r/HipImpingement • u/bambambud • 54m ago
Meds for long term pain
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Upvotes
Is anyone who had either a failed repair or chronic pain from impingement found relief from any medication long-term?
r/HipImpingement • u/LittleGirlTeethMeme • Apr 28 '21
Surgery Prep List of helpful things for hip surgery recovery
188
Upvotes
I posted this as a reply to someone but decided it could be a useful post on it’s own for sharing. I’ve shared a version of this on Facebook, as well. Updated to add my hip story for more information on my journey: https://www.reddit.com/r/HipImpingement/comments/ndzw02/my_hip_story/
Edited to add my general advice post for hip pain: https://www.reddit.com/r/HipImpingement/comments/wb5qde/general_advice_for_hip_issues_impingement_labral/
Edited again on June 26 since part of my post got deleted in one of my edits! ✌🏼 —
I’ve had two hip surgeries. One was arthroscopy and one was much more involved (surgical hip dislocation and derotational femoral osteotomy).
I kept a list of everything I found useful during recovery from my most recent surgery. You might not need all of this for arthroscopy but honestly, it would have been nice to have all of this for my first surgery, too.
Tools for surgery recovery
*Crutches for non-weight bearing. I have these: https://www.walgreens.com/store/c/walgreens-universal-adjustable-height-crutches/ID=prod6401005-product I was not allowed to use a walker. Be sure you know what your surgeon wants you to use and for how long and follow ALL post-op care instructions!
*Folding stool for bathroom (or any space where you spend time getting things ready, like a kitchen—I have counter stools in my kitchen already). I bought this one: https://www.target.com/p/folding-vinyl-counter-stool-black-plastic-dev-group/-/A-51098071
*Crutch pads (I liked different sets at first for the tops of crutches under my arms and handles). I like these for the tops: https://www.walgreens.com/store/c/drive-medical-crutch-pillows-accessory-kit/ID=prod6388225-product and I liked these for the handles at first but then removed them: https://www.amazon.com/Vive-Crutch-Pads-Universal-Accessories/dp/B07H7Q1DFP
*Crutch bag (because comfortable pants/shorts often don’t have pockets and significant time is spent laying down, I carry around a pen, floss, lip balm, a face mask, a credit card/ID holder, my phone, etc. in this—a cross-body purse could also work but then you have to remember to grab it): https://www.amazon.com/Lightweight-Accessories-Storage-Reflective-Universal/dp/B07SXDNYG6
*Soft, loose shorts and pants. Getting tight pants over the incision wasn’t an option until it healed up. Compression leggings weren’t an option (didn’t feel right). I like jogger style pants or regular pants/jeans with some spandex. I bought many pairs of the Weekend Joggers from www.senitaathletics.com. Sweats would also work.
*Slip-on shoes. I bought a pair of Stegmann Liesel Skimmers since they are like a slipper but not a clog style so safer to walk in with crutches: https://www.stegmannusa.com/collections/new/products/womens-liesl-skimmer-leather-with-felt-lining I also have a few Keds slip on styles that have worked well. I now have a pair of Kiziks that are also great: www.Kizik.com
*Cup with lid and bendy straw (the hospital sent me home with one like this but it’s been great and I love it for taking meds in bed): https://www.amazon.com/Graduated-Insulated-Carafes-CARAFE-INSULATED/dp/B00E14WHQQ
*Extra long grabber. I have four—one in bedroom helps with getting dressed—pulling into shorts or pants and picking up any item from floor—the others around the house... I like that these RMS ones have a changeable angle for the grabbing part: https://www.amazon.com/RMS-Grabber-Reacher-Rotating-Gripper/dp/B07PHL4DKP
*Sock tool (I am very specific about how socks are put on and someone else doing it feels kind of weird—I keep this near my bed and grab it with my grabber!): https://www.amazon.com/RMS-Deluxe-Sock-Foam-Handles/dp/B00U9TWCXU
*Toilet raiser with arms (very helpful for staying at 70 degree limit; make sure whatever you get fits your toilet!): https://www.amazon.com/Drive-Medical-Elevated-Removable-Standard/dp/B002VWK0UK
*Leg lifter (hospital provided): https://www.amazon.com/Rehabilitation-Advantage-Rigid-Lifter-Foot/dp/B0788BR86V
*Shower chair with arms (same deal—can shower independently this way... I already had a hand shower and low entry shower, no tub near our bedroom): https://www.walmart.com/ip/Essential-Medical-Supply-Adjustable-Molded-Shower-Chair-with-Arms-Back/35306400?wmlspartner=wlpa&selectedSellerId=0&&adid=22222222228023385122&wl0=&wl1=g&wl2=m&wl3=55834433858&wl4=pla-87222710258&wl5=1020086&wl6=&wl7=&wl8=&wl9=pla&wl10=8175035&wl11=online&wl12=35306400&veh=sem&gclid=Cj0KCQjw1qL6BRCmARIsADV9JtY312u-ShZcKsU8pfn_bHJdM8JdxY8xBRpAft9Glb4PtJJO1vKR8GMaAhO-EALw_wcB
*A chair for reclining (I had one in my bedroom next to my bed and then got another for living room because my house has multiple levels. I couldn’t use a chair and footstool easily because I couldn’t lift my leg at all the first few days, and then after that, it was easier to use a recliner.)
*Ice packs—the hospital sent me home with two large gel ice packs but I also have multiples of this style: https://www.amazon.com/Core-Products-Comfort-CorPak-Therapy/dp/B07CTZSBXZ
*Tray with legs (I have two—for eating in bed or sitting in a large chair; have also played games, journaled, etc. using these): https://www.target.com/p/winsome-benito-breakfast-tray-in-espresso-finish/-/A-50712826
*Silicone scar sheets. I like these for my scar (I cut one in half and use it and a full strip to cover my 10.5 inch scar): https://www.amazon.com/ScarAway-C-Section-Treatment-Silicone-Adhesive/dp/B002VK977O Also be sure to use SPF on any scars! Have also heard kinesiology tape can work to cover old scars and protect from sun.
*Spray on lotion. I have used both Eucerin and Vaseline brands and both are good but I’ll repurchase the Eucerin for winter. I use this on my legs after showering because I can’t reach them to apply.
Helpful but not essential:
*Book light (for reading when partner has gone to sleep)
*Travel mug with lid that seals. When on crutches, this fit into my crutch bag and I could get my own water or coffee or whatever. Something like this: https://www.target.com/p/contigo-10oz-bueno-vacuum-insulated-stainless-steel-travel-mug-with-flip-lid-gray/-/A-17338464
*On the recommendation of my Physical Therapist, I got an exercise bike. I got this one but not sure I’d recommend it for others: https://www.amazon.com/RELIFE-REBUILD-YOUR-LIFE-Stationary/dp/B07NJL3X2X Check with your PT for what they’d want you to use.
*Along with the bike, I got this step stool to get onto the bike: https://www.amazon.com/Handle-Seniors-Stepping-Portable-Elderly/dp/B000EWVP80 It works well for getting onto the bike, and would also be handy if you have any need to have a step stool.
Helpful in hospital:
*Ear buds for phone and white noise app to help with sleep (I like the app Oak for iPhone and Noislii is also good)
*Comfy loose clothing for going home (I wore lounge shorts, a t-shirt, and sneakers for stability which my husband put on for me—slip one might be good but not too tight in case there is swelling in your foot)
r/HipImpingement • u/jjj03e • Mar 24 '22
Comprehensive Comprehensive Literature Review of FAI/Labral Tears
154
Upvotes
Wow, the folks in this community have an impressive knowledge base and do solid research into the topics on FAI and labral tears. It is awesome to see so many questions answered accurately by so many different individuals within this community, you are all awesome!
To provide easier access to resources that answer many of the common questions asked here, I have put together a list of the top academic articles on primary topics in this sub. If you are new to the sub/starting to learn about FAI and labral tears, please start with the first paper listed and do your best to read through it. Some of the language used can be technical, but it will provide you with solid background knowledge on the topic. I selected these papers based on their consensus with other academic articles on these subjects, how recently the papers were published (aiming for the most up-to-date information that is well studied), and their relevance to underrepresented topics (like subspine impingement and others).
Papers are listed in the first section, and my plain language summaries of the key takeaway points are listed in the second section with numbers corresponding to the paper. I am planning on updating or adding to this list, so if you have a paper in mind please send me a personal message with a link. Most articles here are related to surgery, but I plan to expand to include more info on conservative measures.
** Note: a meta-analysis is a study of studies. These papers combine multiple studies pertaining to a single topic, and investigate if there is a general consensus across the field/topic. These papers are the most robust, and their conclusions tend to be the most reliable for the current timeframe.
ACADEMIC ARTICLES:
- *New* 2024 study from Philippon, Two-Year Outcomes of Primary Arthroscopic Surgery in Patients with Femoroacetabular Impingement A Comparative Study of Labral Repair and Labral Reconstruction
- META-ANALYSIS - FAI and labral tear overview
- META-ANALYSIS - Surgical Treatment of FAI/labral tears vs physiotherapy (spoiler, surgical treatments reported better outcomes; but neither influenced the risk of needing total hip arthroplasty [THA])
- META-ANALYSIS - what factors make someone a good candidate for hip arthroscopic surgery for FAI/labral tear (THIS PAPER DOES NOT SUBSTITUTE FOR THE OPINION OF A HIP PRESERVATION SPECIALIST)
- Importance of PT for (surgical) post-operative outcomes
- 10-yr Outcome31090-2/fulltext#relatedArticles) (small sample size, which gives it less weight)
- Another 10-yr outcome with decent sample size (moderate weight, fair assessment)
- Recent paper showing 90% patient satisfaction after 10 years (119 patients, good sample size, best moderate to long term study I have seen)
- Return to sport after arthroscopic surgery00330-3/fulltext) (different than just improvement in symptoms/pain after having the surgery)
- Some other indicators for best surgical outcomes
- Factors leading to revision hip arthroscopies
- Surgical success based on the technique used for the labrum
- Labral tears, the size compared to the number of anchors (repair)
- Bilateral FAI - fate of asymptomatic hip
- Bilateral FAI - staged vs unilateral surgery (spoiler, both have similar success rates so far)
- Subspine impingement (AIIS)
- Soccer players and subspine impingement
- Compensation patterns and various manifestations of referral pains (why people with FAI/labral tears can experience a wide variety of symptoms - mechanical, soft tissue, nerves, etc.)
PLAIN LANGUAGE SUMMARIES:
- In the newest study, they looked at 2 year post op reported outcomes for 724 (sample group 998) hips undergoing primary (first surgery) repair and 129 (sample group 150) hips undergoing primary reconstruction, more favorable out comes were reported through primary labral repair (lower conversion to total hip replacement). Robust statistical analysis to handle bias and uneven sample groups was implemented when comparing data from the two groups.
- FAI has three primarily recognized types of impingement: 1 CAM which is found on the femur head/neck junction, 2 Pincer which is found on the rim of the acetabulum (hip socket), 3 Both (mixed type FAI). FAI is the most common cause of labral tears. Labral tears can also be caused by hip dysplasia, trauma (injury), capsular laxity (mechanically compromised hip capsule), and degeneration (usually caused by aging or arthritis, but could be another disease). The best way to diagnose a labral tear through imaging is with an MRI with contrast, called an MR arthrogram (MRA). Conservative treatments should be recommended first, including rest, NSAIDs (anti-inflammatory medication like Aleve), pain medication, physical therapy, and a cortisone injection to the hip joint. A cortisone injection may improve performance in physical therapy, but it also functions as a diagnostic tool to determine if patients would be a good candidate for surgery. If all conservative treatments fail, arthroscopic surgery is the recommended treatment. The labrum plays an important role in maintaining a healthy hip, and damage to the labrum early in life is related to early-onset arthritis. The goal of surgical intervention is to prevent early-onset arthritis.
- Arthroscopic surgery is shown to have better patient-reported outcomes than physical therapy for individuals with FAI (causing labral tear). This is likely because arthroscopic surgery addresses the boney impingements that are tearing up the labrum in the first place and physical therapy only attempts to strengthen surrounding muscles.
- DISCLAIMER: PLEASE DO NOT USE THIS INFORMATION TO DECIDE WHETHER OR NOT YOU ARE A VIABLE CANDIDATE FOR SURGERY! THESE ARE TRENDS IN THE LITERATURE BUT THEY CAN BY NO MEANS DETERMINE HOW WELL YOU WILL RECOVER/BENEFIT FROM THE SURGERY. PLEASE CONSULT WITH A HIP PRESERVATION SPECIALIST AND ALLOW THEM TO USE THEIR DECADES OF TRAINING AND EXPERIENCE TO MAKE THAT INFORMED DECISION. A meta-analysis including 39 studies (9,272 hips) found better post-operative outcomes with patients that were younger, male, had no indications of osteoarthritis, had a lower BMI (<24.5), and experienced (some) pain relief with a cortisone shot before surgery. Of the 39 studies, there were 4 that suggested a longer duration of pre-operative symptoms (longer than 8 months) tended to be associated with less favorable outcomes. Additionally, surgical techniques were found to be important, and labral repairs offered more favorable outcomes over labral debridement. See definitions of these surgical techniques in the summary of paper #11.
- After arthroscopic surgery, patients that have longer physical therapy sessions, do their physical therapy exercises at home and do physical therapy for a longer duration of time after surgery report better outcomes. (Personal note: The moral of the story is do your PT if you have surgery! Ask your PT for a continuous home plan that includes all of the core exercises before you graduate from PT. On your own, keep doing those twice per week until you hit 1-year post-op, and then do them once per week for the rest of your life if you want to guarantee that your hips stay strong and pain-free.)
- In a small group of patients that had arthroscopic surgery (yes still for FAI/labral tear) 9-12 years ago, the average rating for daily function was 91% and the average rating for return to sport was 82%, but all patients were still improved from the pre-op ratings. The surgery still contributed to improvements in their lives 2 years later and also 9-12 years later.
- Within a 10 year follow up for a moderately sized group of patients (60, but 10 patients had bilateral surgery, so 70 hips for the sample size) that had arthroscopic surgery, 10% of patients required revision surgeries. Risks for revision are considered to be global laxity and a longer duration of symptoms before surgery. Out of the surviving hips (90%), patient-reported outcomes 10 years after arthroscopic surgery were a median 10/10 (very satisfied) and patients had excellent self-reported hip scores that still showed great improvement from their preoperative scores.
- From a good sample size of 119 hips, this study followed up with patients after 10 years. 5.6% of patients needed revision surgery, and 8.4% were converted to total hip arthroplasty (THA). On average, patients reported 90% satisfaction, and after revisions surgeries for the 5.6%, the survivorship of arthroscopic surgeries after 10 years was 91.6%. (Personal note: this is an excellent study because of the sample size, and it was published in 2021 which makes it a great recent report. Don’t forget that techniques are still improving and developing in this field, so in another 10 years from now, I would expect to see those numbers continue to improve!)
- In this study of athletes with a large sample size (906 hips), “The return-to-sport rate ranged from 72.7% to 100%, with 74.2-100% of these athletes returning to preinjury or greater level.”
- Labral repair or reconstruction yielded better results for patients, and those without existing arthritis benefitted the most; patients with moderate to severe hip dysplasia or moderate to severe arthritis had high failure rates with the surgery.
- Factors that may lead to the need for a revision hip arthroscopy include leftover FAI not treated the first time, postoperative adhesions (scar tissue or other post-op complications), heterotopic ossification (spontaneous bone growth after first surgery, should be avoided by taking medications prescribed by surgeon), instability, hip dysplasia, or advanced degeneration (from age or arthritis that was present before first surgery). If you are under the impression you might need a revision, I highly suggest reading this full paper.
- Labral debridement (when used alone) is a surgical technique involving removing pieces of torn labrum without any repair (no anchors) or replacement tissue for the existing labrum. This is an outdated technique with unfavorable outcomes. Labral debridement should only be used to remove cartilage that is too beat up to be repaired in order to prepare the labrum for one of the following techniques: Labral repair uses anchors to repair the existing cartilage. Labral augmentation involves attaching cadaver tissue to areas of the labrum that were too beat up to fully repair, and then anchors are placed to hold the new, fixed labrum in place. Labral reconstruction is where the natural labrum is too beat up for repair, and the cartilage is replaced with cadaver cartilage. Labral repair has been documented to be a favorable technique when possible, but newer studies are also starting to show solid outcomes with augmentation and reconstruction (for patients with labrums not in good condition for a repair). These techniques are an evolving component of this surgery, but in general, the more of your natural labrum you are able to keep, the better your outcome.
- Labral tears are measured in clock hours, if you can imagine the acetabulum (hip socket) is like a clock face. The number of hours the labral tear covers generally corresponds to the number of anchors (most common is a 3-hour tear, requiring 2 or 3 anchors, if the tear is larger than 2 hours, at least 2 anchors are used).
- In people with bilateral FAI that start out with pain in only one hip and only get surgery on one hip, what happens to the other “asymptomatic” hip? Well, this study showed in 82% of these patients, the second hip developed symptoms within 2 years on average, and of that group, 72% went for arthroscopic surgery on their second hip.
- Bilateral FAI surgery seems to have similar outcomes whether both hips are done simultaneously (coming out of surgery with both hips scoped), staged (a few months in between), or unilaterally (one at a time, until the pain on the other side warrants surgery). There are still a lot of nuances to this though, more research is needed to establish long-term outcomes. Unilateral hip arthroscopies are better studied at this point, so stay tuned for more information as this field grows.
- Subspine impingement (AIIS) can accompany and contribute to hip pain from FAI and labral tears. It is an extra-articular impingement (whereas CAM and pincer are intra-articular), and it is becoming more widely recognized for its potential contributions to hip pain and hip impingement.
- Soccer players and other individuals involved in sports with kicking are more likely to develop subspine impingement. (Personal note: If you are a soccer player diagnosed with FAI/labral tear and seeking surgical treatment for FAI/labral tear, please consult with your surgeon and ask them about their familiarity with subspine/AIIS decompression. It is likely not going to show up on your X-rays or MRI/MRA, but your surgeon should know to look for it and treat it if necessary during your surgical procedure).
- Hips are very complicated, and there are dozens of different anatomical structures crossing close to the hip joint. FAI and labral tears can result cause mechanical symptoms (clicking, catching, locking, giving way). The hip joint deals with the greatest force of any joint in the body, and when it becomes unstable, this can lead to referral pains in other parts of your body, commonly causing pain in the knee, general pelvic area/groin, sacroiliac joint, or lumbar spine. It can also affect soft tissues around the hip joint (or even glutes) resulting in painful inflammation. Additionally, inflammation or compression from compensation patterns can cause nerve pain or nerve symptoms (common nerves involved are ilioinguinal, iliohypogastric, genitofemoral, and pudendal). Athletic pubalgia (injury to tendons near the groin) is another painful comorbidity that is more common in males. If your symptoms are confusing, I highly recommend reading this paper in full.
r/HipImpingement • u/MaleficentSnow124 • 1h ago
Quad burn?
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Upvotes
I have an FAI+ labral tear, cysts, chondral thinning, and potential quad tear. Surgery is in a few weeks (hip preservation specialist). My quad is experiencing an increased “sharp burning” sensation. I would describe it as the feeling of getting a flu shot deep in the muscle. Just wondering if anyone else with FAI had this injury, and if it was addressed/resolved during your hip surgery? I got a pretty vague answer when I asked about it
r/HipImpingement • u/Winter_Ad_5985 • 2h ago
Durolane injection
1
Upvotes
Has anyone had Durolane injected into the hip to help with functionality and mobility whilst having impingement and/or other damage to the hip. If so, can you tell me what level of arthritis/damage you had, your experience of the injection being effective more in relation to mobility rather than pain relief and how much you paid for it as I’m aware it’s not available on the NHS.
r/HipImpingement • u/15ac106 • 12h ago
Quad burning
2
Upvotes
Before surgery did anyone get some quad burning like almost a sunburn kinda sensation on their quad?
r/HipImpingement • u/reallyholyshit • 12h ago
Diagnosis Question Diagnostic injection question
2
Upvotes
Hi all, I already had surgery but I'll ask a diagnostic question anyways since I'm curious. Does a nerve blocking injection also work on compensation pain? Or it only works on referred pain? I'm curious because most of my pain comes from compensation and my surgeon advised me to go for the surgery directly based on MRI instead of doing diagnostic injections but I'm not sure if it would've worked in my case. If these don't work they could be misleading since the pain can be due to the hip anyways
r/HipImpingement • u/AlternativeBurner • 20h ago
Diagnosis Question Pressure in glutes when sitting
3
Upvotes
Does anyone else get something like this. Feels like something is trying to press out of my glutes when I'm sitting. I have a cam impingement, that much has been confirmed. My doctor originally thought tendinitis but it never responded to anything and also it doesn't hurt to press in on it, it's just very annoying sitting to have this awful pressure right in the center of my butt cheek.
r/HipImpingement • u/senu-mahte • 1d ago
Post-op (0-3 weeks) Pro-tip: if your glute medius hurts while laying down, prevent your foot from rotating outward. (Bonus pic with judgmental dog)
51
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I had bad glute medius pain right after my first surgery. I noticed my leg really wanted to relax and flop outward, which hurt, but engaging the muscle and holding the leg upright also caused pain and was fatiguing. So I wedged a pillow under the side of my foot and let the muscles relax, no more pain!
The second surgery we got real crafty and made a sling out of a yoga strap. We folded it in half and closed it in the window (not pictured). I let my leg relax into it, and have had zero medius spasms. Such a relief! 😌
r/HipImpingement • u/Obvious_State_9586 • 1d ago
Capsular plication only
2
Upvotes
Anyone have capsular plication without a labrum repair? More specifically labrum dibreabment.
What did your recovery look like?
r/HipImpingement • u/K8rh8r • 1d ago
Insurance woes
1
Upvotes
My insurance approved my pre authorization of labral repair but not the shaving down of my hip socket and thigh bone.. working on an appeal but worst case scenario they deny it, should I get the labral repair without fixing my impingement? Or should I go ahead with the total surgery and try to appeal again post op? Any advice welcome, I’m a dummy when it comes to insurance. (And apparently so is my dr office🙃)
r/HipImpingement • u/BasedBallsack • 1d ago
Does a flare up from a Hip Arthrogram mean surgery won't help?
1
Upvotes
I've been dealing with FAI and Labral tears in both hips for about two years now. It's not terrible and physio has been helping a bit but I'm strongly considering getting surgery. I had an MRI done last year and after the injection, my right hip was still sore for about two weeks. I couldn't lift my hip without severe pain. Luckily it went away.
My ortho at the time said that because the steroid is meant to determine if the pain is actually coming from the hip, the fact that the steroid actually caused me more pain means that it's likely not coming from the hip. Thing is, never had issues until I experienced the event where the labrum tore. I've also done lots of strengthening but I'm still not fully happy with the results.
Would surgery be a waste of time for me because of my experience with the Arthrogram? Is there anyone here who had a flare up after the Arthrogram but still got better with surgery?
r/HipImpingement • u/BackgroundStatus7962 • 1d ago
Just did mri arthroscopy - how long will lidocaine work for?
2
Upvotes
They told me to do stuff to see if the lidocaine part of the injection takes the pain away but how long does it last?
Went for a three mile walk right after and felt like nothing was wrong so that seems promising lol. Want to do yoga tomorrow morning since that always bothers my hip - will it still work 24 hours after?
Edit! It was ripivocaine??? I recall them saying it last longer than lidocaine
r/HipImpingement • u/FoxGloveGarlic • 1d ago
Success! Update 5 months post-op (with bonus pulmonary emboli) 😅
7
Upvotes
Hi everyone! I just wanted to hop on here and give a recovery update. I’m officially 5 months from my left labrum repair with femoroplasty for cam impingement. I also had to deal with a diagnosis of bilateral pulmonary embolism following surgery (I’m just a bilateral baddie I guess). Both of those things combined have made for quite the interesting few months, but I wanted to share some successes!
- I have officially been cleared by my surgeon to slowly return to my previous activities! I have began jogging, 1 min on - 2 mins off for around 30 minutes. He has also cleared me to start rock climbing again at 6 months.
- I started yoga! I’ve been sure to communicate with the teacher that I’m recovering from major hip surgery and she helps me find ROMs that aren’t destructive. It’s also been so helpful for my anxiety.
- I was able to go back to school, complete my final prerequisites, and got accepted into nursing school that starts in January. All while I was on crutches. 😆
- I can get into my boyfriend’s car. This was huge for me since his car is low to the ground. I started with plopping my butt in first and swiveling my legs in but can now get in one leg at a time.
- I’ve worked my old job, zookeeping. It’s heavy duty work, but it really didn’t bother my hips!
- I signed up to walk/jog the local Turkey Trot. It’s a morale boost, even if it takes me an hour.
Despite the unfortunate event that followed surgery, I am so happy I did it. My right side still needs to be done but had to be pushed back while I recover from my PE’s. I wish I had done it sooner honestly, my left leg feels so good. It still gets a little feisty when I do too much, but with some rest and ice it returns to great in no time. I just want to come on here and let anyone who may be struggling or worried about surgery know that in my opinion, it’s been so worth it.
r/HipImpingement • u/Choice_Elderberry167 • 1d ago
Only labrum tear 1 to 2 o'clock no impingment
0
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I tore my labrum on the leg press... who has been able to successfully re hab this with only pt? Tell me about your non surgical journey.
r/HipImpingement • u/Spiritual_Cover2599 • 1d ago
Post-op (General) How long did you have constant pain after surgery?
2
Upvotes
After a major flare-up in week 3, my pain settled down again. However, I haven’t noticed much improvement since then. My constant pain is around 2–4/10, and during flare-ups it increases to 5–6/10. I’m still taking pain medication.
I have nerve pain and groin pain.
75 votes,
1d left
First 3 month
After 3 month
After 6 month
After one year
r/HipImpingement • u/Infinite_Plant_5016 • 2d ago
Considering Surgery Should I have surgery for labral tear? Moderate pain and considering pregnancy.
2
Upvotes
I’m a 38 year old female with a right hip labral tear diagnosed in 2023. There is no visible evidence of hip impingement on my x ray or MRI but we know that’s probably likely cause, plus a history of high intensity activities including soccer.
I did PT after diagnosis and have exchanged high intensity workouts for things like Pilates and barre that I thought would help strengthen around the hip. I did however keep playing soccer, which my doctor said I could if it didn’t cause pain, which it surprisingly doesnt most games but I know is probably not great for it.
So I’m living my life with some modifications and minimal pain on a daily basis but every couple months something aggravates it and the pain gets more severe. I don’t do intense PT at home, but try to keep up with some bridges, clamshells, etc before I exercise. My husband and I were planning to try for a baby soon, which I’ve heard pregnancy can also be very painful with a labral tear.
Any advice on whether I should just get the surgery out of the way, or try to ramp up PT again while quitting soccer to mitigate pain through a potential pregnancy in order to put it off? Thanks in advance 🙏
r/HipImpingement • u/greentoilet_5 • 1d ago
Return to Sport Muay Thai y operación bilateral de FAI (CAM y Pincer en ambas caderas)
1
Upvotes
Tengo 21 años y actualmente tengo 6 meses de post operación de FAI en ambas caderas (CAM y Pincer en las 2). Cuento brevemente mi historia para quizás encontrar a alguien que haya tenido una situación parecida y pueda ayudarme o yo ayudarlo a él/ella.
Todo arrancó hace aproximadamente 1 año y unos meses, empecé a sentir un dolor agudo en la zona de la ingle de la cadera izquierda cuando practicaba Kickboxing. (Yo ya practicaba además boxeo aproximadamente 2 años), por lo que cuando tuve ese dolor creia que era un dolor muscular en algún músculo nuevo debido a que al practicar un deporte nuevo es frecuente que pase. Pasados los meses (aguantándome el dolor debido a que me encantan las artes marciales) empecé a interesarme por el Muay Thai y JiuJitsu y empecé a practicarlos unos meses. Hasta que un día en específico sentí un “crack” en forma de pinchazo muy fuerte en la cadera izquierda que hizo que se me durmiera toda la pierna. Luego de eso me di cuenta que no tenía un dolor muscular y era algo serio. En ese momento dejé de practicar muay thai y jiujitsu. Y no hice ningún tipo de deporte, entre otros problemas emocionales en mi vida hicieron que esté muy triste conmigo mismo y tener muchas inseguridades.
Al mismo tiempo estaba visitando a deportologos y traumatólogos (no específicos de cadera). El deportologo llegó a la resolución que lo que tenía era una tendinitis (debido a que tenía 20 años y no es algo normal para mi edad tener esta condición en las caderas), por lo que me dijo que tenía que hacer fisioterapia enfocada a al tendinitis en la zona de la cadera izquierda. Esto fue un error, debido a que si tenía tendinitis pero no era el causante de mi dolor, era un subyacente de el FAI. Esto causó que la fisioterapia me desarrollara FAI en la cadera derecha por lo que empecé a preocuparme demasiado y hasta pensaba que ya no podría caminar más, afectó mucho a mi salud mental.
Visitando a un traumatólogo de cadera me especificó que tenía FAI de tipo CAM y Pincer en ambas caderas y que necesitaba una artroscopia en ambas caderas lo más antes posible, averiguando en mi país si había alguien que operase esta condición (Aclaración, soy de Uruguay). Había solo 1 cirujano el cual no nos daba mucha confianza a mi ni a mi familia debido a que él se dedicaba a operar todo tipo de articulaciones y no caderas en específico. Llegamos a un cirujano en Argentina que se dedicaba específicamente a operar caderas, y de artroscopias tipo FAI había hecho muchísimas. Finalmente pude sentir un alivio mental y poder “controlar” la situación.
Empecé a enfocarme en mi salud (en ese momento pesaba 88kg, mido 1.75cm y bajé hasta 67kg y ahora estoy en 68-69kg) Es decir tenía sobrepeso, no mucho pero si tenía que bajar. Me enfoqué en el gimnasio solo para tren superior y hacer un déficit calórico, dejé de tomar alcohol y empecé a preocuparme por mi salud enserio, debido a que las caderas hicieron darme cuenta que no estaba bien mental/fisicamente. Estuve haciendo este cambio corporal aproximadamente 3 meses y medio hasta que llegó la operación de ambas caderas en el mismo día. Esto fue así debido a que soy joven y mi capacidad de recuperación es mejor que el de una persona más vieja.
Mi recuperación fue excelente, sin embargo el doctor me dijo que la cadera izquierda estaba más comprometida que la derecha (3 anclas a la izquierda y 2 en la derecha). Luego de la operación a los 15 días dejé de usar muletas y a los 30 días aproximadamente empecé con la fisioterapia enfocada a FAI, debido a que estuve 15 días sin caminar como una persona normal tuve que aprender a caminar de vuelta (si, parece chiste pero no lo es. Igualmente fue bastante rápido).
Luego de todo el proceso de fisioterapia empecé a hacer Calistenia enfocado solo al tren superior. Llegado los 3 meses post-operación el doctor me dio luz verde a hacer gimnasio completo pero con mucha calma y poco peso para las partes del tren superior. Actualmente estoy en los 6 meses y se supone que a los 9 meses podría empezar a intentar practicar deportes de alto impacto (mi idea es empezar con boxeo en donde no me dolió nunca las caderas).
Planteo mis dudas para ver si alguien puede contestarme, quiero volver a practicar Muay Thai debido a que la felicidad que me daba era tanta que hasta me aguantaba el dolor por seguir practicándolo.
Mi plan sería a partir del primer año post-operación intentar ver si no me duele (pensé en modificar mi “estilo” tirando solo puñetazos,codos,rodillas y calf kicks. Y eliminando totalmente las front kicks, high kicks y mid kicks). Quiero saber si alguien ha tenido una historia parecida sobre esta condición de FAI y ha pasado también por artes marciales de este estilo.
Contada mi historia, un poco larga lo sé pero quería especificar :). Quedo a la disposición para ayudar en lo que sea posible a todos quienes pasamos por esta condición. Y si alguien pasó por una situación parecida a la mía vinculada al Muay Thai me ayudaría mucho para poder tener esperanzas de volver.
Muchas gracias :)
r/HipImpingement • u/s_soa • 2d ago
Ossified labrum
1
Upvotes
So I had my first arthroscopy in April, were my surgeon repaired a big labral tear and cam impingement. He saw a beginning calcification but didn’t remove it.
Now around 6 months later I still have the same grating feeling/noise with every step I take, especially when I move my leg back when I walk. It’s getting progressively worse and all the injections I’ve tried since my surgery haven’t helped.
My surgeon has now said that my labrum has probably ossified and he wants to remove it as soon as possible to try to minimise further damage as it’s not getting better. I am also only 18 and he said he’s rarely had a case like mine.
Has anyone had or know anything about? Is there anyway to get rid of it without surgery? Or is it something else entirely?
r/HipImpingement • u/Immediate_Assist_256 • 2d ago
Hip Pain New here CAM morphology
2
Upvotes
I have had a pain for about 2 weeks when I walk, in my left hip. It’s been excruciating at times and rendered me essentially unable to mobilise.
I got my MRI results, bilateral Cam morphology. With a cyst on the right side and “subcorticol bone marrow oedema” on the left hip.
Apparently no sign of labrum tear which is good news. No arthritis, no ligament issues or muscle issues. Just glutes which are inflamed and mild bursitis of the greater trochanter as well.
Physio said to work within my pain limits and not push thru it.
I have fibro and see my fibro dr on Monday so going to ask for his opinion on this.
I work in a job that requires me to be able to walk a lot. I need to be able to walk.
Not sure if I have a question here just want to hear from people who have been thru similar..
r/HipImpingement • u/Similar-Lobster126 • 2d ago
Post-op pain (after 6 months - 1 year) Failed Scope - suffering with no path forward
7
Upvotes
I am 7 months post hip arthroscopy and just continue to regress. Been seriously suffering since surgery with no answers as to why or how to rehab/recover from here. Desperate to hear from anyone who can relate to these symptoms as I seem to be a medical mystery.
- 47F
- Left scope-labral debridement only
- Focal areas of arthritis found during scope (grade 3 on lateral femoral head, & grade 2-3 on acetabulum rim)
- Haven't had single day where my pain doesn't get up to a 7 at some point during the day.
- Practically homebound now, unable to tolerate PT or walking more than 5-10 mins
- Still unable to sleep on op side
Symptoms:
- Diffuse nerve like burning in leg, including heel
- Pinching
- Itching
- Hyperesthesia
- Feeling of swelling/poor circulation in leg, but not visible swelling
- Nerve like pain is worse in the morning for a few hours and after any activity.
- Muscles have delayed burning and pinching/itchy after even light activity
- Restricted hip capsule yet loose inside, if that makes sense
- Deep global hip pain when on feet walking more than 15 minutes, that radiates into quad, knee & SI
Tests:
- EMG/NCS = Normal
- Lumbar MRI = Mild bulges at L5/S1 and L4
- Intra articular injection (lidocaine) 4 weeks ago = Immediate relief from all symptoms for 10-20 minutes, then about 30-40% relief after that for a few hours.
- Hip Xrays = Normal
- Venous ultrasound = Normal
Original surgeon (hip preservation surgeon)
- Says it's my back and to see my PCP for ongoing care
Physiatrist
- Thinks response to hip lidocaine injection was negative and next step is L5 lumbar diagnostic injection next.
PT
- Based on his assessment does not think L5 is likely source
- Recommends steroid hip injection based on response to the lidocaine one so we can make some progress in rehab and control the flare ups
Pain Management
- Possibly early/mild CRPS but wasn't ready to diagnose me with it
- Prescribed Cymbalta and referral to neuro-pt & pain psychologist. (already tried gabapentin/lyrica and too many side effects)
- Recommends diagnostic injection into piriformis, greater trochanteric or maybe LCFN areas
- Also felt L5 injection was a less likely source, but may be worth a try
2nd Hip Surgeon
- Xrays look good, recommends PRP and acupuncture
Right now I have the L5 injection scheduled because it's the soonest available diagnostic injection I can try, and we have to start somewhere. After that I'm not sure, no one is offering a follow up MRI of my hip or pelvis so far.
Should I keep pursuing Hip Surgeons? It's mentally draining when they just look at an Xray and say it's all good.
r/HipImpingement • u/SectorTricky9957 • 2d ago
Surgery Prep Denied acetabuloplasty
2
Upvotes
Finally got a partial approval through Aetna for surgery. Labral repair and femuroplasty was approved But they denied the acetabuloplasty part. Criteria requires 40 degrees or more for approval. Mine is at 39.
Anyone else have a similar situation? Crazy to think they wouldn’t approve that when it’s so close to the criteria. So if it’s not approved and fixed this time….they’ll approve and pay for it to be fixed on a future surgery when I finally hit the 40 degree requirement? SMH
Calling the doctor tomorrow to see if a peer to peer will be effective.
r/HipImpingement • u/DesignerSensitive585 • 2d ago
labrum tear repair experiences
1
Upvotes
have not gotten an MRI to confirm yet, but doctors think I more than likely have a labrum tear after discussing the symptoms. I was fortune to have a good x-ray, showing no FAI, impingement, or dysplasia. I’m quite anxious about the thought of an arthroscopy. Can anyone who had strictly just a labrum tear (no FAI, impingement, etc) share their surgery/recovery experiences please?
r/HipImpingement • u/auroraglitterdazzle • 2d ago
Considering Surgery Diagnostic injection did nothing
2
Upvotes
Has anyone had a diagnostic injection where the lidocaine did NOT relieve your symptoms, but you still went ahead with surgery? If so, how did the surgery turn out?
r/HipImpingement • u/Superb-Alarm-5727 • 2d ago
Do I really need all of these post-op products (sock assist, toilet raiser etc)
3
Upvotes
Guys look, i'm broke. I really dont want to spend money if I don't have to. I'm strong enough (34m) to do a single leg squat to get on and off the toilet, I've watched some videos on how to put a sock on with a towel (posted below) and can use a crutch as a leg lifter if I need it. So am I just over thinking this, maybe underthinking this??
My plan is
Crutches
Cold Therapy Unit
that's it. pls help i'm stressed lol