Hip labral tear

roo365

Hi,
I had bad groin pain at the start of the year. This continued and I eventually was referred to Dr. Cashman in the Mater Private. I had a scan on right hip which came up signs of labral tear and FAI. I had a cortisone injection in this side which improved it. Pain continued in my left groin & hip flexor and I got arthrogram on left hi which showed up labral tear and FAI. I had cortisone injection in left side and attempted to return to some activity after 3 weeks. I continue to have severe pain in hip flexor during intense activity. Its fairly manageable and pain free as long as I'm not upping the activity levels at training and matches. I'm currently doing a strengthening and flexibility programme trying to loosen and strengthening muscles. I'm only 24 and have been playing hurling/football all my life.

Does anybody have any experience in surgery with Dr. Cashman?

roadrunnermick

My advice , don't run in to surgery thinking that the results will be great , lot of people appear to have worst issues after surgery.
Get someone like Eanna Falvey first before you make any decesion
Check sound cloud out for the offthe ball podcast about the growth of hip surgery

Eanna has for me being the best money I have ever spent and as last resort I got revision done last few weeks back in Santry and feel great after . But took 3 years of issues after the first operation
Wish I can across Eanna first time before I jumped at it
But this Opperations was a last resort !

Conservative approach works trust me

roo365

roadrunnermick wrote: »

My advice , don't run in to surgery thinking that the results will be great , lot of people appear to have worst issues after surgery.
Get someone like Eanna Falvey first before you make any decesion
Check sound cloud out for the offthe ball podcast about the growth of hip surgery

Eanna has for me being the best money I have ever spent and as last resort I got revision done last few weeks back in Santry and feel great after . But took 3 years of issues after the first operation
Wish I can across Eanna first time before I jumped at it
But this Opperations was a last resort !

Conservative approach works trust me

Thanks for that reply.
I'm keen not to rush into surgery. I'd much prefer to go down the rehab route. Dr Cashman in the Mater seems not to be as sports orientated as Eanna Falvey
Did you have a revision procedure after a few operations?

subscriber

Hello again everyone,

So I`m a few days out of my second hip arthroscopy surgery. Both to the left hip with the right hip having never been a problem.

I had this done by Mr. Carton in the Whitfield again. Report from himself said that he observed quiet a large body of loose cartilage within the joint which was repaired. There was also some additional scarring on the top of the ball of the hip joint which was smoothed down again. (Unsure if this was scar tissue built up after the first procedure or if it was a new occurrence - was too high on hospital meds at the time to think to ask the question!) The labrum itself was intact since it first had it repaired last year but he mentioned that he placed one additional suture in it just to be sure to be sure.

All in all, he described it as a "housekeeping" procedure and said there was no significant damage, but just enough to cause low lying chronic symptoms which would match up with what I was experiencing over the last 9 months. The pain since re-occurrence back in January was definitely at a much lower level than that of last year but was always a constant background hindrance. It was exacerbated by exercise and excess walking more than anything.

In terms of recovery, he said that I can expect power to return to the hip much quicker this time, but that I still have to follow the full 16 week recovery rehabilitation program on a week to week basis. once again. I was surprised by this as when I had my consultation pre-surgery, I was told I`d be good to go in 3/4 weeks post op but obviously this meant enough power to walk, climb stairs, sit up and down from a chair ect....as opposed to total recovery. It was really emphasized to me both Mr. Carton himself and the physiotherapist about reigning in the activity for the next 16 weeks....that the hip will feel much stronger much quicker than it did after the last rocedure and the temptation will be to push on with the physio / exercise but this needs to be avoided to allow proper healing.. Gotta take things nice and slowly despite how good I may feel at any given stage.

That`s all from me for the moment.

Hope everyone else is well......

dashoonage

Does anyone have a run down of what the 16 week recovery involves?

subscriber

dashoonage wrote: »

Does anyone have a run down of what the 16 week recovery involves?

Mr. Carton`s clinic has its own website which I will link to now: http://www.hipandgroinclinic.ie/hip-surgery-physiotherapy/

There is 4 links on that website under the rehab section:
1. Core Muscles"
2. Adductor group of muscles
3. Main hip muscles
4. Adductor strengthening and stretching.


The 16 week recovery plan is taken from these four links. They are the exact same exercises. Only difference between the 16 week plan and these links is the plan tells you at what stage post-op you can progress onto each next set of exercises.

If you are not post-op, I`d imagine this wouldn`t be off too much relevance to you although it may require a bit of trial and error to find a baseline to begin from.

dashoonage

Thanks for that.

ashb0435

Hey, 7 months post op for labral tear repair of the right hip and was all going well until last few weeks. Was helping someone out at a festival and was on my feet for 10 hours straight doing a lot of twists, turns and bending (prob not the wisest thing to do).

I have been in constant pain ever since. When i last saw my physio a few months ago he said I should only be concerned if the pain in the groin comes back which it has. The pain got so bad today I got light headed. It's the usual niggling pain with the occasional sharp pains in the groin. My hip is clicking but that never went away after surgery.

Anyone know the chances of a retear? I'm going to my physio next week and i hope it's just soft tissue.

Appreciate people's help. Ashling

subscriber

ashb0435 wrote: »

Hey, 7 months post op for labral tear repair of the right hip and was all going well until last few weeks. Was helping someone out at a festival and was on my feet for 10 hours straight doing a lot of twists, turns and bending (prob not the wisest thing to do).

I have been in constant pain ever since. When i last saw my physio a few months ago he said I should only be concerned if the pain in the groin comes back which it has. The pain got so bad today I got light headed. It's the usual niggling pain with the occasional sharp pains in the groin. My hip is clicking but that never went away after surgery.

Anyone know the chances of a retear? I'm going to my physio next week and i hope it's just soft tissue.

Appreciate people's help. Ashling

Hi Ashling.

How did your first labral tear occur? Was it a gradual occurrence or as the result of an event that happened in a moment in time? Did you carry out your rehabilitation program in full since your surgery 7 months ago? Did you keep up strength and conditioning of the effected hip after completing your rehabilitation program or let things slide since then?

I have had both a labral tear one year ago and then a "capsule" tear in the same hip 6 months after I had the labrum repaired. That being said, I had a very significant event with a huge excessive outward rotation of the same hip when the capsule tear occurred. I am not an expert but it would seem excessive to think (to me anyway) that only standing and some regular twisting motions while in a standing position would cause any additional tearing of any cartilage structures inside your hip. I would imagine that the soft tissues of the hip have been stressed out though, especially if it hasnt been accustomed to weight bearing, twisting and bending for such a continuous long period of time such as at the festival.

Have you ever had an arthrogram MRI performed before? This is how I had both of my past injuries within my hip diagnosed. If the physio can`t give an answer or things don`t continue to improve with more rest and or rehab , an arthrogram MRI will tell very quickly if any damage has occurred or not.

In relation to the clicking of the hip. Apparently this is a normal occurrence, in both a healthy and non healthy hip. I have experienced it long before injuring my hip and still have it after two surgeries also. My consultant told me not to be worried about it all.

ashb0435

subscriber wrote: »

Hi Ashling.

How did your first labral tear occur? Was it a gradual occurrence or as the result of an event that happened in a moment in time? Did you carry out your rehabilitation program in full since your surgery 7 months ago? Did you keep up strength and conditioning of the effected hip after completing your rehabilitation program or let things slide since then?

I have had both a labral tear one year ago and then a "capsule" tear in the same hip 6 months after I had the labrum repaired. That being said, I had a very significant event with a huge excessive outward rotation of the same hip when the capsule tear occurred. I am not an expert but it would seem excessive to think (to me anyway) that only standing and some regular twisting motions while in a standing position would cause any additional tearing of any cartilage structures inside your hip. I would imagine that the soft tissues of the hip have been stressed out though, especially if it hasnt been accustomed to weight bearing, twisting and bending for such a continuous long period of time such as at the festival.

Have you ever had an arthrogram MRI performed before? This is how I had both of my past injuries within my hip diagnosed. If the physio can`t give an answer or things don`t continue to improve with more rest and or rehab , an arthrogram MRI will tell very quickly if any damage has occurred or not.

In relation to the clicking of the hip. Apparently this is a normal occurrence, in both a healthy and non healthy hip. I have experienced it long before injuring my hip and still have it after two surgeries also. My consultant told me not to be worried about it all.

Hi

Thanks for your reply.

I would have had the tear prior to 2013 but it was masked by a stress fracture of the same hip. 2 years later when I started running again I got pain again in the hip so I went for an mri which said there was a stress reaction but my doc wasn't happy so he sent me to prof mulhall and i had an mr arthrogram 2 years ago which I was diagnosed with the year. Was March this year when I had the op.

I went to physio after the op and started doing aqua aerobics. The aerobics stopped for the summer and I am not due to start back for another few weeks. I was carrying out the exercises from the physio but since July I had starting weaning myself of them as the hip was feeling good.....that said I was never in pain after the op. I would only now do them 2-3 times a week.

I feel it is probably only soft tissue I just want to put my mind at ease aswell. Just wanted to know the chances of a retear. Thanks for all your help though. Hope your recovery is going well.

Ashling

subscriber

ashb0435 wrote: »

Hi

Thanks for your reply.

I would have had the tear prior to 2013 but it was masked by a stress fracture of the same hip. 2 years later when I started running again I got pain again in the hip so I went for an mri which said there was a stress reaction but my doc wasn't happy so he sent me to prof mulhall and i had an mr arthrogram 2 years ago which I was diagnosed with the year. Was March this year when I had the op.

I went to physio after the op and started doing aqua aerobics. The aerobics stopped for the summer and I am not due to start back for another few weeks. I was carrying out the exercises from the physio but since July I had starting weaning myself of them as the hip was feeling good.....that said I was never in pain after the op. I would only now do them 2-3 times a week.

I feel it is probably only soft tissue I just want to put my mind at ease aswell. Just wanted to know the chances of a retear. Thanks for all your help though. Hope your recovery is going well.

Ashling

No problems Ashling,

I would say given the big history you have with that hip that it`s most likely soft tissue flare up, certainly sounds like it anyway. It doesn`t sound like you have done anything too wild with your body to cause any big tearing or breaking of the more permanent structures in there.

I done the aqua aerobics myself for recovery from both my labral tear operation and also a two previous lower back surgeries and I have to say, out of all the different therapies I tried, these were a god send. If there is anything I have learned about rehabilitation of injury over these past few years, it`s that rehab should never really end. It should be something that is continuously kept up for life. I find any time I skimp on doing my strength and conditioning exercises for any of my previous injuries, that they tend to niggle a bit and therefore consistency is key.

I hope you start to feel a bit better soon.

bsb1971

I would have to add my agreement on skimping of the exercises. I've done the same and am now experiencing niggling pains in my hip (I had labral tear repair by Mr.Carton over two years ago) along with my knees (old football injuries). Dug out my hip exercises tonight and will be reccomencing them tomorrow - seems like a good day, won't have anything else to be doing!!!). No one has ever reccomended aqua aerobics to me, so might have to see if I can find a class somewhere.

subscriber

bsb1971 wrote: »

I would have to add my agreement on skimping of the exercises. I've done the same and am now experiencing niggling pains in my hip (I had labral tear repair by Mr.Carton over two years ago) along with my knees (old football injuries). Dug out my hip exercises tonight and will be reccomencing them tomorrow - seems like a good day, won't have anything else to be doing!!!). No one has ever recommended aqua aerobics to me, so might have to see if I can find a class somewhere.

In terms of the aqua aerobics, I have never participated in an "aqua aerobics" class but attended classes for "hydrothearpy" with a physio company here in Galway who ran group classes twice a week.

As per the exercises done in the class, they were prominently done by using a pool noodle.

1. Putting the pool noodle under the foot (Same side as effected hip) and with gentle resistance, raising the leg up to hip height at 90 degrees and back down again. Focus on activation of abdominal muscles and also activation of buttocks muscle. Repeating 10 times.

2. Again, with pool noodle under the foot (same side as effected hip), and with gentle resistance, allowing the noodle to drift away from the front of the body until the tip of the noodle reaches the surface of the water, and then apply moderate pressure to guide back down to neutral standing position. Focus on activation of abdominal muscles and buttocks muscle on same side as effected hip. Repeating 10 times.

3. Again, with pool noodle under the foot (same side as effected hip), and with gentle resistance, allowing the pool noodle to drift away to the side of the body until the tip of the noodle reaches the surface of the water, and then applying moderate pressure to guide back down to neutral standing position. Focus on activation of abdominal muscles and buttocks muscle on same side as effected hip. Repeating 10 times. (Be cautions with this one, start with letting the noodle drift out a few inches for the first few weeks and the progress to allowing the tip of the noodle reach the surface of the water. This one directly works that deep labrum, not just the surrounding tissues and tendons. Allow pain to be your guide...Progress with ease!!)

4. Walking the pool both forward and backwards with activation of both abdominal and buttocks muscles while walking. Note - While walking super super slow I have found that it is possible to engage each buttocks muscle individually while the opposite leg takes a step. ie - while right leg is off the ground and moving forward, left buttocks muscle is activated and vice versa with right buttocks muscle while left leg is taking a step. Takes a bit of concentration at first but its possible.

5. Walking the pool back and forth while side stepping left to right and right to left on the way back down. Applying same principals as mentioned above when taking steps.

6. Progressing based on your own capabilities and pain levels to light jogging of the pool with torso pushed in forward position to meet as much resistance from the water as possible. Abdominal muscles engaged.

Hopefully that`s of some help to people. Difficult enough to describe in writing so hopefully its clear enough. I lived on those exercises for 6 weeks and out of any physio or therapies I tried before, these worked ten times better than any.. for the early stages of acute injury recovery. Needless to say, it`s important to eventually progress to land based exercises and gradually introduce more stessors and progress the overall strength of the hip.

ashb0435

Hey,

So I have been back doing the physio exercises for 3ish weeks now and I am back swimming and doing aqua aerobics. I have also gone back to the physio. The pain has not reduced in fact it is getting worse. It is a deep dull ache literally all over the hip area, I can't pinpoint the exact location. It is the same pain I had pre-op.

My physio and surgeon felt all my pain was symptomatic of the tear and not muscle as my pain was gone post-op.

I have narrowed down the point of the pain starting to a week earlier than I thought when I was getting out of my car and I slipped with the affected leg (right leg) overstretching. With the standing and twisting a week later making the pain worse.

I am frustrated and have been in pain for 6 weeks now. I would really appreciate people's advice and opinion? Could the slip and overstretching of the hip cause more damage than just muscle?

Gut feeling is telling me I need to look more into it.

Thanks for listening
Ashling

April1

I saw Dr Carton a few years ago. He said he couldn't help me. He seem to more interested in sport injuries. My injury was caused by SPD.

baccante

subscriber wrote: »

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?

Hi,
Can I ask you if the procedures you mention above were covered by private health insurance? Need to have hip arthroscopy done but cant figure out if I'm covered for it.
Thanks

ashb0435

baccante wrote: »

Hi,
Can I ask you if the procedures you mention above were covered by private health insurance? Need to have hip arthroscopy done but cant figure out if I'm covered for it.
Thanks

Hey

No I wasn't covered...depends on your policy. I waited 1year 3months to be seen publicly. All the best with your surgery.

Ash

subscriber

baccante wrote: »

Hi,
Can I ask you if the procedures you mention above were covered by private health insurance? Need to have hip arthroscopy done but cant figure out if I'm covered for it.
Thanks

This just depends on the level of cover with your health insurance provider and would need to check with them...

subscriber

ashb0435 wrote: »

Hey

No I wasn't covered...depends on your policy. I waited 1year 3months to be seen publicly. All the best with your surgery.

Ash

How are things looking for you at the moment Ash? Any improvements?

baccante

Hi,
Thanks for response. Turns out I'm partially covered. Very relieved because I wouldn't be able to stick the discomfort for much longer.

ashb0435

subscriber wrote: »

How are things looking for you at the moment Ash? Any improvements?

Hey

Still in pain. Saw Dr Cashman a few weeks ago and he said all my symptoms are pointing towards another tear. I'm going for an MR Arthrogram in the New Year to see what has been done.

Has anyone had the steroid injections and had long term pain relief? It was an option he gave me. I had one during my last Arthrogram 2 years ago and only had temporary relief.

Thanks
Ash

Bull76

ashb0435 wrote: »

Hey

Still in pain. Saw Dr Cashman a few weeks ago and he said all my symptoms are pointing towards another tear. I'm going for an MR Arthrogram in the New Year to see what has been done.

Has anyone had the steroid injections and had long term pain relief? It was an option he gave me. I had one during my last Arthrogram 2 years ago and only had temporary relief.

Thanks
Ash

Hi Ash,

I've had the steroid injections to help with recovery. For me they worked I had 2 injections within 3 months. They allowed me to do my Physio and work. I also had one pre surgery as a last step measure before surgery. That one lasted 2 weeks and the relief was minor. Pain and swelling are a torment, but I've learnt to ease back and try to limit what causes lots of pain. For me the pain is never gone just at a level I can handle.
Wish you the best and hope you get a resolution to your pain.

April1

Have you had surgery already?

ashb0435

April1 wrote: »

Have you had surgery already?

Hi

Ya I had surgery with Dr Cashman in March which was 100% successful. Unfortunately it looks like when i slipped in September I might have created another tear.

I'm just wondering if I go the injection route this time is there a chance I might need to get the surgery anyways. I know it can make me completely pain free and just concerned the injections might not work.

Ash

ashb0435

Bull76 wrote: »

Hi Ash,

I've had the steroid injections to help with recovery. For me they worked I had 2 injections within 3 months. They allowed me to do my Physio and work. I also had one pre surgery as a last step measure before surgery. That one lasted 2 weeks and the relief was minor. Pain and swelling are a torment, but I've learnt to ease back and try to limit what causes lots of pain. For me the pain is never gone just at a level I can handle.
Wish you the best and hope you get a resolution to your pain.

Hey

Thanks for your reply. I had one injection as part of my Arthrogram 2 years ago and was in pain again a week later. Had the operation in March and was pain free for 6months until I reinjured. I just don't want to drag it out as I've had hip pain since 2013 as I also had a stress fracture in the same hip.

Are you still in pain even post op?

Bull76

ashb0435 wrote: »

Hey

Thanks for your reply. I had one injection as part of my Arthrogram 2 years ago and was in pain again a week later. Had the operation in March and was pain free for 6months until I reinjured. I just don't want to drag it out as I've had hip pain since 2013 as I also had a stress fracture in the same hip.

Are you still in pain even post op?

Hi Ash,

Still in discomfort as I call it now, which to others is pain. It's a pain I can handle. I've had my surgery over 18 months ago. Post that surgery my recovery was very slow. I had multiple flare up's which stopped me dead in my tracks. Anti inflammatories and rest. Then go again, had 3 of these episodes then had my first steroid injection and then again 3 months later. These helped me to do the physio. But pain is always there for me, and difficult to sit down at times. I've been told I need to do pain mitigation, I'm not bad enough for another injection and I've already had 2 of them.

If you need surgery then get it, it has relieved the extreme pain I was in. Again, wish you good luck and care with your recovery.

RedMen15

Hi all,

Just speaking some advice if anyone can help or maybe had similar diagnosis.
I had an MRI on my hip.
The report says at the bottom under Impression that I have:

-chondropathy in the superior acetabulum

-Laberal tear at the posteroduperior labrum, as well as a non contiguous laberal tear at the anteroinferior labrum.

Anyone have something similar before & what steps would you recommend next?

Thanks

ashb0435

So had an MR Arthrogram last week and I have no new labral tear. However I am still in pain and have been in pain since September. He has recommended exercise modification and low impact exercise as well as the idea of the steroid injection.

The radiologist guessed I might have scar tissue as the injection of the dye was quite painful even with anaesthetic. I didn't have the same level of pain last time I had the dye.

Has anyone experienced this? Very frustrated as I have no idea what's causing the pain.

Appreciate your help. Thanks
Ashling

dashoonage

Hey Ashling.

Youre getting an awful doing of it. Just to say that i changed away from all impact training and now use a mix of cycling/swimming/yoga and walking to stay healthy

There is a very good group of facebook for info i dont know if youve seen it

https://www.facebook.com/groups/117982562178439/

Mods hope its ok to post the link.

Bull76

Hi folks,
Just been to see Mr.Carton in the Whitfield clinic. Definetly worth the trip. Highly recommend him, just on his manner and honesty. His about preservation of the hip and not just about doing an operation. I went as I wanted a second opinion and well I was happy with what he was proposing. Just not ignoring the subject. he is willing to give you back a quality of life which is all we want.
So let's see how this turns out.

ashb0435

Bull76 wrote: »

Hi folks,
Just been to see Mr.Carton in the Whitfield clinic. Definetly worth the trip. Highly recommend him, just on his manner and honesty. His about preservation of the hip and not just about doing an operation. I went as I wanted a second opinion and well I was happy with what he was proposing. Just not ignoring the subject. he is willing to give you back a quality of life which is all we want.
So let's see how this turns out.

Hey

What has he suggested for you to try? Physio thinks there is still some sort of impingment in the hip so I'm just to avoid moving my hip in certain ways.

All the best.
Ash

roadrunnermick

After having 3 hip arthroscopy in total . 1 extra revisionary on left

I waited 4 years to exhaust all rehab options with before revision

Anyone thats promises a better quality of life with an operation , I would question with someone in sports medicine

You may just open pandora box with hip mechanics , damage from traction . Hip flexor ect

I maintain my advice . Please seek a 2nd option from Eanna flalvey or someone in sports medicine rather than a surgical consult . I regretted my initial operation . I have come across many in the same situation .

I am sure there are lots of success stories are mentioned on there website . You will never here of the failures and trust me the stats are now showing the extent of the issue

Bull76

Hi folks,

Second opinion in my case is either another arthroscopic procedure or THR. This in my case is due to the damage and removal of cartilage. Based on what was said to me, I should have seen him 2 operations ago. I have a bony growth on the femoral neck. This bony growth hasn't helped with my hip and movement. So we'll see what comes out of this.

April1

When is the surgery?

Bull76

Nothing planned yet, just need to get follow up scan and see what is the best course of option for me.

ViperMAN

Hi everyone,

I know this thread is a few years old now, but I wanted to ask a few questions on labral hip tears.

I started a new thread over the in Long Term Illness forum called 'Hip / Groin Pain - Over a year later'. You can check there for more detailed information, but all indications are leading to a labral hip tear on my left side.

It looks like surgery is no longer the main route when it comes to resolving this now. I have been told that PT exercises are now solely used and surgery is off the table unless you have a significant tear. Apparently, the success rate of surgeries have been hit or miss.

Have people heard similar? Has anyone gone for surgery recently? Happy with the results?

Thanks!

olivecath

Hi,

Also hoping that this thread is not too old.

I have bilateral fai and labral tears, and a stress fracture on the right neck of femur. Diagnosed with mri in November '23. I am seeing Gavin mcchugh in santry this month. He works out of cappagh too. My insurance will not cover a procedure privately. So if surgery is recommended my options are wait for quite a while on the public list, pay up front privately or look into the cross border scheme and have it done in Belfast. Pros and cons to all options. Has anyone had surgery up north ? Approximately how much is it privately in Dublin? I was thinking arthroscopy .Anyone know how long the wait is publicly?

Thanks in advance

PDCAT

Hi

I'm a 51 years old, spent last 14 years completing Marathons, Triathlons, Ironmen and Ultra Marathons.

For the past 7 year's, I have struggled with continuous Groin and Pubic area pain/ discomfort. Only affects me running and only affects me when running with high intensity. Absolutely no impact to swimming, cycling, weight training or slow/medium intensity running.

Have spent the last 7 years on and off attending SSC with multiple MRIs, one cortisone injection into pubic area. Over the 7 years have dealt with all the main sports medicine doctors in SSC multiple times (Eanna Falvey, Matt Robinson, Andy Franklin Hill and couple more) Spent hundreds of hours on S& C with their top Rehab specialists. After rest and S&C the issue resolves to only come back after a year or so when I increase intensity. Have lost faith in them at this stage.

I ve been to see Pat Carton and XRay has shown up Hip Impinchment issue.

Have two more scans next week. From initial consultation it seems the Hip Atroscopy is what is being recommended. I'm considering it at present as I exhausted all other avenues over the years.

If I want to just cycle, swim and slow run, I don't need the procedure, if I want to continue with my sport of running and triathlon with any pace, I will need to do something. Hopefully after meeting pat carton next week I'll know more.

My main decision making criteria will be - How confident he is that the Hip Atroscopy is the answer to my problems? & How long will it take me to get back to training as before?

At 51, maybe it's time to wind it down, however I'm in great shape hitting decent performances and reluctant to throw my hat at it due to the joy it brings me.

Have a bit to think about. Will keep u updated in case anybody else here is in the same boat.

ViperMAN

https://www.boards.ie/discussion/comment/121992104#Comment_121992104

Hello,

Thanks for posting your experiences so far.

I am in a similar situation to you, although I have groin/hip pain constantly, even while sitting/lying. I now also have pain on both sides. Like you, Hip Arthroscopy looks likely for me. MRI showed a tear in the labrum and no amount of PT seems to be relieving it.

I think the key question that you have asked is "How confident is he that Hip Arthroscopy is the answer to my problems?". They are complex areas of the body, so IMO its important to rule out all other aspects before going down the surgery route.

PDCAT

Had my second visit to Whitfield last week. Had an ultrasound and an MRI. Met with Pat Carton. In fairness, he never pushed the surgery on me. He said I had hip impingement and he had done hip atroscopy on athletes in the past. Some were successful, some were not. I asked him was the chances of success 50/50. He said it was greater than 50/50 that I'd see improvement but couldn't guarantee it. Also he said the surgery is minimally invasive. Said I'd be back swimming and cycling at two weeks post op and running 6 weeks post op. Is leaving it up to me to make the decision so lots to think about. Over last 8 years, I've tried everything else, so not sure that I have much to lose.

ViperMAN

https://www.boards.ie/discussion/comment/122047756#Comment_122047756

Hi - thanks for coming back with an update.

Can I ask why he recommended an MRI and Ultrasound? I would have thought that the impingement could be identified with the x-ray that was initially completed - but I am no expert.

Did he give you a percentage chance of success? I know he said it was greater than 50/50 - but did he estimate an outcome? Like 80% chance of success.

PDCAT

Impingement was identified on the XRay. The ultra sound and MRI were to check for hernias, Gilmores groin and any issues with the abdominal area. He said it was greater than 50/50 success. However when I suggested to him, would it give a 70/80 chance of success, he never specified a figure, but he felt it would give a benefit in his opinion.

However, he contacted me by email the other day to say that the ultrasound showed up an indication of a small inguial hernia or Gilmores groin and I have now being referred to a specialist in Whitfield for this.

ViperMAN

https://www.boards.ie/discussion/comment/122054339#Comment_122054339

That interesting that it might be from the hernia/gilmores groin. Please keep us updated as its good to hear other peoples experiences.

I am being sent to a surgeon now to see if surgery is correct for me.