hip labrum surgery with impingement at the femoral neck
I had surgery 7 weeks ago wednesday and its getting better some days are better than others. My surgery consisted of repairing a minor tear in the labrum and to remove some bone on the neck of my right femur to fix the impingement that caused the tear. I am 1 week out of crutches and still in pain mostly when I am on my feet and walking, has anyone else had something similar to this surgery and what can I expect from the rehab stand point? is it too early to tell the long term outcome?
Arthroscopy for Labral Tear
Originally Posted by Keren
I used crutches for about a week after the surgery. Started physio on recommendation from surgeon about 2 weeks after op. I am now doing hydrotherapy and in hindsight I believe this should have been recommended first or in conjunction with physio. See my reply to Jenny for current pain. I am in the process of obtaining a Bledsoe Philippon brace in an attempt to assist with "catching" pain while sleeping. I have spoken to the OZ marketing manager about this brace and my current symptoms. This person is also a physiotherapist. If you reside in OZ, you may want to ask/ request the use of this device by your surgeon. See the links below for this product. For the Bledsoe website, click on Special braces then Philippon. Hope this helps.
femoro acetabular impingement surgery
I am glad you are doing well from FAI surgery. It seems as though you had the open (full dislocation) procedure. If you want to talk to others, who had this procedure, join yahoo's messageboard group "femoroacetabular impingement" (http://health.groups.yahoo.com/group..._Impingement/). I am scheduled for FAI surgery in mid-august. Good luck with recovery.
Originally Posted by Unregistered
Post-op info & a new question
Hi Keren - I am in my early 30s and had a labral tear arthroscopic repair June 2004. I live in Boston and had the surgery with the hip group at Childrens (Kocher & Millis). I was on toe-touch with crutches for 3 weeks, and then went to one crutch and a cane over the next 2-3 weeks. I found walking in chest-deep water in the pool very helpful after week 2. My main problem initially was that I lost proprioception (the sense required for position/balance) for a few weeks afterwards and my balance on that leg was terrible. It cam back to 100% with PT though. I tried to, but couldn't go back to playing hockey.
Originally Posted by Keren
I am now being re-assessed for ongoing groin pain that occurs with flexion (walking up hill, riding a bike, sitting forward). Another MRA was neg for a tear and they didn't see FAI on the plain Xrays. I'm going for a 2nd opinion in a couple of weeks. My symptoms seem like FAI from what I've read. Anyone else with a similar experience? I am really eager to know whether I need more surgery or not. I am not very excited about the thought of it, but am tired of feeling like I'm 65. I can barely walk on the treadmill fast enough to get my heartrate to 125 (I can't use any incline or I get severe pain). Any ideas more than welcome :-)
New member 1 week after surgery....
What a great forum! Wish I had found it years ago!
Well I thought I would share my story with you all and I will post updates on my recovery if it is useful to anyone.
As with many of you I have done the rounds of many doctors and surgeons over the years before good diagnosis and surgery recently. My pain actually manifested mainly in my right knee as long ago as 1990 when playing soccer used to cause deep throbbing and shooting pains in knee for several days after. X-rays and scans showed little and various suggestions of early arthritis, tight hamstrings, back problems were made with no progress on pain.
For many years I coped by just avoiding any strenuous exercise, thereby not aggravating what I thought was a knee problem. However two years ago several other lighter activities such as golf, and even long walks were causing flare ups. To cut a long story short, another knee specialist sent me to a physiotherapist who trumped all the doctors by identifying the underlying problem as coming from my right hip. A hip specialiast identified a tear and thought arthroscopy would help - I was referred on to an expert in this who immediately said my hip was a "timebomb waiting to go off" - not just a tear but much more requiring open surgery
I quote from report (this is technical - some may understand it all more than others!)...
Indications were - chronic anterior internal impingement and early degenerative changes
Approach - Lateral with Trochanteric flip and anterior exposure of the hip. Joint disarticulated
Surgical findings were - large Ganz lesion/anterior epiphyseal tongue and anterior acetabular osteophytes. peripheral damage of acetabular articualr cartilage from 11 o'clock to 2 o'clock.
Procedure carried out - Epipheseal tongue/Ganz lesion excised. Lateral retinacular vessels preserved. Anterior acetabular osteophyte removed. Excellent joint movement with no residual impingement
I had an epidural anaesthetic which was kept topped up for two days, left hospital after four days and am supposed to be on crutches for 6 weeks. I have a scar about 8 inches long and there are two surgical screws in the bone apparently
I have now been home for 1 week and am managing on crutches quite well. Can stand on both legs with no crutches OK and am relatively pain free unless I accidentally set off across the room without picking up my crutches first (more easily done than you might think ha ha!)
Sleeping is harder cos I keep rolling onto operated hip in my sleep! Also am having trouble with my right knee which feels as if I have strained it somehow. I suspect this is because my knee is trying to do to much work shifting my leg sideways off beds and sofas for example as my muscles down side of leg were obviously cut during surgery. Guessing at that though - hope it is not a new problem that surgery has caused!!
Anyway, surgeon (Mr Field, St Anthonys Hospital, Cheam, UK) thinks may have extended life of natural joint by at least 10 years - if op continues to show no ill effects I will have to repeat on left hip at some stage.
If anyone would like to know anything else about my experiences please feel free to post or contact me direct.
I will update on recovery
New member 1 week after surgery
I recommend the Philippon hip brace. See my previous posts for link. I have been wearing one at night for a couple of months and the catching pain has stopped while sleeping. Sleep can still be interrupted as it takes some time getting used to wearing the brace. Other symptoms now include numbness around the knee. Currently doing iliotibial stretches to assist.
Labral tear , knee pain and IT band symptoms!
Have you had any useful relpies yet? I have had hip/groin/ knee pain for 16 months. Just paid for hip arthroscopy - labral tear debridement and partially torn ligament repaired (the 1 that holds ball into socket!). Small extra bone left insitu - hope to recover without having to go back for more surgery later! My knee pain is still present. Physio says all muscles are rubish, hence knee cap not in correct alignment - they call this a "tracking" problem. I had my knee taped for 2 days - 1 week post op and I could go on ex bike without feeling grinding in my knee and without knee pain. Got loads of new exerices to do now to rehab my muscles and told eventually with my hard work - the muscles will improve and hold knee cap in correct place. Without having the tear sorted out I think exercise will be painful! Let me know how you get on.
Knee pain and labral tear cont!
Sorry - my last post was in response to this message!
Originally Posted by Unregistered
7 weeks post op hip arthroscopy
I'm a 57 yo female with mild arthritis, labral tear and femoral bone spur causing impingement. I had surgery on May 25th. Initially it felt good like my problem was solved but now I have pain when I walk without the crutches and I'm feeling discouraged. i'm packing myself in ice and resting a lot. Exercise seems to hurt it so I'm not doing any. The doctor said to rest and take anti inflammatory meds. I don't know when to assume it's a failure and go on to hip replacement or resurfacing. I will ask for another MRI soon.
Originally Posted by DiverDan
7 weeks post op hip arthroscopy
Originally Posted by arbrador
I'm a little younger, fast approaching 6 months post op, with hope fading fast. While using a cross-training machine at physio the other day I had a major "catch", which almost caused me to pass out. PT programmed machine on lowest setting for 5min's. Catch occurred 2-2.5mins into exercise while on upwards back stroke. I had been doing OK with strengthening/ load bearing exercises up until then. The majority of my pain has been on the outside of my hip. My PT & OS kept telling me they were not worried about this pain. Experts ( X marks the spot and spert is just a drip of water ). Finding "professionals" who are not just interested in the money has been the hardest thing to come to terms with. Iliotibial stretching is helping manage this pain. If you can, seek as many opinions as possible. I have only found one specialist who was at least honest about this injury and he diagnosed it!! I don't want to consider THR at this stage.:(
Multiple Hip Labral Tears
I'm curious to hear from people who have had multiple hip labral tears. I'm 35, am in very good health, and would like to find out why the heck I'm getting these darn tears (I'll admit, I have been a runner for years). I had surgery six months ago on my right hip to repair a tear (I was told the cause was degenerative), and just learned two weeks ago that I have a tear in my left hip. And, unfortunately, I think that my right hip (the one I just had surgery on) has another tear, given my current symptoms. Needless to say, I'm really frustrated, but still count my blessings b/c I know that things could be a whole lot worse.
When they did the surgery six months ago, they said that they found arthritis when they went in. It took 3 1/2 years to diagnose the tear so who knows whether the tear was a result of the arthritis or the arthritis was a result of the tear being left untreated. My doctor claims that many studies have been done on this topic and it's very difficult to determine if arthritis can cause a tear or vice-versa.
I have resorted to trying to find my own answers on the Web, and read that hip dysplasia can be the underlying problem. I saw my surgeon a couple weeks ago and asked him if I have hip dysplasia. He said that I have mild dysplasia and that it could be contributing to the tears, but he said that the dysplasia isn't so bad that it requires hip osteotomy. So, why the tears??? If anyone has any insight, I would greatly appreciate it.