Hip labral tear

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?

subscriber

I've had a cam deformity inside the left hip but it has taken me almost two years to get an accurate diagnoses on this, note, that being said I would have been in a better position to chase a diagnoses but I was preoccupied with a lower back complaint which required two surgeries within these same two years so I was delayed here. I'm only now getting to see a consultant in relation to the hip next week but in relation to physiotherapy to stem the cam deformity, it has proven very unsuccessful for me. This may however be tied into the fact that that I've had two spinal surgeries and that had this not been the case, my body may have responded much better to physiotherapy. One can only guess. I was a runner no more than yourself and also a triathlete and completed in marathons and half iornma distance triathlon races and what I found was that my groin/hip pain developed rapidly pretty much over the course of a week and since then has not tolerated one ounce of physical activity without causing pain. I hope that you may have better success with Physio than I did considering your dealing with an orthopaedic complaint in just one area of the body as opposed to multiple orthopaedic complaints such as I had.

size5

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?

Physical Therapy was a Godsend to me, and it has eased pain considerably(though I have to say I didn't appear to be in as much pain as other OPS).With regard physical Therapy "keep you running at a high level" I can't BUT long term i fear running may possibly prove difficult(note Iam just a "layman").

Regards to surgery on the hip impingement was suggested only as a very last resort as I wasn't in a huge amount of pain. BUT remember if you are going to see a consultant you will be offered surgery because thats what they do. If you talk to Dr. Eanna Falvey (SSC) (see previous posts) or or Dr.Joe Conway (Blackrock) they may offer different solutions.

subscriber

I've just had my hip arthroscope with Mr Carton two days ago and I'm very impressed with the service provided by both his clinic and the Whitfield hospital in general. Was only kept one night and was given two consultations with the in-house Physio included under the cost of the operation. One before and one after the surgery. I was given a full 45 minutes with the Physio after the procedure and didn't feel in any way rushed. Was also given a full rehabilitation program to follow which saves me more money going to a Physio privately. I was also told I could request for the Physio to give me a call at any stage if I had any questions. Two follow up appointments to come, after 6 and 12 weeks, follow up x-rays also included under the cost of surgery which is another plus.

The diagnosis from Mr Carton after the procedure was that my labrum was not torn but was weakened to the point that a tear was likely to occur soon, so he pinned this with clips to support it. The main problem I was suffering he mentioned was the presence of a lot of scaring to the top of the femur bone and the presence of some abnormal boney growths on the top of the femur, similar to bone spurs if you will and was these that were causing the impingement of the hip and hence the pain I was suffering.

At the moment I've two small incisions in the front of my left thigh, side by side which are much lower on the thigh than I would have expected. The leg has been like a sack of spuds the last 48 hours with little or no power in it but pain is very minimal, nothing that paracetamol can't fend off. Certainly no need for anything stronger. Sleeping is a bit awkward with not being allowed sleep on the effected side but will have to sacrifice this for a few weeks, not a big deal.

One last comment which I will leave up to the readers to make of what they will, I won't even offer my own opinion on this but I was asked by several nurses and the Physio when I was down there if this was the first time I had this hip arthroscope done, to which I had told them all yes. I found it a bit puzzling that this question kept being asked and not long before my discharge when speaking with one of the staff, it was mentioned briefly that Mr Carton had been doing a lot of corrections lately from surgeries that have not been successful from the clinic in Santry in Dublin. Just want to make it clear that this in no way represents my opinion or me vouching for the Whitfield hospital over the clinic in Santry, it is purely something that was said to me when I was down there and I'll leave it up to ye folks to decide whether to place belief in it or not.

size5

subscriber wrote: »

I've just had my hip arthroscope with Mr Carton two days ago and I'm very impressed with the service provided by both his clinic and the Whitfield hospital in general. Was only kept one night and was given two consultations with the in-house Physio included under the cost of the operation. One before and one after the surgery. I was given a full 45 minutes with the Physio after the procedure and didn't feel in any way rushed. Was also given a full rehabilitation program to follow which saves me more money going to a Physio privately. I was also told I could request for the Physio to give me a call at any stage if I had any questions. Two follow up appointments to come, after 6 and 12 weeks, follow up x-rays also included under the cost of surgery which is another plus.

The diagnosis from Mr Carton after the procedure was that my labrum was not torn but was weakened to the point that a tear was likely to occur soon, so he pinned this with clips to support it. The main problem I was suffering he mentioned was the presence of a lot of scaring to the top of the femur bone and the presence of some abnormal boney growths on the top of the femur, similar to bone spurs if you will and was these that were causing the impingement of the hip and hence the pain I was suffering.

At the moment I've two small incisions in the front of my left thigh, side by side which are much lower on the thigh than I would have expected. The leg has been like a sack of spuds the last 48 hours with little or no power in it but pain is very minimal, nothing that paracetamol can't fend off. Certainly no need for anything stronger. Sleeping is a bit awkward with not being allowed sleep on the effected side but will have to sacrifice this for a few weeks, not a big deal.

One last comment which I will leave up to the readers to make of what they will, I won't even offer my own opinion on this but I was asked by several nurses and the Physio when I was down there if this was the first time I had this hip arthroscope done, to which I had told them all yes. I found it a bit puzzling that this question kept being asked and not long before my discharge when speaking with one of the staff, it was mentioned briefly that Mr Carton had been doing a lot of corrections lately from surgeries that have not been successful from the clinic in Santry in Dublin. Just want to make it clear that this in no way represents my opinion or me vouching for the Whitfield hospital over the clinic in Santry, it is purely something that was said to me when I was down there and I'll leave it up to ye folks to decide whether to place belief in it or not.

Did he mention anything about you getting back running etc?

bsb1971

Glad to hear that it will all went well for you subscriber! Stick to the exercises, see them all through to the bitter end, even if you find them boring as ****e, I know I did - also stopped exercises, but have since resumed them and keep doing them regularly. I slept on a recliner for the first week, only way i could guarantee that i would not sleep on my side, as the side i had op on was my preferred sleeping side. Best of luck with rehab. One tip for you, when you go back for your follow up consultations, unless you request it, you won't see one of the physios, I made sure to do that, as they gave me a print out of exercises to do for general maintenance of the hip going forward along with the tip of "weight management" - the physio freaked out when i said "are you calling me fat?" - had to tell him I was actually taking the piss.......

Bull76

Hi Folks,

Just had my second hip arthroscopy surgery on my right hip. First one was 2009. Hip played up over the last year and eventually couldn't take the discomfort anymore and had it done in SSC. Had the first one there and had a different surgeon for this one. Tom Mc Carthy and would highly recommend him. Very professional and comes across as a really nice guy also. Can't say anything bad about the process or him.
Was meant to have a different surgeon but something happened and he had to cancel all of his surgeries, hope he is doing okay. Nurses kinda said he was pretty sick.
Had the surgery on the 20th and so far, no more pain or discomfort in my hip which is such a relief. Normal existence again. 24/7 pain is such a nightmare to deal with.
Hopefully my recovery goes just as well as the last time....Just means I'm closer to getting a full hip replacement.

subscriber

size5 wrote: »

Did he mention anything about you getting back running etc?

I asked him this on the initial consultation before the surgery and he said that absolutely yes I could go back running but to leave it for 6 months before returning to it. He said I should be back to 80℅ strenght in the hip and groin after 3/4 months but that it would take to 6 months to reach 100℅ full recovery mentioning the last 20℅ of the recovery is the slowest. Great news to hear as I've been away from sport for 18 months with a lower back injury which had now been fixed through a different surgery and I'm longing to return to it. He said given my age (28) and the fact that the impingement of the hip was in the mild-moderate category that there's no reason why i wouldn't run again. Hallelujah!

subscriber

bsb1971 wrote: »

Glad to hear that it will all went well for you subscriber! Stick to the exercises, see them all through to the bitter end, even if you find them boring as ****e, I know I did - also stopped exercises, but have since resumed them and keep doing them regularly. I slept on a recliner for the first week, only way i could guarantee that i would not sleep on my side, as the side i had op on was my preferred sleeping side. Best of luck with rehab. One tip for you, when you go back for your follow up consultations, unless you request it, you won't see one of the physios, I made sure to do that, as they gave me a print out of exercises to do for general maintenance of the hip going forward along with the tip of "weight management" - the physio freaked out when i said "are you calling me fat?" - had to tell him I was actually taking the piss.......

Thanks for your message. Sticking to my Physio is something I do religiously. I've been in constant rehab pretty much for the past 18 months having had two surgeries to fix a prolapsed disc in my lower back and have never missed one day of Physio in that time. Thankfully, all my lower back issues are now sorted and my back feels very strong indeed. If I can come out the other side of this hip now, I'll finally be able to make it back into my sport of triathlon and I'll be thrilled to bits. It's not easy for anyone who is an athlete to be rested up like this and I'm sure we can all relate to that.

I'll make sure to request in advance to see the Physio when I go back down for review in 6 weeks time. Thanks for the advice on that.

size5

http://www.independent.ie/sport/gaelic-games/gaa-stars-need-new-hips-by-their-mid20s-34907149.html

Spotted this today good article on hip injuries consultant Patrick Carton was interviewed. Find it interesting that he operates a lot on GAA players but not on soccer players?

subscriber

How are things everyone?

Just an update on me since iv'e had my left hip scope done 13 weeks ago...

Came off crutches on day 5 post-op , realised after 24 hours it was too soon to come off them due to increased pain and had to return to crutches for a further 3 days.

Completely off crutches by day 8, walking unassisted but only around the house with minimal pain but very little power to lift leg off the ground.

Week 2 to Week 5 were absolutely perfect in terms of following the Physio programme but didn't put enough emphasis on the swimming pool based exercises, having done everything on the ground mat and at week 5 things all my progress came unstuck and essentially had to return to the couch for 7 days with a lot of pain. My 6 week appointment with Mr Carton revealed that the mistake I had made of overdoing the land based exercises and not doing enough pool based Physio and was ordered by himself and the Physio to return to the pool and avoid land based exercises for 2\3 weeks which I done.

Week 6-9 were only pool based exercises as mentioned above and I found this very mentally challenging as I really felt I had done some additional damage to my hip and wasn't progressing with my Physio as quickly as I should have been.

Week 9 I progressed out of the pool and back to land based exercises in the gym starting back with light cycling, 20 min threadmill walks along with shallow lunges, squats, core exercises and light stretches.... Pretty much kept this routine between 9 to week 11.

Week 11 to week 13 which has been the past two weeks I have seen a very dramatic improvement being able to do both deep lunges and deep squats whilst holding 7.5kg weights in hand.

Week 13 which is this current week, the difference has been truly remarkable for me... I have been doing HIIT (high intensity fat burning) classes in the gym which have included star jumps, burpees, mountain climbers amongst other stuff and with 15 mins stretching post exercise I have little or no symptoms post exercise. I would say I have to stretch for 10 mins twice throughout the evening after one of them sessions or I feel slightly tight in the groin but it is absolutely minimal symptoms wise.

Mr Carton told me at my 6 week appointment that I will continue to see improvements up to 20 weeks post-op and considering I am feeling this good at week 13, I am very optimistic for the future. I had asked him once again at the 6 week appointment about resumimg road running and he reassured me that it wasn't a problem but to approach it intelligently and build myself up over the next 6 months and not to just head out for a one hour run straight off the bat which is fine ... wouldn't have expected to be told any different really.

So as you can see, some ups and downs throughout the recovery and wasn't all straight forward as I would have hoped but I don't think these things ever are. All in all, at week 13, I feel 85/90% recovered from this procedure and am extremely glad I got it done.

Hopefully this post will be of help/interest to some readers having this procedure done or thinking about having it done...

Bull76

subscriber wrote: »

How are things everyone?

Just an update on me since iv'e had my left hip scope done 13 weeks ago...

Came off crutches on day 5 post-op , realised after 24 hours it was too soon to come off them due to increased pain and had to return to crutches for a further 3 days.

Completely off crutches by day 8, walking unassisted but only around the house with minimal pain but very little power to lift leg off the ground.

Week 2 to Week 5 were absolutely perfect in terms of following the Physio programme but didn't put enough emphasis on the swimming pool based exercises, having done everything on the ground mat and at week 5 things all my progress came unstuck and essentially had to return to the couch for 7 days with a lot of pain. My 6 week appointment with Mr Carton revealed that the mistake I had made of overdoing the land based exercises and not doing enough pool based Physio and was ordered by himself and the Physio to return to the pool and avoid land based exercises for 2\3 weeks which I done.

Week 6-9 were only pool based exercises as mentioned above and I found this very mentally challenging as I really felt I had done some additional damage to my hip and wasn't progressing with my Physio as quickly as I should have been.

Week 9 I progressed out of the pool and back to land based exercises in the gym starting back with light cycling, 20 min threadmill walks along with shallow lunges, squats, core exercises and light stretches.... Pretty much kept this routine between 9 to week 11.

Week 11 to week 13 which has been the past two weeks I have seen a very dramatic improvement being able to do both deep lunges and deep squats whilst holding 7.5kg weights in hand.

Week 13 which is this current week, the difference has been truly remarkable for me... I have been doing HIIT (high intensity fat burning) classes in the gym which have included star jumps, burpees, mountain climbers amongst other stuff and with 15 mins stretching post exercise I have little or no symptoms post exercise. I would say I have to stretch for 10 mins twice throughout the evening after one of them sessions or I feel slightly tight in the groin but it is absolutely minimal symptoms wise.

Mr Carton told me at my 6 week appointment that I will continue to see improvements up to 20 weeks post-op and considering I am feeling this good at week 13, I am very optimistic for the future. I had asked him once again at the 6 week appointment about resumimg road running and he reassured me that it wasn't a problem but to approach it intelligently and build myself up over the next 6 months and not to just head out for a one hour run straight off the bat which is fine ... wouldn't have expected to be told any different really.

So as you can see, some ups and downs throughout the recovery and wasn't all straight forward as I would have hoped but I don't think these things ever are. All in all, at week 13, I feel 85/90% recovered from this procedure and am extremely glad I got it done.

Hopefully this post will be of help/interest to some readers having this procedure done or thinking about having it done...

Congrats on your recovery. Good to hear.

I had my second surgery on my hip and recovery is a lot slower than the last time. The first op I was running around after 8 weeks. This time around and a lot more cartilage removed and a few spots now with none. Hip flared up after 6 weeks. Anti-inflammatories and rest for a week and half, then could get back to things slower again. Been a slow slog.

The pool work is recommend, took 8 weeks before the exercises felt easier. Came off the anti-inflammatories and withing 3 days my hip was at me again, stiff and any form of exercise was causing discomfort. Back on the anti-inflammatories and rest and scheduled for an injection into my hip to ease the inflammation. Been able to do the rehab and physio with the aid of the anti-inflammatories. Hip has got alot stronger and more movement and flexibility into it. Physio isn't overly impressed with the flare ups and the set backs.

Probably would have been easier to replace the hip as I would have been recovered by the time it's taken to get this far. But such is life.

April1

I was told recently that there are only 3 doctors in the country that do this surgery on the hip.
I saw Dr Carton a few years ago, he sent me for a Arthogram of my hip.
When I went back for him to update me on the results. I was told there was no Labral tear, there was impingement and bursitis. He wasn't able to help to.
Sometime later I got a copy of the written report for the arthrogram reported on by a radiologist, they reported there was a labral tear.
I got the impression Dr Carton had done this surgery mainly on young males.
Are there any woman on here who had this surgery?
I was recommended to go to Dr Cashman for arthroscopic examination of my hip recently. Dr Cashman said he won't do the surgery.
I heard the 3rd consultant isn't working at the moment. I didn't get a name of this consultant.
Does anyone know who the 3rd surgeon is?

Bull76

Hi,

I believe the surgeon your looking for is mr. Mulhall. There is mr.Tom mc Carthy out of the SSC in Santry. Worth giving him a call, but if mr Carton and mrCashman won't do it then others probably won't either. Depends on your pain level and restriction.

bsb1971

There is also Declan Bowler in mater private in Cork. Went to see him myself, but chose to have my surgery done by Mr. Carton instead.

roadrunnermick

April1 wrote: »

I was told recently that there are only 3 doctors in the country that do this surgery on the hip.
I saw Dr Carton a few years ago, he sent me for a Arthogram of my hip.
When I went back for him to update me on the results. I was told there was no Labral tear, there was impingement and bursitis. He wasn't able to help to.
Sometime later I got a copy of the written report for the arthrogram reported on by a radiologist, they reported there was a labral tear.
I got the impression Dr Carton had done this surgery mainly on young males.
Are there any woman on here who had this surgery?
I was recommended to go to Dr Cashman for arthroscopic examination of my hip recently. Dr Cashman said he won't do the surgery.
I heard the 3rd consultant isn't working at the moment. I didn't get a name of this consultant.
Does anyone know who the 3rd surgeon is?

Don't build up all your hopes on Surgery

Try to get an appointment with Eanna falvey



Dr. Eanna Falvey on the hip injury rise and head trauma by Off The Ball https://soundcloud.com/offtheball/dr-eanna-falvey-on-the-hip-injury-rise-and-head-trauma on #SoundCloud

April1

My pain levels are high. Thanks for the help.

ashb0435

Hi

Due to get a hip arthroscopy for a labral tear with Dr cashman in a few weeks....

What were people's recovery like....time to getting off crutches, back to work etc?

Any recommendations for pre and post procedure exercise?

Any advice in general?

Thanks

have2flushtwice

ashb0435 wrote: »

Hi

Due to get a hip arthroscopy for a labral tear with Dr cashman in a few weeks....

What were people's recovery like....time to getting off crutches, back to work etc?

Any recommendations for pre and post procedure exercise?

Any advice in general?

Thanks

Was told 6 weeks recovery to go back to work. Took me 8 weeks, and it was stiff at that. As soon as the wound Is OK get into the pool. Move the bed downstairs!

potsy11

Hi Guys

Due to have surgery with J Bunn in SSC as recommended by him. Have seen a number of consultants and was referred to Bunn.

Have spent lots over the last 2 years with 3 different physios. They all miss diagnosed as far as I can tell. Had been doing lots of strength and conditioning of core etc but ended up just aggravating labral.

I also had 2 x corticosteroid injections which gave temporary relief.

I am late 30s, have done plenty of Marathons and tri in the past. What is likely to be position post surgery? Anyone had the surgery and back doing sports to same level as pre injury?

Thanks and apologies if reaping stuff already posted.

Potsy

dashoonage

How long did you get out of the corticosteroid injections?

I have a tear myself but dr cartman has said there is no point operating on it as the hip will need to be done in a couple of years. I was told if i looked after it though i may never need it.

So i stupidly took up BJJ and now really dont want to give it up :P

potsy11

dashoonage wrote: »

How long did you get out of the corticosteroid injections?

I have a tear myself but dr cartman has said there is no point operating on it as the hip will need to be done in a couple of years. I was told if i looked after it though i may never need it.

So I stupidly took up BJJ and now really don't want to give it up :P

No longer than a month and generally took a few days to kick in.

I have formed a small bone growth on the ball of the femur (CAM Femoroacetabular impingement) Not sure which came first, the tear on the Labrum or the bone growth. Anywho, I don't think I have an option here. he end of the Labrum has turned to grizzle. Consultant talking about a debridement of the end of the Labrum and smoothing out the bone small growth so it stops eroding the rest of the Labrum.

I hear you on the BBJ. I do a lot of dinghy sailing (heavy hiking) and long distance running. That has to be good for your hips:rolleyes:

dashoonage

The injections were probably not worth it so ?

I'm still training away with the BJJ and a bit of yoga and a lot of mobility work on the hip but its starting to ignore me a bit more lately, starting to wonder what ill be left like later on in life :P

Nol87

Hi Guys,

I've been diagnosed with a labral tear too. I'm wondering if any of you add an anterior thigh and anterior knee pain with ur labral tear? Ive add two Injections but I am unsure if my knee pain is coming from my labral tear or something else.

Hopefully we l hear from u 😊

Thanks guys

ashb0435

Nol87 wrote: »

Hi Guys,

I've been diagnosed with a labral tear too. I'm wondering if any of you add an anterior thigh and anterior knee pain with ur labral tear? Ive add two Injections but I am unsure if my knee pain is coming from my labral tear or something else.

Hopefully we l hear from u 😊

Thanks guys

Hey

I am 1 week post op. Feeling great. Pain lasted 1-2 days and at that didn't need medication.

I had the labral tear for 4 years and was symptom free for 2 years. During the 4 years I had a stress fracture and muscle pain. Majority of my pain was in the hip area but I did have pain around half way between my hip and knee. This wasn't as frequent.

I was told my prof mulhall (diagnosing consultant) and Dr Cashman (performed the surgery) that a lot of my pain could have been muscle related. So it could be contributing to your knee pain but it's best to ask your consultant. From my research online a lot of people have different experiences.

Best of luck with it.
Ashling

Nol87

Thanks a lot Aishling for your reply. Best of luck with your recovery

dashoonage

Nol87 wrote: »

Hi Guys,

I've been diagnosed with a labral tear too. I'm wondering if any of you add an anterior thigh and anterior knee pain with ur labral tear? Ive add two Injections but I am unsure if my knee pain is coming from my labral tear or something else.

Hopefully we l hear from u 😊

Thanks guys

Hey

I'm living with a tear, haven't had injections and wont be getting them. When i put my hip through a bit of abuse then i also get anterior thigh and knee pain...a session or two with the physio and a bit of rest relieves it though. With management the only pain i really get is in the hip if i really over do it.

How did you find the injections? did they last long before the effect wore off ?

Thanks

D

Nol87

dashoonage wrote: »

Hey

I'm living with a tear, haven't had injections and wont be getting them. When i put my hip through a bit of abuse then i also get anterior thigh and knee pain...a session or two with the physio and a bit of rest relieves it though. With management the only pain i really get is in the hip if i really over do it.

How did you find the injections? did they last long before the effect wore off ?

Thanks

D

Hey D,

The injections were good. They lasted about a month and a half for me. I was quite sore for a few days after getting them though.
They kinda give you a bit of time so you can focus on Strenghtning the muscles around the hip. And it confirms that the pain is coming from the labral tear.

I get pain In my anterior leg and knee from walking. I seem to get only one hour walk a day before that pain sets off. Sometimes lesser. Is the localised pain in your hip quite sore?

I'm a bit worried that my knee pain is coming from my back as I still got the pain 3 times when I add my injection.

Just a bit freaked out about the surgery being very intense and not getting all my symptoms fixed.

Thanks for your reply. It's really good to hear people stories.

dashoonage

Nol87 wrote: »

Hey D,

The injections were good. They lasted about a month and a half for me. I was quite sore for a few days after getting them though.
They kinda give you a bit of time so you can focus on Strenghtning the muscles around the hip. And it confirms that the pain is coming from the labral tear.

I get pain In my anterior leg and knee from walking. I seem to get only one hour walk a day before that pain sets off. Sometimes lesser. Is the localised pain in your hip quite sore?

I'm a bit worried that my knee pain is coming from my back as I still got the pain 3 times when I add my injection.

Just a bit freaked out about the surgery being very intense and not getting all my symptoms fixed.

Thanks for your reply. It's really good to hear people stories.

Have you seen a physio to get the knee pain investigated?

My physio has been fantastic in keeping me active. I was told not to have the op by a specialist and that i would have to have the hip done eventually either way. That was about 5 years ago now! I still train bjj, cycle a lot and walk the dog decent distances and do yoga. Its all about management.

Its always worth getting a second opinion on the injury as well.

This is worth a read http://surfacehippy.info/hiptalk/index.php a lot of the members got tears fixed at the time of resurfacing and are hugely active afterwards.

A month and a half isnt worth it off injections in my opinion but its all relevant to the pain your having to be honest.

GG21057

Just diagnosed with Labral tear. Not sure what to do next. Did / do any of you have pain (get woken up) in bed? I find that to get to sleep I need to lie a certain way. If I move during the night, pain returns and wakes me up.

potsy11

GG21057 wrote: »

Just diagnosed with Labral tear. Not sure what to do next. Did / do any of you have pain (get woken up) in bed? I find that to get to sleep I need to lie a certain way. If I move during the night, pain returns and wakes me up.

I got pain in bed if I did exercise that day and particularly the following morning. Same as you, only in certain positions.

Did they mention anything about an impingement on your femoral head or what has caused the tear?

I am now 2 weeks post surgery. Had partial labral debridement (removed) and the femoral head (ball part of femer) paired / smoothed to remove an impingement. Surgery was only option after 3 years as there was a defect causing the tear. Off crutches after 10 days although could have ditched them after 5 but was being careful not to over weight bear on joint. Was at the physio and she couldn't believe I was only 2 weeks post op.

Feeling good but joint will never allow me to do Ironman's or Marathons again.



Not too bothered though. Just want to get back to regular exercise at this stage.

subscriber

Nol87 wrote: »

Hi Guys,

I've been diagnosed with a labral tear too. I'm wondering if any of you add an anterior thigh and anterior knee pain with ur labral tear? Ive add two Injections but I am unsure if my knee pain is coming from my labral tear or something else.

Hopefully we l hear from u 😊

Thanks guys

Hey Nol87,

I had a labral repair on my left hip 8 months ago and had made a full 100% recovery from it but alas now I'm nearly certain that sometime in the past 6 weeks that I've retorn it on the same side again... only this time around my thigh and knee on the same side are very effected also. Experiencing swelling and ALOT of pain. The hip or the knee really won't tolerate any amount of walking over 20 mins never mind any exercise.

I'll hopefully be seeing Mr Carton within the next two weeks, I'll update then.

AlexAlexa

Hi there.I've seen dr.Carton and he suggested me a hip arthroscpy .could I ask how much it cost as I don't have health insurance. Thanks

cornygall

Will set you back about 6grand a hip...

duffalosoldier

Had an astroscopy 7years ago. Went back playing ball and outside some manageable hip flexor pain I was fine afterwards. Last year I did my Achilles so out for 10months. Since I've gone back playing I'm finding a lot of muscle wastage and pain in my hip flexor.

Im torn between pushing hard to strengthen it or completely resting between games as I'm honestly not sure if either works! Would love to hear any general advice!

size5

duffalosoldier wrote: »

Had an astroscopy 7years ago. Went back playing ball and outside some manageable hip flexor pain I was fine afterwards. Last year I did my Achilles so out for 10months. Since I've gone back playing I'm finding a lot of muscle wastage and pain in my hip flexor.

Im torn between pushing hard to strengthen it or completely resting between games as I'm honestly not sure if either works! Would love to hear any general advice!

Ok heres my general advise from someone in the fitness industry and someone whom has a hip impingement. My suggestion would definitely be NOT to "completely rest" it. After all for the pain to come back there is obviously misalingment somewhere in ankles, or hips and to completely rest it is not going to solve the problem.

To solve the issue you need to ascertain what muscles are weak, which muscle are been over used and are compensating for the weaker muscles. combination of mobilisation, stretching and strengthing.

My advise find a therapist/PT, get yourself accessed, identify whats weak/strong and get sorted. Thought be carful that the football is causing too much damage.

Best of luck

duffalosoldier

size5 wrote: »

Ok heres my general advise from someone in the fitness industry and someone whom has a hip impingement. My suggestion would definitely be NOT to "completely rest" it. After all for the pain to come back there is obviously misalingment somewhere in ankles, or hips and to completely rest it is not going to solve the problem.

To solve the issue you need to ascertain what muscles are weak, which muscle are been over used and are compensating for the weaker muscles. combination of mobilisation, stretching and strengthing.

My advise find a therapist/PT, get yourself accessed, identify whats weak/strong and get sorted. Thought be carful that the football is causing too much damage.

Best of luck

Thanks for this - seems to follow what I've been told which is to strengthen. I'm doing Pilates now which is working well but band-work is somehow having the opposite affect. The pain only occurs when I'm active so resting keeps it painfree. Gong to get a scan on it in a few weeks anyway so that will tell its own story I'm sure.
Thanks again

cornygall

subscriber wrote: »

Hey Nol87,

I had a labral repair on my left hip 8 months ago and had made a full 100% recovery from it but alas now I'm nearly certain that sometime in the past 6 weeks that I've retorn it on the same side again... only this time around my thigh and knee on the same side are very effected also. Experiencing swelling and ALOT of pain. The hip or the knee really won't tolerate any amount of walking over 20 mins never mind any exercise.

I'll hopefully be seeing Mr Carton within the next two weeks, I'll update then.

Hi just reading your post Their how is your hip now? What did Mr Carton say about it? I have problems with my right hip had both done 3 years ago but my right hip flares up now and again if walk more than 20 min or cycle more than 20 min in gym.. very annoying.

subscriber

Hey, I seen him two weeks ago for an arthrogram MRI scan which involves injecting a contrast dye into the hip and scanning it under MRI. Result being that I have put an additional tear in the "capsule" of the hip and thankfully the labrum looks intact which is good news. I had the labrum tear repaired in August of last year and got 5 months fully healthy before tearing this capsule in February of this year. Anyway, he said the recovery from this capsule tear will be far less at only 2/3 weeks and that he would refer to this type of procedure as a "housekeeping" procedure just repair the little tear in the capsule, flush out the joint with sterile solution and to shave down any bits of scar tissue that may be remaining. A small procedure in comparison with the extent of the labrum repair last year. He couldn`t guarantee me that he won`t have to do any work on the labrum during the procedure until he inspects it with his own eyes on the arthroscope camera but he said that will be unlikely from he can tell on the MRI

I booked to have it done on September 15th. He had much earlier appointments but I`m trying to get a project at work finished up before I go for it so left myself the next 5 weeks to do so.

Its my own fault really that this capsule tear has happened to be honest. I done the one maneuver of my hip that he instructed me not to do and that was excessively rotatate the hip externally / outward. I was doing a yoga class at the time and performed a posture that required me to move my hip in this direction and no sooner had I it done, I realized what I was doing and at the same time, felt the hip instantly "pop". A stupid stupid mistake on my behalf, not one I`ll be making a second time.

How are you fixed?

cornygall

atleast you know their is somerhing wrong from MRI and you can get it sorted, i got my right hip done 2nd and TBH the first few days the pain was no where near as bad as the left hip so I came off the crutches after 7 days it was 10 days before I came off them with left hip.. the next day I had to go back on the crutches for a week had serious sharp pain in my hip when moved a certain way.because my right hip felt so good at the start I think I might have been doing to much post op exercises to soon to quickly and my right hip reacted badly to it.. everything was slow healing with the bad hip the first few month I just knew something wasn't right.. eventually got back jogging after about 3months and everything seemed to be going well again and about 6 months in went to Liverpool on my stag party went go Karting as one off my activities, when came back home my 2hips were sore for a week and went back jogging I couldn't do the same running at all, did plenty off rest and then resumed running but the pain on the outside off my right hip kept flaring up could hardly turn at corners so I knew something wasn't right, to cut a long story short went back down to see Pat Carton and got the MrI with Dye and he says Everything seems to have healed well going by MRI results to my surprise.. he said to go away for 6 weeks and work on my external rotation as it was weak and if that didn't help that he would be happy to operate again.. I decided against another operation because I didn't have the money.. so for The past couple of years now I've been living with this hip pain, theirs nights I can't lie on one side to long at night or my hip will be sore. To be fair the stiffness I had in hips is completely gone so it has been a success that way. good luck in September just take it easy afterwards be in no rush coming off crutches to early😉👍

subscriber

cornygall wrote: »

atleast you know their is somerhing wrong from MRI and you can get it sorted, i got my right hip done 2nd and TBH the first few days the pain was no where near as bad as the left hip so I came off the crutches after 7 days it was 10 days before I came off them with left hip.. the next day I had to go back on the crutches for a week had serious sharp pain in my hip when moved a certain way.because my right hip felt so good at the start I think I might have been doing to much post op exercises to soon to quickly and my right hip reacted badly to it.. everything was slow healing with the bad hip the first few month I just knew something wasn't right.. eventually got back jogging after about 3months and everything seemed to be going well again and about 6 months in went to Liverpool on my stag party went go Karting as one off my activities, when came back home my 2hips were sore for a week and went back jogging I couldn't do the same running at all, did plenty off rest and then resumed running but the pain on the outside off my right hip kept flaring up could hardly turn at corners so I knew something wasn't right, to cut a long story short went back down to see Pat Carton and got the MrI with Dye and he says Everything seems to have healed well going by MRI results to my surprise.. he said to go away for 6 weeks and work on my external rotation as it was weak and if that didn't help that he would be happy to operate again.. I decided against another operation because I didn't have the money.. so for The past couple of years now I've been living with this hip pain, theirs nights I can't lie on one side to long at night or my hip will be sore. To be fair the stiffness I had in hips is completely gone so it has been a success that way. good luck in September just take it easy afterwards be in no rush coming off crutches to early😉👍

This next procedure on my hip will actually be my fifth orthopedic surgery in then past 5 years believe it or not so I`m pretty used to being in rehab. I`ve had my lower back operated on twice for a collapsed disc with screws and rods placed to stabilize the spine, then a scope surgery to the right shoulder for impingement syndrome developed from swimming, the left hip scope last August and now heading into this capsule repair with Mr. Carton next month.

I`m only 29 years old like.. I am at odds as to why my body has broken down soo much over the last few years. I never did an ounce of sports growing up with the exception of a bit of skateboarding as a child/ teenager and then at the age of 24 went into regular competitive triathlon having absolutely no base of fitness or body strength behind me. I was training up to 15 hours a week some weeks and I guess my body just wasn`t able for it hence all the injuries.

I`ve had soo many rehabs where I gained confidence, pushed on with the exercises only for my body to react and come down in pain again setting me back in the recovery so I am totally with you on this.