Hip labral tear

bsb1971

To cut a long story short, I have finally been diagnosed (following an mri) with labral tear and a cyst in right hip - after bout 5 years of misdiagnosis'. My doctor has offered me option of seeing consultant in cork or dublin - no mention of Pat Carton in Waterford. Who is the best consultant to go to? Having suffered for so long, finally want it sorted properly once and for all - so willing to travel to the best. Any comments? Cheers.

roadrunnermick

bsb1971 wrote: »

To cut a long story short, I have finally been diagnosed (following an mri) with labral tear and a cyst in right hip - after bout 5 years of misdiagnosis'. My doctor has offered me option of seeing consultant in cork or dublin - no mention of Pat Carton in Waterford. Who is the best consultant to go to? Having suffered for so long, finally want it sorted properly once and for all - so willing to travel to the best. Any comments? Cheers.

I recommend seeing Enna falvey in Santry sports clinic Dublin or in Euromedic Cork as a 2nd opinion before you consider any surgery .

I made the mistake of thinking surgery was the fix to my FAI, where I was very wrong. Working now with Enna to hopefully to fix the issue. If you are meeting with him, he is very clinical and will try to avoid sugary if at all possible.

In all the years I suffered , he was the most knowledgeable and best yet. Really happy with him. He will recommend you to best surgeon for your condition if he thinks surgery will help!

mimihand

Hi bsb1971,

I had my FAI and labrum debrised (repair was not a possibility for me) surgery with Tom McCarthy in Santry Sports Clinic and I found him to be very good.
I am 10 months post op and my hip is almost perfect. You can hardly see the two incision sites. I do have a small catching sensation at times (probably feel it once a week depending on my movement). This occurred as a result of an incident 4 months post op. I had no issues before that at all. This sensation has reduced greatly since the incident so I hope that it will eventfully go away completely. Either way, it is 1 million times better than before surgery.

I have a tear (no FAI) in other hip but just monitoring it for the moment.

Good luck

have2flushtwice

cornygall wrote: »

How long does it take by car say from letterkenny to waterford roughly do ya mind? Aftet yr consultation with pat carton did ya have to wait long for call up to surgery?
Waterford kinda a balls from donegal to get to thats why am thinkin santry but iv heard good reports about pat carton thats why tempted to go with him.

I'm going back a bit on this thread, I'll say two things:

1 Carton is the business, had two ups under his care - no issues whatsoever, and the clinic has gone from strength to strength in the last 3 years.

2. don't worry about the trip, you would be as well to go the night before and stay in local hotel for 50 quid a night(Ramada) as usually there is a 7am check in. the trip home is the one to worry about, no matter where you are going its going to be a pain in the ass.

cornygall

have2flushtwice wrote: »

I'm going back a bit on this thread, I'll say two things:

1 Carton is the business, had two ups under his care - no issues whatsoever, and the clinic has gone from strength to strength in the last 3 years.

2. don't worry about the trip, you would be as well to go the night before and stay in local hotel for 50 quid a night(Ramada) as usually there is a 7am check in. the trip home is the one to worry about, no matter where you are going its going to be a pain in the ass.

Am glad now went with Mr carton I am 3days post op stayed up the nite b4 in dooleys hotel, the journey home was a killer took me nearly 6hours took plenty off stops.am still in alot off pain walkin around with my crutches 3days in, am due to have my second hip op a week today so am only gettin 10days recovery from first op. how many days after op did you start cycling on a stationary bike? and did you use ice when ya came home the first few days? one of the patients I was talking to says they never bothered with their 1st ops...

have2flushtwice

cornygall wrote: »

Am glad now went with Mr carton I am 3days post op stayed up the nite b4 in dooleys hotel, the journey home was a killer took me nearly 6hours took plenty off stops.am still in alot off pain walkin around with my crutches 3days in, am due to have my second hip op a week today so am only gettin 10days recovery from first op. how many days after op did you start cycling on a stationary bike? and did you use ice when ya came home the first few days? one of the patients I was talking to says they never bothered with their 1st ops...

my op was an arthroscopy, a bone growth on the ball of the joint.
I was on crutches for a month, didn't go near a bike for two months. swimming is good once the would heals.
follow the docs instructions though, they do this every day.

beaverfever

Hey guys, great to find this thread as I've found out I have a torn labrum in my left hip and impingement in both hips. No private health insurance so getting surgery in the Whitfield under Carton isn't an option for me. My dad's GP recommended Robert Flavin in the Cappagh National Orthopaedic Hospital. Anybody know anything about him? I know going public mightn't be as good a job as Santry or Whitfield but it's the only option I have and if I don't get back to my sport soon I'm going to go crazy haha

cornygall

beaverfever wrote: »

Hey guys, great to find this thread as I've found out I have a torn labrum in my left hip and impingement in both hips. No private health insurance so getting surgery in the Whitfield under Carton isn't an option for me. My dad's GP recommended Robert Flavin in the Cappagh National Orthopaedic Hospital. Anybody know anything about him? I know going public mightn't be as good a job as Santry or Whitfield but it's the only option I have and if I don't get back to my sport soon I'm going to go crazy haha

Can you not get it done under your club insurance? thats what I did no prob at all... am on the the way down to waterford for my 2nd hip just now, have same problem as you impingment in both hips and a left labral tear. who diagnosed you with yr impingment s? you might be waiting a few years to get anything done going through with your medical card...

rugby12

quote: Can you not get it done under your club insurance? thats what I did no prob at all... am on the the way down to waterford for my 2nd hip just now, have same problem as you impingment in both hips and a left labral tear. who diagnosed you with yr impingment s? you might be waiting a few years to get anything done going through with your medical card...


Cornygall can you actually claim from your gaa club insurance, and if so how did you go about it and whos the insurance company do you know? cheers appreciate it

cornygall

I got it through soccer insurance lad, am not sure what story is with gaa, its quite an expensive operation so make sure you have the cover b4 you go for it.

cornygall

I got it through soccer insurance lad, am not sure what story is with gaa, its quite an expensive operation so make sure you have the cover b4 you go for it.

bsb1971

Not sure if this thread is still active, but will post anyway, hopefully someone will read it! I am waiting for my date for surgery on my labral tear with Pat Carton. How long were people off work after the op? My job is fairly active. In relation to physios - anyone got any recommendations for a good physio in Kerry, as I will need to see one after. Lastly, how long before i can drive - or is everyone different in that respect? Cheers.

weekaizer

bsb1971 wrote: »

Not sure if this thread is still active, but will post anyway, hopefully someone will read it! I am waiting for my date for surgery on my labral tear with Pat Carton. How long were people off work after the op? My job is fairly active. In relation to physios - anyone got any recommendations for a good physio in Kerry, as I will need to see one after. Lastly, how long before i can drive - or is everyone different in that respect? Cheers.

My job is also very active as I work on a hospital ward. I normally walk 8-9 kilometres on a 8am-9pm shift and I was back working in under a week and was driving within 5 days.
Just run it by your insurance company as they may not like you driving within a few weeks of this type of surgery.
Best wishes with your op. I am still delighted with the 2 jobs mr carton did on me.

beaverfever

I'm back again guys, still waiting and it's not fun! I'm now going to be seeing Kevin Mulhall in Cappagh (I believe he does private in Santry but does some public as well in Cappagh). Does anyone have an experience of surgery under him?

beaverfever

cornygall wrote: »

Can you not get it done under your club insurance? thats what I did no prob at all... am on the the way down to waterford for my 2nd hip just now, have same problem as you impingment in both hips and a left labral tear. who diagnosed you with yr impingment s? you might be waiting a few years to get anything done going through with your medical card...

I'm a bit late with the reply man, sorry haha. Nope the taekwon-do insurance won't cover it! Went to Carton who diagnosed me but then he told me it's 5 and a half grand per hip so that's not happening. Absolutely horrible being stuck on a waiting list and not even knowing if you'll be able to get fixed publicly. How're your hips now?

Bull76

I've had my right hip done about 6yrs ago, Labral tear and degenerative wear and tear. Kevin Mulhall completed same out of the SSC santy. Found him and the process very good. Went from been in pain 24/7 to none straight after the op. I've 3 scars that are very small. Follow up by him was also good.

beaverfever

Bull76 wrote: »

I've had my right hip done about 6yrs ago, Labral tear and degenerative wear and tear. Kevin Mulhall completed same out of the SSC santy. Found him and the process very good. Went from been in pain 24/7 to none straight after the op. I've 3 scars that are very small. Follow up by him was also good.

Good to hear Thanks!

Goodshkin

Not sure who asked the question. But just to add, I was recently diagnosed with a labral tear on my right hip. I've gone through the whole process from xray - specialists - MRI's - orthopaedic surgeon ALL through the medical card. Just to let you know of the time scale or anyone else who may be experiecning hip pain wondering how long it takes to get fixed.

Initially my hip pain was bearable enough as I gave up sports for a few years as I couldn't find the time with college and work. It happened in December 2012, xRays in March 2013 - referred to specialist in A&E and couldnt see anything on xRay. Didn't really do anything with it after that as I went away for 9 months. I went to GP when I came home to have another look and got referred to Drogheda to get 2 MRI scans on both hips - had to wait 11 months for them (still didnt know what the issue was yet). A cancellation happened and got the MRI's in 8 months. November 2014 - 2 MRI's, Waited 2 months to see orthopaedic surgeon (30th December) and he said he needed an opinion from another hip specialist which is now scheduled for the end of April 2015.

I'm not sure if I'm scheduled for an outpatient key-hole surgery or just a consultation to schedule me in for an op then. Fingers crossed its the surgery but I've been waiting a while. When I rang the HSE to ask about my appointment she said the usual waiting time is 11 months to see the hip specialist (Only took me 4) and she said I was very lucky at that.

If I was to do it again, (the quickest way I could think of getting it looked at through the public sector) I'd pay for the MRI rather than getting referred and waiting 8 months. Then go to A&E with the pain with the MRI on file at that hospital to get it looked at. Rather than waiting over 2 years to get it seen to.

I seen 3 doctors, two physio therapist and an orthopaedic surgeon and not one of them could tell me the issue (without the MRI). All was revealed with the MRI. Hope this helps someone, as I was lost looking for answers.

ashb0435

beaverfever wrote: »

I'm back again guys, still waiting and it's not fun! I'm now going to be seeing Kevin Mulhall in Cappagh (I believe he does private in Santry but does some public as well in Cappagh). Does anyone have an experience of surgery under him?

Diagnosed with labral tear right hip. How long were you waiting for surgery in Cappagh with Kevin Mulhall? Health insurance won't cover me for santry. Hope all is well now

endacl

weekaizer wrote: »

if I lay on my back with a ball in between my knees and squeezed I had terrible pain in both my groins..

*eyes water*

Jaysus. Even the thought of pulling the poor ball down as far as me knees!!!

:eek:

size5

Was diagoised with a CAM hip impingement in March last year by Dr. Joe Conway. Judging by the posts above I was one of the lucky ones as had not experience too much pain even though my mobility was badly affected. However since Nov my mobility has got worse, low back pain on impinged side, tight glutes.

So I looking at getting it reaccessed in SSC-so my question do I look to meet a consultant straight away (e.g. Tom McCarthy) OR someone like Eanna Falvey whom is a Sports Medical Doctor.

Advise & thoughts would be appreciated.

size5

Was diagoised with a CAM hip impingement in March last year by Dr. Joe Conway. Judging by the posts above I was one of the lucky ones as had not experience too much pain even though my mobility was badly affected. However since Nov my mobility has got worse, low back pain on impinged side, tight glutes.

So I looking at getting it reaccessed in SSC-so my question do I look to meet a consultant straight away (e.g. Tom McCarthy) OR someone like Eanna Falvey whom is a Sports Medical Doctor.

Advise & thoughts would be appreciated.

subscriber

Had a read through the thread there and it has been very helpful indeed. I am suffering with pain in the left groin for the past two years which used to come and go in relation to severity of pain but have undergone two separate surgeries to my lower back for disc herniation within the past three years and since iv'e had the second op 9 months ago where the surgeon had to insert rods and screws to stablise the spine, the groin pain has been insufferable on a daily basis.

In relation to my diagnoses, my spinal surgeon sent me for a regular MRI scan of the left hip which showed anterior acetabular labral tear with associated labral cyst. Here's where things get interesting though,in order to diagnose the severity of the problem, he reffered me for an arthogram of the left hip and the report from the arthogram came back clean with no abnormalities according to the Consultant Radiographer that performed the arthogram. The problem I see with this is that the arthogram was carried out as a two part procedure across two separate hospitals. I was injected with contrast dye in University college hospital galway and then send to Merlin Park Hospital for the MRI scan itself. I specifically asked the consultant radiologist on the day how long the contrast dye remains in the hip before wearing off what time frame I had to make it down to Merlin Park Hospital for the MRI scan, she told me ,30 minutes. By the time I made it from UCHG to !Merlin Park, it was at least 40 minutes before I was in the MRI scanner if not a bit more so I just don't buy it that on the first scan, I had all these structural problems like the labra tear and cyst and all of a sudden after the arthogram there not there any more. Does not make any sense whatsoever.

So long story short, I'll be getting my GP to re-refer me for another arthogram where this time I can get the contrast dye and MRI scan done all in the one setting and hopefully get an accurate true diagnosi.

In relation to seeking treatment if I manage to get an accurate established diagnosis, I'll certainly be going to Mr Carton in Waterford as based on the reports in this thread, it's worth the journey.

One question.... Can anyone mention if they have experienced quad/thigh pain,stiffness or throbbing with this condition?

bsb1971

I had surgery on a labral tear last July, went to Mr. Carton - all I can say is best decision ever. I experienced aches and pains in the hip area and quad, pretty much after any rotational movements, esp at work.

Bull76

I've been having nice pain and discomfort in my hip 6 years after my hip arthroscopy. Have been having issues with stiffness, muscles not firing.
Before I had the surgery I did have a lot of issues whilst at work, picked something up and went to take a step and just collapsed. Wasn't very nice. Contrast dye injection and scan should really be done in the same hospital.

With the recent issue playing up and the pain, I've had an mri of my hip, cortisone injection, which didn't do a whole lot if anything. Consultant will hopefully follow up with another arthroscopy. If that doesn't work next step is hip replacement. Not overly fond of that but if it gives me my life back, I'd rather have it. Been seen consultants out of the SSC in Santry. Highly recommend it if your close.

subscriber

Bull76 wrote: »

I've been having nice pain and discomfort in my hip 6 years after my hip arthroscopy. Have been having issues with stiffness, muscles not firing.
Before I had the surgery I did have a lot of issues whilst at work, picked something up and went to take a step and just collapsed. Wasn't very nice. Contrast dye injection and scan should really be done in the same hospital.

With the recent issue playing up and the pain, I've had an mri of my hip, cortisone injection, which didn't do a whole lot if anything. Consultant will hopefully follow up with another arthroscopy. If that doesn't work next step is hip replacement. Not overly fond of that but if it gives me my life back, I'd rather have it. Been seen consultants out of the SSC in Santry. Highly recommend it if your close.

I am based in Galway myself so there is only 45 minutes travel distance between going to Dublin or Waterford so I think I am going to opt for Mr. Carton in Waterford.

I am not a big advocate of the cortisone injections as Ive had two of these in the past for a shoulder tendonitis and they did absolutely nothing for me.

bsb1971

Best of luck!!

runner28

Hi,

Looking for some advice here. I've recently been diagnosed (radiologist report) with a mild CAM in my right hip with mild osteoarthritis in both hips (articular cartilage wear). I am 30 yoa. I have been training for a marathon doing up 95 mpw including long tempos and interval sessions. I am waiting to get an appt with an orthopedic consultant. From researching on the net the past few days I can see that a few months of PT/strengthening exercises may be the recommendation of the consultant before considering any surgery. The hip infringement really only affects me when I am running hard intervals or on my long runs. Sometimes the pain can get to the point where I have to stop and walk.

I have two questions. First, what are peoples experiences with PT to relieve hip impingement pain? Secondly, has anyone diagnosed mild hip osteoarthrtis had issues getting back playing sport at a high level?

Thanks

size5

runner28 wrote: »

Hi,

Looking for some advice here. I've recently been diagnosed (radiologist report) with a mild CAM in my right hip with mild osteoarthritis in both hips (articular cartilage wear). I am 30 yoa. I have been training for a marathon doing up 95 mpw including long tempos and interval sessions. I am waiting to get an appt with an orthopedic consultant. From researching on the net the past few days I can see that a few months of PT/strengthening exercises may be the recommendation of the consultant before considering any surgery. The hip infringement really only affects me when I am running hard intervals or on my long runs. Sometimes the pain can get to the point where I have to stop and walk.

I have two questions. First, what are peoples experiences with PT to relieve hip impingement pain? Secondly, has anyone diagnosed mild hip osteoarthrtis had issues getting back playing sport at a high level?

Thanks

I have pretty much same as yourself impingement in one hip with mild osteoarthritis in both hips. I will assume that you went to your Doc to get a referral letter on-as if it was a Sports med doc or a physio they probably would have told you to stop running. Basically I have been ADVISED to stop all impact sport (initially i couldn't have done anything impact anyway), as would be doing damage to the hip and would be looking at a hip replacement. I may need one in 10-20 years but if I had of kept going I probably would need one a lot sooner.

So from my research and experience and different physio/medical opinions you could be doing your hips harm by continuing to run-particularly at that weekly milage

To your first question the answer is YES-when I was first diagnosed, i couldn't play tennis with kids, squat,lunge walk without pain in hip and back-Now after working with the right therapist its made a HUGE difference, now doing all the above activities without pain. Be careful was around in circles before I got the right therapist whom brought me back to basics and am in best "pain free" shape in 2.5 years.

runner28

Thanks for the reply. Glad to hear the physical therapy has made such a difference. I just wonder how effective it would be to enable someone to continue running at a high level. Was your mild osteoarthritis graded on the 0-4 scale? Was it ever suggested to you to go for surgery for the hip impingement?