Comments on UNDERSTANDING FAI (Hip Impingement): Full Circle

Vanessa, Dr. Byrd performed my surgery on 2/22/20...

2010-02-27T05:57:39.019-08:00

Vanessa,

Dr. Byrd performed my surgery on 2/22/2010 and I am amazed that I have had NO pain post-op. He cleaned up the labrum and shaved both bones to correct FAI. First, we agreed to try PT and an injection to see if that would correct the issues and pain in my hip. After 8 weeks of PT and a second injection under x-ray, with no relief, we both agreed that surgery was the best

hey everyone im paul and 26 years old I just had s...

2010-02-24T15:40:09.161-08:00

hey everyone im paul and 26 years old I just had surgery six weeks ago. I had the labrum debridement because it was to far gone to repair, this was caused from a bump that I had on the head of my femur that also had to be removed along with a large chondral lesion. I really want to start pt but my insurance is too expensive, i was wondering what exercises i should do and how often, basically

Lisa, that's funny you have family in Gasden! Not...

2010-02-17T19:20:11.224-08:00

Lisa, that's funny you have family in Gasden! Not exactly the big city:)
Keep us posted as things go along! Good luck to you,
Vanessa

Vanessa: I was told pelvic floor stuff like you i...

2010-01-29T12:15:24.265-08:00

Vanessa:

I was told pelvic floor stuff like you in the beginning. Obturator internally was pretty bad and when she examined me flared me up. My MRA did show labral detachment, cyst probably from tear, etc. some loss of retroversion, couple other stuff I would have to look. I did see FAI specialist and he thinks pathology in hip is issue. I think I will go to Rush University in

Lisa, I did have that pain at times, usually that ...

2010-01-29T06:16:50.101-08:00

Lisa,
I did have that pain at times, usually that was where my pain would start but always settled in the deep groin achiness. The most common, clearest indication of FAI pain is the achy joint. Did you mention what your MRI showed? Although MRI often does not catch FAI, it's difficult to see into the hip through imaging sometimes scope is the only way to see.

As for the

jenny, Hang in there, I know it's tough. It's ver...

2010-01-29T06:09:32.719-08:00

jenny,
Hang in there, I know it's tough. It's very difficult, especially to have additional challenges to deal with. Please keep us posted when you get a date! And it is nice to have others here who understand and can relate.
take care,
Vanessa

I had an MRA in May 2008, It is probably too old n...

2010-01-28T12:23:44.083-08:00

I had an MRA in May 2008, It is probably too old now. I have such buttock pain, sometimes a sciatic flare, this pain seems worse than the groin pain. Did you also have that pain, was your pain achey? I am afraid I waited too long, I am 45.

Lisa

I say go for the cortisone injections! I got grea...

2010-01-27T20:17:37.764-08:00

I say go for the cortisone injections! I got great relief for several months. Unfortunately, like Kate I did get a terrible flare up in my psoas after one of them, but mine only lasted 2 days. It's certainly worth it and your surgeon can order a contrast dye MR-Arthrogram in the meantime.
Good luck,
Vanessa

Lisa, I had the injections in the joints and pso...

2010-01-27T19:26:57.373-08:00

Lisa,

I had the injections in the joints and psoas on both sides almost two months ago. I flared up for about two weeks after the injections, but have had pretty decent relief since then. I would try it. I believe mine are starting to wear off a bit, but I don't know if I could have functioned the past two months without them.

dear Vanessa: I have been following you as I am t...

2010-01-27T14:30:18.308-08:00

dear Vanessa:

I have been following you as I am the same afraid to just do the arthroscopy. I just got through with 2 months PT, A.R.T. therapy and bike, etc. Some help, but not "fixed". The next step is a cortisone injection in hip to be sure it is the hip joint. Any reason NOT to get that? Thank you so much!

Lisa

Hey venessa, so glad things are going well for you...

2010-01-27T13:04:21.246-08:00

Hey venessa, so glad things are going well for you. I am now in those dark days you talked about. i have been in severe pain since december of 09. I will most like;y have to have open surgery to correct my hip impingement and i think a few other issues because i have cerebral palsy as well. i have not heard on the date yet but did talk to the ortho again and he was surprised to hear that i had

Hey I'm UK I was 6 - 8 weeks crutches because of t...

2010-01-26T15:37:18.073-08:00

Hey I'm UK I was 6 - 8 weeks crutches because of the bone work. Also had labrum reattached with anchors. PT here bit half hearted and uncoordinated, offered 6 week course ad of course 6 months post op am still in weekly pt as I have not got much better, some improvements but nothing to write home about. I had it 6 years before spotted, dunno if that's why? They say I have muscle and

Hi Kate, Good question. I have no idea what his s...

2010-01-25T19:13:49.463-08:00

Hi Kate,
Good question. I have no idea what his stats are, but I'm sure there is a way to find that info. I can tell you that I have met people in therapy who have had an unsuccessful surgery and have had to repeat the procedure. I'm not sure if the first were performed by him or not. I do know of one patient here in town who has not had great results.
Dr. Byrd was very

Vanessa, I can't thank you enough for your blogs...

2010-01-25T18:26:53.999-08:00

Vanessa,

I can't thank you enough for your blogs. I know I say it every time, but it is so important for us who are scheduled to have surgery to hear of someone who was in such debilitating pain come out better on the other side.

You are so fortunate to be near Dr. Byrd. It seems like everyone who sees him has success. Are there actually some non-success stories

Briony, It doesn't seem that aggressive PT is the ...

2010-01-25T12:22:14.582-08:00

Briony,
It doesn't seem that aggressive PT is the norm, but with those surgeons who have studied under both Byrd & Phillipon and others I'm sure it is. I wish that more people were getting that aspect of the care & the follow-up. Having that relationship with my PT was vital to my confidence too! Having someone who could see and take notes on my progress was a great thing!

Thanks for that insight. As I said, I wasn't tryi...

2010-01-25T11:33:41.449-08:00

Thanks for that insight. As I said, I wasn't trying to question your judgement at all - it is clear to see how much research you have done! I'm just stunned by the differences. From what you have said, I think the answer is that you had labral *repair*. I had labral debridement - repair is not given as an option here, unless it is a very substantial tear. Unfortunately, this leaves

oh, by the way Briony. My surgeon and I are conse...

2010-01-25T10:43:17.825-08:00

oh, by the way Briony. My surgeon and I are conservative. The first two I saw said this was the only option. My point is, it probably is your only option if you are hoping to get back to training or being a highly active person.

Not everyone is. If you have no interest in returning to a highly active lifestyle surgery may very well not be your only option. Rather, it might be a

Hi Briony, The approach is definately different, n...

2010-01-25T10:39:59.905-08:00

Hi Briony,
The approach is definately different, not only in the US, but surgeon to surgeon. The labral repair, using anchors to reattach the labrum takes 4 to 6 weeks to heal at the repair site. Compression and external rotation can easily compromise the repair during this time, making the repair vulnerable. I guess the surgeon I used doesn't see the sense in risking that repair. It

I still stand by my decision and think everyone wh...

2010-01-25T08:30:44.485-08:00

I still stand by my decision and think everyone who is not a professional athelete should give this time. The surgery doesn't have a very high success rate, it is a long hard recovery and if you have a family to care for, well you're not going to be able to. 6 to 8 weeks on crutches for a labral tear.

I'm fascinated by this part, because it is so very different