General Discussion Triathlon Talk » Torn acetabular labram in the hip Rss Feed  
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2011-03-23 2:51 PM

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Subject: Torn acetabular labram in the hip
Has anyone ever had this problem? I have had pain in my butt, hip, down the back and front of my leg. I had a cortisone shot 2weeks ago, but problem is back. Any help or suggestions would be much appreicated.


2011-03-23 9:47 PM
in reply to: #3411024

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Chicago- NW Suburbs
Subject: RE: Torn acetabular labram in the hip
Hi there!  I recently had arthroscopic surgery to repair a torn labrum in my right hip (Jan 27th).  Before the surgery I completed multiple rounds of physical therapy and 2 separate cortisone shots.  The doctor knew surgery was most likely going to be the answer for me because the pain kept coming back and we had tried all the conservative approaches.  Let me ask you... how did you get your diagnosis?  I had a regular mri, and nothing conclusive showed up.  Then they did an mri arthrogram, which is where they do much more thorough testing by shooting dye into the joint under xray and then obtaining images.  They also do ct scans with this test.  Even with these tests, my tear showed up as a "possible tear"... and if so, very small.  My pain was different from yours and was actually coming from deep inside the groin area.  It progressively got worse... it started w/ a sensation of needing to pop the joint and got to the point where I was having trouble getting into and out of a car.  And pain with such things as tying my shoes.  I also had a blocking sensation on internal and external rotation of the hip.  I elected to proceed with the surgery because I had exhausted all other options and knew I couldn't live with the pain... even though it wasn't excrutiating.  I knew I wanted to get back to working out and I couldn't with that pain.  When the doctor got in during surgery, he found a ton more than what showed up on ANY of my tests!  There was a 2 inch tear in the labrum (labral tear with capsulitis), and the "ball" of the joint was not shaped correctly... basically bone was rubbing against bone in one small area (cam femoral impingement).  The doctor performed labral debridement on the tear, as well as capsular release, and performed femoral osteoplasty... shaved 2cm of bone from the femur to make the ball/socket fit together correctly.  I was on crutches for 4 weeks.  Had it not been for the bony work, I would've only been on crutches for a few days.  I am 8 weeks post op now and am feeling really good.  My doc says recovery from this type of surgery is very long.  He doesn't recommend any running for 4-5 months post op, and says I won't feel back to "normal" for approx 1 year.  That said, I am so glad I went ahead with the surgery.  My main piece of advice if you end up electing to move forward with surgery is to do your research on doctors.  There are only a handful of surgeons who perform this surgery in the country.  It is a fairly new surgery (scopes on hips have only been done since 2000) and it is VERY important to get a surgeon with lots of experience in arthroscopic hip surgeries specifically.  It makes all the difference in your results and recovery from what I hear. Please feel free to ask more questions... I'll help in any way I can!  I know the process is very frustrating.  Good luck to you and keep us posted!!!
2011-03-26 3:31 PM
in reply to: #3411024

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Subject: RE: Torn acetabular labram in the hip

I was recently diagnosed with a labral tear (posterior).  I am getting 8 weeks of PT, and will be seeing a chiropractor this week as well to investigate some other options (ART, acupuncture)  concurrently with the PT.  I mostly only had pain when running, and it would be down the front of my leg.  Developed tendinitis.  So the PT etc is to address that.  Hoping if I can get the tendinitis under control I'll be able to run again.  Haven't run in 6 wks and it is feeling better, and I'm itching to run, but will wait a bit longer.

Good luck.

2011-03-27 4:15 PM
in reply to: #3411024

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Subject: RE: Torn acetabular labram in the hip

I have had deep groin pain for nearly 18 months. It has not yet been diagnosed, but I have been for MRI's, lots of physio and had steroid injections and nothing seems to have helped. Now the doctors think it is a labral tear and they are sending me for the special MRI with the dye injection.

I live in the UK and I have to wait at least 3 months before I will get the MRI scan. In the mean time, I would like to do some exercise without making it worse or being painful. Did you find any forms of exercise that didn't affect it? I haven't been running for over a year...I guess that's a bad idea. I can only swim a few tens of lengths without problems and walk short distances....less than a mile or so. Sometimes I can cycle OK. Other times not. It is hard to tell because the pain flares up afterwards.

Going from training for triathlons to practically no exercise is not good. I have withdrawal symptoms so would really like to find some form of exercise that is OK!

In case it helps others, from what I have read. This is quite a common problem...the most annoying thing about it is that it does not heal by itself because there is a lack of blood supply to the labrum. I have tried doing no exercise for weeks at a time, but it comes straight back once I do exercise, so this tend to agree.


2011-03-27 7:09 PM
in reply to: #3416698

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Subject: RE: Torn acetabular labram in the hip
eljc2 - 2011-03-27 5:15 PM

I have had deep groin pain for nearly 18 months. It has not yet been diagnosed, but I have been for MRI's, lots of physio and had steroid injections and nothing seems to have helped. Now the doctors think it is a labral tear and they are sending me for the special MRI with the dye injection.

I live in the UK and I have to wait at least 3 months before I will get the MRI scan. In the mean time, I would like to do some exercise without making it worse or being painful. Did you find any forms of exercise that didn't affect it? I haven't been running for over a year...I guess that's a bad idea. I can only swim a few tens of lengths without problems and walk short distances....less than a mile or so. Sometimes I can cycle OK. Other times not. It is hard to tell because the pain flares up afterwards.

Going from training for triathlons to practically no exercise is not good. I have withdrawal symptoms so would really like to find some form of exercise that is OK!

In case it helps others, from what I have read. This is quite a common problem...the most annoying thing about it is that it does not heal by itself because there is a lack of blood supply to the labrum. I have tried doing no exercise for weeks at a time, but it comes straight back once I do exercise, so this tend to agree.


WOW so sorry about your luck.  How about swimming with a pull buoy?  If you need a referall to a hip arthroscopist in the UK PM me  I have a friend who is one of the top hip guys in the world and while he is in Tennesee here in teh US he will know who you should see in the UK.
2011-03-29 2:58 PM
in reply to: #3416878

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Subject: RE: Torn acetabular labram in the hip

Thanks for your message. That is a good suggestion. I have tried swimming with a pullbuoy. It is not much better than swimming without one, which was surprising. Maybe it has to do with pushing off the wall.

Unfortunately I don't have the luxury of choosing who I will go to. You just go to whoever your doctor refers you to. The only other options you have are no referral at all or else going private, which not many can afford anyway. But at least with the public health service it is free, even if you do have to wait months and months.



2011-03-31 1:50 PM
in reply to: #3411624

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Subject: RE: Torn acetabular labram in the hip
I had a std or regular mri. My doc didnt say if it was anterior or posterior. I live near the Philadelphia area, can you recommend any specialists in this area?
2011-05-13 7:16 AM
in reply to: #3411624

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Subject: RE: Torn acetabular labram in the hip

3lil1s - 2011-03-23 10:47 PM Hi there!  I recently had arthroscopic surgery to repair a torn labrum in my right hip (Jan 27th).  Before the surgery I completed multiple rounds of physical therapy and 2 separate cortisone shots.  The doctor knew surgery was most likely going to be the answer for me because the pain kept coming back and we had tried all the conservative approaches.  Let me ask you... how did you get your diagnosis?  I had a regular mri, and nothing conclusive showed up.  Then they did an mri arthrogram, which is where they do much more thorough testing by shooting dye into the joint under xray and then obtaining images.  They also do ct scans with this test.  Even with these tests, my tear showed up as a "possible tear"... and if so, very small.  My pain was different from yours and was actually coming from deep inside the groin area.  It progressively got worse... it started w/ a sensation of needing to pop the joint and got to the point where I was having trouble getting into and out of a car.  And pain with such things as tying my shoes.  I also had a blocking sensation on internal and external rotation of the hip.  I elected to proceed with the surgery because I had exhausted all other options and knew I couldn't live with the pain... even though it wasn't excrutiating.  I knew I wanted to get back to working out and I couldn't with that pain.  When the doctor got in during surgery, he found a ton more than what showed up on ANY of my tests!  There was a 2 inch tear in the labrum (labral tear with capsulitis), and the "ball" of the joint was not shaped correctly... basically bone was rubbing against bone in one small area (cam femoral impingement).  The doctor performed labral debridement on the tear, as well as capsular release, and performed femoral osteoplasty... shaved 2cm of bone from the femur to make the ball/socket fit together correctly.  I was on crutches for 4 weeks.  Had it not been for the bony work, I would've only been on crutches for a few days.  I am 8 weeks post op now and am feeling really good.  My doc says recovery from this type of surgery is very long.  He doesn't recommend any running for 4-5 months post op, and says I won't feel back to "normal" for approx 1 year.  That said, I am so glad I went ahead with the surgery.  My main piece of advice if you end up electing to move forward with surgery is to do your research on doctors.  There are only a handful of surgeons who perform this surgery in the country.  It is a fairly new surgery (scopes on hips have only been done since 2000) and it is VERY important to get a surgeon with lots of experience in arthroscopic hip surgeries specifically.  It makes all the difference in your results and recovery from what I hear. Please feel free to ask more questions... I'll help in any way I can!  I know the process is very frustrating.  Good luck to you and keep us posted!!!

 

So glad I came and found this thread.  you pretty much describe everything I am going thruogh right now.  I did a regular MRI with nothing being shown..went to my Orthopedic and he is convinced I have a labral tear in my left hip.. Sending me for the MRI with dye (wich with my insurance is alomst $900 out of pocket..yikes!!!)  Also told me that surgery would be necessary to repair it and PT (which I have been doing ofr 3 months) will not heal it.  My only concern is that I wont be able to work (I am a chef and own my own restaurant!)  its the only thing holding me back from the surgery.  Praying that he is wrong when I get my MRI done...

2011-05-13 7:17 AM
in reply to: #3416878

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Subject: RE: Torn acetabular labram in the hip

WOW so sorry about your luck.  How about swimming with a pull buoy?  If you need a referall to a hip arthroscopist in the UK PM me  I have a friend who is one of the top hip guys in the world and while he is in Tennesee here in teh US he will know who you should see in the UK.

Also, my doctor in Flroida told me if i have surgery that he highly reccomends a doctor in Nashville..is this where your friend practices?

2011-10-16 11:05 AM
in reply to: #3411024

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Subject: RE: Torn acetabular labram in the hip

After a long wait, I finally got a diagnosis of having a small tear in my acetabular labrum - right hip. This showed up on the MRI arthrogram. The consultant says that the arthroscopic surgery is an option, but there is no one in the country who does it and they will need to apply for funding to send me to England to get it done. He pointed out that the surgery is quite invasive and that there is a 5% risk of complications. So he recommended that I wait a further 3 months to see how the pain goes. He said the labrum could stick back onto the socket.

In the mean time, I was prescribed a pair of custom orthotics. After starting to wear them, the hip pain became less. However, I still had pain in my foot, so I brought them back. They've been sent back to the lab to get adjusted. The podiatrists says that I have one of the rare foot types (10% of people have it), where I underpronate. Most people over pronate. He thinks the orthotics are working to help reduce the hip pain, although it's hard to say as I've been doing no running and much less cycling, which is what really caused a lot of pain. I've been without orthotics now for almost a week and my hip pain has come back, foot is bothering me and my ITB is even becoming niggly. Hopefully I will get them back before any damage is done!

2011-10-19 11:49 AM
in reply to: #3496904

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Subject: RE: Torn acetabular labram in the hip
piperfl - 2011-05-13 8:17 AM

WOW so sorry about your luck.  How about swimming with a pull buoy?  If you need a referall to a hip arthroscopist in the UK PM me  I have a friend who is one of the top hip guys in the world and while he is in Tennesee here in teh US he will know who you should see in the UK.

Also, my doctor in Flroida told me if i have surgery that he highly reccomends a doctor in Nashville..is this where your friend practices?

 

Sorry only just saw this. YEs.  J. Thomas Byrd in Nashville. He is the bomb.  google him.



2011-10-19 11:51 AM
in reply to: #3725572

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Subject: RE: Torn acetabular labram in the hip
eljc2 - 2011-10-16 12:05 PM

After a long wait, I finally got a diagnosis of having a small tear in my acetabular labrum - right hip. This showed up on the MRI arthrogram. The consultant says that the arthroscopic surgery is an option, but there is no one in the country who does it and they will need to apply for funding to send me to England to get it done. He pointed out that the surgery is quite invasive and that there is a 5% risk of complications. So he recommended that I wait a further 3 months to see how the pain goes. He said the labrum could stick back onto the socket.

In the mean time, I was prescribed a pair of custom orthotics. After starting to wear them, the hip pain became less. However, I still had pain in my foot, so I brought them back. They've been sent back to the lab to get adjusted. The podiatrists says that I have one of the rare foot types (10% of people have it), where I underpronate. Most people over pronate. He thinks the orthotics are working to help reduce the hip pain, although it's hard to say as I've been doing no running and much less cycling, which is what really caused a lot of pain. I've been without orthotics now for almost a week and my hip pain has come back, foot is bothering me and my ITB is even becoming niggly. Hopefully I will get them back before any damage is done!

Often they will get beeter by ignoring them.  A large number of NHL players have them but put surgery off ti lthe end of the sesona nd their pain goes away.  Its been nearly 2 years for you now tho so I would suspect its probably not going to resolve on its own.

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