HIP LABRAL REPAIR

The hip socket (acetabulum) is lined by a rim of cartlidge called the labrum. Damage to the labrum is a recognized source of pain, caused by hip impingement (FAI). The labrum may be treated surgically through debridement (trimming/ removal) or repair and reattatchment.

Patients with labral tear may experience one or more of the following:
A locking, clicking or catching sensation in your hip joint
Pain in your hip or groin
Stiffness or limited range of motion in your hip joint

In a hip labral repair, sutures are used to to reattatch the torn cartlidge to the rim of the hip socket. This procedure can be done through arthroscopic surgery. Success rates for arthroscopic repair of a torn labrum in the hip are very high when dealing with a patient with a tear and loose bodies only. In cases where there is cartlidge damage however, the success rates are considerably lower.

Non-surgical techniques do exist for treatment of labral tears, but are not highly successful for relieving pain or returning to an active lifestyle for the patient if the tear has gone undiagnosed for a significant period of time, which is often the case.

For an incredible roundtable discussion by leaders in the field of FAI and hip arthroscopy go here to read their discussion/arguments on labral preservation vs debridement/removal.

254 comments:

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maria said...

am now 3 weeks post op for fai surgery, am due to have the other done after xmas. i was lucky that after 3 years of trying to get a diagnosis i found a good surgeon in cornwall who deals with this. i would say to anyone who thinks they have fai, is persevere, get second opinions, i did, there are a few good specialists in this country ,its just finding them. does anyone know how long recovery time after open hip debridement surgery takes, im on crutches for 6 weeks but not sure what happens after that.

Denise said...

Hi Maria, I am 9 days post-op for an open debridement for a labral tear and hip impingement. I had an unsuccessful arthroscopy 1/2 years ago. I was also lucky to finally find a surgeon who believed I was still in pain all of the time. I too am curious about recovery. I am 50% weight bearing for 6 weeks. How are you doing? Have you been able to find any additional info? Hope your receovery is going well.

Carrie said...

Hi! I too just had an unsuccessful arhroscopic procedure in an attempt to repair my torn labrum in Dec. 2008. The surgeon said that my hip sockets were too deep & despite the traction, he wasn't able to get into the socket without the damaging cartilage, so he pulled out & stopped the surgery. He is a renowned surgeon who has done this for 10 years...this is the first time he has had this problem!

So, my next option is an open surgery to repair it. He told me that the recovery time for the open procedure is at the MINIMUM 6-8 weeks. It's according to if you have the femur bone cut or not in surgery. If the bone is cut, recovery time is longer and there are more weight bearing & range of motion limitations. It would be a recovery time of about 3 months. I have more info from my surgeon...so let me know if you have more questions. I'm deciding if I should do the procedure or not so I'm busy investigating as I rehab. Good luck to all & recover well!

DJ said...

Suggest everyone start asking questions about this procedure in hips. I don't find any indication among patients that it is succcessful. I had arthroscopic hip labral tear repair and debris removal a year ago and have gone from 'active tennis player' to 'can hardly get in and out of my car' and difficulty bearing weight--no lateral rotation of any kind without severe pain. This was collosal failure. Doctors are lying about the success of this procedure to get practice doing it.

Denise said...

thanks for your comments and info Carrie and DJ. I did have the femur bone cut and am now almost 1 month post-op. it is a slow recovery but I am progressing. I go to my Dr. on thte 23rd for my 6 week post-op visit and am hoping he will take me off 50% weight bearing.
DJ, I can sympathize with you. The doctor who did my scope did not even approach the possibilty that the scope did not work. His solution was to tell me I needed a hip replacement which didn't make sense. He also refused to do anything else to help my pain. The second dr told me I had bursitis and sent me to more PT and when I continued to complain about groin pain said "people learn to live with the pain." Needless to say I did not return to him.
My current doctor told me that hip scopes are a big debate in the hip dr community. He no longer does them becasue so many are unsuccessful. He said the joint is too large to really address all problems successfully. He ordered an arthrogram. However that was not conclusive and was actually read as normal by the radiologist. But my physician thought he saw a tear on it. He said it was a 50/50chance there was something there. So I went into this surgery with the possibility of him finding nothing. To my great relief, he did find, as he put it "one the more obvious tears he has seen."
My advice to everyone is - only you know your pain and don't let a doctor or a MRI tell you that you are not feeling it. Find a doctor who believes you and listens no matter how many you have to go to. I am fortunate that I live in the Baltimore area with many doctors to choose from.
Good luck everyone. I'll update my progress after the 23rd. I am hoping for a crutch-free Christmas!

Carrie said...

Denise,

I am so excited to hear from you! I too live in the Baltimore area...please email me so we can discuss/compare doctors. Here is my email: malayoga@hotmail.com
Sounds like you have a good second opinion for me that I desperately need. Here's to a speedy recovery for the both us!

Thanks to all for sharing!

tennismom said...

Well I am just reading all this and getting sick to my stomach. I am a 46 yr old woman whose normal day (until a few weeks ago) was get up, take care of kids and get them off to school then play two hours of competitive tennis, weight lift for an hour then haul and repaint furniture for my antiques business and finish the day with an hour walk, hike or bike ride. Four years ago I tore my labrum playing tennis and my ortho (after MRI and only a right hip x-ray) said I would just need to manage my pain but that I had "young hips," was in great shape and never suggested anthing else. So after about three weeks of sharp pain it grew into a dull aching chronic pain that I just barreled through for 4 years during the day and took a handful of aleve at night and slept with a heating pad or icy hot patches. I limp but it just got to be a joke around the tennis court until just before Christmas when the pain got really severe. I went back to my ortho who did another x ray of my right hip and said specifically you are "arthritis free" and suggeted an injection. Although painful at first it gave me my first taste of what it used to feel like to be pain free and it was great for about a month until the pain came crashing back 10 times worse. I finally got in to see Dr. Thomas Byrd last week who told me (after a full hip x-ray) that I had severe arthritis in my right hip and he didn't think arthroscopy would help much. I was dumbfounded and told him what my other ortho had said just in December. He looked at that x-ray and said it was only of my right hip and you really need to x ray both hips and that the arthritis has probably been present all along which weekened the labrum in the first place. I had an MRI the next day and am now trying to get back into Dr. Byrd (very difficult) to discuss my options since he just shrugged his shoulders last week and told me I'm heading for a HIP REPLACEMENT! What's happenning? Did ignoring this tear for four years cause arthritis? (which I have nowhere els) Please someone give me some advice.

tinkerbell_0615 said...

Well lets see, I was told I had bursitis for about 2 years and received a cortison injection into the bursa and was ok for a while. Then it all came back so I went to an orthopaedic surgeon at John's Hopkins and after a few MRI's that didnt show anything we did and MRI arthrogram, and there it was a labral tear. I had arthroscopic surgery in July 08 and started feeling great so I got active around the house a little, then the pain came back full force and there was visual sweling. So I called my dr and got back in to see him immediately, it was just inflammation and I was told to take some meds and stay off it a while longer. So ok I did, still in pain not getting any relief from PT or pain meds I was taking everyday(lortab) my PT and my Dr decided to inject the joint to see if the pain was from the joint or the muscles around the joint. Got the injection the day before Thanksgiving and about 2 weeks later I had relief and could be normal for once. I am a soldier and decided I was feeling good and would wear my boots instead of running shoes. Started getting pain in my groin with every step. Then on FEB 19 2009 I woke up and couldn't pick up my leg. Went to myprimary care dr and got referred back to pt and got another mri. To no avail the mri was normal. So still doing pt and things got a little better till again I woke up and couldnt pick up my leg. Sat at work crying half the day because the pain was so severe in my groin. As of right now I get to stay drugged and keep going pt, but I feel like I am on a never ending roller coaster. This has been the worst experience of my life and I am only 26. Going for a 2nd opinion on the 23rd of March. Lets keep our fingers crossed.

Denise said...

tennismom and tinkerbell_0615 I have read both of your recent posts and please know that I can understand your frustration. Tennismom I'm not sure if ignoring your labral tear lead to your arthritis but I think I have read that it could be a factor.
Tinkerbell_0615 - your story sounds similar to mine in that you had a scope and are still having pain. It took me a year and a couple doctors before I could get something done. If you read my post you'll see that my labral tear was discovered initialy on an MRI in May '07 which led to my scope. This past August I had my arthrogram which read normal but when I had my surgery the doc found a "huge" labral tear. He seems to think that it was just never fully addressed with my scope. The MRI can be wrong and I have been told that labral tears are hard to see on one. Hope you find a doc who can help and listen to you.
I chose to do the open surgery after my failed scope. I am now 4 months post-op and still recovering. Still in pain all of the time but alot of the pain is at the incision site where he cut thorugh the femur. I do still get some groin pain. I've read and heard various recovery time for this surgery (up to a year for some) so I am still hopeful it worked. I am on my feet most of the day taking care of my kids (4 and 5)and can take my dog for fairly long walks so I have made progress - it is just slow and the pain and stiffness/tightness are still there. Good luck to both of you. Don't give up we are all to young to live with this pain. Keep me updated -it helps to talk to others who understand the pain and frustration.

scott said...

I have this diagnosis as well, and I'm concerned about who I will go to for my surgery. I have researched all the 'big' names in the country and that info is not hard to come by. Alternatively, I wish I could stay local (for recovery). Does anyone have a recommendation for a doc in the greater Chicago (IL) area?

tinkerbell_0615 said...

Thanks Denise for the info. I am hoping for a recovery soon, as I cannot walk far without being in pain. I feel like it will never end, I cannot sleep through the night becasue of the pain. Well hopefully it will get better soon.
Thanks Terri (tinkerbell0615)

AB said...

I was diagnosed with a torn labrum and after reading that repairs are only 90% successful and that people were in more pain after having the repair I opted for hip replacement with Dr. Berger in Chicago at Rush. It's done on an out-patient basis. Dr. Berger has pioneered the least invasive surgery with only a 2-inch opening. You are able to walk out of the office after surgery (same day) bearing your full weight on the leg, no crutches. They make you do stairs before they let you go. I have four flights of stairs I have to go up to my home and I they told me I will be able to do it (the same day of surgery). I'm scheduled at the end of April. Wish me luck!

tinkerbell_0615 said...

So I went to get my second opinion and the dr says he is sure I still have a labral tear. He said he didnt do scopes anymore due to the fact that they dont work most of the time. I am going on the 1st for a MRI arthrogram so he can confirm his suspicions. Then hopefully ge in for surgery the week of April 13th. I will need 2 months of recovery. I only have 4 months left in this state and I am trying very hard to get the surgery and recovery done before it is time to leave. So wish me luck. Thanks Terri

tennismom said...

Thanks for your posts Denise and Tinkerbell. Dr. Byrd did call me back and said I am a good candidate for arthroscopy (the arthritis turned out to be mild according to MRI)to repair the labral tear and said it should give me the relief that I felt when I had the injection - which was 100% - but I am skeptical after reading everyone's posts. I have now been off tennis for 4 weeks and feel 100% better. I have been swimming and riding my bike and taking Aleve and heating pad at night. It all seems manageable maybe because the inflammation has gone down. I still cant stand for long periods of time and had to put a chair in my kitchen when I am cooking. I have my surgery scheduled for April 10 and have an appointment tomorrow with Dr. Byrd. Do you all have any advice on specific questions to ask? His assistant told me I would be on crutches within a day of the surgery and could be without them after 2 to 6 weeks depending on the amount he had to do in the joint (i.e debridement etc.). This seems really optimistic after reading your stories. He is supposed to one of the best in the country but who knows. I spoke to a friend who had the same surgery with him (including cleaning up a bone spur) and she said she was back to running marathons in 4 months. She is 51 so it gives me hope. I would love some advice beforee my meeting tomorrow. Thank you all.

tennismom said...

Thanks for your posts Denise and Tinkerbell. Dr. Byrd did call me back and said I am a good candidate for arthroscopy (the arthritis turned out to be mild according to MRI)to repair the labral tear and said it should give me the relief that I felt when I had the injection - which was 100% - but I am skeptical after reading everyone's posts. I have now been off tennis for 4 weeks and feel 100% better. I have been swimming and riding my bike and taking Aleve and heating pad at night. It all seems manageable maybe because the inflammation has gone down. I still cant stand for long periods of time and had to put a chair in my kitchen when I am cooking. I have my surgery scheduled for April 10 and have an appointment tomorrow with Dr. Byrd. Do you all have any advice on specific questions to ask? His assistant told me I would be on crutches within a day of the surgery and could be without them after 2 to 6 weeks depending on the amount he had to do in the joint (i.e debridement etc.). This seems really optimistic after reading your stories. He is supposed to one of the best in the country but who knows. I spoke to a friend who had the same surgery with him (including cleaning up a bone spur) and she said she was back to running marathons in 4 months. She is 51 so it gives me hope. I would love some advice beforee my meeting tomorrow. Thank you all.

Denise said...

Terri, I am curious to know what doctor you saw for your second opinion. He said the exact same thing mine did. I had my open surgery with Dr. Henry Boucher out of Union Memorial in Baltimore. Also, what surgery are you having done in april?

Tennismom, as for any advice..I would just say that the scope works for many people so if it works for you it is a much easier recovery than the open procedure. That recovery time sounds right. I was able to go to a cane pretty quickly after my scope. I wish that it had worked for me. I will say a prayer that it works for you. Just remember that if you find that in a few months you are still having the same pain or even more pain it is possible it failed so don't let the doctor tell you otherwise. You can discuss tomorrow the fact that you have communicated with some people who have had failed scopes and see how he handles that. That's all I can think of right now so good luck!!

tinkerbell_0615 said...

Denise, I am seeing Dr.Boucher now as well. I saw Dr.Nayfeh at JHU the first time for the scope. How did your open hip surgery turn out. Were you satisfied with Dr.Boucher's work? My biggest concern right now is the time, I have expressed to him the urgency of getting in soon so that I can get started on the recovery process, but I am not sure he is catching on to the urgency. I only have 4 months left in the military and in the state of MD, and I was hoping to get the surgery in mid April so I could be on the road to recovery and able to paint and pack and move in July. Thats the hopes. This whole thing is really stressing me out because I am a single mom and also my transition coming soon, I just hope it all goes as planned. I am trying to take it a day at a time but it is hard. At times the pain is so bad I feel I cant see straight...lol Well I hope to hear from you soon as to your experience with Dr.Boucher.
Thanks Terri
Tennismom, I heard Dr.Byrd was the guru of all guru's when it comes to hip scopes. I heard he invented some of the techniques that are used, so that says he is big to me. My last Dr had mentioned me possibly going to TN to see him, but then decided I didnt have a tear again. I think it was that he was giving up on me because it appears there was still a tear on the last MRI that the 2 decided it wasnt. Well I wish the best to you.
Terri

tennismom said...

Terri and Denise - thank you so much for the thoughts - I will ask a lot of questions today. I hope you are on your way to a full recovery Denise - it sounds like you have done everthing possible! Terri - keep calling the Dr.'s office to get a resolution. I got my last appointment by coming in person to bring them the MRI and asking to speak with the Dr's assistant. I've found that the staff are the ones who can push you through and it's much harder to put you off when you keep showing up at the office instead of calling. Well, I'm off to the Dr. so I'll let ya'll know how it turns out.

lynn said...

I am a 53 year old nurse that has managed care for other patients and now find myself with a labral tear. I hear that the best place to go for repair is Vail Colorado and that they do athletes. It would be hard to travel so far and stay for rehab somewhere but home. This is dicouraging to read all the blogs about unsuccessful hip surgeries. I will get a second opinion in my home town this week. Anyone happy with their repair or surgery??

tinkerbell_0615 said...

I'm going in for my MRI arthrogram tomorrow. After that the results will go to my Dr, then they will schedule me for surgery. I am getting medically boarded out of the military, which means I will get paid by uncle sam since I was injured while in the service.
So it will all work out in the end. It's just a matter of getting through it.
Wish me luck.Thanks Terri

Denise said...

Terri,
good luck with your arthrogram tomorrow...with mine the radiologist read it as normal but Dr. Bouche thought he saw something and it turned out he was right.
you asked me in an earlier post about Dr. Bouche and my surgery...sorry it's taken so long ot get back but I'd be glad to let you know about my experiences.
I really like Dr. Bouche. He seems like he really listens and believes and understands your pain and the fact that you shouldn't have to live that way. The only thing that was hard to get out of him was an idea of what to expect after the surgery. All he really told me was that I would be on crutches for 6 weeks. It was hard to get a time frame for total rehab. He will say, and I understand, that everyone is different. He is my third hip doctor and at least with him I do not feel like he will give up or forget about me until I am better. There is still alot of rehab after those 6 weeks. I still have pain at the incision site but the groin pain is alot better and I can do alot of exercises, walking, and household chores but no heavy impact activities.
I would love to give you more detailed advice/info about what to expect post surgery. Let me know and I can give you my e-mail address. It is not an easy surgery by any means so make sure you have and take as much help as you can.
I am glad you can concentrate on yourself and your rehab and not worry about your job. Keep me updated. Again, I would be glad to help with info. I wish I had someone to "talk" to before my surgery who had been through it.
Denise

tinkerbell_0615 said...

Denise thanks for getting back to me. I am getting a little anxious about it all but I am trying to remember to take it one day at a time. I would love more details on how it went for you. My email is terrishaw1@hotmail.com .
Thanks so much for the support. i really was feeling alone in all this and nobody to understand. I am so happy I found this site.
Thanks again and hope to hear from you soon. Terri

tennismom said...

Terri - I had my appt w/Dr. Bird and my surgery is scheduled for April 10. My pain has gone way down since I quit tennis about three weeks ago. After soeaking to him my goal is to be in the best shape I can when the surgery happens. I am taking anti - inflammatory (Aleve etc.) and I feel like the inflammation is much better. Also trying to keep biking and swimming to keep the fitness up - are you able to do any conditioning at all? Dr. Bird says it really varies for recovery depending on what they find when they get in there. (just a tear or maybe cleaning up a bone spur etc. - the more they do, the longer the recovery takes). I am meeting with the PT before the surgery so we can go over the rehab plan and I expect you will get a LOT more information about recovery from them as opposed to the surgeon. Good luck with it and I will definately let you know how mine goes - keep fingers crossed!

Tina said...
This comment has been removed by the author.
lynn said...

I am a nurse case manager who manages cases for injured employees and in 20 years of doing this I have never seen FAI. Now I have it and have no experience to draw on.

I first noticed loss of hip ROM about 10 years ago. During frequent sessions of PT for chronic low back pain the therapist would work on tryng to improve my ROM. Like Tina I think they just added injury to insult.

I am sorry to say that Vanessa's recommendation for Pilates comes too late for me but I have a girlfriend in CA who is finding great results with Pilates for her joint pains.

To think I was hiking in Glacier Park only a year ago and now feel I am ready for a wheelchair is too much to handle.

This week I had an arthrogram MRI which does not show a tear but does show Chrondral (cartilage) loss of the femoral head.

I have been given two surgical options. One is to do an Arthroscope with debridement and smoothing of the high areas that may be causing the impingment. The doctor in my area doing this has traveled the US to learn this surgery over the last year. The other option is to have hip resurfacing, which is putting a metal cap on the ball. This surgery is apparently not recommended for anyone with osteoporsis nor is it recommended for anyone over 55 as the chance for fracture of the neck of the femor and ending up with a total hip is pretty high. I believe my bone density is good at this time and think this may be the surgery for me. The doctor who would do that surgery is the only Ortho in my area doing that surgery an I understand it has been done for a couple years in the USA.

Tomorrow I am having a cortisone injection. If that helps my pain than I will know that this hip is my pain generator and I will plan one of the surgeries when my husband is home from Alaska in May. My daugher graduates University May 9th and I want to be there for her.

I would be happy to help any of you in any way I can as a nurse. I would appreciate hearing from any of you who may had any of the procedures above anyour results and knowledge is.

Again I thank all of you for the time you take to share your stories.

Lynn RN CCM

tinkerbell_0615 said...

Well I heard back from the Dr and he said even though the report said no tear, he felt he saw a tear but wanted another opinion from the Radiologist at Union Memorial since he knows what my Dr would want to look for. I guess the bad part is that the Dr left on vacation for a week so I have to wait that much longer to know anything. This is the problem with medical care, you have to wait to see a dr, then you have to wait to get the tests, then wait for the results. It is just such a long and horrible process. wish me luck all. Thanks Terri

tennismom said...

Well I had the hip surgery yesterday and it is just unbelievable how good I feel. The labrum was torn and folded back and stuck in my hip joint. Dr. Byrd debrided that and cleaned out a lot of foreign bodies and smoothed down some rough areas on my bone. It took only an hour and half in surgery and then I went home, slept off anesthesia most of the day but was up and down the stairs on crutches by night bearing weight very well on my right leg. It is just tender at the wound sight now and mainly just feels sore. That chronic deep ache that I have felt in that area for years is just GONE - I cant really believe it - the hip motion feels so fluid now. He gave me photos of the inside of my hip and even a videotape of the procedure. I go back to see him monday and he will explain it all to me and I will start rehab that day. I can honestly say that i'm so glad I did this and the worst part seems to have been getting to this point so I know what you are going through trying to get all your information and a game plan for surgery. I will keep you posted on my rehab and recovery so you can get an idea of what to expect.

tinkerbell_0615 said...

Well I am still here in pain and waiting. I am hoping to hear from the Dr. tomorrow, as he is returning from vacation. I went back to PT the other day and left in more pain than I was before I went in. I am so tired of being held back from life with this hip. I am a very independent person so having to wait on someone to do something is really difficult.
I will keep you all posted. Terri

tinkerbell_0615 said...

So I heard back from the Dr again. His radiologist couldnt say yes or no to a tear, they see bursitis in my hip flexor bursa. I told my PT and he said ok lets try something, did some poking around and stretching to aggrevate it and it didnt hurt, I dont think he is convinced that's what it is. I go back to pt tomorrow and he was going to look up something so we will see what he says. I am so tired of being the guinea pig and really wish they could say this is what it is and this is what we will do to fix it.... hopefully soon. This whole process is taking a toll on me. I hope everyone else is doing good.
Terri

steadyp said...

Hi there, I have had FAI for as long as I could remember. The issue that made it so difficult to diagnose me was the fact that my case was Bilateral. I had extreme limited range of motion in both my hips. I still participated in sports and weightlifting and still do. I was lucky enough to find a doctor who can correct this( Jeffrey Mast now retired sadly). I had the open surgical disloaction of the hip 7 years ago and freed up much of my hip, but still not near that of normal. I am now 30 and I am pretty sure I have a tear. This just recently happen for unknown reasons. I still did impinge even after the surgeries. Has anyone had FAI repaired to where normal range of motion was given back? this is my big question. That would be my dream come true. And I feel would limit any more problems with my hip. I just wish to have normal flexion with my hips and to also fix this tear, thats it. I am looking at a scope to repair the tear, I really don't want to go through that surgery again although I recovered pretty fast, it just plain sucks. Just looking for insight. Thank you

Ted

lynn said...

Are you sure you do not have cartilage loss. If you do you might want to check out the surfacehippy.com site. I am looking into resurfacing in WI or NY. my cartilage is worn out and I cannot function anymore with this pain.

Lynn

tinkerbell_0615 said...

So I got a cortison injection on Monday into the iliosoaz?? bursa and of course again a failed treatment. I dont have pain where they gave my injection and so I think it was pointless. I am again feeling I need another opinion or that they just arent trying hard enough. Well I see the Dr on the 18th so we will see what he says then.
Thanks Terri

Matthew Coats said...

I am a PT in Memphis. I had been training for Boston marathon when, on my 30th birthday in Feb on an 18 mile run, i ended up with raging pain in my anterior hip. MD initially said hip flexor strain/bursitis. well, it has not improved and i am convinced it is a labral tear. i am going to see a hip specialist tomorrow and requesting an MR arthogram. i have tried the PT, etc and no improvement, really. my hip constantly aches with sitting, prolonged standing. walking isnt' that bad, nor is running, but i've only run 3 miles 3 times since Boston. i can empathize with all of you. this has really taken a toll on me, physically and mentally. if i can't run, who am i? i am trying to swim, and bike and lift weights, but its not the same. Just letting you all know, that now that I am a patient, instead of just a practitioner, i have a new-found understanding of how you all feel. lets just keep our heads up and take it one day at a time. remember, no matter how bad we think we have it, somebody has it worse. that's what i keep trying to tell myself...

Phyllis said...

I have been suffering for ten years, but was able to manage. Ten tears ago, this condition was unknown and I had a doctor actually look me in the eye and tell me nothing was wrong with me - deal!. This January I had a skiing accident. Docotr diagnosed traumatic bursitis and told me I had a hip defect as well. Cortisone in the bursa and pt...continued to worsen...returned to doc..he suggested I give "it" 6 more months...went to anothe doc and he suspected labral tear. I had the arthrogram/MRI which showed 2 tears. Doctor recommends repair surgery with impingement repair. Unfortunately he does not do the procedure and only knows one doctor in the area. I live in MAryland between DC and Baltimore - anyone have a recommendation? After reading the blogs, am nervous but feel I have no alternative..pain is unbearable. Would love to hear more success stories

tinkerbell_0615 said...

Phyllis, I see Dr.Boucher in Baltimore at Union Memorial. I had an arthroscopic surgery to repair my labral tear and I have been worse since. Dr.Boucher did not do that surgery but he stated that he only does opn hip procedures. I saw him on Monday, we were not able to see anything on the MRI arthrogram, but after failed injections and now at the endof the road and nothing left to do, it's either surgery or deal with it. He feels that I still have a tear but the studies are not showing it. I am scheduled for the open procedure for July 15th. I also know that Denise had the same surgery with the same Dr I am using and has had success so far. I hope you can get to someone you feel comfortable with.

Anonymous said...

Ester
Hello every body is a such a relieve to see the blog of all of you. Thank you for sharing, it is very heart warming to know that at least there is a diagnoses for what we are suffering from. My problem first occured in march of 2002 after playing tennis. My doctor which was a neurosurgeon said it was my L5-S1 spondelosis was causing the pain. Since I had that problem too he went ahead for the back surgery and fusion. Coincidence or the fact I was resting my groin pain and the pain in the thigh and knee went away and I was better after 6 months. Then in a year I went back to tennis again and found out had to take one nsaid and muscle relaxer at night to deal with the pain that was coming back in my groin again. As I started doing the tread mill on a elevated and had car accidents the pain became severe. This time the diagonses was L4-L5 problem. But since I did not seek out any orthopedics no one suspected my hip. The second opinion and 3rd one focused on L4-L5. So a year ago did another back sugery and additional fusion on L4-L5. Some of the pain is better but I still have severe pain in my groin, that runs throuhgh my left leg and knee. Can't walk more than 10-15 min and bearly can do my chores. I am constantly popping pills and sleep with heating pad. Finally I went to doctor Rustamzadeh from stanford and run a complete CT Mylogram of my spine and said my back looks great and the pain is from my hip and he suspected siatic nerve impingement and was suprize that did not show on the films. After that visit I used the article I had saved on Labral tear, which I had read last decemeber and started researching and here I am. I truly believe that I have the labral tear and now need to locate a great orthopedics who really specialize in Athroscopy etc. I am so so thankful for what you all had shared which is pointing me to the right direction. It is so difficult to live like this when I had been so active all the time and the quality of my life has been suffered so so much. I know having the car accident in 2006 had contributed to this. Since I stumbled into another blog also there were 45 blogs of other who got so misunderstood also about the labral tears. I think the neurosurgeons need to become more aware of this too and look at the whole picture rather than just the spines only. I did read in the other belogs too that Dr Byrd is one of the bet nationally. So lucky for all of you who can have access to him easily. Another good doctor that was mentioned was Dr Vijayvad who lives in new york and his number is 212-606-1306. I hope these helps. I live in san franciso so if any one knows about a great doctor around here please let me know.

Anonymous said...

Hi there....I am a newbie here, but not so new to a labrum tear. I was diagnosed by Dr Bouche in July of 2006 when I was 20 (I am from around Baltimore.) Sparing all the details (because they are pretty much the same as everyone else's on here) I went through surgery that month. Because of my age, Dr. Buche felt that repair would be the wiser option then removal of the damaged tissue. So I went through open hip surgery (they cut through my femoral bone and sanded down a suprise bone spur) and was on crutches for 6 weeks. Recovery took 6 months and I seemed to be okay...limited, but not in chronic hip pain. Well here I am three years later and unfortunatly not with good news. The pain is back with a vengance and I can't sleep at night. I try to limit my intake of pain killers to just 2, and only after 8 at night (that is when the ache becomes too unbearable.) Anyways, I feel so disapointed, mad/angry, desperate, and uncertain about my future. I know I need to go back to the Dr. but why? For what? I know what he is going to tell me...those dreaded words "It tore again, you need surgery" The problem is whats to say this surgery will fix it. After reading all these posts I am at a lose of things to do. I am sure those of you who have had open hip surgery know the expense and time put into it. It's not cheap to tear your labrum thats for sure. So what now? Why not just get a new hip? I am getting married in a year, I will be 24 and I don't want to have to walk down the isle in pain. If I knew staying on meds at night for the rest of my life wouldn't send me into renal and liver failure, then that would be great. But the fact is, thats not feasable. Please if anyone knows of some surgery that has more POSITIVE then negative outcomes, I would love to find out more about it. How can some of you go through these surgeries multiple times and still have problems? What is your next step? I feel so lost in all of this, like I have no options but to deal with this awful debilitating pain. Thank you so much

Denise said...

Hi all!! I've posted here before so won't go through my same story but felt I needed to give an update after reading the previous post. I am almost 7 months post op the open surgery to repair the labral tear. I am still in constant pain and my doctor said I should have been better now. The main thing is groin pain and if i turn a certain way something catches and causes extreme groin pain. It feels like the labrum is torn again. I have gone through a scope and open surgery for this and am now ready for hip resurfacing which is what my doctor is recommending. He told me to take a couple of months to research the procedure and see if and when I want to do it. So that is where I am right now. I am 42 and want to be active with my young kids who are 4 and 6. They really don't want mommy to go through another surgery but it seems like I will need it. I am so tired of being in pain all of the time. I really don't like thinking or talking about this with friends and family because they all have been so supoortive through both surgeries and I almost feel like I'm letting them down. I know that's not rational because they only want me to get better too but I'm sure they're tired of hearing about my pain so I try to not talk about it too much. (I suppose that is one reason I am posting on here where all of you know what I am feeling). Anyway as for the previous post you will probably need a hip resurfacing also. You are way too young to live with hip pain. My guess is that Dr. Boucher will probably not do another repair just a resurfacing. I just wanted you to know that I can relate to your frustration. However, from what i can tell the hip resurfacing recovery, if successful, is a much easier recovery than the open surgery we both had. It is an excellent option for younger hip patients.So maybe you can recoever in time for your wedding.Good Luck and please keep us posted.

Anonymous said...

A hip resurfacing? Has anyone had that done? Also, I now have hardware from my first surgery, so that opts any chance of an MRI out. How will they image my hip then? I guess I just want to know that it can be fixed and I can be pain free for more then three years.....especially after my first surgery was such a hard one. It just makes me wish I could go back and opt for arthroscopy instead of now having screws and pins and an 8 inch scar running down the side of my leg. Like everyone else, I gave/am giving up so much of my active life because of this pain.

Denise said...

here is my limited knowledge of hip resurfacing and some of this may not be right but I am still researching it- it is still a hip replacement but it preserves more bone (i believe the femur is left intact). A traditonal hip replacement uses metal and plastic, which can eventually wear down. Therefore a younger patient would eventually need another replacement later in life. I believe the hip resurfacing uses metal and metal and the theory is that it will not need to be redone later in life making it ideal for younger patients. However it is still fairly new. This surgery has a faster recovery with fewer restrictions. Check out this website -Dr. Boucher is one of the experts in this procedure www.baltimorehipresurfacing.com.
Also check out this patient site www.surfacehippy.info. I also have the big screws (and the big scar) in me but I believe you can still have an MRI.

Anonymous said...

I just had my hip resurfaced 5-21-09. I went to Wisconsin to have it done. I also recommend the surfacehippy site for info on this surgery. I will keep you all posted on how I do. I am three weeks post op tomorrow.

Lynn

Anonymous said...

I am nurse lynn earlier but I forgot my password, sorry

Denise said...

Lynn, please do keep us updated on your recovery. I am most likely going to need this done in the next couple of months. I am hoping to put it off until after the summer. How have the first three weeks been? I really want to kmow what to expect!! Thanks, Denise

Anonymous said...

The resurfacing sounds so promising! I am not looking forward to several surgeries by the time I am fifty. Dr. Buchea/Bucher (I forget how to spell it) was my surgeon and I REALLY wish he would have mentioned it to me 3 years ago. I feel like these surgeries should have warenties to go along with them.....Anonymous, have you had any other surgeries to try to fix your hip before you went through with the resurfacing? What was the surgery like? I read that after surgery one would be limited to no running/jumping/lifting for a whole year, is that true? What about the risk of frequent dislocation? I am assuming your labrum was torn as well....is that pain completly gone now?


oh, and as anyone tried glucosamine for some pain relief?

Anonymous said...

My cartiledge was too far gone to do try to smooth it out. They did look at doing it but said no. I did not have a labral tear. Several athletes have resumed running but they do say it may decrease the life of your resurfaced hip. But the videos on sufacehippy.info show people going back to their active lifestyles. My jury is still out as I am only three weeks post op and still not sure as it is a little slower than I anticipated. I have precautions to prevent dislocation for six weeks. The large metal head is suppose to make hip dislocation less than if you had a total hip. The main reason to do a hip resurfacing rather than replacement is to preserve bone incase you needed a hip replacement in the future. Some doctors will not do a woman over 50 some will. have you checked out the website yet. Vicky Marlow from the site was very helpful to me, she really believes in the resurfacing. She has a very good handle on the docs that have good outcomes. I am walking with one cane now, drove today. I took pain meds for four days post op, now use anti inflammatories. Good luck. I will let you know how I am doing.

Anonymous said...

For those in the Baltimore region, I recommend Dr Ebert at GCOA.net (Union Memorial) for hip arthroscopy. He did mine. I will never be 100%, but the severe pain is gone. I am starting a regimen of Synvisc injections and am hoping to get back in shape.

Anonymous said...

Does anyone have deep buttock pain and snapping in the lower back hip area. I have some groin pain but my main pain is in my right buttock, especially when I sit up straight at a desk and try to work and turning slightly or standing up is very painful. Once I start walking it's not as bad. Does anyone have these symtoms. I have had the test with the dye and I do show a tear but when they gave me a shot to see if that was the pain generator, the pain didn't go away so they are saying it is not the tear that's causing my pain. Any suggestions. sallymullen@remax.net

Anonymous said...

Any suggestions for Doctors in the Detroit area?

Anonymous said...

I was just diagnosed with a labrum tear after an arthrogram/MRI. I have sharp pain in my right butt that radiates around my hip. I also have pinching groin pain. Some days the pain is bearable, other days not so much and I have such trouble sleeping. My lower back is also sore. I'm not convinced that all of this pain is from a labrum tear. As the pain grows it radiates down my leg to my knee and up into my belly. Does anyone else have this much pain, or should I search other specialists? Anti-inflammatories and vicoden don't help. And from the sound of this blog surgery doesn't help either! Does someone have advise?

Paul said...

At the very beginning of the comments, Maria mentioned a specilist in Cornwall.

Maria, I'm not sure if you'll get a notification of this post, but could you please share the name of this surgeon with me? I'm having difficulties finding a specialist locally and one on Devon or Cornwall would be a great help.

Many thanks
Paul
paul.bickham@googlemail.com

Jeff said...

Hi Guys... I had an MRI and have a torn labrum. I am getting the steroid injection tomorrow in my hip. Is there any benifit from that besides a couple months of less pain? Also wanted to know if someone can interpet my MRI results, bc this is way over my head. Thanks!

Impression:
1. Findings consistent with posterior femoroacetabular impingement including posterior-superior labral tear, minimal effusion, and slight hypertrophic changes involving the posterior aspect of the acetabulum and adjacent femoral head and neck junction on the right.
2.Disc desiccation at L4-L5.
3. No evidence of acute fracture or soft fracture injury in the region of the bony pelvis

Anonymous said...

Anyone know of surgeon in the Philadelphia area?

Vanessa Lynch said...

I was going to try to comment on a couple of posts, but I got lost, lol. I do have the snapping pain in the posterior hip and lower back, to the anonymous post question. This is usually where a bad flare up will start and then gradually settles deep into my groin with that terrible ache. I do know for sure that glute, hamstring and ab strengthening excersizes help with this. I find a great deal of relief through pilates on this one. But make sure you have a good understanding of what NOT to do before you start.

Jeff, as for the steriod shot, it helped me A LOT!! And here's why, I was in so much pain in both hips that I was unable to walk at all. The cortisone gave me relief enough to kind of start over. It relieved my pain enough to begin a PT program with a really great therapist. I had several weeks to strengthen my glutes, hamstrings and abs to get the pain under control.

For me, I do have significant cartilidge damage on one side. The solution to that is microfracture. This is a procedure where they drill tiny holes into the bone to cause bleeding. Once the bleeding turns to scabbing it creates a "mock cartlidge". During the recovery period you must remain totally non weight bearing for 8 weeks!!

Good luck to everyone and thanks for sharing your stories!!!

Anonymous said...

I have a labral tears as well as FAI. My doc told me that I should have the resurfacing done and repair of the labral tears. He would do this via anthroscopy. I am trying to avoid surgery, so I have been focusing on strengthening my hips and using anti-immflamatory herbal pills. I can now say that I'm 75% better than I've been for the past 6 months.

Anonymous said...

Thanks Vanessa for your input. I am in going into my 4th month since the accident and the pain is starting to subside alot. I guess it was inflammed alot and I needed to wait for the anti-inflammatories to kick in. I also really watch how I move, sit and use my leg. After playing soccer alot, my reaction it to use my feet and legs for everything...holding doors, etc. I stopped that now. I have to get a second opinion with a sports ortho to get a better understanding of what I should do next. All of my research I've done has been on my own. I need to find someone that can help me better. And give me theose exercises to do and not to do. Because I've also heard that stregnthening helps with a better recovery from surgery too. So I'd like to start PT...see if the pain stay minimal, and find a surgeon in my insurance network!
Thanks, Angela

Vanessa Lynch said...

Angela,
PT is a wonderful thing, BUT be cautious. If they do not understand FAI they can really make things a lot worse. The right person can improve your ROM a lot and actually quite fast.

And, you are right not to use your feet for everything anymore. I can tell you now do not do squats or lunges at all. My OS, Dr. Byrd also said to stay off the treadmill. Not sure why, but I can't stand them so I didn't ask. I have two small children and I have had to learn not to squat down all the time for tying shoes, giving baths, etc. Now I either sit on the floor or sometimes on my knees. It's these little adjustments that make a big difference over time.

Good luck!!
Vanessa

Anonymous said...

Vanessa,

It's funny how much rotating, piviting, and lunging we do in a day without noticing it, until it is a problem. Because of my sports background, I do pivot turn and feel it pull in my hip more now. I also notice how I pick up and down items at work, usually standing on the bad leg, leaning and twisting it more.

I have to mention thought, I don't have FAI, just a torn labrum (as far as I know). I'm going to take it easy and try to find an ortho who knows more about it and can give me some PT.

Good luck with you and taking care of you kids. Luckly, I don't have little ones yet.
Thanks, Angela

Les Campbell said...

Tennismam,

Any updates Post Op? I am a 40 year old male who first injured my hip back in 2005. At the time they did an MRI and didn't see anything and suggested PT. I've more or less lived with minor to pretty serious pain ever since which is exacerbated anytime I try to do anything to aggressive. In any case, I just went back in and the Dr. did an X-ray and was pretty certain I have pincer FAI. Even I can see the impingement on the x-ray. He gave me the background on FAI and indicated that he has performed a handful of scope surgeries, but would be hesitant to try on me because I am a rather large framed guy which makes it difficult. He suggested that I try to set up some time with Dr. Byrd in Nashville even though I live in Austin, TX.

Having said all of that, I just found this blog today and saw that you had the surgery several weeks ago and was curious as to your thoughts afterwards.

Les Campbell said...

Tennismom,
Sorry about the typo!!!

Suzanne said...

Tennismom,
How is everything for you now after the surgery? I'm still too chicken to do it!

Anonymous said...

Les Campbell, Your doc may be sending you to Dr. Byrd because I've heard that he is one of the best and founders. Plus from my research for a doctor for myself, there are few around so maybe he is the closest. I live in PA and the closest I've found are Maryland and New York.
Good luck to you.
Angela

Anonymous said...

My hip pain is much better now, four months since the start of constant pain. Some days I have tightness and stiffness, but no shooting pain like I have a few weeks ago. Even the groin pain seems to be going away. I do however have lower back pain and spasms, which tighten my hip more and cause pain. Or the reverse, from my hip to my back?
Just thought I'd update. Have not seen a second opinion yet. The closest is 2 1/2 hrs away. I will get there. I want to know what exercises I can do to help more. Maybe I won't need surgery. I just wan the spasms to stop.
Angela

Suzanne said...

Has anyone gotten better without surgery? I would like to know what is working for people who choose to hold off and try alternative therapies.

Angela said...

Suzanne, from what I've been reading it doesn't heal by itself, but people have felt better and held off surgery. From what I gather you have to know how not to move your hips and legs to further injure them. Also, stregnthening the muscles around the hip, back, and legs help along with pilates. Although, I haven't seen a PT or specialist yet to get any 'to dos' or 'don'ts' . My best info for you is like I am doing, lots of research, find a good specialist to review the options, and the go from there. I am still in my research phase of everything even finding a specialist. Best of luck with you. Changing how I sit, turn, etc has been the hardest for me, but even that has helped.
Angela

Anonymous said...

Does anyone know a good hip surgeon in NY? I live in Long Island. Thanks...Jeff

Anonymous said...

Jeff, Try The Hospital for Special Surgery in NY, NY. This is where I have found alot of info during my research, and it is where some athletes have gone, ie. Chase Utley. He saw Bryan Kelly. I believe that others have gone to him too, A. Rod, etc. My ortho recommended Doug Padgett from that hospital, but that was b/c it was the only one he knew. Good Luck.
Angela

Anonymous said...

thanks angela, i will check that out!!! :) Jeff

Anonymous said...

hi i had a labrum tear and hip impingment surgery almost a year ago and i play soccer. my surgeon was great but unfortunatley i have to get my other hip done aswell.

if anyone is looking for a good surgeon- Dr. Buly. he works in NYC at the hospital for special surgery. him team really knows what theyre doing and its a quick recovery. i was off of crutches after no more than 2 weeks.

Suzanne said...

Angela
Thanks for the helpful comments. I'm still holding off the surgery , but find myself with good and bad days, depending on my activity. Sleeping at night is always my biggest problem with pain often waking me up to go take an Advil. The pain is not intense but chronic and bothersome. I really want to try losing about 8 pounds and strengthening my hips.

Anonymous said...

HI all,

I had FAI decompression surgery and debridement at the Hospital for Special Surgery. Michael Maynard was my surgeon. I had the surgery 5 days ago and it feels great. For anyone that goes there, listen to the nurses! They told me exactly how many painkillers I should take and I thought I knew better because I am a medical student! The pain the first night is really bad but after that is not a big deal. I was back to work seeing my own patients (on cruthches!) 2 days after the surgery. If you are thinking of putting off the surgery, I say do it as soon as you can. The pain will NEVER go away on its own. I would trust anyone at HSS to do this procedure. They are all very talented and well-trained. Good luck!

Dennis

Anonymous said...

I'm 27 and had open surgery for hip impingement and labral tear 6 months ago in the UK. I'm wondering if anyone else has had the op and is still experiencing groin pain?

Denise said...

in response to the last post... yes I had the open procedure this past November and am still in pain. at my 6 month follow up my doc told me I should have healed by then. He told me the next step was hip resurfacing. He said "we tried to save the joint" but something went wrong. It feels like a labral tear again. At this point the pain is getting worse not better. I am scheduled for resurfacing in September. Hate the thought of it - considering everything I just went through with the open procedure, but this actually seems like an easier recovery in many ways. What is your doctor saying to you?

Anonymous said...

Dear Denise,

I had a resurfacing two months ago and I would not say the rehab is any easier. Make sure you go to someone that has done a lot of them. I am over two months post op and still not walking or sitting for any prolonged period. Rehab sounds like it is easier if you are young and in very good shape before surgery. But it is not a walk in the park. I hope you have checked out the surfacehippy.info site.

Lynn

Denise said...

Lynn, I have checked the surface hippy site. I know it is not going to be easy by any means. I was not taking it lightly at all. I just meant in relation to the open FAI labral tear surgery. With that one I HAD to be on crutches/walker for 6 weeks following surgery and only then could begin any kind of rehab. Did you have that also? I guess it is all relative. My physician is the leader in the Baltimore area in the Birmingham hip resurfacing. Trust me, the last thing I want is another surgery (my 3rd on this hip in a little over 2 years). I am a stay at home Mom with 4 and 6 year old daughters (and a cat and a big dog). I have to line up alot of help and rely on my husband, family, friends and neighbors. I just so desperately want to get better and this is my last shot - no more repairs, give me a new hip.

Anonymous said...

Hi Denise

I was on two crutches for 8 weeks and one crutch for 2 weeks! My surgeon said because the operation is so new he still cant tell me what will happen.He said I can expect to be in pain for up to 18months post op!He told me of a person he performed the op on who was 44 and had worse damage than me but was running 15miles and swimming 50lengths at 3 months post op!
I did loads of prep for the op but still get the same pain as I had before the op!
My goodness Denise you have been through a lot!

Anonymous said...

Denise,

I really wish you the best. I think you are heading in the right direction. Just concerned that you choose someone who has done 500 or so surgeries. I was ready for anything to fix my pain and I am disappointed that my rehab is so slow. I wish someone would have talked to me that had a slow rehab I might have done more research or traveled further for surgery. I also waited way too long for surgery and now have some muscle contractures that will take time to stretch out and muscles that need to relearn how to walk normal again. I think you decision to not limp along for years is a good one. Just caution you to do your research and pick the very best you can afford to do your surgeyr.

Lynn

Anonymous said...

Jeff,

Dr. Su at HSS in NY is considered one of the best in the country for resurfacing.

Lynn

Suzanne said...

Still having good and bad days without the surgery. Hip strengthening exercises seem to be helping me the most. Stretching makes things worse, especially the lotus yoga position.

Sarah said...

Hi everyone...
Well, like most here, I too have had surgery for repair of a labral tear/FAI. My injury was caused by being a pedestrian hit-by-car where I live here in Manhattan. Nothing broke, just a bit of roadrash, multiple contusions and hurt knee... it seemed... That happened in 9/07 and pain in the hip crept up and just kept getting worse. I had an MRI that read normal, but I kept complaining to my PM&R doctor (PT for knee injury I sustained) and she referred me to an orthopedic surgeon. He ordered an MRA, labral tear... wanted to proceed with surgery. I went to 3 other opinions, all the same... found my Dr. in Dr. Christopher Ahmad at Columbia. Surgery in 7/30/08. I felt a bit better for a couple weeks, then the pain came back. It never left and another MRA revealed a re-tear of the anterior labrum and evidence of labral capsular separation.
That was 10/08.
I was devastated.
I got a cortisone injection (had one in March 08 with some relief) just before Thanksgiving and it lasted me through the first week of the new year. Pain came back in full force.
Dr. Ahmad referred me to his colleague Dr. Struan Coleman at the Hospital for Special Surgery here in Manhattan.
Since this stemmed from a car accident, everything was being covered by NYS no fault insurance. Dr. Coleman, I found, did not take No Fault (unless a professional athlete) and did not take my Oxford insurance... I saw him anyways.
He agreed, a labral tear and FAI both cam and pincer. He explained what he wanted to do and I expressed my concerns on cost as this was a no fault case. He looked away and said he doesnt usually do no fault for non athletes, then he looked at me and said, but arent you a professional athlete.
Relief.
I had surgery 5/21/09... it was, again, arthroscopic and included:
Capsular repair
Psoas release (tendon running across the front of the hip, he thought it was too tight)
Pincer/cam osteoplasty
I just returned to work 8/3... I am still in pain. He said he took off so much bone that I wouldnt be fully recovered for another 4-6 months. If I pivot, ever so slightly, I nearly collapse and I have pain when I get up from sitting... these were my symptoms pre-op and they are not any better.
Concerned.
I have had pain every day since 9/1/07 when I was hit by that car ( with the exception of the cortisone injections).
I dont even perform the job I did as a veterinary technician...
Im only 28 (26 at time of accident) and can not go on like this the rest of my life.
I have a recheck on 9/9... we shall see what is said.

PS- yes, lawsuit pending

tinkerbell_0615 said...

Hello everyone, I am now 5 weeks post-op from the open hip debridement and labral repair. The Dr said that he could get a whole surgical utensil under my labral, so there was a lot of space where it wasnt attached. He tacked it down with 2 anchors and had to take out a small piece of scar tissue. At first it was very difficult but now I am moving pretty well, still on crutches until (hopefully) next week at my 6 week follow up. I am so ready to drive and get moving, I cant stand it. I do pretty good throughout the day but by evening I am miserable and cant sit still and am having a hard time sleeping. The pain pills arent helping, I cant get comfortable I finally fall asleep from exhaustion. Let's pray for this all to get better. I am not ready for another surgery. I see my military Dr. in October to see if they will put me out medically, thats the route I am going so that I can get compensated for my injuries the Army has caused.

steve said...

I am so glad I have found this website, I had an accident where i slipped over at work in 2006, ever since then I have had nothing but problems in my right hip.The worst part for me like everyone else was people not believing I was actually in pain, even my own dad didnt really believe me till i was diagnosed with a labral tear via an mri scan 3 years later in jan 2009.I am now waiting for my operation which will be happening in just under two weeks from now.
I have read through some of the peoples comments and while I am dreading it I really cannot go on anylonger with the pain/limping/deep clunking that I keep on getting and the worst part for me is it seems to still be gradually getting worse.
Ill post some more comment after my op for everyone to see, just so glad that there are other people with this problem and that slowly but surely it is being recognised.

vito said...

Any good surgeons from Illinois/Chicago?

vito said...

1)If you want good diagnosis results, than go for 3T MRI.
2) Don't trust doctors, because most of them wants your insurance money.(check refferences and go for 3rd opinion)
3)Check what's available outside USA (Europe)

Mary said...

My husband lived with leg pain for almost ten years before his labral tear was diagnosed. He had tears in both hips and looking back we think it was due to a lightning strike that traveled through the ground and up his legs. He has been doing really well for almost one year but now is complaining about the left leg again. The left was a huge tear. The doctor said he would be "as good as new" after the surgeries so he is quite depressed that he is feeling pain again. I see from many of your posts that sometimes the surgery works and sometimes there are other conditions that need to be addressed. Thanks for sharing so I can help my husband.

Laura said...

First off, thanks to everyone that has written in with personal stories and suggestions. I am a 29 year old female living in Baltimore who has had this hip pain (much the same as everyone else's) since Nov 2007. Been to bunch of diff doctors, diagnosed with arthritis, bursitis, ITBand syndrome, did 2 rounds of PT, labral tear, FAI, but nothing shows on xrays or MRIs. Went to drs here in baltimore then got referred to a good (supposedly) doc at Rothman Institute in Philly, Dr. Javad Parvizi. He didnt see anything on arthrogram (OUCH is all I can say, that hurt) so said there was nothing he can do. After reading this blog, I have an appointment this friday at Union Memorial with Dr Boucher and on Sept 30 with Dr Coleman at HSS. Will keep you posted. Am sooooo happy to have found a place to be able to talk to you all because I like one person who posted, feel like my friends and family are getting tired of me talking about my hip pain (I'm sick of it myself) but it STILL HURTS and I need people to understand!! It stinks not being able to rollerblade, play racquetball, or even WALK sometimes. I'm worried about what my daily anti-inflammatory (Daypro, also called Oxaprozin, 600mg every morning) is doing to my kidneys or liver, and would love to have this surgery to hopefully make things better! Looking forward to staying in contact. My email is LMS1980@aol.com if any of you want to write. Thanks, Laura

Laura said...

Okay, here's another question I need help with (I just posted the previous entry). Today I saw Dr Boucher at Union Memorial in Baltimore. I brought all of my previous xrays, mris and arthrogram results and had new xrays taken. He said he doesn't see any tear but believes that there is pain and says my range of motion and pain is consistent with the diagnosis of FAI. He said he recommends surgery and he doesn't do arthroscopy because "when they go in and if they find a torn labrum they just take it out instead of repairing it, which leads to arthritis later in life." He said he'd do open surgeries on both hips (one at a time), with recovery being 3-6 months. I'm wondering...any of you out there have this experience...I haven't had any previous surgeries, they don't know exactly what's wrong so I'm kind of apprehensive for an open surgery right off the bat, I kind of feel like an exploratory arthroscopy might be better and less invasive...thoughts? You can also email me at LMS1980@aol.com Thank you!!!

Vanessa said...

If the labrum is torn they will clean out the debris, trim it up and in the most serious cases anchor the labrum back with screws. I've never even heard of taking it out!! I'm no medical professional, but to me that sounds crazy. The average torn labrum would never need that treatment. What was his reasoning for open being the best option. Is it because he doesn't know how to perform arthroscopic surgery? Find an FAI specialist in your area if that's possible.

tinkerbell_0615 said...

I also see Dr. Boucher and his reasoning for only doing open procedures is because the arthroscopic procedures have a 90% failure rate. He used to perform arthroscopic procedures but started seeing his own as well as other Doc's pts come back with continued problems.

Denise said...

I would like to echo everything in the previous post. I too saw Dr. Boucher after a failed scope and after other Docs wouldn't listen to me. He is an excellent physician with a great reputation among his patients and peers. I just do not want to see him getting a bad rap on this blog. In my scope, the doc did remove the torn piece of labrum as part of the procedure.
By the way, how is your rehab going Terri?

Vanessa said...

I certainly wouldn't want Dr. Boucher to get a bad rap here, or any surgeons for that matter. I've just never heard of removing an entire labrum, but as I said, I'm not a surgeon. I do know it is common to remove sections of the labrum.

However, arthroscopic surgery is cited repeatedly as having an 85-90% success rate. There are pros and cons to both scope and open. But 90% failure rate of scope is simply untrue and undocumented.

Laura said...

Hi All, I certainly didn't mean to give Dr Boucher a 'bad rap' on here - he's a nice guy certainly and likely very skilled in the open procedure. It just scared me that he definitely said they 'take out the labrum' and really had a negative view of arthroscopy. I guess it just depends on who you see.

I just saw Dr. Coleman at Hospital for Special Surgery in NYC yesterday and he instilled some confidence and hope - from my xrays he says definitely it's FAI, showed me some calcium deposits where bone is rubbing on bone, and showed me that luckily the labrum is not torn but is worn down. He said that he's very confident in the arthroscopy he has been trained in and recommended that for both of my hips. He said he does an outpatient procedure with a local anesthetic so I would be numbed from the hips down, 7 days on crutches, 6 weeks of PT; then three months later, the other hip.

He's actually the first doctor who didn't scare me with all this surgery talk. I've never had surgery before, just as an aside, so I'm likely more skittish than most when thinking about people cutting into me!

So I think I'm gonna try to find a way to have him do the surgeries, his bedside manner was excellent and he seemed to really know what he's talking about. Thoughts?

Vanessa said...

Laura,
During my hip scope, the labrum was severely torn. Dr. Byrd repaired the labrum by attatching it with screws. I have a video posted that explains this process. I would really proceed with extreme caution with a surgeon suggesting this as the only answer. It should be either trimmed where frayed or reattached. An entire labrum would never be removed for any reason.

Good luck with your recovery.

Vanessa said...

Correction...I didn't realize that a labrum would be removed for any reason. Forgive me, I've been on pain meds post op for the last couple of days, lol. I had never heard of that and it sounds really extreme, but apparantly it does happen. Just wanted to clarify that and not mislead anyone. Good luck everyone with whatever works:)

Dawn said...

Good day,

Like others, I am relieved to see this site. I am three weeks post-op, arthroscopy for FAI & torn labrum. I too went through a number of diagnoses over two years & tried to avoid surgery & was terrified of surgery. I thought the surgery itself was a breeze under general anesthesia, so don't worry Laura - you'll be "out".

The recovery is a sloooow process and I'm quite concerned now reading all of the posts. The pain I had before surgery was relieved, although I'm feeling pain from the sugery itself. Just yesterday I'm starting to feel the same pain I had when all of this first started. Last night was the first time in weeks that I had trouble sleeping [again]. I am very concerned, but Dr says it's likely muscle spasms, PT says to watch level & frequency of pain. I'm not going to panic just yet as I know I'm still recovering.

I will be on crutches for probably 4-5 weeks & anticipate relief and returning to an active lifestyle. I am 41 y.o. female who enjoyed a lot of biking (which I understand can exacerbate FAI) and racquetball until two years ago.

I would love to hear an update from Tennismom, tinkerbell & steve? Or anyone else post-op? I will try to update as well.

One PT told me the best thing you can bring to surgery (& I believe anywhere) is a positive attitude. I know it's hard sometimes (& is for me today), esp when dealing with chronic pain.

I would suggest a local university since they seem more up-to-date on advanced procedures. I went through Dr Patrick Morgan at the University of Minnesota. My experience with he and his staff was exceptional.

I wish you all a pain-free future.

Dawn
itsallintheattitude@juno.com (in case I lose this link or neglect to update)

Larry said...

I'm new to this site. My 21 year old son, a college football player at the tailback position went in today for an MRI to determine diagnoses of FAI/Labral Tear. I work in the surgical medical field. I am a Perfusionist. I am familiar with "platelet-gel", and the positive outcomes it provides in cardiovascular surgery. Has anyone tried Prolotherapy?? I'm going to look into this for my son, before anyone performs any surgical procedure on him. Also, the corticosteroids relieve pain but just makes the injury worse. If anybody is interested go to www.prolonews.com and check it out. I know it works miricles on many surgical procedures. Basically, in heart surgery, we draw off a syringe of your own blood through an IV. Your blood is immediately processed and we seperate out growth factors that are directly applied to the surgical site. If anybody has experienced Prolotherapy for FAI/Labral tear, I would like to hear from you. I'll will be back to inform everybody how things are progressing.

Vanessa said...

Larry,
That is interesting. I've never heard of that technique. If your son truly does have FAI and labral tear, he is going to need these issues treated or he will cause more damage to his articular cartlidge. That is irreversible damage. Trust me, I spent well over a year trying every pain management technique and therapy to avoid surgery. In the end I furthered my damage. If he is treated only to manage pain, he will have to stop playing football. I hate to be the bearer of bad news, but I urge you to research the PATHOLOGY of FAI as much as possible to understand there is contact going on in his joint due to bony deformity that has likely torn his labrum, which protects his cartlidge.
Best of luck to you and your son. I am sorry he has to deal with this roadblock. Hope you find the answers you need.
-Vanessa

tinkerbell_0615 said...

Denise, So far I am gaining strenth, but still limping and still sore. It's like some days are bad and some days are good. I really have a hard time sleeping and still cant really lay on that side. I have a lot of weakness in the abductor as well. To me I feel like I am never going to get better. After Dr.Boucher told me that my hip needed replaced but because of my age they only repaired it, that said to me that I would eventually have to get a replacement. Which really makes me angry I think. My hip pain and surgeries have taken a lot from me emotionally and physically, and it is hard to be in pain and limping then see 70 something and older people walking around fine and normal. PT thinks I am doing well, but I am not so open minded lately. How are things with you Denise? And sorry it took me so long to respond.

Laura said...

Hi all,

It is frustrating hearing some of these surgeries don't work... of course you want to do the most minimally invasive first but different doctors say different things. I am still planning to head up to NYC Hospital for Spec Surgery to have Dr Coleman do my hips one at a time arthroscopically...if my insurance will cover it, since right now it only covers where I live which is Baltimore. Gotta love it.

I had Dr Boucher at Union Memorial in Baltimore do bilateral cortisone injections yesterday in my hip joints - he was very skilled and it didn't hurt much which was nice. Felt pretty good yesterday but today they're more sore than normal! Hoping that goes away and the pain goes down for awhile. He said to be cautious that it pretty much masks the pain but doesn't really change the anatomy so even if it feels better, to not do any more exercise than I was before.

Dawn I totally feel you - I am a 29 year old female who used to hike and bike and play racquetball 4 x a week and now I can barely make it around a two mile track a few times a week. Positive thoughts.... :)

Tinkerbell I wish you well on your recovery!

Dawn said...

:)

Laura - A friend's sister had surgery for FAI & labral tear in both hips. She kept up her activity (running, I believe daily & aerobics), only to have the surgeon find too much arthritis to do anything at all, close up the only hip he attempted & then suggest she replace her hips within a year. She's a 38 yr old aerobics instructor & a runner since Jr High. Even though it's hard, it might help to ease back on activity...

4 weeks post op - I've regressed & feel like recovery has plateaued. Pain is not dissipating, so PT suggested going back to consistent medication (I was trying to ween off) & move to next stage with crutches (one crutch, alternating crutches while walking). I do notice I'm much more confident walking & weight bearing, but the aches are delayed. If I push it, the pain will set in later in the day or at night.

I've also noticed that there seems to be less pain if I move more...? I'm wondering more PT is better? Tinkerbell, are you still doing exercises after all this time? I understand the discouragement, esp if you're not sleeping well!

This is the first full-time work week (which could be an attribute to pain plateau) after three weeks off. Sitting in an office chair is not good post-op, IMO. I suggest waiting, going part-time, or looking for a good, ergonomic chair.

I wish you all strength, quick healing & restful sleep!

Blondestar said...

I am 2 weeks post open op and it is fab to find this site! I am 30 and have been suffering pain for around 10 years. I am taking it very easy, and had a miserable first 10 days, but now I am feeling hardly any pain and taking no pain killers.

I don't know what will happen in the future, and it is likely that I will need a hip resurfacing in the next 10-15 years even if it is successful, but I am so glad I had the op as I couldn't bear to continue as I was - at least I feel that I have tried something.

The length of recovery is daunting, but I have taken the attitude that it is a period of time I need to get through to start to have a normal life. In order to feel a bit more in control, I am being proactive in giving myself every opportunity to recover - taking vitamins and supplements, eating a healthy diet, attending physio, losing some weight, not pushing myself even though I want to etc, etc.

Every time I feel down, I make myself achieve something that I couldn't the previous day, just small things like getting dressed, tidying my room, making soup! and then I feel better.

One good thing to come out of it is that I have learnt that I have some really supportive friends and family!

Keep going all of you - there is a way through!
Donna

Jon said...

I had FAI and labral repair surgery on 9/15. My recovery was going great with minimal pain until a couple of weeks ago. I am on crutches and as i was walking down the hall at work i felt a stabing pain in my groin. I have had the pain consistently since. The pain is worse than any pain that i have had since surgery. Has anyone experienced anything similar to this? I am a bit concerned that i potentially did something to tear the repair.

Jon said...

I meant my recovery was going great with minimal pain until a couple of DAYS ago not weeks.

Vanessa said...

Jon,
Have you called your dr or nurse on staff? Are you seeing a PT? A lot of times my PT is more helpful with those problems anyway. It's not unusual to have pain several weeks post op, but if it's not settling down with rest and ice you should let your surgeon know.
It could be scar tissue or muscle pain.

**Trust me, I'm 2 weeks post op for labral repair, I worry about it all the time, I know how freaked out it can make you feel. But I've read many, many posts, comments and email from people who went through this post op and turned out ok. Remember RICE!! rest, ice, compression & elavation.

Take care,
Vanessa:)

Vanessa said...

Jon,
Just saw the "days ago"...don't worry. It's normal, you'll get through it! I've found that my PT excercizes actually help with pain too. If you need any ideas let me know and I'll email them to you.

Vanessa:)

tinkerbell_0615 said...

I went back to see Dr.Boucher for my 12 week follow up. He said that my ROM and strenght look great and that I should finish up my scheduled appt's with PT then go to home exercises. When I told PT that he said he wanted to do one more week because he wasnt comfortable d/c'ing me yet. I still have alot of pain and the more I do the more I hurt. Went back to work today and only worked a half day due to pt appt this afternoon. I was sore when I woke up so my day was rough. Sometimes I feel like I am fighting in my sleep because I wake up sooo sore. As far as exercise goes, all I do is what I do at PT. They had me start on the eliptical last week and I thought I was going to die with just 5 minutes on it. I am so out of shape, with having hip pain for 3 years I have been very limited on what I have done, and that 5 mins on the eliptical was the most I have done in 3 years...lol I thought it was hilarious afterwards but during I really thought I was going to die.
Well I wish everyone a speedy recovery.

Jon said...

Vanessa thanks for the response. It just seems weird to be feeling really good and then out of nowhere to have significant pain. I contacted Dr. Byrd's office and they said it was typical, but i would feel better if someone who has experienced this type of pain could let me know some details related what there experience was. Does anyone know at what point i should start worrying about this type of pain?

Dawn said...

Jon - I had a similar sharp pain in the groin & was concerned I had retorn the labrum. I was really worried & frankly had forgotten about it until I saw your note. I had surgery on 9/9, so you're about a week behind me and I suspect the pain will go away. I think I had it for a few days - up & down. Keep up the PT cautiously and use pain meds as they give you courage which helps you move & build muscles. Keep us updated!

Vanessa said...

Jon,
I was on my feet a lot over the weekend and was having a lot of pain really terrible sharp pain MOnday and Tuesday that had me worried, but when I woke up today it was better.
And actually the first week home I had a little accident. Kay, Dr. Byrd's nurse told me it's going to be normal to have that sharp pain. And the most precautions are avoiding any external rotation, even just your foot according to the PT. And No bending past 90 degrees. But it's going to be normal to have that pain over the time of recovery it will come and go.

Laura said...

Hi all, I am still waiting to hear whether my insurance will cover my surgery up in NYC since I live in Baltimore, so just waiting a lot. The cortisone injections really helped so I'm trying not to be too active and reverse that effect. Sitting around is boring, but what can ya do. I see we have some newer people posting on here so I thought I'd share a great website I found for recovery strengthening exercises. Hope it helps!

Also - question for you guys who've had surgery - any idea whether it's good to be working out/strengthening my butt/thigh/leg muscles before surgery or should I just be chilling and then do strengthening after surgery? Thanks!!

http://www2.warwick.ac.uk/fac/med/research/csri/orthopaedics/patientinfo/physio/

Chronic said...

I live in Baltimore and have been diagnosed with a labral hip tear - it radiates into my groin (ouch). Who should I see? I keep hearing that the success rate is so low - I want to get a cortisone injection to confirm that my pain is from this tear. Who should I see in Baltimore?

Anonymous said...

I am 19 days post-op now since my arthroscopic hip surgery for a torn labrum, bony spur, and FAI... I was supposed to be no-weight bearing for 2 weeks and the big Bledsoe-Philippon hip brace for 4-6 weeks.

By the end of the first week, I was totally of the crutches... went back to work on day 9-10 post-op... wore my brace until about 2 weeks and now no crutches or brace.

I have been going to physio and have full range-of-motion...

I am in Ontario, Canada and my surgeon was trained by Dr. Marc Philippon...

Laura said...

Chronic - I'd see Dr Boucher in Baltimore for an opinion - though he's the one that suggested open surgery for me, which I do not plan to do (I found a guy in NYC who will do arthroscopy) - but Dr Boucher did my cortisone injections at Union Memorial here in Baltimore and I can tell they helped a lot which was the confirmation I was looking for that it's a joint problem. And after having multiple injections at different places, Dr Boucher was the gentlest I've had..hope that helps

Serena said...

Hello to all on this wonderful site! I can relate to a lot of these stories!
I am a 39 yr old active individual that recently had arthroscopic surgery to repair the labrum and shave the bones (CAM and pincer type osteoplasty).
I have bilateral hip dysplasia (shallow hip sockets) also. I had my surgery in July 09 and have been on crutches since then due to pain and instability. I go for an MRI/hip arthrogram tomorrow. I am needing another surgery. I think I may need a periacetabular osteotomy. Has anyone on this site or someone you know of had this procedure? My MD was stating he may go back in to do a repair of the procedure that failed. I am not confident in this option. I appreciate any words of advice regarding my situation. Thank you!!

paininthe hip said...

hi everyone, so many cases seem to be associated with formation, I have a question. I was in a car accident and never had any symptoms or pain, after the accident I progressively got worse and could barely walk as time went on...i had surgery and they found a significant pincer impingement w the most lateral part of the acetabulum closing anterior to the joint. Then a 2.5 cm tear of the labrum was sutured and an osteoplasty of the rim was performed. Is it possible that the tear was due to the accident?

Vanessa said...

I am not a medical professional, but yes, I have read other posts from people whose labral tear was thought to been a result of a car accident. There is probably no way to really know for sure how you tore your labrum, but I would say it is very likely that was the cause.
Are you improving now?
Vanessa:)

paininthehip said...

hi V i am not even a week post op, i am not doing much of anything right now other than ice and some isometrics....i guess it is like this for some time then therapy and from what i am reading, who knows where the adventure takes us to (meds talking, lol)

Vanessa said...

Well, I am 8 wks post-op today and doing about 12 minutes on eliptical and lots of other excersizes. It's getting pretty close to normal, but the hip is still weak, so it gets tired easy. That's the worst part now.

Good luck recovering

Dawn said...

Laura - thanks for the exercise site! As I understand it, the more you can build any muscle before any surgery the better. It takes so little time to lose it, you can confirm once you have the surgery scheduled & then stop if they advise against it.

I am now 10 weeks post-op & still in constant pain, still a bit moreso than before surgery. It's frustrating and my positive attitude is waning.

Have any of you experience pain in the bun? I am forced to sit on hard surfaces due to bun pain that half the time supercedes the hip pain. I had this before surgery, too & was hopeful it would dissipate.

Vanessa, you seem to be coming along quite nicely. I tried an elliptical last week & felt too unstable. It was depressing. Keep it up!
I'm also going to try walking in water...

Good luck to all!

Anonymous said...

i was in a car accident 2 years ago.. headon on the hwy by a drunk driver.. i have had pain in my left hip and lower back area since.. one doctor told me it was a labral tear but another says he cant find much on the mri. it has been 2 years and still very painful not sure where to go from here.. i dont want to feel this pain forever since i am only 24.. any suggestions or recommendations on doctors in the central wisconsin areas?

Vanessa said...

Anonymous,
Sorry about your accident, that's terrible. Try posting your questions about surgeons in your area on the FAI Yahoo Site, there is a link from this site. People are pretty good on there to respond quickly with suggestions.
Good luck,
Vanessa

Anonymous said...

Thank you vanessa i will definetly have to check that out

Laura said...

Hi Dawn -

I have bun pain too - it's like a C clamp is the best way I can describe the pain - starts in the groin then with increased movement radiates around to my buttock area. I'm hoping it goes away with the surgery ? The doctor really hasn't addressed it. Scheduled tentatively for right side surgery arthroscopically up in NYC for jan 26....wishing everyone a speedy recovery and Dawn thank you for suggesting I do the exercises to build muscle - I didn't think of it that way - that I will lose it due to inactivity so better to promote muscle strength now!

Anonymous said...

HI GUYS
I am glad I found this site. I had surgery 2 weeks ago by Dr. Hame at UCLA for a torn labrum. PT seems to be going good, I have just started walking on one crutch and the only pain that i am having is a little bit of groin pain. I was wondering what types of things should I avoid. I am back to work i mostly sit at a desk, so i think i should be fine. I am an active male kickboxer and i decided to do the surgery so i can get back into kickboxing..do you guys think it will be possible? This is a bit embarrasing but how long until I can have intercourse. I was a bit embarrased to ask my doctor. I wish everyone a speedy recovery and I hope everyone will benefit from the surgery.
Thanks

Laura said...

Hi Anon-

I'm not a doctor but I'd say re: intercourse - 1) ASK your doctor!!! That's what he's (she's) there for!! I swear you would not be the first person to have asked them that. 2) Then post it on here so we all know! lol 3) I'd assume do whatever you want as long as it doesn't hurt...again, no doctor here, just seems like common sense. I'd err on the side of caution though, you don't want to hurt yourself or undo gains that you've achieved.

Keep us posted on your recovery and good luck!

tinkerbell_0615 said...

Hello all, it's been a while since I last posted on here. I am now 5 months post-op and still in a lot of pain. Im going back to the Dr. next month so we will see what he says. I am so afraid he will say I have to get a replacement. I guess I will find out soon.

Jennifer said...

Hi all- after a year and a half of misdiagnoses, I was finally diagnosed with a posterior labral tear following a recent MRA. As the cortisone they gave me during that test didn't seem to help, I fear I'm headed towards surgery. I live in Baltimore and have heard both Dr. Boucher and Dr Ebert's names come up here- has anyone had them repair a torn labrum successfully? Any other recommendations for surgeons in the Baltimore ares?

Laura said...

Hi Jennifer - I don't think Dr Ebert does arthroscopy, I know Dr Boucher doesn't bc I went to him. He wanted to do the open surgery. I live in Baltimore too and after going to a bunch of docs here, I just found Dr. Coleman (Also I hear Dr Kelly is good) at Hospital for Special Surgery in NYC - he just did my osteochondroplasty 3 weeks ago - fixed the labrum and sawed off bone spurs. You definitely, definitely want this done arthroscopically if you can.

I was down to one crutch after about 1 1/2 weeks, I can get around now without crutches but is still achy so doc told me to stay on crutches for awhile. I was on vicodin for about 5 days, now just taking anti-inflammatories. Minimal pain and only two small 1-cm long incisions in my thigh. The docs at HSS are specially trained to do the least invasive surgery possible.

After reading about all the folks who are still in extreme pain months later - my heart goes out to them - and I feel very lucky that I am in minimal comparitively. Just started PT last week and can already tell strength and range of motion are improving. Other hip is scheduled for 3 months out.

Good luck, all!

tinkerbell_0615 said...

I am now 8 months post op and still have pain. I dont know what to do. I am losing my mind with all the pain. I tried to get a refill on my pain meds and my dr said oh well it's been since july and you shouldnt be in pain anymore. Ha shouldnt be but guess what, I am. I am miserable. I can only sit for about 20 mins and when I get up I am stiff. Long drives kick my butt(litterally)...lol I just dont even know what to do, do I deal with it or do I try another dr?

Denise said...

Terry, as you know, you and I have similar hip stories (failed scope, then open surgery and still the same pain). I decided to go ahead with the hip resurfacing even though I was only 10 months post op from the open. Dr. told me I should have been healed at 6 months post op for the open and that this was the next option. He didn't want to attempt another repair of my hip. Well I had it done in September. The doc said that he found that the labral repair from the open procedure had held up but my hip had just started to detiorate (arthritis) and there was also another very thin area of the labrum. Anyway, I am doing really well. Still not 100% but pretty darn good for someone who had 3 surgeries on the same hip in just over 2 years time. I have actually been pain free and rarely need any pain medicine. I developed some trochanteric bursitis which was bothering me but the groin feels great. It only seems to act up when I start to lag in my stretches and exercises.
I am not trying to tell you what to do and I know the last thing you want is another surgery. But if you do decide to go this way, in comparison to the open procedure this recovery was alot quicker. Still not easy but alot less restrictions. For example you can weight bear as tolerated right away. Besides we are experts now and have all of the equipment. GOOD LUCK. I know exactly what you are going through and it is so frustrating. Hang in there, and don't give up. You are too young to live in pain.

tinkerbell_0615 said...

I called my doctor last week to ask for a refill on my pain meds and he told me that I shouldnt still be in pain that my surgery was in july so I should be good. He would not refill my script. I saw my primary dr and he did. I really dont know what to do at this point. I am still in major pain daily. I dont use pain meds everyday, but there are days that I cannot tolerate it. Most of my pain is in my butt and outer hip area. I am really at my wits end at this point. I havent even tried to go back to the dr at this point. The last surgery they had to tack the labral back down because it wasnt even attached from like 10-2 looking at a clock, then they shaved down the bone due to impingement. At this point what's next?

Denise said...

do you know if you have trochanteric bursitis? that would cause that outer hip/buttock pain.

tinkerbell_0615 said...

It's been a while since I went back to the Dr. I am seriously thinking about going back and asking for a replacement. I have heard of so many success stories after a replacement and I am just tired of dealing with the pain.

Dawn said...

tinkerbell - I can completely understand your frustration and was looking to this site after feeling the same despair. What do we do? I also don't need pain meds daily, usually take ibuprofen, but yesterday considered taking 1/2 vicodin from 9/9/09 surgery because the pain was horrible from a previous day's 2 mile (unplanned) walk. Will we ever recover?

Are you doing any physical therapy? I have found walking in water to be helpful, but relief is tremendously sporadic. I wish I knew what to suggest, but I'm feeling similarly discouraged.

Perhaps we both should discuss with our surgeons? I did see mine in Feb & he suggested it would be 11 months total recovery...so, I'm trying to hold my breath for another 5...

Chronic pain really impedes a happy, free life.

Are you taking any meds at all or supplements like glucosamine?

I hope this day finds you more relief!

tinkerbell_0615 said...

I have not been in physical therapy for some time now. I dont have access to a pool so I dont have that option. I saw my surgeon in November I think and he was like "well your going to be in pain, you have had 2 surgeries and your muscles are probably rubbing on the screws causing some bursitis.... so your going to have some pain" geeeee thanks... that's alot of help...lol I do take darvocet as needed but that's it. Still having the same pain. My family and I went to Busch Gardens and just walking through parking to the park and inside I was in pain. I decided to go ahead and take the pill so that I could get through the park, the next day was rough as well. It was a combination of walking and sitting in the car for 4 hours each way.

Joy said...

I need advice for a second opinion and I will
travel to see a doc. I am an ultrarunner with
a labral tear and moderate athritis in my right
hip.Dr. Philippone inVail says that he will
not scope me for repair of the tear due to
the arthritis but I am seeking another answer
so I can run.

Anonymous said...

Had Arthroscopy at Cooper Bone and Joint in Voorhees, NJ. 6 weeks ago.. i am not perfect yet but i do advice that physical therapy is so important for feeling better. I had Labral Repair and Debridgment and feel much better, i am doing well in therapy and can now drive in the car for 2 hours without having to get out and stretch from the discomfort....

Anonymous said...

Wow its amazing to read how many other people suffer from fai. I was really starting to feel like I was the only one, and Im still pretty sure there is no one else in my town with it. My problem rests with the fact that I also have a dvt in my hip (from a different prev surgery gone terribly wrong). I don't know what to do, the doctors keep advising me to have the surgery needed to repair but fear keeps me from doing so.

Anonymous said...

im 16 years old and have impingements in both hips i also have labral tears, articular cartilage, and ligementum ters in both hips. Im a hockey goalie and play on n elite national bound hockey team. The pain HONESTLY isnt too bad as of now i have been feeling pain though since november. I have been through hell and back trying to schedual this surgery. I have asked to postpone my surgery till april vacation so i can play hockey. I am going into my junior year and it really means a lot to me to play hockey. Im hoping to get looked at by colleges but ive been getting nothing but lectures from everyone. Has anyone else pushed off their surgery? And does anyone know how long it would be after surgery till i could get back into playing sports?

tinkerbell0615 said...

Well looks like I am getting ready for surgery #3... this time they are taking the screws out and cleaning up the scar tissue... hopefully that will help with the bursitis I am having now....

Dr. Rodney Thompson said...

Tinkerbell0615, if you continue to have pain afer the pins are remove, it's time to look at other soft tissue problems. I'm a sports oriented chiropractor and can't tell you how many times practitioners have missed other causes of pain. Too often there's a tendency to associate symptoms with one diagnosis, when in reality many structures surrounding the hip are involved to at least some degree and require treatment. My suggestions are to try treatments including Active Release Therapy (ART) or Graston Technique, from a sports chiropractor. I have gotten excellent results in patients with chronic ongoing postsurgical pain in the hip. Incidentally, I had FAI arthroscopic surgery 17 days ago. I forced my increase in activity, came off most painkillers after the first day, came off crutches entirely in 4 days, and returned to work on day 12. I would rate my current pain at 1 out of 10 most of the time. Good luck.

Anonymous said...

Hi, Thank you all for sharing your stories. I'm a 52 year old that had bi-lateral knee replacements 3 yrs. ago and tore my right labrum during therapy. I've had numerous steroid shots into the joint and they've usually worked for a while, but the last one in mid Sept. didn't last long at all. Maybe a week.

Anyway, saw a local surgeon this week who wanted to schedule surg. He's only done 10 of these arthroscopic surgeries with 1 failure and 9 sucesses. After reading this forum, I made an appointment with a Dr Parvizi with the Rothman Institute in Phila. I understand he only does "open" procedures and has a good rep. My appt. is for Nov. 22nd.

I'm really scarred and sometimes think I should just postpone the surgery and that I can handle the pain (been on percocet 10mg for 2 yrs) but it's just getting too much. I LOVE to walk and up until 2 months ago was still able to walk between 4-6 miles every other day with the pain meds. Now, I'm in so much pain after just 1 mile....even with the meds. It seems like it's gotten much worse with the pain running down my leg, along with the groin/buttock pain. Has anyone else had surgery by Dr. Parvizi? I live in the Lehigh Valley of PA and am willing to travel if necessary to find a good Dr.

Thanks again everyone for sharing and I'm praying you'll all recover quickly.

Anonymous said...

I had my scope done 2yrs ago. I still have twinges of pain now and then, but all in all I think it went pretty well for me. The only problem I have is my range of motion in my leg is just slightly limited. Now it turns out I tore my other hip. I will be see ing my DR. as soon as I get my authorization from my primary. Just let you all know, the first MRI I had did not show the tear. The second MRI with the dye injected into the hip showed the tear. Don't rely on xrays to always diagnose pain in the hip. Push for the MRI with the dye. Also with the first surgery (scoped) I was back to work in 8 weeks and I am on my feet all day.

Anonymous said...

Hi all!
My name is Stephanie and I had FAI surgery with DR Laude in Paris 2004. He is one of the big guys in Europe. I had CAM PINCER chondral injury and a labral reattachment. At that time there where no obvious PT protocols around, my guess is that are more to find now.

My recovery was very long 15 months , but I got there in the end!!! And I got pregnant and managed to ski, walk uphill and sit. I never returned to 100% pre injury level (injured my hip skiing 8 years before surgery)


But I lived I ok life with my lovely daughter and husband and had a modest level of activity. I had NO pain in my hip even after some hours of deep powder telemark skiing. After 8 years of disabling pain I was still very pleased even if I have had to change my sportive lifestyle a lot….

Then my back (a disc) went bad and my pelvis got completely out of alignment and my hip pain reoccurred!!! Not to difficult to understand as the geometry in the hip changes completely with a rotated pelvis. So here we go again.. .You guys who have had surgery and recovered well don’t get scared, just maintain you fitness and keep your back good is my advice. A funky hip cant afford a rotated pelvis, there isn’t spaces for bad geometry…

Anyway so I might have another hip scope and my following questions is

Do anyone know more about debridement vs. reattachment of the labrum?

Does anyone have a link or some info about PT for these kind of procedures ???

Thanks a lot for sharing
And for those who are struggling with a slow recovery don’t give up! I recovered 15 months post op, 8 years of severe hip pain and a very poor PT. What helped me the most was keeping my pelvis aligned with osteopathy and other manual therapies…

stephanie in France Chamonix

Laura said...

I appreciate hearing that it may take awhile to recover - I had labral tears in both hips, FAI, first surgery on L hip in Jan 2010 and R hip was just Sept 2010. My R hip seems to be recovering faster than the left one did - ROM is limited in both legs but R definitely progressing faster. It's been 10 months for the first one and I was getting discouraged - somehow I thought it only took 6 months. Good to hear that it can take as long as 15 months. Here's to a speedy recovery for everyone!!

Sara D said...

I can totally agree with all the folks who have emphasized the importance of finding the right surgeon. Don't go with anyone who is doing this surgery less than an average of once per week and who has not had specialized training in this procedure. My surgery was over 4 hours long and the MRI did not reveal the extent of the damage until my surgeon was in (btw Dr. Cashmore in Flagstaff was my surgeon). I'm 30 years old and I had impingement in my right hip because the head of my femur was too large on two sides. I also had a large cyst on the bone and plenty of torn cartilidge. My surgery was July 1st and 2 weeks ago I was backpacking in the Grand Canyon for 3 days.

My formula for success is PT before, PT after and massage therapy. I went and saw a Physical Therapist within 2 weeks of diagnosing my injury and worked with them to revamp my workouts to eliminate aggravating the injury and to strengthen the muscles around my hip. Atrophy is the enemy. I kept on my regular workout schedule 3 days a week up until the week before surgery but took the whole thing down a notch and really focused on the muscles around where my surgery was going to be. I started PT as soon as I could after the surgery 3 times a week for 2 months and was having some trouble. My IT band was just way too tight and was causing me to even limp. The limp looked very similar to the one I had had before surgery to my husband but felt different to me. So I found a Registered Nurse who was a certified massage therapist and she worked on me for another 2 months. By the time I got into the Canyon I was doing great. Mechanically everything is working smoothly but the strength is still not 100%. So now I am strength training and using yoga to work on my range of motion. I am making big gains every week. Just do your homework and don't give up.

My grandmother limps on her right hip and has very similar pain to what I had. There was no surgery for her when she was a young woman and so she had to cut back on almost everything and it has just steadily gotten worse and worse. I am very grateful to live when there are options besides cut back and hope it goes away. Not everyone's recover will be the same but I just wanted to put a little hope out there fore people who are experiencing what I was a year ago.

Anonymous said...

I am 33 years old and love to lift weights. I have labral tears in both hips. Does anyone know of any good surgeons in the MN area. Has anyone researched Dr. Larson in the twin cities? My eamil is rodney_franks@yahoo.com

C Trum said...

I am going to be having arthroscopic FAI surgery within the next few weeks with Dr. Byrd in Nashville. He will also be cleaning out the bursa, since I have also suffered with chronic bursitis in the greater trochanteric bursa of the left hip for a few years. :( I have a strange question. Most of our chairs, couch, etc. sits pretty low. Is this going to be ok for me to sit in after surgery? Will it be difficult for me to get up and down from standing to sitting position? I have been told to expect to be on crutches for 3-9 weeks, so I do not plan to be in bed for that time at all! :) Can someone who has experienced this please share your opinion?

Anonymous said...

C Trum,
As long as you have something to support your self getting up and down, you'll be fine. I used crutches, but also borrowed a walker that I found helpful for that purpose. You'll find it really wears your shoulders out. So I would suggest trying to strengthen them as much as you can before your surgery. Good luck, Byrd is great he did mine:)

Anonymous said...

im 16 years old and i was diagnosed with femoral acetabular impingement and labral tear about a month ago. and ive been having severe pain in my hip for over 6 months and i was once very active and now i cant even move without pain. im looking for a surgeon to do help me but im hving a hard time finding someone who can do this and im just wondering how long would be recovery be?

Anonymous said...

Great to find this site. My wife was involved in a serious rear end collision over a year ago when she was 7 1/2 months pregnant. Our 2 older children were in the car with her, and thankfully, they and the baby that arrived 6 weeks later are all OK. She, on the other hand, has been diagnosed with a labral tear after several rounds of unsuccessful PT. We live in the Philly area and have been referred to Dr. James Zurbach locally as well as Dr. Bryan Kelly in NY, NY. Currently have surgery arthroscopic surgery scheduled for later next month locally, while we wait to see Dr. Kelly in NY. It's been "suggested" to us by another medical professional to "not let anyone in PA perform this surgery". On the other hand, we felt pretty confident with our consults with Dr. Zurbach since he does "at least 50 of these surgeries a year". That being said, can't get out of our minds what the other medical professional said. And, the fact that I've seen Dr. Kelly referenced a few times here makes we wonder if we should sit tight until Kelly can see us. My wife was previously very active (she was even an amateur figure skater in her pre-mommy days and hopes to return to it eventually). Has anyone on here had any experience with either of these surgeons...or more importantly, with Zurbach?

Oh, and yes, a lawsuit is pending against the driver of the vehicle that rear-ended my entire family and threw our lives into a complete tailspin!

Laura said...

If Dr Kelly is at Hospital for Special Surgery, then I've heard of him. My surgeon was Struan Coleman at HSS and he told me he does over 300 hip arthroscopies a year. I had a great experience with him and have heard other wonderful things about HSS.

Anonymous said...

I have been having left hip pain for over 2 years. It's on the outside of my hip, in my groin area and that wraps around my buttocks and hurts down the back of my leg. I also hurt on the left side of my lower back straight through to the front. I injured my hip in Jan 09 while training for a half-marathon. I was told by the first 2 doctors I saw that it was just bursitis (even though it didn't hurt on or near my bursa) and I could continue to run as long as I could stand the pain. So I continued to train and ran my half marathon in March 09 and haven't run since. I've seen a general practitioner and 2 orthopedic doctors, have had 4 steroid shots (2 general shots in the buttocks and 2 straight into the hip), 2 hip MRI's and x-rays and 1 back x-ray and MRI, and a epidural in my lower back. So far the doctors have not found anything and nothing so far has helped. I am depressed about not only not being able to run but I can't walk, ride a bike or do the eliptical machine for aerobic exercise and am gaining weight that I worked very hard to get off. Going to the grocery store or cleaning the house usually puts me on the couch with a heated rice pad afterward. I'm very frustrated and am going to ask my current orthopedic doctor for a referral to somewhere else and hope that he will not be offended by my asking.

I live in Dothan, AL, which is in the bottom southeast corner of the state. I've been to both orthopedic facilities in Dothan so am thinking rather than going to a different doctor in those practices, I will go to another city. If any of you know of a good orthopedic doctor that is familiar with hip issues in Birmingham, AL or Atlanta, GA, I would love to know their name.

Sorry for the long post. It was good to find this blog and know that I am not alone in my frustrations.

Caren

Helloheart said...

Caren,
Hi this is Vanessa, the creator of this blog. Funny, i live in Wetumpka, AL.
My advice is do everything you can to get an appointment with Dr. Byrd in Nashville, TN. You will not find a surgeon anywhere that compares with his experience. He is of the very best and people come from all over the world to be treated by him. It will require more effort and you'll wait longer for an appointment, but once you see him it moves fast.
You can do your PT and post-op care at home.
Trust me!
Vanesa
vanessalynch1 at gmail dot com

Anonymous said...

I have had hip, groin pain with limited leg movement since July. As others I have had 4 cortisone injections for ilio psoases bursitis, tendonitis which only worked temporarily . then finally an arthrogram which showed R anterior labral tear. Also had a diagnostic injection directly into the right hip to determine the pain was coming from the tear, which it was. I am now scheduled for hip arthroscopic surgery on April 28. I have constant pain especially when trying to sleep pain from the groin to the knee. can anyone tell me recovery time, my Dr will not give me specifics until post op. Thanks.

Anonymous said...

I dont know if I am more assured or freaked out reading all of this. I am having surgery in 36 hours for a labral tear. I have suffered for 20 months and have such hope it is going to give me my life back. My nemisis...the Wii hula hoop.

tinkerbell0615 said...

wow I havent been on here in months, however I live in Anniston,Al and just had my 3rd surgery last September by a local doc nameed Dr.Clinton Ray. However previous to this I have had 2 surgeries... first being arthroscopic repair to the right labral. 2nd surgery was open hip repair and debridement, the labral was hanging from 10-2 on a clock, I got 3 anchors in it to hold it up and 2 screws to reattach my greater trochanter. I was still in pain after all of this and after relocating from MD to AL, I saw a local dr, who advised the same as my previous doc. which was to remover the screws and scar tissue to relieve the pain. With all this said, I did have relief after the 3rd surgery, back to doing alot. But as of lately I have been having left hip pain, its above my hip bone,on my lower back, as well as soreness where I had previous surgeries. My guess is that I am now acquiring arthritis, however I have not been back to the dr.
I wish you all luck.

tinkerbell0615 said...

Dr.Thompson, I just saw your comment as I haven't been on here in forever. I am looking up what you said now. Thanks so much. I am in pain again, and not so confident in the providers in my area. Also my insurance doesnt pay for chiropractors... do physical therapists do this?

Anonymous said...

At 39, I run 12-15 miles per week and play men's league hockey. I tore my labrum playing hockey, although there was previous damage. I had the problem for over 14 months, prior to surgery.

I am one week post op, in Tampa, FL. Dr. Steven Raterman performed my surgery, which included 3 anchors, debridement and some "bone shave". It took more work than initially anticipated. It was supposed to be somee weight bearing day of surgery, crutches 5-7 days. It turned into no weight bearing, crutches at least 2 weeks. I've acccidentally put weight on it and it feels good. I'm sore, but it seems to be more from the surgery. I do get pain if I rotate the leg, which I limit.

So good so far. I'll keep posting and hope that I'm one of the success stories on the board. (success to me is a half marathon and back on the ice once a week).

-tw

mizunogirl said...

I am 4 days post Op for left labral repair and some bone "shaving" in 2 areas. It appears he used two anchors to repair my labrum. I was/am supposed to be toe touch weight bearing only for this week, but have found that I am completely able to walk without the crutches just fine today. Though I am trying trying to be a good patient and keep using the crutches! I'll thrilled with the pain relief I already have, I stopped taking narcotics after day one. My leg does look like a bit of a war went on all over my thigh but it is improving. My Surgeon is Dr D. Brcka in Clermont Fl.
My goal is to complete the Comrades Marathon, in 2013...one year to fully heal, and one year to train....I've been told that it will take up to 18 months to fully feel all the benefits of the surgery, but I'm pretty well sold on the lack of groin pain right now... :)

Anonymous said...

Hi,
I am so happy I found this blog site. I thought I was alone with what I have been going thru the last 4 months. When I was one, my mom was told my left hip was dislocated. The Drs. thought it happened during labor, therefore I was given "traction" and a screw was inserted into my left leg (by my knee). I was in a waist high cast for weeks & it seemed to have solved the problem. 35 years later, 2 months after my 2nd child, while in bed, I was kicking the covers off of me & I felt a snap along with sharp pain around my groin area. I couldn't walk well, I was limping. I was sent to PT, where they said I had a pinched nerve due to childbirth. The PT was able to help me walk better, but I was still in pain. From there I was sent to the Illinois Bone & Joint Institute and saw a Dr. Van Stamos, who looked at my x-rays & said I needed a Total Hip Replacement. I was stunned! He said I had hip dysplasia & had it since birth, but at that time they couldn't determine it. He also said I was too young for THR being that I was 36, I had slight OA & there was little cartilage between my hip joints & suggested I get an MRI & to go to another Dr. (Dr. Michael Stover) at Loyola University Hopsital in Maywood, IL, where I could be a candidate for a procedure he does. I saw Dr. Stover & he said I was a candidate, the procedure calls for them shaving down my bone, inserting screws. It was too invasive for me, & was told it was temporary until I get a THR. I decided to lose all the 'baby fat' I had gained during my 2nd pregnancy & strengthen my muscles for whichever procedure I would decide to go with, since I still couldn't bend down or raise my leg..and in some pain. 2 years past, I had dropped 40lbs & managed the pain. I limped at times, but not everyday. In January 2011, I started to feel more pain & limped a lil more. I was referred to a Dr. Michael Terry at Northwestern Hospital who told me of the 2 options the other drs have already offered me, however, he said there was a 3rd - hip arthroscopy. It seemed less invasive, less down time, easier recovery & decided on the arthroscopy. I did a little research on it...and mostly read positive results. Had the surgery done in February 2011, now it's May 2011 & I am in worse pain than before the surgery & my limp is far worse...and i'm in pain when I walk. I've been so depressed because my life has changed drastically. I cannot care for my 2 yr old alone or even take him to the park because I can't run after him. I can not do any physical activities. Even wallking around at the store can be painful. I, at times, have to walk with a cane. My dr. is uncertain as to way I have not improved now that it is 12 weeks post op. His uncertainty has made me more depressed & even angry. Because I have not been given any more options than to wait & see, maybe get some anti-inflammatory injections in a couple of weeks to see if that helps with the pain. He seems to think that maybe I'm just 'one of those who recuperates slowly'. I don't know what to do at this point. I've been told I should have the dr. do another MRI to see what is going on, since now I'm having knee pain in the same left leg i had surgery on, when I try walking. My PT has been amazing, trying to help me & tells me to be patient, he's seen improvement but also cannot pinpoint why I'm getting the knee pain. He seems to think it's because of my limping..and I need to walk straight. I try, but I'm in pain! Now my insurance has already covered my 20 PT visits & my last PT session was yesterday. I'm left to do my own exercises. I feel soo lost & don't know what to do anymore...but to just sit & wait & pray I will be pain-free & well again. I don't want to lose hope...but it's hard!
-Irene

Anonymous said...

Vanessa, this is Caren from Dothan, AL again. I just wanted to thank you for mentioning Dr. Byrd to me and give you an update. I asked my local orthopedist to refer me to Dr. Byrd and he gladly did it since he knew my symptoms were not improving. I have had my consult with Dr. Byrd's office and finally have a diagnosis...FAI. They are recommending arthroscopic surgery which I will have done in September or October...too many things going on right now to have it this summer. I am not looking forward to the surgery but am so grateful to have a diagnosis after 2 1/2 years. Thank you for helping me & others find answers to their hip problems by maintaining this blog. It has helped me and is very much appreciated!

Anonymous said...

I am a teen girl, and a competitive dancer and play sports regularly. Dance Team usually requires about 12-18 hours weekly plus 3-7hrs of sports a week, so i am very active, and just found out that i have a labral tear in my right hip due to excess bone growth and the constant movements required in dance. I am getting a hip arthroscopy done on june 29th..(this wednesday) and im getting VERRRRYYY nervous. The docter that is doing my procedure seems to be very good, and have heard that people were pleased with his work. but kinda scared after reading all of the "failed procedures". well, anyways we got a second oppinion in chicago, but hip post surgery method seemed much more restricting and didnt seem like it was going to get me back into my activites as soon as possible. So the surgeon im going with gave us all of the information on stuff we need for rehab, and i would like some oppinions. it seems like the best choice for my situation and i think it all makes sense. soo, here it is. i'll be on crutches for 3-5 weeks depending on what pt says. that is so the pressure of body weight won't redamage joint. I will be using a 'cpm' machine that will keep the joint moving so the scar tissue smoothes out and i can regain flexibility. I'll be using a cold water pack thing that wraps all the way around my hip and waist to reduce swelling. I think i'll be wearing these compression things on my foot/feet and calf muscle to reduce chance of blood clot when i sleep. and then pt 3 times a week for about 1.5-2 monthes then like 2 times a week after that.
so i would love everyones input!!
thanks

Anonymous said...

First, I'd like to say thanks to the individual(s) who created this blog. I'm a very active outdoors person (marathoner,fisherman, weight lifter, tennis,basketball etc). On November 5, 2010 I was taking a casual Saturday wind down run in preparation for the Richmond Virginia Suntrust Marathon when came up limping about a mile from home. As it turns out my primary care doctor who is also a runner agreed with me that I had a groin pull. After several months of no running and very diciplined PT, I began feeling stronger in February 2011. After a few pampered short runs, I soon began to feel pain in my hip. In retrospect, it was the classical hip pain especially acrute when getting in or out of a vehicle. My arthopedist did the mri with tracer and determined it was a labrum tear. Since then I've had one xray guided cortisone injection which was ok but want something more lasting. My doctor said he would do arthroscopic surgery if I got to the point where it is too painful to continue biking, eliptical and minor weight lifting. The problem is I cannot run without severe pain and running is my passion. My physician describes my tear as minor with a little arithis. I'm an older runner who began in my mid twenties and never had any hip related issues in the past. Can anyone provide me your thoughts and insights on my doctor's response. My thought based on research is that runners over 50 are not good candidates for this surgery because joint spacing and arithis issues.

Anonymous said...

Hi there. I'm a 33 year old first time mum living in the UK. I'm scheduled for surgery on Tuesday to repair a labral tear and halt fur. ther athritis. Can anyone advise me on the results and how it has helped. I'm starting to wonder whether it is worth going through all the stress of surgery.

Anonymous said...

Sorry - that should be 'halt further athritis'. My baby girl was trying to help me type!

Anonymous said...

hello, I am 37 and am 10 days post-op from labral repair on my left hip. I was feeling great at day 6 and 7 and then on day 8 I bent over too far and felt a pop and now the pain is back. It is in my groin, outer hip, thigh, butt and sometimes even my calf. I am so paranoid that I tore it again. is it that easy to re-tear the repair? or is it normal to have pain on and off like this? my post-op appointment is this Friday, day 15. I am supposed to get off my crutches, but now I'm not so sure. HELP!! anyone else experience this?

Anonymous said...

I've just had my 2nd arthroscopy this week and it has been a success. I had my right hip done in march after years of pain and being told there was nothing wrong, surgeons in London finally picked up on issues and suggested arthroscopy, MRI scans showed FAI and arthritis caused by the impingement and years of playing competitive squash. I put the surgery off for about 2 years as I had heard so many bad things on these type of blogs however I eventually got it done and wasn't disappointed, had my labrum reattached, cam lesions shaved and micro fracture where the cartilage had worn. I was 6 weeks 50% weight bearing but didn't really have much pain. After surgery I was stiff and swollen but could already feel the extra range of movement from the removal of the impingement (did have quite large cam lesions). I took it pretty easy for 3 months after only cycling, weights and crosstrainer to keep fit. I was so happy with 1st I got my left done as soon as I could after (4months). I'm 31 so wanted to keep active and avoid a hip replacement as long as I could. I would recommend the surgery to anyone who is having hip trouble caused by FAI, make sure you have an experienced surgeon and you should be fine. Stick to rehab and try be as fit as you can prior to op. Just thought I'd share another success story. Hope it works out for everyone. Good luck! P.s. Johan Witt was my surgeon.

Anonymous said...

I've just had my 2nd arthroscopy this week and it has been a success. I had my right hip done in march after years of pain and being told there was nothing wrong, surgeons in London finally picked up on issues and suggested arthroscopy, MRI scans showed FAI and arthritis caused by the impingement and years of playing competitive squash. I put the surgery off for about 2 years as I had heard so many bad things on these type of blogs however I eventually got it done and wasn't disappointed, had my labrum reattached, cam lesions shaved and micro fracture where the cartilage had worn. I was 6 weeks 50% weight bearing but didn't really have much pain. After surgery I was stiff and swollen but could already feel the extra range of movement from the removal of the impingement (did have quite large cam lesions). I took it pretty easy for 3 months after only cycling, weights and crosstrainer to keep fit. I was so happy with 1st I got my left done as soon as I could after (4months). I'm 31 so wanted to keep active and avoid a hip replacement as long as I could. I would recommend the surgery to anyone who is having hip trouble caused by FAI, make sure you have an experienced surgeon and you should be fine. Stick to rehab and try be as fit as you can prior to op. Just thought I'd share another success story. Hope it works out for everyone. Good luck! P.s. Johan Witt was my surgeon.

Anonymous said...

Having arthroscopy in the am. It's 1 pm now, so I'll get about 2 hours sleep. Took 18 mos for the proper disagnosis. Praying that I am able to get back to my life. For the past 2 weeks have been using a cane much of the time, limping the rest of the time. Really encouraging to read of the success so many have had. But in talking about PT, it sounds as though my doc is recommending it all be done at home. Is that possible?

Anonymous said...

Hello all...I am SO happy to have found this site. I have read all of the posts and wondering if someone could give me some insite and thoughts. Hoping someone has been through what I am going thru so that I can get a little bit of emotional support. First of all in November of 2009, I had a labral tear while working. Well I had to fight with the work comp to get this fixed but in March 2011 I finally had a arthroscopic procedure done to repair the tear. I went to PT and did home exercises. The doctor said I could be fulll weight bearing after a couple days post surgery. So, I basically was trying to be totally active after only a couple days post op. Well, everytime I went to PT it hurt WORSE than it did before. And the pain has steadly gotten worse. Have went back to the doctor every month or so and he kept telling me that the surgery should have healed me and that he couldn't figure out what is wrong. Finally on August 15th I convinced him that I needed to have something done. So he did an arthrogram/MRI. It showed that I have a cartilage tear. I am really scared to go back to this same doctor. He didn't do something right in the first place and now I am supposed to trust in him again. My question I guess whould be has anyone had a repair and then told that they had another tear? Or what I am thinking is that it didn't get healed the first time and now he is wanting to do it again. Another question is - should this be done arthroscopically again or whould someone recommend an open surgery? Any thoughts would sure be appreciated. I feel so alone in all of this. However, I know that I am not. Appreciated!!!

xico said...

Hi there, i had a FAI (mix type) and i did my surgery at 28th July. Now i'm still feeling some pain on my joint (the same pains that i had before the surgery). My joint was with arthrosis and osteophyte...
For how long u get in pain after the surgery?
I work as a Personal Trainer and this is killing me :/

Anonymous said...

Hi - Jules here - I had arthroscopy op on 17 June - due to problem with my hip and femur since birth - plus 2 cysts in socket and arthritis in joint - (I'm 48 female). Symptoms before surgery were awful - with unexpected shooting pain in my right hip socket event when making slight movements to the left or right - extremely debilitating - four weeks after surgery things seemed to be improving - after five week meeting with specialist - he told me I was doing great and didn't need crutches any longer - I am so glad I kept them - it is now 10 weeks since op and I am now in worse pain than ever before - specifically in my groin area - I walk with a 'waddle' now - and need the use of a crutch around the house - and when going out. I am struggling to do anything normal - like taking a shower, getting in and out of bed, turning over in bed, getting in and out of the car, doing my shoe laces - as a mum of two its a struggle - and this is getting me down big time. I went to my GP last week and he prescribed 30/500 co-codomol but this isn't even touching the pain. I am calling the surgeon tomorrow - this was meant to be an interim measure before a hip replacement - I can't see my future being in pain like this everyday!

Anonymous said...

I am 28 years old and was diagnosed with FAI a few weeks ago along with a labral tear and thinning cartilage (less than 50%). I enlisted in the Army last spring and was set to ship off to basic training next month. I have been experiencing pain for approx 6-8 months now but it has really gotten worse as I significantly increased my level of physical training this summer in preparation for basic training. I have surgery sheduled next week (09/15) so obviolsly my date will be pushed back. I negotiated for a Special Forces recruit contract (18X) with the Army in hopes of someday becoming a green beret. Right now I am devasted as I already left my last employer enlist. I am now without a job and preparing to spend the next 6 weeks on crutches and next 6 months in recovery. I hope to renegotiate my contact with the Army next spring and follow though with my enlistment next fall. This will give me approx one full year between date of surgery and start of basic training.


Basically what I want to know is if anyone has had success with FAI scope surgery? Can I expect to make a full recovery (back to 100%)? If so how long for full recovery? And will this become a reoccuring injury for me later on? I have limited options right now and really want to go though with my enlistment but not if I have to deal with this chronic pain that will lessen if not totally end my chances of making it into Special Forces. Please post your expericences with recovery as far as time and longterm results. Thank you.

-SPC

xico said...

Dear "SPC",

FAI problem don't come alone by itself... the problem is the joint damage. There is no such thing as full recovery from a joint waste!!! When u get surgery to your FAI, they will problem "give a hand" to all your joint and will try to improve all ur joint... but the purpose is to take off the "invader" (cam or pincer).

I can tell u my story, i was in pain for 1yr (more and less) and i get surgery July 28th... after 4 weeks i walk without crutches and get back to work as a Personal Trainer. In the past year i took anti-inflammatory every night before go to bed (other way the pain would KILL ME), now i just take the pills from 5 to 5 days... the pain is decreasing, but it's like i allways say to everyone... "My hip it's just old... like a 70yo hip".

Anything, just write!!

Very best regards,
Francisco

Anonymous said...

Hi everyone, I just finished reading all the msg's & thankful for all the honesty! So glad I found this board. I too am awaiting arthroscopic surgery to repair a torn labrum in my left hip, along w/removing a "floating" bone spur that broke off, also shaving-off & smoothing the femoral head. I was born with congenital hips, & at 2 mo old had "block-bracing" using diapers for 4 months. Afterward the doc told my mom that when I have children/pregnancies(had 2)I would have hip trouble. I'm 51 now & had "clicking" in both hips since I was 23, but the real pain started after my kids went into high school. This past March, I had done some active walking around during a yard sale where I was selling off some stuff & was hiking up & down grassy hills carrying fold up tables & such, when the next day I knew I over-did it. In the month following had experienced the WORST pain in the left hip I ever had to endure! Waited a couple weeks more thinking it would subside after resting & taking OTC meds, but I couldn't take it and went to the ER. Got the hip scanned (CT w/out contrast) left the hospital on crutches & an Rx for percocet, which helped. Saw an area Orthopedic doc who did x-rays, saw nothing. Ordered an MRI (w/out dye),the radiologist saw I had a "loose body" floating but nothing else. Orthopedic wanted to tempt me about getting a replacement, but did say I had good spacing, & not that much osteoarthritis. I still had to use crutches off & on, got him to shoot cortisone in both joints, which gave me some relief, about a month after that. I said "no" to the idea of getting an artificial hip because I'm only 50 (turned 51 during all the visits). To make this long story longer, he actually referred me to Dr. John D. Kelly in Philly telling me that I'd benefit by arthroscopic surgery. I went to him (a long!) 2 months later in August, & as soon as Dr. Kelly looked at my MRI, he said, "You have a torn labrum that should be fixed, along with a couple of cysts in there", and this was actually missed by the radiologist that read my MRI first!!! I made sure that I told the first Dr. about that, and he's not happy it was missed. I'm hoping that radiologist gets reprimanded about missing the labral tear, because I actually had fluid aspirated two weeks after the MRI just to see if there was infection in the joint or if there were signs of Lyme disease...& that aspiration was painful! I would NOT have had that done if the labral tear was detected first. Anyway, so after realizing that there was such a thing as a labral tear, loose bodies, cysts inside the hip joint, I'm getting it DONE & CLEANED out! Dr. Kelly is one of the best arthroscopic surgeons on the east coast & I really got a good feeling about him when I met him too. He has a video on YouTube if anyone wants to check it out. I want to wait at least until I'm 65-70 to get any replacements. My left hip is starting to act up, so I think I'll need to do that side later on. Blessings to all that we will be active again & pain free! I'll write my report post-op the beginning of October. Peace.

Anonymous said...

...I meant to say my right hip is acting up, and I'll get arthroscopic surgery on that later on! All Take Good Care!

rachael said...

omg...im now scared....ive suffered severe hip pain in both hips for about 8 years,done the xray,ct scan,ultra sound,mri...all to no avail...everything was clear....i was beginning to think the pain was all in my head,i was desperate for answers,
i cant walk with my kids,i slowly take stairs,but pain is intense, my day to day living is getting worse,doc prescribed tramadol,with now..dont take the pain away.... 4 weeks ago,went for an mri with constrast dye,in my left hip.... hallelujah,a Hip Labral Tear .o the joy,the consultant must have thought i was off my head,i was so over joyed,at knowing there was something wrong with me....now im so worried that after 8 years of this,my hip will be knackered,i`ll be 40 in april....and have so much i still need to accomplish...after reading all the stories about the surgery,im scared....im a single parent,with kids aged 14,9,and 8....and wondering how im gonna manage if i have the op..... :((

Anonymous said...

Don't be scared, Rachael, see it's possible that the radiologists who read all your tests prior to this last one 4 weeks ago missed detecting a beginning Labral tear (since you said you were having 8 yrs of pain!!) I believe that's what happened to me too. Now what you'll need to do is find a qualified surgeon in your area, one who has done a LOT of hip arthroscopic surgeries and set up a consultation visit with that surgeon. What helped me while I waited through the pain was getting cortisone injections in both hip joints by an orthopedic doc in my area. Also, you have to GET OFF your feet!..rest as much as you can! Also, taking OTC's every day until you get the torn labrum repaired by arthroscopic surgery (it won't heal on it's own, and may get worse). I was supposed to have my torn labrum repaired on Oct 4th, but i got a bad cold the night before surgery & had to postpone the surgery all the way up to Nov 29th! I hope you are able to get your torn labrum repaired, and you WILL manage, you'll see! Stay positive! I also beat cancer 11 years ago, and I'm not gonna sweat this surgery & being on crutches for a couple months. I too have 2 kids & a household to keep! I am unemployed since I had to close a small business due to the economy, so "thank God" my husband has a good job with medical benefits. I hope you have the funds/coverage for the surgery! Take Care & God Bless

Anonymous said...

I am going tomorrow to get an arthrogram and MRI in my right hip. I am TERRIFIED! i have heard many horror stories and a few who said it was managable. i'm 14. I have been in TONS of pain for the past 3 months and finally went to my DR... and he believes it is a torn labrum that is also pinched in the joint. My hip hurts constantly... sitting, standing, laying down, not just when I'm active, which I am VERY! I am a pre professional ballerina and have been dancing for 11 years on scholarships. I NEED my hips! if it is a labral tear i will need surgery... I'm very nervous about the arthrogram though, a friend of mine had one a few weeks ago and said it HURT... BAD! is there a specific drug they gave you that made you not feel anything? please give me any advice on anything mentioned in this info, anything is greatly appreciated!
THANKS :)

mizunogirl said...

I'm now about 5 months out from a Labral repair and bony corrections. After a rough go with Physical Therapy (Really irresponsible therapist) and a new PT things are going GREAT! I feel so much better than I did. And the only thing I am restricted from these days is running. I think I could run, but as I have a new Physical therapist who is phenomenal, I am listening to him and waiting for the "running card"
I can recommend an excellent surgeon here in Central Florida if anyone needs.

My secondary recommendation for anyone undergoing labral repair is that about 4-6 weeks after surgery start with a good sports massage therapist. I only started about 12-14 weeks after surgery, and she was able to break up so many muscle restrictions and improve my mobility so so much.

Keeping my fingers crossed that I get back to real running very very soon. You can read my whole story at my wordpress site, I think it might help some who are afraid about the surgery, the arthrogram and any diagnostic injections...I went through them all this year. Check the tag "Hip labrum" Shoot me any questions. It's a really scary thing to go through alone.

H. Stephens said...

I would love to talk to anyone who has been to see Dr Byrd here in Nashville. I just had an MRI with contrast dye and am scheduled to see him. I haven't gotten the results from the MRI yet, but sports med. dr. believes torn labrum and FAI. Any information pre or post op would be wonderful. I have had this pain for 5 years since my first pregnancy, off and on except for about a 6 month period. It came back again and now is a daily problem after beginnning to train for a 1/2 marathon this Summer.

Anonymous said...

Does anyone ever feel like the torn Labrum can heal on its own, somewhat, but then when you "live life"...move around & get on with being upright & mobile, the pain comes back telling us that we didn't get it repaired when we should have?! Even though I'm still scheduled to go into get arthroscopic surgery on Nov 29th (as in my entry from Oct 14th), NOW, I have been pain free, and completely off ANY pain relief, OTC's etc., why?..I don't know! I know I'm really getting tons of rest, due to being unemployed now, so I'm getting a lot done at home & not "on the go" like before. I'm even questioning if I should postpone getting arthroscopic surgery!?! Reading my own entries above I sounded so convinced & strong in knowing I should, but I like being able to get around! I am a bit fearful about the post-op, pain, recuperating, crutches!! :( I'm not training for a marathon, but at least I can be fairly active. Reading Ms. Stevens entry above I was glad to see she was training for a marathon!..u go girl!..but sadly, her pain came back being a daily problem. I hope you (mizunogirl) start back to your running soon! I intend to read your story & may send you an email :) The doc I'm scheduled for the arth surgery briefly said during my visit that the Labral tear does not heal on it's own once it tears, & can even get worse. But I read a recent article on torn labrum/cartlidge & it stated that because that area is so rich in blood supply, it can heal enough to give us relief..but only until we make it stretch and perform..if you will, then it's too vulnerable & acts up again. I have osteoarthritis, some people will not get it. I know that arthritis can overtake the cartlidge - Labrum, like in my dad's case (he's 82). He now has the "bone on bone" aspect of his hip joints, & he can't even feel much pain in there anymore, but his hips "collapse" where he'll be walking & they just give out & he falls, or almost falls. If he falls bad enough, they would surely break. His problem; he went too long with hip pain & didn't find out about it & years went by. He also suffered a couple minor heart attacks. He should have both hips replaced but the risk for blood clots after hip replacements are too high for him and replaced hips don't out weigh a shorter life. If I stick with my surgery date & get the torn Labrum repaired I'll be sure to get a sports massage therapist 4 weeks after! I hope for the BEST for the 14yr old pre-professional ballerina!!!(entry Oct 20th) I urge you to get some rest & discuss with your family ALL options about your circumstances. Even if your world changes abruptly & you may not be able to dance for awhile due to getting arthroscopic surgery, at your age, your badly torn Labrum-cartlidge should be repaired over anything else. I really hope the arthrogram wasn't too painful :/ You may be the youngest entry in this blog. God Bless you & everyone else :D Until next time. Peace be with you all.

Anonymous said...

I am 8 weeks out from Open hip surgery for FAI impingement and labral tear repair. It was a really tough first 6 weeks, but I am doing so much better. My original pain is gone!!!! I suffered with chronic groin, butt/leg pain for 3 years after my 3rd baby and years of running. I feel like a new person.

Anonymous said...

So good to hear post-op good news!
I wish the last person gave a little more detail like her age & if she had any PT right afterward more specifically, used a "passive motion" machine? Glad she's doing so much better after an open surgery too, not just arthroscopy.
(Hope everyone had a fun Halloween!)

paula said...

Wow- I have read through most of these posts and find myself at a loss for what to do. I am a 47 y/o active female who took a bad jump 10 years ago and ignored my right hip pain for years. It has seriously worsened and I can barely rotate my hip-had several cortisone injections for misdiagnosed 'bursitis' and then finally had the MR-arthrogram that showed the labral tear. I have pain at night and can only sleep with a pillow between the legs. I have limited ROM in my right hip but I am an avid mountain biker/weight lifter and want to lead a normal life. I cannot do yoga, sit cross-legged or comfortably sleep. I also am extremely limited during intercourse. I have an appointment with Dr Ward in Boston for evaluating me for hip arthroscopic surgery. I am so depressed by reading all of your entries and feel like this will not be successful. Is there anyone that has seen an orthopedist in Boston that does this surgery?
I also cant take NSAIDS due to ulcers so I am crazy to consider surgery if I cant take anti-inflammatory meds?
Has anyone had success with intensive PT? I have not found PT helpful in the past but have not been impressed by the people I have seen.

Anonymous said...

Dear Paula, I could not get the tear in my left hip (labrum) repaired a month &1/2 ago because I got sick the night before going to the hospital. I'm due to get it done by arthroscopic surgery now in two weeks, but have been completely off any NSAIDS since the last surgery date 'cause it was the rule before getting the surgery & I was on a waiting list, plus got stomach upset. I realized that there are many different Rx pain relievers to take, used them instead(found one that worked) & was told I could keep the inflammation at bay during PT & using a "continuous passive motion" machine immediately after surgery (approx. 2 wks). Like you, right now, I still must sleep with a pillow, can't do yoga, sit crossed-legged, walk far or fast & am limited during intimacy & it's been yrs. I'm an active 51yr old woman & I am also very disgusted with finding out the reason for all my yrs. of hip pain, but after a WHOLE lot of reading & discussing the pros & cons (& especially being told by my Dr., Dr. John D. Kelly in Phila, PA, my type of tear can't heal/repair itself) I feel I'm going through with the surgery. Keep your appt w/Dr. Ward & you sound like you can be the best judge of the situation..if you think he'd be the right doc if he has done MANY arthroscopic hip surgeries. If he hasn't, see another doctor who has done many!.there are lots on the east coast. You owe it to yourself & the quality of your life to do what's right for your bad hip. I urge you not to go on any more yrs. w/out looking into the health of your hip.
I will try myself to begin Physical Therapy before my surgery since it'll begin to strengthen the joint better, but I'd better hurry up since my surgery date is Nov.29!!!
Just know that your life will be a different "normal" for a little while, if you choose to repair the tear. So much advances have been made in hip repair in these last 2 yrs. Success in hip surgery is a very individual thing!..be involved every step of the way & stay assertive in your quest to take care of yourself.
Good Luck! :D

mizunogirl said...

Oh Paula,

I'm a success story! a SLOW one, but a definite success. I had my repair in may 2011, and this week, I finally ran a full mile. Yes, it's not like the Marathon I ran before my diagnosis, but my hip is not really painful now (except for soreness form exercise and strengthening) but I am back and planning another Marathon for December 2012. Prior to that I was able to do everything I had previously done, except for the running. Each surgeon does things a little bit differently, so I would check things out well. I can recommend an EXCELLENT surgeon, but he is Florida, not anywhere near Boston. You can check out my story on my blog, click on the category of hip labrum, physical therapy etc.
I do think it's worth it. despite the slower than expected recovery...which was partly caused by a crappy PT, and my own impatience.

Anonymous said...

Hello,
I have had 2 hip scopes.The first one, March of 2011 and the second August 2011. I'm 29 years old and am active duty military. In all honesty I wish I would have never had surgery, my hip is so much worst than before surgery. After surgery I had a passive motion machine and went through intense physical therapy (still going). The doctors just told me I will need the other side operated, but I refuse to let them operate. Being a young active person before surgery it is very difficult to even walk 1/4 mile at this point. But the worst of it is I will be medically seperated from the military. If i can offer any advise to people who are going to undergo this procedure is to expect to take recovery VERY slow and not to over do it when you feel ok. Thanks and hopefully I have answered any questions that you may have.

Anonymous said...

I have to tell all that yesterday I had arthroscopic surgery, it's the second surgery date since I got sick the night before back in October. Dr. John D.Kelly did the surgery (Philly Dr. & very good). I'm doing rather well today. My biggest fear, believe it or not, was that I would be able to bend my hip joint yesterday & today. I'm so glad that I can use the bathroom without too much trouble. I'm told that I had debridement, femoral head/neck resurfacing to make it smooth again. Plus he also took same measures because he said I had hip impingement. He also said NOT to do anything the first week, no PT, and most of all not to use a passive motion machine, and the salesman sure was persistent for me to rent it...because he called very early in the morning the day before yesterday, and I feel lucky that I saw Dr. Kelly late last week just so he could tell me if I needed to start that & PT. Dr. Kelly told me that the medical supply company gets all the names & phone numbers of patients like us, and pressures us to immediately rent the cpm machine (and in my case, I'd have to pay $250 out of my pocket!) I hope the gentleman in the last entry knows that he may have gone too fast in getting up & going due to possibly not waiting until his treated hip was healed a little better. I know I have time to heal since unfortunetly I'm unemployed for now & I have an attentive husband & son around at home for a couple of days. I'm going to not put weight on my treated hip for 2 weeks as instructed by my Dr. I will also use crutches for 3 weeks. I too will need my right hip done next year & will have Dr. Kelly do the same arthroscopic surgery on that side. As the serviceman in last entry said, take his advice to really take it easy when this arthroscopic surgery is done - let the joint rest for quite sometime before walking without crutches. Thank you to all who posted advice in this forum. It sure makes me feel I'm not alone. Good luck to all!

Anonymous said...

After reading the posts my question would be open surgery or arthoscopic for hip impingement and torn labrum?

BK said...

20 year old male
In shape
Play golf and basketball at a small college

I started to notice limited range of motion during my sophomore year of high school (age 15). I was very active in high school, playing four sports. I was never in a lot of pain during high school sports but like I said, I noticed a lack of motion range.

I went to college and WAS playing basketball. During workouts this summer I noticed a little more pain and that range of motion (that I really started to need at the college level) still wasn't there, so I decided to do PT. That did not help, and all the stretching I did did not help. At the beginning of the season I received a cortisone injection which really relieved the pain for about 5 days, but definitely was not a long term solution.

Since then I decided to get an XRay and MRI in October 2011. XRAy showed cam-type impingement in both hips. The MRI on the right hip (that is the hip that hurts)showed moderately advanced early arthritis, the impingement, damaged cartilage, and a torn labrum.

The Dr. in Iowa City said I have the option to do nothing, to have it fixed arthroscopically, have an open surgery, or do do nothing (real insightful haha). He did note that it was rare for someone my age to have a hip joint this messed up, and I have noticed most people posting are over 30.

From what I have read the posts have been pretty negative, and that is unfortunate. It seems like later on in the blog there are a few more success stories than when the surgery was newer. Maybe Surgeon's are in the process of finding more efficient ways to do this, who knows.

One main problem I have with the idea of surgery is the fact that in normal daily life I AM IN VERY LITTLE PAIN. When I am not playing basketball or golf, I am only about 1/10 on the pain chart. I think it is hard for me to accept that I won't be able to play golf at the level I want to, but I CAN still play. It is important for me to play. It's just a very difficult decision for me because I am a lot younger than most and I am confident in my ability to rehab because I am young...but maybe I am overconfident. As you can see, I am ranting because I am very torn about this decision I have to make:(

I am no longer playing basketball...I explained to the team and coach my situation. I am thankful that I am not in pain during everyday life, or even when I am working out (light running and light weight training that doesn't involve deep squats). It's just 2 things I love to play I am not able to play like I want to.

What do you recommend? Thank you for your imput and this blog! It may save me a costly surgery that I might regret...but who knows.

Anonymous said...

To the 20yr old basketball/golf player,
(entry Dec 11)..& all else who is reading this far in the blog...
I just read your entry & I'm the person who just had arthroscopic surgery by Dr. John D. Kelly of Radnor PA. PLEASE look into having the surgery ARTHROSCOPICALLY Possibly by the doc who did mine. I specifically had Labrum debridement/removal of CAM Impingement of my left hip, but I need the right hip done too. I would've done it together if I could but Dr. Kelly said, "next year." So, I'll do it soon in the new year. Were you born with slight hip displaysia (uneven hips or socket formation)? Because if you do research, you'll see that could be why you have your condition at your age. But, no matter,just don't feel bad when someone tells you you seem so young to have these problems because I had the same and I first noticed it at 23 years old. DON'T WAIT until you're 50 (like me) and get your hips scoped. But you're right in noting that surgeons have come a very long way in perfecting arthroscopic surgery now!
TODAY I am 3weeks post op & I know for SURE it is the BEST type of surgery, if not THE BEST Surgeon on the east coast! NO more Pain!..completely off pain meds, off the crutches (but I must add that the ENTIRE two weeks after STAY ON THEM! so as to let the whole area heal well!) I know if I would've done it years earlier my outcome may have been different. I gotta go because I gotta get to my 1st PT appt & sooooooo glad I am on my way to a pain free second half of my life!!
Dr. John D. Kelly...the BEST! Happy Holidays & a Happy Healthy New Year to ALL!!!

kaz115 said...

Thank you all for the stories. Not sure where I'm at quite yet. Ortho is on vacation but MRI arthro from last week indicates fraying and thinning cartilage - not sure if its torn labrum but is sounding like surgery. Have 6 weeks of PT under my belt and pain since July. No real improvement.

I'm outside Chgo and a 44 year old female - relatively casual runner. Last race was July and only a 5K. Feeling far too young to give up the activity level I have pursued until July. My current doc is through IL bone and joint but I don't have a sense hip arthroscopy is their expertise. Seems like it might be Rush or Northwestern for real expertise.

Welcome ideas. Right now - just feeling better hearing others experiences and researching.

Anonymous said...

Hi kaz115,
Just wanna let you know that finding a doc who has done a LOT of hip arthroscopic surgeries is your best bet on getting back to being pain free...period. If Rush or Northwestern have doctors who have done arthroscopic surgery, then by all means!..go there! Since you have had an MRI & it's showing any fraying inside your hip, a good "look see" is in order. Getting your hip scoped will be so much better than not doing anything & ongoing PT will not heal the damage. Don't allow the doc's who aren't experienced to tell you a hip replacement is needed either. If you have any arthritis but the spacing is good in your hip joint then you may have the impingement inside your hip that this column started out explaining. It's like there's excess bone inside your hip that keeps scraping off & pulling on the labrum in your hip socket. Hip arthroscopy corrects the problem with minimal scarring (usually 2 to 3 small 1/2 inch incisions) as opposed to an open hip incision they used to do before perfecting hip arthroscopy. My left hip is done, feels great! (almost 5 weeks post-op) & my right hip will be done this year sometime.
Best wishes to you! I hope to see your entry here again with positive info! :)

kaz115 said...

Thanks for the words of encouragement. I'm already scheduled for consult with a specialist outside Chicago - Dr. Benjamin Domb. He's done "thousands", seems to have the credentials with various fellowships, published papers, etc. Would love additional feedback if anyone's had surgery with him.

I also keep reading about Dr. Kelly and Dr. Philippon. While out of state, I like the idea of the best of the best and a pioneer with the procedure. Neither Vail or NY is convenience and only one of the two is in network but they both evaluate films before havng to head to office for consult so I may pursue that route too. Welcome any experiences.

It's a strange condition - I'm not miserable but definitely aware of my hip all the time and wake in pain almost nightly. I've defintely curtailed my activity level which is touch and I worry about doing further damage.

Great to hear that only 5 weeks post-op you feel great. The stories of people still in pain after 6-8 months of PT have me a little freaked! Thanks again - I'll keep checking in.

Best!

lasmas said...

I have had hip pain for about 5 years now. I am 43 and the mother of 3 boys. For the past 2 years I have been getting steroid shots for bursitis. I would feel great for aboout 6 weeks and then the pain would slowly build until I would get another shot(every 3-4 months). Decided to have surgery to fix this, had an MRI that showed bilateral bursitis, bilateral labral tears, ang chondral thinning on one side. My doctor is suggesting I have the bursectomies done first. See if that takes care of all the pain. If it does, don't worry about the tears. If I still have pain he will refer me to someone that can fix the tears. Any suggestions? Should I just go to someone who will fix it all or follow my doctors suggestion?

Anonymous said...

(As a response to Kaz115) Glad that your post was positive & hope your consult with Dr. Ben Domb goes well! Before I had my left hip "scoped" by Dr. Kelly, I too was pretty freaked from the posts that were 2 to 3 years old in this forum and I just kept telling myself that it's 2012 & I couldn't be as active as I was without having hip arthroscopy. And, I really did a LOT of research on the pros & cons of hip arthroscopy. You HAVE to be somewhat assertive in finding out all about the Dr. & knowing if you are ready to put your trust in him/her. Realize if an MRI shows there are Labral tears, & any other unwelcome condition, it's time to act. I was told by my Surgeon a torn Labrum in the hip will not go away, heal on their own, etc., & I know I made the BEST choice for me.
Have faith in yourself & make the choices after much thought & research. Take care!

To the mom of 3 boys,(lasmas) I would suggest holding off getting more steroid shots and research what can occur when having too many. Then, discuss with your doc the option of hip arthroscopy done one side at a time (the one with the worst conditions). Make SURE you choose a doctor that has done many successful arthroscopic surgeries also. The 1st doc I saw (TOG in Jersey) actually referred me to see Dr. John D. Kelly (Penn) because he knew he didn't do enough arthroscopic surgeries to be qualified, just a lot of successful hip replacements...but I wasn't ready for one yet! When I read your post I felt that the doc your seeing now might be unsure, since he's willing to have you get bilateral bursectomies & see(?) if that takes care of the pain, but he's not worried about the labral tears?! Please consider finding a skilled arthroscopic surgeon (that accepts your insurance of course) and set up a consult & bring all your scans/tests/reports with you. Best wishes!..to All!!!
P.S. My 6 week followup is coming & I am so glad arthroscopy of the hip has become so popular as a way to be pain-free! PT has been a breeze too. Everyone - trust your instincts, but don't wait too long before having any surgery because the condition may get worse. Peace! :)

LaurenCarr said...

Hello,
I am 20 years old and have a torn labrum with a CAM impingement. Two doctors have suggested surgery if I cannot live my life without pain. I am taking a couple months to see how I feel and to see if I can do all I want to do with this injury the way it is and avoid surgery.
After reading all the comments it is frustrating to here that the surgery is not that successful.
Has anyone recovered from a surgery and been pain free? Or is there just always pain involved that we are stuck with?
Does anyone have an opinion on doing the surgery or not?

Val said...

Hi LaurenCarr,
..If you read my previous post, and not the posts from waaaaay above, you'll see that arthroscopic repair of a torn labrum w/CAM impingement (which is exactly what I had done) can give you a life without pain. Again, don't wait years until a repair is done, it'll get more torn, & you'll be stuck with continuous pain. At your age though, I'd be sure that the Dr. says your hip is definately requiring repair surgery. Dr. John D. Kelly (Penn) is worth a visit if you can get to Philly. He has an office in Radnor PA too. An "open" repair is out-dated now, leaves you with a bigger scar & more recovery time and arthroscopic surgery can be done with 2 to 3 half-inch scars - much LESS recovery time. I am now PAIN-FREE after having the repair on my left side. Best wishes!
Val (anonymous for previous few posts).

KAZ115 said...

Quick update and questions...

Had surgical consult today. Not as strong a candidate for arthroscopy as I expected. Have FAI and torn labrum but also mild to moderate OA. Cost/benefit needs to be considered. Doc says coin toss as to whether I'd have pain relief after arthroscopy. Eventually I'll need THR but no telling how soon.

Not sure how I feel about 4 months of intense rehab (2 weeks crutches & brace, 7x week for 8 weeks of biking 2 hours every day) for a 50% shot.

Pain level isn't unmanageable now. Suspect its 10 years of running that caused damage. If I stop running and strengthen core and hip muscles,maybe I'll have some improvement and not do as much continued damage.

Welcome any thoughts...

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