See John Odonnel in Melbourne. Did both my hips. Very happy
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See John Odonnel in Melbourne. Did both my hips. Very happy
If anyone has advice it is greatly appriciated. I have pain in the same spot in the groin described by bluemango & hendrikdw. I measured, it is 5-6 cm below the ASIS. I experience tightness in my glutes & hamstrings & have pain that radiates down the outsides of my thighs. You have labral tears, but it was determined that the pain you have was not coming from them. Correct? This is my problem also. If you could please recommend what kind of dr. to see or physical therapist or whatever I would be so grateful. Not being able to be physically active is so frustrating. This is where I am at.I am female. I?ve had the pain since July 2007 & was only diagnosed with Labral tears in Jan. 2011. I was going to have surgery, but when I went for a follow up my pain was only a 3-4. The first visit it was a 9. My pain fluctuates greatly from a 3-10 in a matter of days or even hours and I cannot figure out exactly what sets it off. My surgeon decided to do more diagnostic because my pain fluctuates so much. Right hip was injected, May 2010. with depo medrol & lidocaine. It was supposed to reduce pain & be used as a diagnostic tool. He told me 90% of patients that get reduced pain from injections get better with surgery. I had zero pain relief. The surgeon told me, "The injection did not help, therefore I have no idea where your pain is coming from and at this point cannot recommend any form of surgery until we figure it out". Nov. 2010-I started seeing a chiropractor. She restricted all exercise until I was somewhat stable. Not doing anything sort of helped, but I continued to have pain on the side of my legs & a burning pain in both side of my groin/ abdomen. Also, the lack of exercise has made my muscle weaker then they were. Feb. I started physical therapy to build strength in my hips, glutes and pelvic area. I stopped seeing her about 1 month ago. I used up all my insurance visits & $65 a visit. The exercise routine helps, but I can?t run, do lunges, or sit/stand for any long periods. Sex also aggravates the area. I continue to do the exercise routine & decided I?m going to start yoga & speed walking again. Those activities only mildly bothered me. I?m going to see my surgeon soon to report. As suspected, the chiropractor & PT is helping a little bit but it is not a permanent fix. We?ve also ruled out deferred pain from by back & nerve damage. I was thinking about phototherapy. If that does not work I would like the surgery. I want to try all non-surgical options first. I am so afraid I will have surgery & the pain will be worse or I will have no improvement. Please let me know you opinion. Thanks again-Chery
I've just come across this forum after posting over the past year on a similar topic on the Mens Health forum about hip arthroscopy and am now 3 months post surgery to repair a torn labrum performed on my left hip by Dr Patrick Weinrauch, I now feel 99.99% healed and am extremely thankful to him.
Injured my hip doing squats in gym during Aug 2009 and felt immediate pain. I continued in the gym until April 2010 combined with yoga which I started in December 2009 and continued until about October 2010 and I also started SUP in June 2010, during and after that time the pain was still evident and I couldn't come up with a diagnosis after a table X-ray and a regular MRI. My sports doctor on the Gold Coast suspected a torn labrum and referred me for an MRI arthrogram during June 2010, and after finally getting enough contrast fluid into the joint and doing the MRI the specialist diagnosed the labral tear which was a big relief as I finally knew what it was.
I did some research on surgeons in Brisbane and had a recommendation to see Dr Weinrauch by a prominent hip surgeon in Sydney, I was also swayed by his website which is very comprehensive and contains loads of useful information...I saw Dr Weinrauch on 23/8/10 where he viewed my MRI scans and also confirmed the labral tear diagnosis. He also stated that a good result would be fairly likely and that all I needed to do was book in a few months in advance.
At the time I was not totally convinced that surgery was the best solution so I decided to keep a diary to monitor my progress and I ended up keeping a diary for about 225 days commencing 28/7/10 until 9/3/11. Prior to then I had purchased a book called "Heal Your Hips" by R. Klapper and L. Huey and generally followed the land based exercises over that period which provided some relief, and I also took rose hip capsules, glucosamine pills and liquid bovine fluid from my local naturopath. The main types of pain I experienced were pinching in groin, popping, stiffness at front and back of hip radiating down to knee and a dull pain in hip.
I categorised the feelings I experienced into 4 types and have shown the breakdown in each section as a percentage instead of showing number of days:
1. No Pain (NP)
2. Stiffness (S)
3. Pain (P)
4. Stiffness and Pain (PS)
Results as follows:
At 25 Days
NP: 40%
S: 24%
P: 12%
PS: 24%
At 44 Days
NP: 35%
S: 28%
P: 18%
PS: 18%
Other: 1%
At 50 Days
NP: 40%
S: 26%
P: 16%
PS: 16%
Other: 2%
At 80 Days
NP: 55%
S: 21%
P: 10%
PS: 13%
Other: 1%
At 225 Days
NP: 60%
S: 10%
P: 5%
PS: 25%
At the end of that period, NP had increased from 35% (at 44d) to 60% (at 225d) with the remainder being P, S or PS and I was not convinced that the joint would heal on its own so I decided to go in for surgery (done on 9/3/11). Immediately prior to the surgery Dr Weinrauch explained that the joint would go though a healing period during the first few months during which there would be fluctuating symptoms including "flare ups" but that over time it would heal fairly well. I was off work (office based) for about 8 days and was on one crutch for about 10-14 days... my exercise regime post op included stationery biking and swimming almost straight away, lots of stretching, flat water SUP after a week, SUP surfing after about 5-6 weeks and gym training after about 8-9 weeks.
Now at 3 months post op what Dr Weinrauch explained is almost exactly what I experienced as I went through periods of pain and stiffness but now the result is and continues to be very positive. I was at the physio two days after the op and continued with fairly intensive treatment twice a week for about 3 weeks which has now tapered off to about once a month, I also manage any stiffness with hip flexor exercises and by using a spiky ball for self massage.
I am now pain free with occasional stiffness that is fairly well self managed although requiring physio less frequently as time goes on. Yesterday I had a 3 month follow up with Dr Weinrauch where he stated the good surgical result and that my hip should get even better over time...I am extremely happy with the result.
btw his website is www.brisbanehipclinic.com.au
Apologies for the long winded response and hope others can gain useful info from what I've written, good luck to all.
Hi Rory, did you get an answer from anyone about the guided injections. I am having the normal MRI with an injection (that sounds painful) in a couple of weeks.Quote:
Originally Posted by rorycasta
Hi fellow scopers
Thanks for all the interesting and informative posts. I too have recently and finally been diagnosed with a labral tear and FAI following a cycling fall 8 months ago and have decided to have the surgery. I live in Sydney and am finding it very difficult sifting through all the information to decide upon a surgeon.
I have seen a surgeon, Dr Arash Nabavi, in Sydney recently as I have been in a significant amount of pain. http://www.drarashnabavi.com.au/ and www.myhipsurgery.com.au. He was recommended by another hip specialist as the surgeon in Sydney with the most experience in hip arthroscopies. He looks after several professional league teams, seems to have good results and is willing to do the surgery in a month. This procedure would be completely covered by my insurance. However he has only completed around 300 hip arthroscopies and I don't feel completely confident and comfortable after one consultation.
If anyone has had hip surgery with Dr Nabavi I would be interested in hearing about your experience and how successful it was.
Several surgeons in Sydney have also said to go to Melbourne to get the procedure done either with Dr O'Donnell or David Young. I am unable to see Dr O'Donnell until July with a surgery date in August. Also if I see Dr O'Donnell it's unlikely my insurance will cover everything. I have been told by several surgeons in Sydney that Dr O'Donnell is a big self-promoter and Dr Nabavi had a hip scope that was unsuccessful with Dr O'Donnell so he is very unwilling to recommend him.
To all those (especially living outside Melbourne) who've had surgery with Dr O'Donnell is it really worth the extra few months wait, travelling inconvenience and extra cost to see Dr O'Donnell? Is it a problem if you can't get back to Melbourne for follow up visits?