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Hi everyone, I know there have been some discussions about hip arthroscopy in here and I have a specific question.
I had my hip scoped back on 11/5/07 so I'm just about 3 months out. I had impingments on both the acetabulum and femoral neck removed as well as a labral repair using 2 anchors. My recovery has been fairly uneventful and I must say it was an easy surgery to get through (minus some scary numbness that lasted for 4 weeks). They did find significant cartilage damage but pretty much said there wasn't much they could do about it. Just expect early onset arhritis. Anyway, I'm curious about other people's recoveries. About 2 or 3 weeks ago I noticed that my hip has been catching/clicking again. Sometimes when it happens it can be quite painful for a split second. I would say its happening between 5 and 10 times a day. Mostly it happens when I bend forward at the waste while sitting.
I'm curious if others have experienced this at 3 months post surgery? The doc and PT don't seem worried about it yet. I'm worried that the labral repair is failing and it's slipping inside the joint from time to time. Has anyone that has gone through this experienced the same thing and had it go away?
Dan: I'm afraid I can't help you very much but am hoping to learn from you instead. I have had a very painful hip that I suspect strongly is a tear. I've been seen 3 times by ortho and blown off with a diagnosis of flexor instability. Since I have no difficulty with any forward flexor movements and still have bull strength in these groups I doubt it and suspect misdiagnosis. What were your symptoms of the tear? If you don't mind sharing them with me it could help me gain the courage to second opinion my ortho. He did do an MRI but it was without contrast so from what I've read it was probably missed. I can't believe that a flexor instabiltiy could cause this much pain and disability. Thanks for sharing Dan I hope your experience can help. Christine M. M.
Well, its kind of a long story. I was having issues for the last 10 years. It started after running a half marathon. I was limping around a lot and had lots of clicking and popping. Doctors never really diagnosed anything and honestly I'm pretty lazy about following up with doctors if they fail the first few times. In the beginning the pain was enough to make me limp during the day but it eventually decreased. After that I had lots of clicking and popping that was only momentarily painful. I had pretty much stopped running and would only occasionally play basketball until the last few years. When I started running again I noticed that I was able to gradually work up the mileage and as long as I took a lot of time to warm up I could do about 10 miles before I would get pain in my front groin. If I tried to start out fast or at anytime started to run sub 8 minute miles I would get the pain. I decided to start seeing a doctor about it again and initially thought hernia (negative), then a sports hernia. I went to Dr Myers in Philadelphia who is renowed for treating sports hernias and he thought there was a good chance that is what I had but he needed to rule out hip problems which can present the same symptoms. When they did the MRI with contrast they found the torn labrum as well as all my impingments. He referred me to Dr Kelly at the Hospital for Special Surgery. Honestly, go get the MRI with contrast, some people will tell you it hurts but it doesn't. It's just pressure and anxiety from a big needle. After the injection you'll be limping but its not really because its painful, more so because you feel awkward for a few hours. It wasn't a big deal. If you end up having the surgery I will tell you that the pain isn't a big deal either. My back and neck hurt more than my hip just because I was laying around a lot. I only took pain killers to fall asleep at night for the first few days. Other than that its just frustrating not being able to take care of yourself for a few weeks. Get it taken care of sooner rather than later though, when they went in with the scope they found that I had an area where the cartilage was just gone most likely the result of me having the injury for so long and just trying to tough it out.
Thanks so much for the info. I, on the other hand am like a terrier with respect to my health and if I catch wind that anyone is even thinking about blowing me off I get angry and mobilize. I had an atraumatic start on 12/01 07. I had been running-nothing intense, and doing lots of leg work lunges, squats,yadayada. I woke up with a fierce painful limp and much like yours the limp dissappated within 1-1 1/2 weeks. But what I'm left with is a wicked pain in the same spot always-posterior hip when weight bearing, running, or trying to rotate my hip. It feels like I'm weight bearing on a shard of glass. I def. feel a piece of something catching, it clunks, sometimes pops but I'm most distressed with the pain. Saw ortho and he was in a big yank to get going and spent like 2 minutes with me and ordered an MRI without contrast.All negative. Since then he told me to go to the gym and "power through the pain" Like a moron I did what he said despite pain that brings me to tears. I went back yesterday to try to give him the courtesy of another chance and he never saw me he sent the nurse out with a PT slip. Now let me tell you DL, after 8 weeksof pain like this there is no ay I'm playing stretch and release and then finding out what I already know.Did you have nightime pain? I can't sleep at all because either side up is so painful. I need to take Benadryl just to knock me out to get through a night.So being the bull I am, I just got all copies of my records sent out for a second opinion and hope I dont get the same reception.So with my clunking, popping, pain and limp off I go to another opinion hoping that at least this guy listens. I'm a bit disadvantaged being in a small rural area somewhat podunk without any quality care for miles but I'll get there-at least that I know. Thanks again-I'm glad you are doing better and hopes for your continued recovery are there.....
Hi, I also tore my labrum in December. I thought that I just had a bad groin pull that I woke up one morning with.
(never had any hip or groin pain before). I would let it rest a week, try to run again only to be in more pain the next day. This went on until I went to Dr. Dector (great doctor) in West Orange New Jersey. He did an x-ray in his office and ordered an MRI with contrast. He told me on Valentine's day that I tore my Labrum. He also recommended Dr. Kelly and would not recommend anyone else. Dr. Kelly does not work with Blue Cross/ Blue Shield so I found Dr. Srino Bharam in New York 212-691-3535. He is an awesome doctor he saw me two weeks later and I had the surgery on March 20. I Looooove Dr. Bharam he has the best bedside manner, he has a lot of credentials, he also had the surgery performed on himself and he has also ran a marathon so he knows what it is like to be a runner. The surgery went great. He wanted me on the bike the next day and I was off crutches in a week. Gillian his office manager is a sweetheart and they accepted whatever the insurance paid. Unfortunally he really doesn't want me to run anymore (I also had arthritis in my hip) so I'm stuck crosstraining, because I don't want hip replacement by the time I'm 40. I'm fortunate that I was diagnosed early and had some of the best doctors. Hopefully this information might help some of you. I am still heartbroken over not running ( I've ran 5-6 days a week for 10 years about 5 miles a day). But I know me, once I start running then I would return to the same habits of pushing myself into the ground and I really have to look at the big picture and find other ways to push myself without all of the damage. Good Luck to everyone.
I was looking for an old thread where a gymnast had a labral tear years ago and recovered fully with a long rest period; now her daughter has a labral tear and they are recommending surgery. My 12 year old daughter has a labral tear which started bothering her in October. An MRI arthrogram confirmed the tear in December. Her sports medicine/orthopedic doctor recommended surgery and referred us to a hip specialist from our Children's Hospital. The sports guy was much more interested in getting her back to her sport quickly. We saw the surgeon last week, and he wants to wait and see her in 3 months and see if she has improved at all. The waiting and being on crutches with almost no improvement is becoming frustrating. There is no way of knowing if she will actually improve. Meanwhile she is missing her competitive season and is hoping at this point to be able to walk without a limp at her sister's wedding at the end of May. Her sport is actually all-star cheer, which is similar to gymnastics. Last year she competed individually and took first at nationals, and her team got a paid bid to Worlds. Her team is trying for another World bid this spring without her and she feels badly because she can't help. She loves to tumble and just was starting to land double fulls when her hip started bothering her. She is hoping by summer or fall she can get back to her team and compete again. Most girls on the senior team are older, but my daughter isn't sure if she'll want to continue into HS with it as she has a lot of hard classes already and wants to concentrate more on academics once in high school. She is already in HS Spanish and geometry and sometimes it is hard to get homework done on nights with long practices. So ideally she would be able to get back to her sport pretty soon and maybe make it to Worlds one more time. If further activity would put her at risk of more damage, of course she would have to give up her sport. This seems to be the surgeon's answer. Just don't do it. But she is bored, bored, bored! Competing, to her, is fun. I have gotten art supplies and tried to get her into some music lessons. She is doing her rubiks cube in under 1 1/2 minutes because she whips it out when she is bored. I'd love to hear the pros and cons of doing the surgery or not. Additionally I can't find anything telling of the results of conservative treatment in someone her age who is still growing. Any comments or suggestions would be great!
Thanks, that is really interesting. Especially where she said the MRI arthrogram was more painful than the surgery - this gives me hope surgery won't be so bad if it comes to that! About 2 hours after that MRI arthrogram was the most pain I've ever seen my daughter in. I asked her to rate the pain from 1-10 and she said 10! She has a high pain tolerance and never has said "10"!
I know the person who had the surgery. She is doing well and getting her running back on track after getting through the tendonitis. She also had some problems with the antibiotics but got that straightened out as well.
While avoiding surgery would be great, the common thread seems to be little or no improvement until surgery and then a slow recovery. My daughter is growing really frustrated with being on crutches and unable to do any physical activity. If the surgery is going to be needed, she'd rather get it over with ASAP and be on the road to recovery. She says that even after watching videos of labral tear debridement and repair on You Tube. They were so sick! She thought they were cool. She wants to be a surgeon and loves to watch surgery though - but your own surgery? Ew. After competing at an elite level, doing nothing at all is a huge let-down. If going back to her sport would risk further damage, then she may need to switch sports. But 12 is way too young to retire from all sports and just do nothing but sit around reading or whatever. I'd really love to have some concrete information on the probability of cartilage healing on its own at her age. Can this really happen? I've seen pictures of torn labrums and all those stringy things are hanging off - it just seems like without trimming that stuff away and cleaning it up it would be tough to have it heal.
My daughter stopped using crutches and walking so obviously was painful the school was phoning me. We told the doctor she needed to come back sooner than April and were ready to request her records and go elsewhere to another Dr specializing in hip arthroscopy. She had an appt Monday, and yesterday our original surgeon put her under with general anesthesia, did another arthrogram, and gave her a cortisone injection. Has anyone else tried the cortisone injection as a less-invasive solution for a torn labrum?
Using the fluoroscope, he said he saw a thicker area on her cartilage that looked like a piece had broken off and lodged there or there was a flap. He is going to look at her MRI-A more closely and may want to trim the piece off if there is a flap. He called it a "mechanical" issue. From day one, my daughter has pointed to this exact spot where it is "pinchy". Watching her walk, it reminded me of trying to avoid rubbing a blister or walking with a stone in your shoe - it looked like she was trying to avoid this "pinchy" spot. We described this to all the doctors for the past 4 months and I feel like we are finally getting somewhere! Either this cortisone will help, or she'll have to go back and get arthroscopic surgery but this is such good news because it finally seems like she is on the road to recovery. The only thing I'm a little confused about is that he is calling it a "surface cartilage issue" instead of a torn labrum. Does anyone know what this distinction is? Is it just location? The spot is right at the front of her hip so it seems like it would be relatively easy to fix.
Yes, I have had both the arthroscopy of the hip as well as a cortizone shot. I had my surgery in 2007 and it was very successful. The surgery is the best way to go. I had reinjured my hip when I had fallen during one of my hurdle drills, I had an MRI to check the hip but it was too inaccurate to tell if something was wrong because of the first surgery. The doctor gave me the cortizone shot and it worked well.....but it only lasted a few months. The cortizone shot is only a temporary solution. Eventually I ended up back on the operating table, but months later than I should have. My suggestion would be get the surgery if you have time to recover. If for example you just want to finish your season go for the cortizone shot. But as a general rule, I would say get the surgery to fix the problem instead of the cortizone shot.
Hi, I'm new to the site and was wondering if anyone has experienced similar symptoms resulting from a hip labral tear. While training for a marathon in March 2009, I felt a sharp pain in my lower back. I had a MRI but it showed nothing but a tarlov cyst (which every doctor has said are asymptomatic). I was still attempting to run until the pain starting going down both of my legs and in my right groin. I went to another back doctor who said I may have a small tear and gave me an epidural. However, this did not help. I eventually got an MRI on my right hip which showed evidence of a anterior/superior labral tear. I had hip arthoscopic surgery on July 23/09 and am now about three weeks out. The dr. said they did a repair and removed a bone spur on my femur. I still have pretty bad lower back pain and hamstring pain which my PT said was hamstring tendonitis. So, I guess my questions are as follows:
-Has anyone's back pain subsided after having a repair a hip labral tear? If so, how long did it take to for the back pain to go away?
-Has anyone experienced hamstring tendonitis that seemed to get worse right after surgery? Did it eventually go away?
-When did most people begin feeling better after the surgery?
know you posted this last year and may already have an answer. however, i just joined the discussion thread after recently being diagnosed with a tear and living in pain for years, and wanted to let you know that, yeah, my pain subsided after a few years. just kind of went away. my right side, though, which was compensating for my right has started hurting, though. anyway, not sure if this is good or bad or old news, but thought it worth sharing.