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Hip Arthroscopy & Labral Tear: Please help!


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Author Topic:   Hip Arthroscopy & Labral Tear: Please help!
coloradolora
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posted Jul-05-2006 01:24 PM     Click Here to See the Profile for coloradolora     Edit/Delete Message   Reply w/Quote

Hello all,

Hoping a few of you have some experience with this....My MRI confirmed a labral tear. I'd suspected this since a December idiotic spring. It's been getting worse, and I feel like I've tried everything, massively cut back, x-train, core work, supplements, water training, PT, etc. Has anyone had this surgery? I've never had to before, and I'm naturally distrustful (fearful, I suppose). I need to distance run for sanity, so I'm feeling like it's a matter of time. And likely only have insurance for another year.

Wondering if anyone has had alternatives that work? A six month tear that did start to heal on own?

My knee on that side has been problematic since, and now I suspect it's coming out of there. They're talking 8-12 weeks before much of anything--I guess I'll lose allmost muscle/cardio investment.

Sigh. Just this morning. Ready to get surgery if that's the fix. But anxious to hear from other runners--I tend to trust their experience more than a Q&A website.

Thanks for any help--

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hawkifan
Cool Runner
posted Jul-05-2006 07:06 PM     Click Here to See the Profile for hawkifan   Click Here to Email hawkifan     Edit/Delete Message   Reply w/Quote
I responded to your other post this afternoon, but I just saw this one. UGH!!!!

Can you describe your pain in detail?

Here is what I have experienced in the past. Pain was only when I stood up and started to walk, not during a run. LIMPING pain, but would eventually work its way out with more steps.
I don't have a real dx only that my massage therapist was able to pinpoint the spot. And she knew the muscle! I have not had PT, only rest, and NSAIDs. My mileage has really suffered and I am starting to ramp it up again, wondering if I will experience the same pain.

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coloradolora
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posted Jul-06-2006 11:22 AM     Click Here to See the Profile for coloradolora     Edit/Delete Message   Reply w/Quote
Thanks so much for the empathy. I wanted to post here because I can't deal with people that 'don't get' it--what not running feels like. Part of why I probably have an injury is because I'm a moron--example A: After getting diagnosis I went out for 6 miles. It's definately getting worse. It's a tear through the "superior lateral acetabular labrum" if that means anything. Inner lining in"cup" that supports bone.

I feel like I have to be positive and it looks like PT starts quickly afterwards, hoping I"ll be able to resume upper body weights/core work/cardio quickly. Although it's time I listened to doctors.

This is only detectable by symptoms and MRI. If you suspect, it might be worth it--I say this because I have insurance in one of the rare stretches of my life. But, yes, it numbs out somewhat in running, though even that's changing now. Hurts in morning. It feels like the pain starts between hip bone and pubic bone, deep inside, and sometimes goes up as far as lower abs--my rather intense pilates work might have stretched it up there. Apparently a lot of people can have this and never feel it--if you feels yours somewhat regular, or it worsens, probably a red flag. Also, it's usually related to a specific incident. Oh--also, feels "sharp." I supected it because it felt different than my other injuries that I've been able to work out with stretching/massage/ice baths/PT/etc. Hope this helps a litte.

Hoping to get surgery soon, and start the rest. Aim for spring marathon, sanity. I wish I could implant in the brain of all starting runners not to overtrain. I was told again and again--and once again in life, apparently I have to learn by pushing it....

Thanks again, and best--Laura

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hawkifan
Cool Runner
posted Jul-07-2006 10:19 AM     Click Here to See the Profile for hawkifan   Click Here to Email hawkifan     Edit/Delete Message   Reply w/Quote
Well, hang in there and best of luck on your up-coming surgery, I will look for follow-up posts from you.


I will take this new knowledge into consideration if my pain returns as I increase my weekly mileage. I have only been running about 9-10 miles per week since Feb. to try to let things settle down in there. But a few things sound similar such as being related to a specific incident and the sharp pains that seem very deep and into the groin area. I remember the pain very well!!

Did your pain seem worse when you stood up to walk after being in a sitting position for a while?


Thanks and take care!!!!
~Billie

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jwintroub
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posted Jul-09-2006 05:21 PM     Click Here to See the Profile for jwintroub   Click Here to Email jwintroub     Edit/Delete Message   Reply w/Quote
Hey Cololora-
I was recently diagnosed with an anterior acetabular labral tear, so we can be torn labrum buddies!
I have also had the pain for many moths (4 in my case). Pain was diagnosed as bursitis, and I was sent to PT. I have done the PT thing, the take 6 weeks off thing and its still something I am dealing with.

I have consulted a few doctors on this and it seems that these tears will never heal by themselves. The reason for this is that they are non-vascular. There is no direct blood flow to the area and therefore new tissue will not form to fill in the tear...the only solution is to either deal with the pain and hope that the tear stops rubbing the nerve (or bone) (or whatever is causing the pain) or have the arthroscope procedure.

I have an appt with my doc and the surgeon on Tues...but in the meantime, I have kept running through the pain (i had my first 20 mile week last week in 4 months!). One of the things I have heard is that you cannot make the tear worse by running, this is an injury, not an overuse problem...
I will need to make a decision to ColoLora as I am currently in the 4th week of Chicago Marathon training...if I have the surgery, I will have to put my dreams on hold for another year!

Anyways, maybe we can be labrum buddies..i wish you luck with your decision and recovery!

Jeremy

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coloradolora
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posted Jul-09-2006 07:43 PM     Click Here to See the Profile for coloradolora     Edit/Delete Message   Reply w/Quote
Jeremy!

Thanks so much--I'm having trouble finding "superior labral tear" buddies. I really appreciate the information though--I did 14 this morning, the whole time wondering how idiotic it was, but only runners know the need...So, that's great. I was actually thinking of checking out the option of getting the surgery postponed and get a fall marathon in first. I'd rather be out of commision in the winter. Also, I've done two half marathons and a full May marathon since the tear, and it hasn't gotten that much more painful. I didn't know about the blood flow non-heal, makes perfect sense. I've definately noticed if I keep a slow pace (9-10 min miles), and avoid my beloved hill runs, that I feel the pain a bit less. For me--Forget speed with this guy. The good news is that my pilates teacher, who knows my neurosis with exercise pretty well, told me that studies really prove recovery time is about 1/2 for people who are taking pretty good care of themselves. I'm hearing 5 months, so I'm figuing 2/5 months. November 8th then, right?

Good news--It looks like I'll have a good surgeon, he's at the Steadman-Hawkin clinic (Vail) which I guess I was supposed to have heard about before this. Of course, I have insomnia nightmares of some 'error' in the repair work.

Definately keep me updated. I'm wondering if you had the MRI yet? I guess the 'worse' scenerio is if the tissue gets pulled away from the hip bone. I also did the rest/PT/roller ball/etc. work and nothing. These apparently always will be a lifetime injury until the surgery repair. I've heard if your sane with the recovery, it's unlikely to re-occur. About your marathon, I can't say I wouldn't go for it--if you trust your source on the idea that we're not making this injury worse with running. How much pain are you in? My injury switched when I started feeling it more at rest. What's a bit strange is that I feel it the most when I have to move my right foot in that tiny motion to hit my brakes driving. I'll definatly also ask this guy about the running w/the injury--if so, I'd like to get another one in. I felt no cardio strain on 14 miles, and I'm not big on getting bothered by pain. I was also thinking it wouldn't be a problem to train for a fall marathon, and how frustrating to give that base up. I guess the day will come that we'll have to take the time off, but putting it off is sure appealing....

Good luck on your training--and keep me updated. I bet the adreneline will obliterate any pain once you've got your tag pinned on your shirt at the starting line!

Laura

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jwintroub
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posted Jul-09-2006 08:06 PM     Click Here to See the Profile for jwintroub   Click Here to Email jwintroub     Edit/Delete Message   Reply w/Quote
Well from all indications, that Surgeon in Vail is the absolute best. I have also heard that since this surgery is fairly new (10 years or so) there are very few surgeons who do it (and do it well.)
While i totally understand your fear about an error in surgery it seems like going to the best doctor and the fact that this surgery is done with a tiny tiny camera and a laser should help to allay those fears!

I have had an MRI, which showed the tear (though they were looking for Stress FX)...

My suspicion is that since you had no cardio issues with 14 today, your superior conditioning will allow you to recover somewhat quicker than others. For me, I am not in as superiour shape as I am training for my first marathon (ive only been running for 2 years!) You may have to suck it up though and do the hand-bike for the first couple weeks out of surgery!

My pain is intensified when i run. And i agree if i take it easier, the onset takes longer. If i take a day off and then run, i dont usually feel the stabbing every step pain until mile 3 or so...then it intensifies until i stop. My pain is right in the groin are (sorry) and extends out to the outside of my hip...and at its worst feels like a sharp stabbing pain on a step..
The pt usually has me screaming when i am on my back and he has my knee up and is rotating it externally...ouch!


Question: Do you ever get the feeling that you are just getting used to the pain? I am remembering back to the first morning after i sustained this injury and i couldnt even walk without extreme pain and an insidious limp. Now it nags me, but i have no noticeable limp.

I was just so happy to be out there on a 20 mpw clip again!

So when are you scheduled for Surgery...ill be keeping an eager eye out for posts!!!!

Best of luck and enjoy Colorado (I went to college in Colorado Springs and I miss the 300 days of sunshine!!)

Jeremy

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runmo
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posted Jul-26-2006 02:15 PM     Click Here to See the Profile for runmo     Edit/Delete Message   Reply w/Quote
Sorry for such a late reply.... I was browsing around looking for a certain topic and came across this...

I had arthroscopic surgery for a torn labrum in November of 2004, and I'm so glad I had it done. It took 2 years to finally get a diagnosis for the hip pain I was having (I can't even tell you how many orthopedic doctors, PT's, chiropractors, etc., not to mention how many MRI's I had), but I finally went to the right doctor who knew right away what it was. The surgery was a breeze. It was day surgery. I was literally walking with ZERO pain in 2 days. The first day after the surgery I was sore, but I could not believe how I felt when I woke up the second day. I was told not to run for 6 to 8 weeks, and that was seriously all it took. I felt like I could have run sooner, but I thought it would be smart to listen to the doctor. During that time I was able to do the elliptical, bike, swim... anything that didn't cause impact.

Hope this helps.

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runnersk8ter
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posted Jul-26-2006 02:23 PM     Click Here to See the Profile for runnersk8ter     Edit/Delete Message   Reply w/Quote
Me too!

See my recent reply in another post:

I was diagnosed with a labral tear (two tears, actually) in my left hip (groin) about a year ago. The doctor gave me three options:

1. do nothing
2. cortisone injections
3. arthroscopic surgery

I decided to "do nothing," with the very important exception of strengthening exercises for my hips. The ortho recommended leg lifts targeting the gluteus medius muscles (very slow, 3x30 on each side). It has worked (for me) wonderfully well! If I slack off on my exercises, the pain comes back.

As a bonus, keeping my gluteus medius muscles strong seems to have prevented recurrence of my ITB issues.

Since my diagnosis, I have continued to run 20-25 MPW (same as before the injury) and race every couple of months, distances from 5K to 10 miles.

I've since added swimming to my routine and this does not seem to aggravate my hip in any way.

Good luck and let me know how it goes!

Susan
=====

I should add that my ortho doc said there was no reason I could not continue to run as much as I wanted. (No doubt he's waiting for me to have more pain so I can come back for the surgery!!)

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coloradolora
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posted Jul-27-2006 12:47 PM     Click Here to See the Profile for coloradolora     Edit/Delete Message   Reply w/Quote
Thank you both so much!

Actually, the new development yesterday was that I received an "Addendum to report" from the MRI folks. I'm not sure why they decided to re-review my scans, but it's now showing that there are actually two tears....There's also a bit of fluid. The other thing is that my pain is definitely getting worse. Yesterday was the first day where I was actually distracted by it while working at a desk. I think the Rebox x-trainer is putting too much resistance on it. I'm about ready to just resort to upper body and pilates.

I'm also hoping that somehow this injury could be related to the knee problems on that side. Any experience there? My theory is that perhaps that injury asked the knee for some compensation that resulted in a knee problem as well. Or, wishful thinking?

The frustrating part is that this doctor seems impossible to get a hold of. It's encouraging to hear that one of you was able to walk so soon--I feel like I need to have this surgery before teaching starts again.

But, wow, thank you SO much for taking the time to share your experiences.

I miss running. I feel like a little kid PROMISING that next time I'll be good. No over-training. I wish I could implant that message in all the enthusiastic, indestructible folks like me.

Again, thank you.

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kcstone017
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posted Sep-14-2006 04:12 PM     Click Here to See the Profile for kcstone017     Edit/Delete Message   Reply w/Quote
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, Iím 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 painÖ Iím hoping if I go through with the surgery that this area of my body will eventually ďmoveĒ back to itís 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, websitesÖ any information and experience you would be willing to share would be greatly appreciated. Iím desperate to run again. To have an active life again. Iím just 31 years of age. Far too young to cash in my chips.

Thanks in advance!!!

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coloradolora
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posted Sep-16-2006 12:56 PM     Click Here to See the Profile for coloradolora     Edit/Delete Message   Reply w/Quote
Dear kcstone017,

Hi--I'm the one that started this thread, also looking for anyone with experience with this. I've now met with the surgeon at the Steadman-Hawkins clinic, but the price quote is insane and I don't hold out much hope for hearing back from my insurance company. Then again, like you, I'm 32 and not willing to give up running.

From what I"ve been hearing, contrary to before, this is actually a somewhat rare injury in that the surgeons who treat it are not found easily--I'm wondering if you were referred to anyone? This guy is great, but he's also an elite specicialist, and I'd rather 'take my chances' and be able to get it done by another surgeon.

My MRI confirmed what yours did, actually two tears and fluid, and then the X-rays indicated that there is some ridging in the bone that they want to 'shave down.'

I'll still waiting to hear more and I tried to quit running, but I just can't, so I'm going about three times a week. But slow. If I go slow, it's okay. Some days I'm in pain afterwards, some days not. The longest I've gone is 11 miles. Epson salt baths after the runs seem to help (and they're a lot nicer than the ice baths I used to take).

Beyond that, that's my update. As far as your body "re-aligning"--I feel like I can assure you there. You're 31, you're obviously an athelete, and our bodies are amazing in what they can do. I'm a huge fan of pilates and in our class we do a lot of work on aligning/evening muscles. It's amazing how much even a 'normal' person has out of whack. So, I bet that will just be like a PT process.

Let me know anything you find out! Best of luck, Laura

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ybeal
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posted Sep-26-2006 07:10 PM     Click Here to See the Profile for ybeal     Edit/Delete Message   Reply w/Quote
Hi, just came across this thread and had to contribute if anyone is still checking in on it.

I just moved from Denver in April to NC. Getting in some end-of-season skiing at Copper in March I fell on a black run and pretty much landed hard on my right side. The next day I was a bit sore and by the next my hip was bothering me. I rested, did some massage therapy, anti-inflamatories and although it still hurt it was bearable.

When we drove 26 hours to NC it was really stiff so I decided to see a dr. just to be sure. My primary took an xray that was clear and referred me to sports medicine Orthopaedic - Dr. Hardaker at Duke University. He did an MRI and suspected a labral tear right away - yup that's what it was. He said many people live with them, some unknowingly. His advice was to resume activity if I was feeling up to it and see how it goes...now I'm training for a marathon and doing okay but started with some knee issues last week, going to Dr. tomorrow. I know with mine, the surrounding muscles (esp. glutes) contract to 'protect' the injury so I can get some pain from the tightness of those. I think that the knee issues are also from compensating for the hip (without realizing it) - we'll see tomorrow.

Dr. H. said that it will NOT heal, they need to cut the flap of skin off that is torn to reduce irritation and that 99% of people are perfectly fine and pain free after the surgery. So it was basically live with it or have the surgery. But he was well aware of the condition...I think it was a HUGE benefit seeing a sports-related dr. because they don't tell you you're crazy for running, they try to help you resume your chosen activity. He is a well-known surgeon for sports related injuries.

Have you tried a second opinion? I seem to remember when I was in the Denver area that there was a Broncos Sports Medicine facility - somewhere like that may be worth a consult.

Keep your fingers crossed for me that I can get my knee issues worked out and continue training. Please let me know if any of you went through with the surgery!

Y.

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kcstone017
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posted Oct-06-2006 11:44 AM     Click Here to See the Profile for kcstone017     Edit/Delete Message   Reply w/Quote
Hi Laura,
Thanks so much for your reply. I hadnít realized you responded alreadyÖ Iím new at ďmessage boardingĒ.

Iíve looked at the Steadman-Hawkins website after hearing about Dr. Marc J. Philippon. Is that who you met? Iíve heard the cost of surgery can be around $7-11k. I imagine insurance would only cover a portion, if that, and then add on travel costs (I live in the DC metro area).

I was referred to my current doctor by another doctor who moved his practice out of state a day later. He was pretty adamant about doing research on surgeons as not many are well-practiced/skilled with hip arthroscopy, and not to be a ďguinea pigĒ, etc. He also advised finding a surgeon whoís experience began with shoulder arthroscopy and then moved onto hip arthroscopy.

Surprisingly, the cortisone shot my current doctor had me get has helped a lot in buying me some running time. And my alignment issues arenít as bad. Itís pretty amazing.
Like you, if I run slow and break it up with walking intervals, take days off in between, and ice when needed, I seem to be okay. I have good days and bad days. My fear is I only have one- three weeks left before the cortisone wears off, and running becomes painful again.

Also a huge fan of pilates! I take reformer classes two-three times a week. However my instructors are now getting concerned and limiting what exercises I can do.

So now I too am questioning do I ďtake my chancesĒ. I made another appt. w/my Dr. to discuss another cortisone shot and surgery options.

This I knowÖ it wonít heal on itís own, I canít quit running, and I donít want to be living an inactive life in discomfort for Ďxxí number of yearsÖ thatís not a life.

Continuing to do research. Iíve read of other clinics to check out in the following states: Tennessee, Washington, Pittsburgh-PA, and Oklahoma (www.okss.com).

I appreciate you sharing your experience Laura. Iíll let you know what else I find out.

Take care,
Carissa

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kcstone017
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posted Oct-06-2006 11:56 AM     Click Here to See the Profile for kcstone017     Edit/Delete Message   Reply w/Quote
Thank for sharing too ybeal. That's just it. It won't heal. And I feel like all I need is the cartilage at the tear removed. There's just so few doctors that are well-practiced in the hip arthroscopy that taking my chances with a local sports med surgeon (I'm in the east) feels like such a risk. On the other hand, it's become obvious I can't live with the tear.

Anyway, some research to be done this weekend, and I have another doctor's appt next week.

Thx, Carissa

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tpenn40
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posted Oct-06-2006 10:13 PM     Click Here to See the Profile for tpenn40     Edit/Delete Message   Reply w/Quote
About 11 months ago I had shoulder surgery for a torn labrum, and a bone that was digging into my supraspinatus rotator cuff tendon.

Obviously it's not the same surgery, but the labrum as you know is a pad of cartilage type stuff that stabilizes the ball in the socket. It won't heal itself. I did all sorts of physical therapy, etc. before changing doctors & finding out what it was.

The GOOD thing about this is - we have the medical technology to fix these things now.

I was a powerlifter, loved lifting heavyweights, and couldn't stand it that I couldn't do it. My shoulder is fine now (at least the one that I had surgery on), but the other shoulder is having the same pain (yes I started lifting heavy again...)

I'll eventually have surgery on it, but have some "life circumstances" I'm dealing with now, so it'll have to wait for a year or 2.

Frustrated that I couldn't lift, I turned to running. I'm still a "beginner", been running about 2 months now, but I'm up to 20-25 miles/week, and am planning on running a marathon in about 7 months.

My point with telling you all this is - if you can't run, find something you can do while your surgery heals. The sooner you have it, the sooner you'll be running again. Do ALL the physical therapy they tell you, no matter how much it hurts, and you'll heal much faster.

I'm 40 and I did just fine. Good luck!

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twolabraltears
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posted Oct-10-2006 12:00 AM           Edit/Delete Message   Reply w/Quote
I am about a month post-op for two labral tears (superior and anterior) and for a necessary illiospoas release (it gets cut). I also have a torn gluteus medius tendon which will require a second suregery. The injury may be as old as 13 plus years. For the last four years the pain had been intractable and progressively disabling. Eventually, I could not sleep, eat, stand, sit, or walk. I had intense groin pain, lower back pain, hip girdle pain, thigh pain, butt pain.

Except for what I would expect from any surgery, my pain level is already cut in half. I can walk again. Now let me give you some background info about me. I'm close to fifty but was a national and world ranked athelete for years. I tried out in two events for an olympics by invitation from the US Olympic Committee and was also a world ranked miler. I have had three ortho procedures, two were labral tears of the shoulder. Overall, this procedure was a piece of cake. If you are having problems now that are slowly worsening, I can't imagine that you are going to not eventually need the surgery. The tears don't heal. I was out on a four mile hike (as always working through the pain) when suddenly I could not take another step and I was over a mile out. I was then on crutches for the next 4 months until surgery.

I think you are scheduled with Mark Phillibon. And get realistic, you won't be able to get in touch with him until you see him. There are about 7 orthopods who do this surgery (Boston, Vail, Tallahassee, OK, San Diego, San Francisco, and St. Louis). For the person in DC, please check out Dr. McCarthy (sp?) in Boston. Dr. Phillibon has a big name and is very good but Dr. McCarthy may be the name amongst those in the profession.

I had that deep lower ab pain and worked for years on stretching my illiospoas, but it was always tight and irritated. Anyway, it was part of the injury and it rolled over the hip joint incorrectly. Therefore, it was released. It will increase the recovery time but I feel so much better. Of course, I need to work on deep core, but that is no big deal.

Hang in there - it is not as scary as it seems. Honest!

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jamielyn76
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posted Oct-20-2006 10:31 PM     Click Here to See the Profile for jamielyn76   Click Here to Email jamielyn76     Edit/Delete Message   Reply w/Quote
I had the surgery to repair two labral tears 3 days ago. The surgery went well and I am already feeling a difference in my hip area- the clicking is gone. Recovery- I am still on crutches- but not sure if I need to be. I have a follow up with the surgeon in 3 days- I am going to take it easy until then. I am anxious to see when I can start some sort of work out routine- although today I did an upper body and ab work out without permission- but listened to my body and I felt as though I could do it. I took pain meds the first two days- mostly to allow me to sleep. I understand that I will be starting physical therapy- water preferred- starting next week. I already feel pretty good and am thinking I will recover sooner than the expected 6-8 weeks- but I will know more once I see the surgeon at the follow up appointment. I recommend the surgery- I suffered through cronic pain for several years before the diagnosis- I cant wait to be able to do the physical activities I used to do.

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kcstone017
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posted Nov-13-2006 03:16 PM     Click Here to See the Profile for kcstone017     Edit/Delete Message   Reply w/Quote
Jamielyn,

I thought Iíd check in again in the hopes that someone else posted. Iím so glad youíve written in so soon after your surgery. Iím having my surgery in nine days, Nov 22nd and my nerves are getting the better of me. It was comforting to read about yours. And your speedy recovery. Especially about your having suffered through the years of chronic pain, as Iíve had mine for over 3 Ĺ yrs. Iím anxious and hopeful Iíll be able to return to running, pilates, ice skating, anything as I used to be able to do them too.
How are things going now? Itís coming up on a month post-op now?

Thanks again for sharing.

Carissa

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tyonkovich
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posted Nov-18-2006 02:08 PM     Click Here to See the Profile for tyonkovich     Edit/Delete Message   Reply w/Quote
I wanted to thank you all for posting this thread, since you are giving me very good material to discuss at my doc's appointment.
I've been battling my injury for 3 months. I got a diagnosis of hamstring sprain at the head of the muscle around the hip joint area, but my PT did not buy it...
My symptoms are very similar to what I read here. I am scared, but at the same time, I feel that having a diagnosis is the best thing, even if I eventually have to face surgery.

Carissa - I wish you the best on your surgery! (((((healing vibes)))))

ybeal - I wonder if you have surgery... I am probably moving from Boston to Raleigh and will likely look for the doc you mentioned since he is familiar with the injury...

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runNYtrails
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posted Nov-18-2006 04:41 PM     Click Here to See the Profile for runNYtrails   Click Here to Email runNYtrails     Edit/Delete Message   Reply w/Quote

If it is of any comfort or gives you any hope for recovery, I must add that I have had this surgery also and have had good results. I am back to running at least as many miles as I did prior to the surgery though now I pretty much stick to softer ground and avoid pounding the downhills as much as possible. Initially my Ortho doc told me 'no running' again. Ever.
But I have made a better than expected come back and hope to be at it for a long , long time. Post operatively I did not do any weight bearing activity for 1month and then was able to start walking after that. I think I was running a little bit w/in 2 months. I was recovered enough to run the marathon distance w/in 6months and have since done some runs exceeding that distance. Good Luck, i hope it goes well for You too !

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ekgunn
Cool Runner
posted Nov-20-2006 03:54 PM     Click Here to See the Profile for ekgunn   Click Here to Email ekgunn     Edit/Delete Message   Reply w/Quote
I am so lucky to have found this post....about a year and a half ago I had a hip injury after I started training too soon after a marathon. So after a clear x-ray I took 8 weeks off and then slowly started running again and everything was good. I ran a spring marathon and then I just ran a marathon 4 wks ago. I felt really good so I pretty much jumped back into training and then the pain came back! It has to be more than a groin/adductor/hip flexor strain cuz I did the rest and ice thing without results. after reading all of your posts I can now suggest to my doc (who I see for the first time on monday) a possible labrum tear. I'm seeing a sports med ortho at Mass general hospital in Boston who specializes in hip injuries so we'll see. thanks again!

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Orthopodrunner
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posted Nov-21-2006 10:01 AM     Click Here to See the Profile for Orthopodrunner     Edit/Delete Message   Reply w/Quote
Just thought I would add my 2 cents. I am an orthopedic surgeon. Although I do not do hip arthroscopy, I have treated many people (some runners) with labral tears.
The labrum is piece of cartilage that surrounds your hip socket (acetabulum.) As others have posted it is relatively avascular so once injured it has little ability to repair itself. It can be a source for nagging hip (groin) pain especially in active people. In addition it can be responsible for some knee pain due to referred pain. Running with a labral tear should not be problematic in the short term 3-6 mo. However, there is at least a theoretical risk of extending an existing tear with long term running.
Some patients do not have persistent symptoms so a trial of rest and crosstraining is reasonable for 3-6 months depending on your patience. If it were my hip I would certainly try to run and be active after appropriate rest, PT etc. If this fails a hip arthroscopy is indicated. Recovery from the surgery should not be extended for a uncomplicated arthroscopy. Running within 2-3 months on a gradual basis is a reasonable expectation. Do research regarding your doctor because as others have posted, there are not many "experts" in hip arthroscopy. Good Luck!

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Nayola
Cool Runner
posted Nov-22-2006 02:16 AM     Click Here to See the Profile for Nayola   Click Here to Email Nayola     Edit/Delete Message   Reply w/Quote
My husband had hip arthoscopy for a labral tear exactly a year ago. His surgery was performed by a sports medicine doctor in Van Nuys, CA, who was highly recommended.

As of today, my husband is doing a LOT better but still is not 100% back to "normal," and definitely is not back to running like he once could. He still feels some discomfort in his hip on some days, especially if he tries to run for any length of time even on a treadmill. He is hopeful that some day he will be able to run pain free, but so far that isn't the case.

I know that everyone's recovery time is different depending on their exact circumstances. I was just wondering if there are other folks on the board who had this procedure a year or so ago who did not see "immediate" improvement (say, within the first 6 months to a year) but nonetheless did eventually return to running relatively pain free.

[This message has been edited by Nayola (edited Nov-22-2006).]

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kcstone017
Member
posted Nov-25-2006 04:38 PM     Click Here to See the Profile for kcstone017     Edit/Delete Message   Reply w/Quote
I had every intention to post my reply prior to surgery.

Tyonkovich, Thanks so much for wishes and healing vibes. The diagnosis was like a gift (almost literally Ė it was confirmed on my birthday). I finally had an answer, and one I didnít question or doubt. Bitter-sweet moment.

runNytrails, After reading your message, I was able to let a breath out that I havenít been able to. Yes, youíve given me comfort and hope. Congratulations on your successful surgery and recovery. Marathon distance within 6 months! Thatís fantastic and very encouraging. And Iím not even into marathon distances, but can very much appreciate what that means.


So Iím three days post-surgery and I have to tell you Iíve been nothing but pleasantly surprised. The pain was minimal in comparison to other surgeries Iíve had, and in fact with how much pain I was in when I first had the injury. Iím surprised with how quickly I was up on my feet. Iím on and off with the crutches in an effort not to over do it, but enough to work against the stiffness. Icing every so often. Also being careful of how I move and how much I move right now (rotation).
Just took the bandages off today. I have a follow up with my doctor and start PT this coming week. Looking forward to it.

Thanks again to all those whoíve posted. Iíll keep you updated on my recovery.

Carissa

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