted by mtnmuse:
Sammy,My PT in Boulder is Lori Hayne at Alta Physical Therapy. I was seeing her for something else when I hurt my hip. She is the one who first suspected I had a labral tear and sent me to an Orthopedic Surgeon. I guess I am lucky that she was familiar with it, so I didn't have as much trouble getting going on this process as many people in this forum. I don't know if she has specific experience with post-op rehab for this injury, as I am still in a bit of denial about having to have the surgery. I can say she is a great PT in general. Jen, Thanks for the scoop on the Vidals. I am still waiting for an appointment with the surgeon my PT recommended in Golden (Dr Lammens) and to hear from Dr. Phillippon, but it is nice to hear of someone local. I live in Nederland and work in Boulder. Comforting that they were trained by Phillippon too. BTW. While waiting for the surgeons to chime in (so far the PT and DO think I need the surgery), I tried the cortizone injection last week. It did help quite a bit with the pain of more routine activities (like getting out of a car), although I still can't walk very far or up hill at all without horrible hip pain. It is kind of weird. The pain in my groin is dramatically better. If I try to take advantage of that and walk, I am getting this weird kind of seizing up of the joint with most of the pain now right behind he greater trochanter. Has anyone had anything like that? -Sue
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sister
Member |
posted Sep-04-2007 01:09 PM
I was recently diagnosed by MRI arthrography with acetabular labral tear in right hip; probably in left also. The symptoms became worse this spring after two years. I definitely have a seizing problem and it's usually when I simply shift weight to my right leg when standing. My friend is a PT and said it is because the tear is getting caught. She told me to swim (not breaststroke) and cycle. My Orthopedic surgeon is a family friend and wouldn't lie to me, and he can do the hip arthroscopy to shave off the areas that are torn. He has done a few, but this makes me nervous. He said recover is without restrictions; usually only crutches for a couple of days. There are no guarantees anyway you look at it. Developing arthritis is possible but unpredictable. The tears will not recover as they have no blood supply. My PT and OS friends say there really is no effective PT protocol since the cartilage is not responsive to PT. Restrictions according to comfort will be there no matter how much PT you get. I haven't heard back from Philippon even to get an appointment, let alone surgery. I think Philippon is extreme in the PT area and there's no more evidence to show that all this equipment and hours of PT will work anyway because the labrum does not respond to PT. Seizing is part of the problem. SWIM until surgery. Hang in there and cut back on diet, etc. to avoid weight gain. Anyone wanting my OT's info, let me know.
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fancyshorts
Cool Runner |
posted Sep-04-2007 07:49 PM
So...I'm about a week post-op. i am SOOOOO glad i went thru with the surgery b/c there was a lot more damage in my hip than initially expected. With that, i am not going to be back at work (or commuting to the city!!) for a while. Good news is, the pain is completely manageable, if not nonexistant. I was on the pain meds for about 3 days, and now i'm only taking the anti-inflam. If i move in a funky manner i get a shooting pain, but if i'm careful it feel pretty good- actually, better than it has for the past year! (guess i've been living with the pain for so long i stopped noticing it.)the doc was great, and i even went to PT 4 hours after the surgery. (i ended up having the illiopsoas released, the bone shaved down, and the labral repaired.) I can't put pressure on my leg yet and have some difficulty sitting, but it really doesn't hurt. one recommendation i have for those of you going into the surgery is to get a higher toilet seat (like the kind they have in senior centers). that was not mentioned to me, and i didnt get one until 2 days after the surgery. made a world of difference, though!
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runagain
Member |
posted Sep-05-2007 03:23 AM
testing
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runagain
Member |
posted Sep-05-2007 03:30 AM
I have been to S-H clinic (terrible cusotmer service), L. Vidal in Denver, P. Lammens in Golden and finally M. Dayton in Denver after 2 years of hip problems. I couldn't have the surgery with the first 3 people for a variety of reasons. I finally had a labral debridment in May by Dr. Dayton and am just now getting back to running. I went to Impact sports for physical therapy in Broomfield and they were great. Karen used to work at S-H clinic and was very familiar with labral repairs and also a very nice person. I also had a gait analysis
at Boulder Center for Sports Medicene and was pleased with the physical therapist there as well.
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kristina
Member |
posted Sep-05-2007 03:40 PM
Runagain,
How long ago was your surgery. I had mine 12 weeks ago and haven't run yet. I might try in 2-3 weeks.Thanks,
Kristina
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sister
Member |
posted Sep-05-2007 05:04 PM
Has anyone heard of Dr. Papillion at Advanced Ortho & Sports Med in Denver??? I have an appointment with him torroww for an acetabular labral tear. Supposedly, he has done lots of scopes and labral tear repairs.
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runagain
Member |
posted Sep-06-2007 11:59 AM
I injured my hip in April of 05 during a training run for a marathon. I went on to run the marathon a few weeks later but in retrospect that was a mistake. The surgery helped but I don't think it will ever be 100% again.
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marathon15
Member |
posted Sep-09-2007 01:30 PM
Hi All
I saw my surgeon on Friday and I am going to go ahead with my arthroscopy on September 20th. It had been postponed because I was having some back issues. I'm psyched to finally have the date on the calendar but it was quite depressing talking to him. I appreciate his honesty but he told me that I really need to find another sport besides running. I have arthritic changes in my hip as well as the torn labrum and he told me that there is no guarantee after the surgery, that my pain will be gone. If the pain is from the arthritis, there is nothing he can do about it. He also said that the problem with running is that when you are running, you are 'slamming' 6 times your body weight down and that will not be good on my repaired hip. I was also floored because he told me that at minimum, I will be on crutches for 2-3 weeks and maximum, 4-6 weeks if he repairs the labrum versus debriding the labrum. So, for those of you who have a torn labrum as well as arthritic changes, did you hear the same thing from your doctor and if you had the surgery, how long were you on crutches, etc? I am going to go back and reread this 9 page blog!!But in the meantime, some advice or answers will be appreciated. Sue
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gabi6
Member |
posted Sep-09-2007 02:40 PM
Marathon15I too am having a torn labrum repaired in October. My doc told me anywhere from 2-4 weeks on crutches as well. Hope all goes well with your surgery!
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gburgdiscus
Member |
posted Sep-10-2007 03:43 PM
sister- I tried swimming before surgery and was in terrible pain because of it. I am a college track athlete (thrower, not a runner), but was a big high school swimmer. When I was told to stay off my legs, swimming is the first thing that came to mind. I had a 3 cm anterior inferior labral tear in my left hip. When I swam I would have my deep knawing pain severly for days afterwords. I was told this is because of the repetative motion of flutter kick- my flap was getting pushed around when I kicked. So, my advice to anyone would be test it out- see what works for you. Just because it's non weight bearing does't mean it's pain free. Sue- I'm so glad you're finally having surgery! I was on 2 cruthches for about 1 week and then 1 crutch and limited walking for about a week. My tear was debrided, not repaired. Repairs definaltey require longer on crutches. Even when I was off cruthces completely I would get very sore if I walked too much. Coming back to college was hard because there is so much more walking and so many more stairs. I am finally getting used to it all, and I don't think walking is contributing to my pain. The only remaining pain I have is in my adductors (inside of my upper thigh). I was told his is normal after surgery because of the traction and adjusting to my hip working properly again. Right now I'm 6.5 weeks and I have pretty much complete range of motion (except for a pinch with internal rotation). I can swim and bike and I do stretching and PT on my own in our athletic training room. I have been able to do lunges, squats with no weight and leg press with no additional weight. Being able to do some leg lifting is huge for me as a thrower! Good luck with your surgery, hope everything goes well!
Jane
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Daisymtnbiker
Member |
posted Sep-10-2007 06:59 PM
Sue - I also had the same sort of straight talk with my surgeon...before my surgery and after - I meet with him again tomorrow. (My surgery was last Wed.). After he was able to get into my hip with the scope, he saw that I had an advanced arthritis in my right hip, and ended up not doing as much as what Dr. Philippon had originally recommended when I had consulted with him earlier in the year. He also told me that I will be a candidate for a hip replacement in 2-5 years...sooner if I run again...which would be terrible for my hip (he thinks that the Birmingham procedure will be appropriate for me). He thinks that what he did will help with the pain that I have lived with for so long, but can't be positive about it. I am supposed to be on crutches for 2 weeks and cannot drive for that length of time (because it is my right hip that was operated on). He ended up not repairing the torn labrum, just took a lot of loose debris out of my hip and did a few other procedures, but again, did not repair the labrum itself as he felt as though it was not going to make a difference.
quote:
Originally posted by marathon15:
Hi All
I saw my surgeon on Friday and I am going to go ahead with my arthroscopy on September 20th. It had been postponed because I was having some back issues. I'm psyched to finally have the date on the calendar but it was quite depressing talking to him. I appreciate his honesty but he told me that I really need to find another sport besides running. I have arthritic changes in my hip as well as the torn labrum and he told me that there is no guarantee after the surgery, that my pain will be gone. If the pain is from the arthritis, there is nothing he can do about it. He also said that the problem with running is that when you are running, you are 'slamming' 6 times your body weight down and that will not be good on my repaired hip. I was also floored because he told me that at minimum, I will be on crutches for 2-3 weeks and maximum, 4-6 weeks if he repairs the labrum versus debriding the labrum. So, for those of you who have a torn labrum as well as arthritic changes, did you hear the same thing from your doctor and if you had the surgery, how long were you on crutches, etc? I am going to go back and reread this 9 page blog!!But in the meantime, some advice or answers will be appreciated. Sue
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marathon15
Member |
posted Sep-10-2007 08:36 PM
My saga continues-my surgeon called me this morning to tell me that he had received an e-mail from the back doctor saying he doesn't recommend the hip surgery until I have been asymptomatic with my back issues for 4-6 weeks. So now the surgery may be postponed once again. I have suffered from sciatica for 5 years. This problem is nothing new. Has anyone out there had back issues and/or sciatica problems along with a torn labrum? And if so, did the traction during the hip surgery cause any further problems with the back? I cannot believe how frustrating this is. I have to make plans because I do have a job and a family--and yet I am put in limbo once again. Thanks for your help. Sue
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gabi6
Member |
posted Sep-11-2007 05:19 PM
Has the traction used during surgery caused problems with anyone's knees?
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aj2673
Member |
posted Sep-11-2007 05:58 PM
jane-
i think we had pretty much the same surgery! i had mine aug 3, debridement, but no repair. have you had any sharp pains after doing an awkward lateral motion? ive had a few of those, but they generally go away within a day or two. also when does the surgeon say you ca do any running again?
abby
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blkaykay8
Member |
posted Sep-11-2007 08:29 PM
Gabi6,How long after surgery did you start having a problem with your knee? What type of knee problems are you having? I am having problems with my knee and it didn't start until 3 months after surgery. The knee keeps going out of place so I am not able to walk half the time without a limp and it is affecting the hip. PT keeps saying it is because my IT band is so tight and once they are able to fix it, I should be ok. I am starting to second guess it because it is just getting worse. Katie
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gabi6
Member |
posted Sep-12-2007 12:48 PM
blkaykay8Hi... I have not had my surgery yet, but I had knee surgery in June. My hip surgeon wants to make sure my knee is healed enough to withstand the traction used. My labral repair is scheduled for for the second week of October.....How was your recovery?
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blkaykay8
Member |
posted Sep-12-2007 02:50 PM
Gabi6,My hip feels so much better since surgery but it is the other issues that are making it so hard to feel better. I have problems with my IT Band and my knee, I told the doctor that I would do therapy for the knee for a few few weeks to see if it can fix it before they do a MRI. I am starting to second guess my decision on that because the knee seems to be getting worse and worse instead of any better.
The one thing that did hurt after surgery was my foot for a week or two because of the traction device that they had used during surgery. I was told that it is very normal for that to hurt following surgery but have never heard anything about knee.
Katie
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jentheroadrunner
Cool Runner |
posted Sep-13-2007 12:18 AM
quote:
Originally posted by blkaykay8:
Gabi6,My hip feels so much better since surgery but it is the other issues that are making it so hard to feel better. I have problems with my IT Band and my knee, I told the doctor that I would do therapy for the knee for a few few weeks to see if it can fix it before they do a MRI. I am starting to second guess my decision on that because the knee seems to be getting worse and worse instead of any better.
The one thing that did hurt after surgery was my foot for a week or two because of the traction device that they had used during surgery. I was told that it is very normal for that to hurt following surgery but have never heard anything about knee.
Katie
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