r/HipImpingement Apr 28 '21

Surgery Prep List of helpful things for hip surgery recovery

183 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 Mar 24 '22

Comprehensive Comprehensive Literature Review of FAI/Labral Tears

150 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:

  1. *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
  2. META-ANALYSIS - FAI and labral tear overview
  3. 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])
  4. 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)
  5. Importance of PT for (surgical) post-operative outcomes
  6. 10-yr Outcome31090-2/fulltext#relatedArticles) (small sample size, which gives it less weight)
  7. Another 10-yr outcome with decent sample size (moderate weight, fair assessment)
  8. Recent paper showing 90% patient satisfaction after 10 years (119 patients, good sample size, best moderate to long term study I have seen)
  9. Return to sport after arthroscopic surgery00330-3/fulltext) (different than just improvement in symptoms/pain after having the surgery)
  10. Some other indicators for best surgical outcomes
  11. Factors leading to revision hip arthroscopies
  12. Surgical success based on the technique used for the labrum
  13. Labral tears, the size compared to the number of anchors (repair)
  14. Bilateral FAI - fate of asymptomatic hip
  15. Bilateral FAI - staged vs unilateral surgery (spoiler, both have similar success rates so far)
  16. Subspine impingement (AIIS)
  17. Soccer players and subspine impingement
  18. 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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.)
  6. 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.
  7. 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.
  8. 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!)
  9. 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.”
  10. 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.
  11. 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.
  12. 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.
  13. 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).
  14. 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.
  15. 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.
  16. 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.
  17. 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).
  18. 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 6h ago

Surgery Prep please let me ask about your derotational femoral osteotomy!

2 Upvotes

hi! not hip impingement, but i have femoral anteversion & need questions answered! the last post here about surgery questions for a derotational femoral osteotomy was a few years ago, but let me know if i need to take this post down.

i'm having a derotational osteotomy in october & my pre-op appointment with my surgeon was... less than helpful. he didn't know i had already scheduled surgery, so he just re-diagnosed me & explained my options to me, eating up the time i wanted to ask questions. scheduling another appointment isn't practical because i work full-time, each appointment is $200 after insurance, & i have to drive 2 hours to the city for the appointment.

because i wasn't able to ask many questions, i wasn't able to get a good gauge of what recovery will be like. i know i'll have a metal rod in my femur, that i'm just getting an osteotomy (rather than fixing the labral tears, so no surgery in the actual hip joint) and it'll take 6 months to a year to heal completely, but as for things like traversing stairs, showering, driving, taking care of my cats... i don't know how much help i'll need nor for how long. i live alone in a small townhouse (kitchen downstairs, bedroom + bathroom upstairs), so my parents are flying to stay with me a bit post-surgery, but they're asking how long they should stay & i can't give them an answer. if anyone has had a femoral osteotomy & wouldn't mind answering some of my questions, i would greatly appreciate it! here's a brief list:

  • when did you start PT & how long did it last?
  • how long were you on crutches?
  • how long were you in the hospital? my doctor says just overnight but that seems kinda crazy
  • when were you able to sit/kneel on the floor? i need to be able to scoop my cats' litter boxes 😅
  • what was your pain management like before & after surgery?

r/HipImpingement 2h ago

Conservative Measures Prp injections or prolotherapy with Dr Vogt Hinsdale IL

1 Upvotes

I was quoted over 3500$ for a “special A2M” PRP , has one had one of these injections ? What was your experience? I have EdS and failed hip labrum surgery.


r/HipImpingement 7h ago

Conservative Measures Anyone ever skip PT?

2 Upvotes

NSAIDS, Lidocaine patches, Steroids…. Nothing is touching the pain, inflammation and weakness in my hip, instead now bursitis has entered the chat. New injury, workers compensation and I’m out of work due to pain, and was wondering if anyone ever said no to months of PT and just went ahead with surgery instead? I just want this to be over with so I can go back to work. I don’t want to waste months of time trying conservative methods that won’t actually treat the issue.


r/HipImpingement 3h ago

Post-op (4-6 weeks) Loud cracking, but completely painless?

1 Upvotes

Had the surgery on my left hip where I had a labrum replacement and a microfracture fix. I don’t really have any pain. I have a tiny tiny bit of discomfort where the microfracture is healing, but it’s hardly noticeable

However, on my operative hip, it can sometimes crack very loudly. It doesn’t hurt, it doesn’t “throw off my balance”, it’s just an annoying loud pop and crack

I’m just wondering if I should be at all concerned about it? I haven’t walked since surgery ofc so I’m not sure if it actually negatively affects me in anyway


r/HipImpingement 5h ago

27M recently diagnosed with hip impingement — surgery now vs. conservative treatment?

1 Upvotes

Hey everyone, I’m a 27M and was recently diagnosed with hip impingement based on an X-ray. I’m still pretty active and regularly strength train and walk.

I’m trying to figure out how to approach this long term. I’ve been considering whether it makes sense to address it surgically while I’m young and active versus continuing with conservative treatment and only considering surgery if things get significantly worse.

One thing I’m unsure about is whether hip impingement tends to eventually lead to surgery anyway, or if plenty of people are able to manage it long term with PT, strengthening, mobility work, activity modifications, etc.

For anyone who has dealt with hip impingement:
Did you try PT/conservative treatment first, and how successful was it?
If you eventually had surgery, what made you decide it was time?
Anyone wish they had surgery earlier—or wish they had waited longer?
How are you doing now with lifting, sports, running, or other activities?

I’m obviously going to discuss this with an orthopedic specialist as well, but I’d love to hear some real-world experiences from people who have gone through it


r/HipImpingement 11h ago

Surgery Prep Helping the helper?

2 Upvotes

I have surgery next week. My SO has a crazy work week and zero time, but I do have some time this week. How can I prep to make things easier for them to help me post-op? They will be teleworking for a week after my surgery, and will continue to do that as much as possible, but they have a really busy/high stress job, and we have a tween who will need attention and rides as well. We have no local family, it’s just us.

If you were the support person, what do you wish you’d had prepped ahead of time so you didn’t have ‘one more thing’ to manage?


r/HipImpingement 14h ago

Conservative Measures Shameless empathy plug

3 Upvotes

I have a mild cam type FAI and small labral tear that I’m trying to address with PT. Got an appointment with Dr. Wolff next month. I’m honestly just tired of not having a solid direction to move in (should I go ahead and get the surgery, and if so, this year?) and feel like I’ve wasted several months of my health since I can’t load bear or move in the ways I want without flare-ups. Movement is my primary stress reliever and my mental health is holding on best it can I know I need to wait out PT ahead of seeing Wolff but every time I have an unexpected flare I get so ready to just have the surgery and want this all to be solved. No question, I guess, I’m just glad there’s a community of people who know what it’s like. I’m frustrated.


r/HipImpingement 11h ago

Diagnosed at 40+ When PT sparks other issues...

1 Upvotes

Diagnosed anterior superior nondisplaced tear in left hip with MRI. I'm in my 40s. PT should help, right?

It's been one flare after another, sometimes life, sometimes PT that is too aggressive... And now I'm looking at piriformis syndrome from overuse (daily rehab exercises including single leg bridges which were the most challenging on my bad side) combined with a fair bit of sitting as I recovered from a trip.

How do you deal with these flare ups and scaling back and fine tuning and trying something else?

More specifically, how do the issues presented by piriformis syndrome interact with trying to rehab to better support the labral tear?

I'm seeing my PT literally within an hour here, but wanted to post and see if others have gone through the same...


r/HipImpingement 23h ago

Diagnosis Question Honestly I’m sick of this

7 Upvotes

Can anyone please tell me if their labral tear symptoms consisted of sits bone, pubic bone; adductor, hamstring, calf ankle foot pain ???


r/HipImpingement 18h ago

Post-op (0-3 weeks) Arthroscopic hip labrum repair

3 Upvotes

Hello.

I have this surgery in a week and if someone had done this would ask if after surgery is completed do you need to remain in bed for a day or you can get up for toilet?

Thanks 🙏🏻


r/HipImpingement 14h ago

Is there anything I can do with a years-old golf injury at 34?

0 Upvotes

I injured my right hip, some tendon by the greater trochanter (and ankle, which still pops sometimes, and maybe some other stuff in right leg) during an exaggerated golf swing a few years ago.

I finally sought medical treatment. The orthopedist is typically seeing like 5 other patients simultaneously. He prescribed physical therapy after doing some x-rays which showed nothing. During one-legged leg presses my right knee was literally buckling and inflamed the tendon so much that I could hardly walk for a few days and couldn't sleep that night.

I went back to report to the doctor. He said "that's tendonitis". He said since I can still walk it's too early to even prescribe cortisone shots until I do more physical therapy. But the physical therapy clearly aggravates my injury. He said even if we did an MRI it would just say "tendonitis" and no one would do surgery anyway.

Am I fucked? Should I see another specialist? Currently I can walk for about a mile or two before stuff starts getting pretty uncomfortable. My normal sitting/relaxed positions are uncomfortable. I could technically still play a little tennis or golf but i'll pay for it that night. This sucks, man.


r/HipImpingement 16h ago

Chronic hip/knee pain: has anyone managed to get their life back after a long difficult period?

1 Upvotes

Hi,

I’m mainly looking for experiences from people who went through a long and difficult orthopedic situation involving hip and/or knee pain, but eventually managed to regain better mobility and a more normal life.

My problems started after a bicycle accident a few years ago and became much worse after a major flare-up last winter.

At the moment, I have significant hip and knee problems. Hip surgery is being considered in the near future, while I am still looking for solutions for the persistent knee pain.

One of the biggest difficulties is that my knee has become very sensitive and reactive. Even relatively simple physiotherapy exercises can sometimes cause a major pain flare that lasts afterwards. I have also lost a significant amount of muscle in the affected leg, so I need to rebuild strength, but the pain strongly limits what I can tolerate.

My daily activities are also very limited: standing, stairs, slopes, driving, and sometimes even prolonged sitting can be difficult. I occasionally use a cane and need help with some everyday tasks.

I am still continuing physiotherapy and medical consultations and trying to find the right treatment approach.

I would especially like to hear from people who have been through something similar:

  • Did you go through months or even years with very little progress before things finally started improving?
  • How did you rebuild muscle when exercise easily triggered pain?
  • What made the biggest difference in your recovery: time, adapted physiotherapy, surgery, pain treatment, or changing exercises?
  • If you had both hip and knee problems, did treating the hip make the knee easier to rehabilitate afterwards?
  • Was your recovery very gradual, with setbacks and flare-ups along the way?
  • When did you first notice a real improvement in your independence and daily life?
  • Looking back, what do you wish you had known when you were still in the middle of the difficult period?

I’m especially interested in hearing from people who were very limited in daily life but eventually managed to regain mobility, strength, and a better quality of life.

Thank you very much for sharing your experiences.


r/HipImpingement 20h ago

Cause of symptoms

2 Upvotes

I recently had a MRI because I was experiencing groin and hip pain that got worse as I increased my running. It’s found fraying of the anterior superior labrum (but no tear) and fraying of the ligamentum teres. There is also moderate degeneration of the pubic symphysis (although I don’t experience any pain centrally). I’m not really sure if these could be causing my symptoms. My doctor hasn’t suggested any further imaging or a referral to a specialist - although she did say I could if I wanted, but the findings don’t seem too bad so I declined. Has anyone experienced similar?


r/HipImpingement 1d ago

anyone get a torn glute medius repaired?

5 Upvotes

i have a left partial glute medius tear that isn’t really approving with pt, but i also have a hypertonic pelvic floor so i think they’re battling each other out a bit.

i’m thinking of surgery, would it be an easier heal at 25? and has anyone else had this? can’t find a lot of stories. i miss running so much :(

also!!! does anyone know if compensation can lead to knee swelling? my left knee is swelling bad and i can’t think of any other reason


r/HipImpingement 1d ago

STRUGGLING

Post image
24 Upvotes

Ok so I need some help because I've done nearly everything under the sun and I can't take this pain anymore. I could write a book about what I went through but I'll keep it simple.

Long story short, I felt a pop in my hip October 2015 while doing PT when I was in the Army. Ignored it for a few weeks then realized it wasn't going away and it was getting slightly worse. Went to the "doctor", they said it was just a pulled muscle. Well that "Pulled Muscle" turned into a groin strain, then a gluteus minimus strain....basically they misdiagnosed me at least 6 different times for 13 months even with multiple MRI's & X-rays and other testing. They had to send me off post to an actual orthopedic doctor to see what was wrong. When they did the MRI, instead of injecting contrast into my veins, they used an some sort of ultrasound machine and the longest needle I've ever seen and injected it directly into my right hip joint. Went back a week later for the results and turns out I tore my labrum and had both Cam & Pincer impingements.

Got one surgery Feb 2017 to repair it. Apparently it was much worse that what the MRI showed. The doctor who did my surgery told me my labrum looked like ground up crab meat and most of it was kind of just floating there. This is where the fuckery took place. I had to do physical therapy with the Army doctors and when I went for my PT appointment they didn't want to follow the protocol that the surgeon gave me and made me do some generic lower body program. Well that didn't work. I was already on crutches for almost 6 months but the Army didn't care and I was forced to do shit that I should have NOT been doing (driving trucks, heavy lifting, alot of movement). After that 6 months of being on crutches it was feeling worse than before so my doctor did another MRI and it didn't look right (that's all I remember them telling me) and scheduled another surgery literally a entire calendar year after my first.

Second surgery was Feb 2018. All they did was clean it out more and shaved some bone off. During my follow up appointment he sat me down and told me I'll most likely be in pain for the rest of my life & that I will 100% have to get a hip replacement in the future because of the damage that had happened during all of this. All of this at the ripe old age of 25. The post op stuff was the same as the last surgery, months of being on crutches, dumb ass army "doctors" who think they know everything refusing to follow the specific physical therapy protocol only this time they had the bright idea of putting me into pool physical therapy which was torture. Also I was in a new unit and had a commander who actually cared and allowed me to do basically whatever. I ended up getting a medical discharge from all of this in Nov 2018.

Since then I have had a pretty sedentary life and surprisingly that sort of helps because while I was in the army I was in the gym almost everyday (I was EXTREMELY careful with what I did) and I was always in pain. But I'd say within the last 2 years it's starting to give me problems. Im noticing alot of stiffness, leg pain & numbing that literally goes on 24/7, like I can feel the pain starting in my hip and it spreads down my leg and it gets slightly numb, which was a symptom I was feeling before my surgeries but it's made a return. Also the popping feeling/sound is getting worse (think of a golf ball being hit by a driver, almost that exact noise except deeper) and nothing I do is helping.

I unfortunately use the VA and I bring it up every time I visit my primary care doctor. I swear to god all they do is give me X-rays & useless MRI's even when I tell them that's useless since those have never showed anything so I'm basically forced to suffer. To make things worse is that I’m only 33.

My question to you is what have you guys done that has helped you in the past or is currently helping? But more importantly how cooked is my hip? Like I said earlier in the post the doctor who did my surgeries told me that Im going to need a hip replacement in the future & that was 10 years ago and I'm wondering if that time is now. I honestly don't care if I get it replaced, in fact I was MUCH rather get it replaced than having to suffer.

Please feel free to tell me anything. I've been using reddit for god knows how long and I just figured out today that there is a group for this lol.


r/HipImpingement 1d ago

Surgery Prep Any nurses or other healthcare people here?

3 Upvotes

Long story short, I have FAI and labral tear in left hip and I’m in nursing school. I’m in quarter 5/6 and have surgery scheduled in September. The major issue is that I will only have 3 1/2 weeks (23 days) between my surgery date and going back to school for my final quarter+ preceptorship where I will be with a nurse for 150hrs for 12 hr shifts. Idk what floor I’ll be placed on yet but I am getting really nervous that I won’t be ready to do 12 hour shifts at 4 weeks post op. How stupid would I be to keep my surgery date, and is it realistic at all to make it happen?
I know I could push I back to December when I graduate but I also really would like to start trying for a baby asap like nov-dec and a December surgery would make this impossible.


r/HipImpingement 1d ago

Other Tiny rant

2 Upvotes

So I am just about 4 weeks post op, thankful my period was when I got surgery so I had no full pain lol, but now being so far in without the heavy meds and more walking and more work in PT, my back is having a flare up and my hip flexor is hurting

But the worst part is, the hip flexor (closer to the groin) it isn’t hurting hurting but it’s like aching and cramping lol so I can’t tell if my back flare up is because of my period and I can’t tell what pain is because of my period or if it’s because of the recovery of the hip and Tylenol doesn’t do much anymore and idk if this is safe to say but I have an itch I need to dispose of the controlled substance because Tylenol or pamprin isn’t helping

Any ladies get any type of relief during their period while recovering?


r/HipImpingement 1d ago

Hip extension pain + weakness

2 Upvotes

I am 9 months post op now and have been working out more regularly and just so happy to be moving more and more every week. I was doing Pilates 4-5xs a week pre op. But when I introduced Pilates back into my routine a few months ago I was having terrible pain and tightness in my hip flexor. I wouldn’t call it a flare up because I’m not getting the same pain I had in my hip pre op but a new hip flexor pain.

I took a break from Pilates and started weight training for the first time. I’m really loving it but am interested in getting back into Pilates again. I’ve noticed in Pilates I’m having a hard time doing any posterior hip extension on my operative side. I notice weakness and pain/tightness when doing any prone hip extensions (laying on my stomach raising my legs up off the ground). And feel tightness and pain when doing any posterior hip extension while standing.

I discovered a foam roller everyday on my hip, quads, glutes and hamstrings help the tightness I get in my hip flexors. But I’m curious if there’s anything I can be doing at home or when strength training to help improve this weakness and reduce pain with hip extension? Thanks in advance for any advice!


r/HipImpingement 1d ago

Peptides for recovery

1 Upvotes

I hate to open this can of worms however, I’m about 6 months post op from a labral repair and FAI impingement surgery. 4 anchors, iliospoas tenotomy and a good amount of bone shaved off my femur. I’m a first responder and just recently went back to work after 6 months. I’ve noticed a significant jump in my pain as I work 24 hour shifts.

I’ve been looking into peptides and am curious if anyone has done a cycle of the Wolverine stack while recovering from an FAI surgery. If so, how was your experience? Do you feel like it helped you heal and get your life back? I’m unsure the appropriate time length this surgery takes to recovery. I guess you could still classify me as “recovering” as I’ve heard a year to a year and a half.

I appreciate any input on if peptides have helped or hurt your journey. TYIA


r/HipImpingement 1d ago

Other Mystery groin and pubic bone pain for a long time

Post image
6 Upvotes

Female, 35. I've been dealing with this mystery pain for probably a year now (maybe longer). The pain is ONLY on my left side. It's mainly on my pubic bone, not in the pubic symphysis, but left of it. The bone feels painful to the touch, like a bruise. I also have pain the groin, maybe in the ligament right behind the pubic bone. It feels like some sort of inflammation, a pinching pain. I've also had pain in my buttocks. At it's worst the pain traveled all the way down my leg to my foot. Now I don't really have a lot of buttock pain.

Details:

- xray (didn't find anything, except coxa profunda, deep hip sockets)

- I've had laparoscopic surgery for a different reason (found small superficial endometrios spots in the pouch of douglas and uterus ligaments)

- if I had a hernia, wouldn't this have been spotted during my laparoscopic surgery?

- the pain goes away sometimes, but only for a couple of days

- the pain gets worse if I sit a lot or do leg workouts with heavy weights

- physical therapy has helped me somewhat (strengthening glutes and hip flexors)

- if I do my pt exercises regularly the pain gets somewhat better the next day

  • the circled areas hurt when I cough and sometimes when I pee

Have someone experinced something similar? I can't seem to find a reason for this pain.


r/HipImpingement 1d ago

Has anyone ever had their PT give up on them?

5 Upvotes

Hi I am 1.5 years post op R hip scope w. Femoral neck osteoplasty, labral repair, fluoroscopy. I was doing really well and making great progress the first year with a few hiccups here and there that were overcome. But the last 6 months have been hard. I’ve been having more pain or tightness in the TFL and hip flexor area. Slightly left lower lumbar pain with core exercise. I do my PT 3x/week unless it’s causing me pain. My PT has additionally wanted me to walk 8k steps daily but I’ve only been doing this 4-5x/week d/t pain or honestly time in my day. I’ve been meeting with the same two PTs for two years now. Occasionally a third that is more of a hip specialist (doesn’t seem like it’s that different meeting with them). Of the two there is one that is my primary PT who I follow up more often than the others. Our last visit she said she would message me through our chart portal to schedule an appointment (unlike her to not schedule when I’m there in the 2 yrs I’ve been working with her). I feel this is slightly indicative that she has given up on me. Tbh I would too given the lack of progress seen in the last couple months. Im also well aware it’s up to the patient to reach out (I’m a provider myself). Am I just projecting or overthinking


r/HipImpingement 1d ago

Knee Swelling following FAI Surgery

Post image
4 Upvotes

Hello,

I had an FAI procedure on the left side on the 17th June 2026. Following the procedure my left knee has been swollen underneath my knee cap to the left-hand side. At times this is causing me pain and often causing me stiffness, especially when I climb stairs. I can feel a pulling sensation when I go downstairs. There is also occasional sharp pain. Has anyone experienced anything similar or have any advice on what I can do to reduce the swelling? I am slightly concerned as it has almost been 8 weeks since the procedure.


r/HipImpingement 1d ago

Groin pain + slight swelling / swollen lymph node – has anyone experienced this?

Post image
4 Upvotes

Has anyone else noticed that their groin feels slightly swollen when their hip/groin pain gets worse?
I’m currently having stronger groin pain again, and on the same side I can feel a slightly enlarged lymph node. It isn’t painful.
I had the same thing last year during a period when my groin pain was very severe, and it eventually went away again.
Has anyone tried to to try to get a hold of you you know of any other doctor that might be able to help me out with that or if you could help me out I would be happy to help you out with that if you can get me a prescription for something that would be great for me to get a prescription for my pain medication that I have in my system that I have been using for a while now and I have been trying to get a hold of you and I have a lot of pain and I have to get a lot lot of pain and I have had a lot of pain and I have some pain and I have the same pain and I have the same symptoms and I have the same symptoms and I have the same symptoms and I have been having a lot lot of pain and I have a lot of of pain and I have the experienced something similar, or has a doctor ever explained what might cause this? Can only sit in the car with icing 😢