BoneSmart® Hip / Knee Replacement Forum
Knee Replacement & Hip Replacement
Patient Advocacy & Online Community
  1. Your support makes a difference...BoneSmartie Member

    Industry changes have drastically reduced orthopedic partner contributions, which for 13+ years supported the operation and development of BoneSmart.org.

    Our patient-focused articles and world-class joint replacement community forum have helped millions of people. Your gift today provides the important funds necessary to keep this valuable resource online.


    Donate Now
    Dismiss Notice

Anyone have a torn labrum and FIA leading to a THR?

Discussion in 'Hip Replacement Pre-Op Area' started by Ramp, Dec 27, 2016.

  1. Ramp

    Ramp Junior Member

    Member Since:
    Dec 27, 2016
    Age:
    42
    Messages:
    20
    Gender:
    Male
    Location:
    Toronto
    Country:
    Canada Canada
    Hi, I can't believe I have these problems at my age.(42) But the more I read the more I see I am not alone. I was kicking a soccer ball in the summer and really hurt my hip. It got better but I could still never twist the leg. Recently my hips have both showed a moderate degree of pain when sitting and climbing stairs, especially the injured one and even worse some times at night or when driving. I recently went for an Xray and MRI and the Xray showed some osteoarthritis in both my hips and the MRI showed a labral tear in my right hip. Both my femurs at the top also showed to have dysplasia or a 'large bony bump' on each which is contributing to the demise of my cartilage and probably caused the labral tear. Doctor said I probably have had these since I was little but never noticed.

    I saw a sports medicine doctor and he just shook his head and has referred me to an orthopedic surgeon who does arthroscopic surgery which I have not seen yet. He thinks that arthroscopic surgery may not be an option because the joints already have arthritis in them. Otherwise it may have been possible to file down the bone and fix the labral tear. My right hip is much worse than my left but they both ache. I am also trying to get an appointment with a THR surgeon but I suspect both doctors will feel that their way is the best way.

    Has anyone had an arthroscopic surgery and had success? Do you think the cortisone injection could help? I am scared of needles ;( It seems like THR is the way to go across the board from what I have read and I may be out of luck for a smaller surgery. I have to say I am concerned about needing a second or third hip replacement in my lifetime should I be so lucky to live a long time. The success rates and horror stories increase for second and third hip replacements. I am a relatively health and fit person but I can see if this persists I will stop going to the gym and stop doing any kind of cardio work as it irritates my hips. I have to say it is very stressful and depressing having this kind of chronic pain and irritation and I do not find the painkillers so effective. Nor do I want to live on drugs.
    Does anyone else have a lot of pressure when you sit? Any relief from that? Pillows don't seem to work and It must be from the OA. It's both sides.


    Thanks for any information.

    Unhappy Hips
     
    • Friendly Friendly x 1
      Last edited: Dec 27, 2016
    • Pumpkln

      Pumpkln Forum Advisor

      Member Since:
      Oct 27, 2011
      Messages:
      14,580
      Gender:
      Female
      Location:
      United States, West
      Country:
      United States United States
      Ramp,
      Welcome to BoneSmart, glad you joined us.
      You may want to take a look at the post op thread "Biodairus in recovery". He had hip dysplasia, and now a THR.
      Here is a score chart so you can see just how debilitating your hips have become.
      Score chart: how bad is my arthritic hip/knee

      Joint replacements are lasting longer, it is getting less less likely you will need a revision.

      I am going to tag @Josephine our forum nurse to comment on the condition of your hips.

      If you are at the stage where you are planning to have surgery but are looking for information so you can be better prepared for what is to come, take a look at these links:
      Recovery Aids: A comprehensive list for hospital and home
      Recliner Chairs: Things you need to know if buying one for your recovery
      Pre-Op Interviews: What's involved?
      Longevity of implants and revisions: How long will my new joint last?

      And if you want to picture what your life might be like with a replaced hip, take a look at the posts and threads from other BoneSmarties provided in this link:
      Stories of amazing hip recoveries
       
      • Like Like x 1
      • alexthecat

        alexthecat Forum Advisor

        Member Since:
        Mar 1, 2010
        Age:
        49
        Messages:
        5,596
        Gender:
        Female
        Location:
        United States
        I had my THR when I was 42. I'm 49 now. Mine was the result of a hip fracture, so I didn't have a choice of when or whether to have the surgery.

        It's not really accurate to say that revisions have less successful outcomes than primary surgeries. We've seen plenty of members who have done very well after revision. There are a lot of factors involved with that and the reason for the revision seems to play a large role.

        I have mostly forgotten about my hip. I don't worry much about whether I will need more surgeries on my hip. If I do need more surgery, I'll deal with that when the time comes. None of us know what the future holds, so it makes sense to me to grab the best quality of life now. I'm an active, athletic person, so sitting on the sidelines isn't how I want to live my life.
         
        • Friendly Friendly x 1
        • Jaycey

          Jaycey Moderator

          Member Since:
          Jan 27, 2010
          Messages:
          19,758
          Gender:
          Female
          Location:
          UK
          Country:
          United Kingdom United Kingdom
          • Agree Agree x 1
          • Josephine

            Josephine NURSE DIRECTOR, BONESMART Administrator

            Member Since:
            Jun 8, 2007
            Age:
            75
            Messages:
            67,685
            Gender:
            Female
            Location:
            The North
            Country:
            United Kingdom United Kingdom
            Also known as a Femoro-Acetabular Impingement (FAI).
            From what you've said I would most certainly agree with that.
            Not necessarily. Maybe the arthroscopic surgeon would but if he has any ethics, he will know when a hip is too far gone for that.
            Very infrequently. And most who have hip arthroscopies very often end up having a hip replacement very soon after anyway.
            It could give you some temporary relief but it's not guaranteed.
            Absolutely not! Here's some 'positive input' reading for you!
            Hips that have lasted 32, 40, 41 and 45 years
            67½ year old - the THRs, not the patient!
            Longevity of implants and revisions: how long will my new joint last
            Well there are plenty of stories out there if you want to go looking for them but you have to put those against the 850,000 (and increasing) hip replacements that are done world wide every year! Then the few you read about pales into insignificance!
            I often said - whoever manages to find such a drug to manage the pain of osteoarthritis will be in line for a Nobel Prize for services to humanity! Sadly, as yet such a man has not presented himself!
             
            • Agree Agree x 1
            • Ramp

              Ramp Junior Member

              Member Since:
              Dec 27, 2016
              Age:
              42
              Messages:
              20
              Gender:
              Male
              Location:
              Toronto
              Country:
              Canada Canada
              Thanks for the information and kind words everyone.

              I guess it has also been hard to cope with and coming to grips about what is in store for me. I often find the pain pretty bad and depressing even though I am generally a cheery person. Since I injured the one hip in July it had only hurt really when I twisted left or right but in the last few weeks or so everything has accelerated so fast and I find myself hobbling around like an old man and not being able to sit down as well as the other hip starting to ache.

              There is a pressure feeling on my glutes and for some unknown reason tender spots on the sides of my hips. Pretty sure it is not bursitis but it must be a similar feeling. Does this have any chance of getting better for a while or going into "remission" or does hip pain always get worse and not better? I find the stretching and physio to have no effect. If anything the physio made it worse I think because of my dysplasia. It takes a while to get appointments with surgeons but I hope they will prioritize my treatment because I am an active working person and I need my mobility.

              I have a new found respect and sympathy for people with chronic pain.
               
              • Like Like x 1
              • Josephine

                Josephine NURSE DIRECTOR, BONESMART Administrator

                Member Since:
                Jun 8, 2007
                Age:
                75
                Messages:
                67,685
                Gender:
                Female
                Location:
                The North
                Country:
                United Kingdom United Kingdom
                "some unknown reason"? Are you sure about that?
                Oh I think it is! Read this Trochanteric bursitis. As for it settling down, sorry to be the bearer of bad news but it might but it's very unlikely. And this is not the time to be doing those exercises or stretches. You have a bad hip so that's a good enough reason.
                 
                • Agree Agree x 1
                • Ramp

                  Ramp Junior Member

                  Member Since:
                  Dec 27, 2016
                  Age:
                  42
                  Messages:
                  20
                  Gender:
                  Male
                  Location:
                  Toronto
                  Country:
                  Canada Canada
                  So what's next? My hips are just going to explode?! Man it just goes from bad to worse. ;(. I'll stop the exercises but I think it should still be a good idea to stretch out the hamstrings a little ? My movement is limited so I don't want to freeze up.
                   
                  • Like Like x 1
                  • Josephine

                    Josephine NURSE DIRECTOR, BONESMART Administrator

                    Member Since:
                    Jun 8, 2007
                    Age:
                    75
                    Messages:
                    67,685
                    Gender:
                    Female
                    Location:
                    The North
                    Country:
                    United Kingdom United Kingdom
                    It might make it freeze up all the faster. So just rest it and try not to force yourself to do things that hurt.

                    How soon will you be able to get a booking, do you think? I know Canada isn't known for it's speed!
                     
                    • Like Like x 1
                    • Ramp

                      Ramp Junior Member

                      Member Since:
                      Dec 27, 2016
                      Age:
                      42
                      Messages:
                      20
                      Gender:
                      Male
                      Location:
                      Toronto
                      Country:
                      Canada Canada
                      Alright I'm just going to try to rest and go easy. It still seems sitting is the most difficult for me. I just do find if I don't stretch a little things get tight. Sadly I can't even stretch my right glute because I can't twist my leg at all to get into a good stretch.

                      As for time line. My sports medicine doctor referred me to an arthro surgeon. I suspect the arthro will probably send me on to a hip replacement doctor so I am going to try to get someone at the joint clinic I originally went to to refer me to a hip specialist in the mean time. It could be months before I can even get into the Arthro so I'm being proactive. I do not wish to live in pain any more than I have to but Xmas time really messed up everything because everybody is closed !
                       
                      • Like Like x 1
                      • Misslucky

                        Misslucky Junior Member

                        Member Since:
                        Sep 30, 2016
                        Age:
                        37
                        Messages:
                        94
                        Gender:
                        Female
                        Location:
                        Birmingham
                        Country:
                        United Kingdom United Kingdom
                        I had arthroscopy in May 2015 due to a labral tear in my right hip due to an accident. No other abnormality was found but unfortunately this hasn't worked for me. Steriod injections are the only things that get me through without being in that dibilating pain. I have an appointment on the 3rd Jan to find out what the next step for me will be. The steriod isnt too bad going in but I would look away if your scared of needles and like Josephine said it can work miracles for some but doesn't work aswell for others....I'm extremely lucky on that front. If surgery is going to take a while I would give it careful consideration as it may give you some pain relief which is better then nothing. I'd also give arthroscopy careful consideration too. Knowing what I know now from this brilliant site if your offer a replacement I'd go for it. Keep us informed.
                         
                        • Agree Agree x 1
                        • ultimatewd

                          ultimatewd New Member

                          Member Since:
                          Dec 27, 2016
                          Age:
                          40
                          Messages:
                          14
                          Location:
                          Iowa
                          Country:
                          United States United States
                          I had a similar situation. I had a the year stemming from the birth of my daughter 3 years ago. From these doctor visits it was found I had dysplasia in my left hip. I was not a candidate for a PAO... so finally after several visits to multiple specialists I had the arthroscopic surgery to repair the tear... giving me a 50/50 chance of it helping with my pain. It took a year to get that far...

                          Two years after that surgery, they finally performed the THR. I'm post op 2 weeks.... how I wish we could have just stared there. Recovery is tough, but with the help of this forum I know I can get thru it.

                          This is my story of course, everyone is different. But if it were me... I'd obviously go for the THR.

                          Best of luck and God bless,
                          Kristen

                          PS for me the cortisone didn't help.
                           
                          • Like Like x 1
                          • Friendly Friendly x 1
                          • Ramp

                            Ramp Junior Member

                            Member Since:
                            Dec 27, 2016
                            Age:
                            42
                            Messages:
                            20
                            Gender:
                            Male
                            Location:
                            Toronto
                            Country:
                            Canada Canada
                            Wow. It's so nice to hear from people around my own age that have these problems. My friends are all shocked and making fun of me like I'm some kind of old man. I would think arthroscopic surgery is a little less invasive and easier on the body and recovery but you are right. If it only buys me a year or two it is not worth it. I am a total wimp when it comes to this kind of thing and I've been pretty gloomy and the prospect of surgery terrifies me as I'm a bit of a wimp. Sometimes I wake up and say wow I feel great and then I stand up and it all comes back to me. I'm also starting to notice it's affecting my knees and calfs a little bit because of the change in my walking. One other thing that is really odd. I sleep on my back. And often I wake up in the night and the backs of my heels are sore. Like they have fallen asleep. It's on the back of my leg at the bottom not on the bottom of the foot. Anyone have that?
                             
                            • Like Like x 1
                            • Misslucky

                              Misslucky Junior Member

                              Member Since:
                              Sep 30, 2016
                              Age:
                              37
                              Messages:
                              94
                              Gender:
                              Female
                              Location:
                              Birmingham
                              Country:
                              United Kingdom United Kingdom
                              The way you walk with a bad hip affects your whole body, you try and compensate for that hip. When my steriod wears out and I can feel pain again my other hip starts complaining too. I get muscles aching, calf twitching, burning sensations and knee pain so maybe that why your getting pains in your heels. The refered pain is very real ! Don't let friends mocking you get you down they have no idea of how it feels and why you can't do things like you did in the past. Ive had conversations myself to people to try and make them understand just slightly what I'm going through but it's really only the people going through this that truly know so head up and stay strong !! Arthroscopy is certainly a tough recovery depending on what they do but like @ultimatewd has said bypass that if you can and go straight to thr as it saves you alot of heartache and starting from scratch if it doesn't work out
                               
                              • Agree Agree x 1
                              • Ramp

                                Ramp Junior Member

                                Member Since:
                                Dec 27, 2016
                                Age:
                                42
                                Messages:
                                20
                                Gender:
                                Male
                                Location:
                                Toronto
                                Country:
                                Canada Canada
                                Can anyone recommend a good way of walking up and down stairs? I may get a cane to help with them at home eventually but I find the stairs a little daunting. I bought a foam cushion to sit on at my computer so I hope that helps.

                                Also, sleeping on my sides is too painful so I sleep on my back. I have tried a pillow under my legs and without with mixed results. Does anyone have a good position for sleeping on your back? more pillows, less pillows etc?

                                Thanks for any tips!
                                 
                                • Friendly Friendly x 1
                                • Doxielover

                                  Doxielover New Member

                                  Member Since:
                                  Dec 9, 2016
                                  Age:
                                  42
                                  Messages:
                                  18
                                  Gender:
                                  Female
                                  Location:
                                  Pennsylvania
                                  Country:
                                  United States United States
                                  @Ramp I had arthroscopic surgery in August of 2014 for a torn labrum and cam and pincer impingement. Steroid injection was not too bad but I give the OS credit for his skill there, it only gave me partial relief for about 3 weeks though.

                                  The plan was to reshape the bone for the impingement and repair the labrum however during the scope it was found I had almost zero cartilage so only the tear was repaired and a little shaving was done. I tolerated the continued pain for a little over 2 years and now am having THR on January 3rd.

                                  Good luck and keep us posted!
                                   
                                • ultimatewd

                                  ultimatewd New Member

                                  Member Since:
                                  Dec 27, 2016
                                  Age:
                                  40
                                  Messages:
                                  14
                                  Location:
                                  Iowa
                                  Country:
                                  United States United States
                                  I like to use buckwheat pillows for under my head (great for reading)... but my extra large one has helped for elevating my legs. I'm more comfortable with both legs elevated... and helps keep me from rolling in my sleep.

                                  Stairs... I've been just taking one at a time. Both feet get to be on each step. This YouTube video is basically what that looks like:


                                  Hope this helps :)


                                  God bless,
                                  Kristen
                                  [LTHR 12/13/16]
                                   
                                • ultimatewd

                                  ultimatewd New Member

                                  Member Since:
                                  Dec 27, 2016
                                  Age:
                                  40
                                  Messages:
                                  14
                                  Location:
                                  Iowa
                                  Country:
                                  United States United States
                                  You want to talk wimpy... that's me! My first surgery didn't buy me two years... it was unsuccessful for me... it bought me two additional years of pain. (Not to say that would be the case with you).

                                  I was off work 2.5 months prior to THR surgery, it got so bad! I was using crutches and a walker to get around my house... that I never left, going anywhere was a nightmare.... and I would get really suspicious looks at the store when I had to use their scooter.

                                  My pain level was about the same for both surgeries (if I remember correctly) the first one had me in PT for 4 months post op too... I feel as if I'm recovering faster with my anterior THR. I've still got a ways to go, but I am SO much more comfortable knowing I absolutely will feel better... the first surgery, I just crossed my fingers and hoped for the best :(


                                  God bless,
                                  Kristen
                                  [LTHR 12/13/16]
                                   
                                  • Like Like x 3
                                  • Ramp

                                    Ramp Junior Member

                                    Member Since:
                                    Dec 27, 2016
                                    Age:
                                    42
                                    Messages:
                                    20
                                    Gender:
                                    Male
                                    Location:
                                    Toronto
                                    Country:
                                    Canada Canada
                                    Have any of you had really sore and tender sides of your hips? I am wondering if OA can cause or lead to bursitis or mimic some of the symptoms. The last few days I have quite a bit of pain when i sit from my buttocks and very tender sides of my hips. Sometimes it feels like someone is squeezing it very hard. It is tender to the touch in some spots also on the outside of both hips. It's very interesting how both my hips now are as bad as each other even though only one of them is the one that has the labral tear. I read about things like periformis for the back but it is usually linked with sciatic pain of which I have none. I just can't sit for more than 2-3 minutes at a time. Thank goodness for ipads and heating pads.

                                    Sometimes I feel like OA is not my only problem. For years I had the dysplasia and probably some mild OA and never had a problem. It was only after i tore my labrum that suddenly both hips have deteriorated to the point where I need pain meds and a cane sometimes to get around. Are there degenerative diseases that can affect only the hips?
                                     
                                    • Agree Agree x 1
                                      Last edited: Jan 3, 2017
                                    • sandiegomom

                                      sandiegomom Junior Member

                                      Member Since:
                                      Aug 8, 2015
                                      Age:
                                      42
                                      Messages:
                                      53
                                      Gender:
                                      Female
                                      Location:
                                      San Diego
                                      Country:
                                      United States United States
                                      Hello, I am 42, and had a THR after having FAI surgery just 8 months prior. I wish I had just gone for the THR straight away, but felt 'too young' for a THR (and my original Dr recommended FAI surgery). The FAI surgery bought me 8 months of pain, stress, overmedication, and depression. I'm now on to getting my left hip done and is why I'm logging BACK into this site after a year break. I must have genetically crappy hips. Which, at 42, maybe you do, too. At some point you have to stop asking 'why is this happening to me?' and address how depressed being disabled at your age feels. My new hip is the most amazing aspect of my body; I'm proud I have it. It makes me alive again! I wish you ALL the best!!!! Xo.
                                       

                                    Share This Page

                                    If this forum is helpful to you, please consider a donation!

                                    Support BoneSmart with a Tax Deductible Donation