Hip Arthroscopy FAI Surgery Round Two—All Done!

We've all had those rough days with crying & feeling overwhelmed by the entire recovery process & pain.
See how you do with work & if you need to take that extra time off then by all means do so.
Hope you have a Happy Thanksgiving tomorrow.
 
We've all had those rough days with crying & feeling overwhelmed by the entire recovery process & pain.
See how you do with work & if you need to take that extra time off then by all means do so.
Hope you have a Happy Thanksgiving tomorrow.

Thanks @myglasshalffull. I was in such a tizzy this week that I almost decided to stay home for Thanksgiving. Luckily, I pulled myself up and went to a friend’s house. I happily enjoyed green been casserole, corn casserole (my first time for both!), and generous helpings of red wine—YUM!

I was hoping to get in for a physical therapy session yesterday, but there wasn’t any availability. My hip is still finnicky when it comes to working out. I did my exercises yesterday and had a flare and took a rest today with lesser pain. I’m just still struggling with burning along my psoas and I guess you would say my “abdomen.” My PT says that he thinks it’s all normal, no cause to worry, but it still gives me anxiety.

Anyhow, with Black Friday I was able to get a decent deal on a massage gun. I’m hoping that will help loosen everything up and calm down some of the muscles. I’m also talking to someone about a pre-owned “kneeling chair,” but just have to see if my surgeon approves first.

My other purchases included new pajamas, a couple of skirts for work, and some turmeric powder. I’ve heard turmeric lattes are a wonderful coffee alternative and help with inflammation.

I’m still a little stressed about sitting at work. My boss read my surgeon’s note and doesn’t know if 20 minute breaks every 2 hours will be feasible. They’re setting up a laptop so that I can alternate standing and I’ll still work with my doctor to advocate for myself.

On another note, my PT also recommended acupuncture for inflammation. My surgeon hasn’t approved yet, but I would love to hear other experiences!

For now, have a wonderful week—it’s supposed to be a cold one in NY!
 
Re: acupuncture

Years ago I partially tore my rotator cuff whilst pitching for the Yankees (I jest) and my surgeon was very keen to operate and repair. In the meantime he wanted me to have extensive physio. The physio was amazing and included acupuncture. Honestly, it was so good I didn't need the surgery.

Get the nod from your surgeon but I found it to be very helpful for my shoulder.
 
Massage gun:
Proceed with caution on that & you might want to ask your surgeon about using it.
I recall when I did PT for my ankle seeing therapists using on folks but I was totally unaware of what purpose it served.
 
Hi Sammy,
I am curious, has your surgeon mentioned the option for a potential steroid shot? After my surgery in June (FAI bone shaving, scar tissue removal from previous labrum repair 1 year prior), my hip joint would just not release and I had very limited RoM even 3 months out. This was delaying my ability to progress in PT due to pain. He injected a steroid into the joint at my 3ish month follow up and it instantly released my hip and I was able to start on more mobility exercises.

I feel you though, I am 38/active and have had pain for 2+ year in my right hip with 2 surgeries. Hoping I am finally on the right path and the recovery is just going to be slow and steady this time around as I too just want to be active and not have any pain.
 
Hi Sammy,
I am curious, has your surgeon mentioned the option for a potential steroid shot? After my surgery in June (FAI bone shaving, scar tissue removal from previous labrum repair 1 year prior), my hip joint would just not release and I had very limited RoM even 3 months out. This was delaying my ability to progress in PT due to pain. He injected a steroid into the joint at my 3ish month follow up and it instantly released my hip and I was able to start on more mobility exercises.

I feel you though, I am 38/active and have had pain for 2+ year in my right hip with 2 surgeries. Hoping I am finally on the right path and the recovery is just going to be slow and steady this time around as I too just want to be active and not have any pain.

Hi @eggy293,

My doctor and I actually tried a few different cortisone shots before deciding on surgery. We started about 4 months post-op from my 1st right hip surgery with an injection into the joint. We also tried an injection for a suspected inflamed bursa, which wound up being a small hematoma. In August 2024 (two months before my iliopsoas release) I saw a radiologist and had a cortisone shot injected into the tendon. Out of all of the injections, that one gave the most relief (a whopping two days LOL) and we decided to proceed with the tendon release and revision arthroscopy.

I wound up going back to work on 12/2. The first day back was pretty horrific—I was practically crying on the phone with my surgeon that night. We decided to play out the rest of the week and things have gradually improved, but sitting can still be pretty difficult. I have a laptop that I can use to stand and am still taking extra breaks (much to my wallet’s dismay).

I have my next post-op appointment on the 19th with my surgeon. Overall, I think we’re making slow and steady progress.

BCBS is giving me a run for my money by barely approving PT visits. I’m allotted 60 per year, have met my OOP and deductible, have only used 20 sessions and they still fight me repeatedly for more sessions :groan:.

I’m also following up with my lovely uterine fibroid later on this month. I have an ultrasound on the 24th for an additional scan. I was hoping to delay removal, but don’t want it to compromise all of the progress we’ve made with the hip, since it’s pretty close to the psoas muscle.

All in all, the days this holiday season have been a dragging monotony. I have a half day at work today for a holiday luncheon, but am definitely feeling very “blah” and in need of rejuvenation. So far though, the progression of the hip has been upward, so I can’t complain.

Have a wonderful weekend, hippies!
 
Good luck with your appointment with the surgeon on the 19th and your ultrasound on the 24th, Sammy-Am.
I hope you have a pleasant weekend. :) :-) (:
@Sammy-Am
 
Insurance companies take take take but seldom want to give back! When my OS ordered MRI I was immediately refused by insurance but office manager at OS office called me & told me "he will get this approved." And, he did! Then after the first MRI the radiologist ordered another & I guess if radiologist sees something insurance has to approve. So 2 MRI's in short window of time couple years ago.
Good luck with your appointment.
 
Insurance companies take take take but seldom want to give back! When my OS ordered MRI I was immediately refused by insurance but office manager at OS office called me & told me "he will get this approved." And, he did! Then after the first MRI the radiologist ordered another & I guess if radiologist sees something insurance has to approve. So 2 MRI's in short window of time couple years ago.
Good luck with your appointment.

Absolutely @myglasshalffull! I’m going to follow up with my surgeon on Thursday to see if he can call to do a peer-to-peer. I think sometimes insurance companies don’t take physical therapy seriously!

I forgot to mention that I have an appointment on the 23rd with the naturopathic physician as well. It will be my first time seeing him and while I think most of my digestion issues are linked to my fibroid, hip, pain medication, lack of exercise, etc, I’m hoping to hear his thoughts on acupuncture and alternative healing (with my OS’s approval of course!).

For now, I’m wondering if any of you hippies have advice for nighttime pain. I was on Tramadol for several months which was helpful for getting me to relax at night while combating some of the pain. I was recently having bouts of insomnia on it and reluctantly, decided to stop taking it.

I asked my doctor for alternatives for night pain and he said there wasn’t much—just OTC anti-inflammatories or a prescription like Meloxicam. The worst is having that feeling of swelling and tightness at night and not being able to fall back asleep easily, especially after PT when the hip is extra inflamed.

I might talk to my surgeon on Thursday on going back on something, at least until I finish PT. During the day, usually 3 Tylenol will do. Any tips for combating nighttime pain would be helpful though.

Happy Sunday!
 
They sell a "nightime" Tylenol which might help.
And you can try ice pack wrapped in towel as well. I got up some nights & grabbed my ice pack & took it back to bed, really helped ease the pain.
 
Thanks @myglasshalffull!

I tried Tylenol PM, but it didn’t help in terms of the pain. I do have my heating pad at the ready and will occasionally turn it on to loosen everything up. Oddly enough, this hip hasn’t really responded to ice. Sometimes the colder weather feels nice, but heat has been my go-to for this last surgery.
 
Sammy Ann,
We all find what works best for our individual circumstances. I enjoyed heating pad now & then on my back. I used to spend a couple hours on couch in downstairs apartment here & lay on heating pad & watch TV down there, I don't find I need that "daily" rest any longer but sure was nice & enjoyable when I did.
Interesting how you are finding this hip not responding to the ice. Just goes to show each recovery (even on same person) is quite different.
 
Very true @myglasshalffull. I’m trying to take an easier approach to recovery this time around. Admittedly, I’m still trying to figure out what makes this right hip “happy.”

Overall, I feel like I’m making progress in PT. Stairs are still my arch-nemesis and I still have trouble lifting my hip “up and out,” like getting out of a car.

I’m a little frustrated at the moment because my osteitis pubis pain was mildly flared today. I’ve heard it can be an annoying issue to get rid of.

I’m hoping continued work on the hip will alleviate any discomfort around the pubic bone. My PT also told me to ask my surgeon about pelvic floor PT to see if that could also help. If anyone has any experience, please let me know.

Have a great night.
 
Hi All,

Happy New Year!

I’ve mentioned to a lot of people that January so far has been incredibly peaceful, but also very scary and chaotic. I’ve had quite a few upheavals this month that I’m still trying to process, hence not posting.

I started the month off with quite a bit of abdominal pain. I had a follow up transvaginal ultrasound to check the status of persistent uterine fibroids, as I was told in the past that the pain to the right of my bellybutton was a fibroid. The pain was so bad that I was in the ER not once, but twice this month already.

I followed up with my gynecologist who is starting me on a new medication, but doesn’t believe the pain is fibroid related. The ER didn’t provide any insight—maybe gastro related, maybe not.

In this time, I haven’t had any more physical therapy visits approved for the hip. It’s been tight, but overall feeling better.

Part of me thought the abdominal pain was from my pelvic floor and abs being destroyed from all of the hip surgeries. I decided to take a yoga class this past weekend and was pleasantly surprised at how much my body could do. However, in certain postures I had abdominal pain and almost “numbness” in my RLQ—pain similar to psoas pain, but overall “different.”

My anxiety got the better of me this past week and I decided to make an appointment with a general surgeon to rule out a hernia. My hip surgeon and I discussed the possibility before, but all MRI’s, CT scans, and exams from him, my chiropractor, my PT, and ER doctors always came back negative. Still, I just needed to ease my mind and get a definitive “no.”

That appointment was on Monday. The general surgeon was kind and seemed capable, but I didn’t feel “humanized.” He came into the room, spoke to me for barely 2 minutes, examined me, found a R inguinal hernia, and immediately started “discussing” surgery. He didn’t care to see any past testing, didn’t seem to want to get to know me, and essentially, wanted his confidence to silence my nerves, fears, and endless questions.

He had an opening for surgery this Tuesday, 1/14 and originally I had scheduled, just wanting to get this over and done with. I called my hip surgeon after the appointment, updated him with everything, and spent all of Monday night with endless panic attacks. I have grown quite comfortable and found of my orthopedist and this generalist, while capable, just gave me the “icks.” Needless to say, no surgery for me this week.

When I called my hip surgeon, we spent about 20 minutes on the phone (bless him!) talking everything through. He gave me the name of one general surgeon and also a sports hernia specialist located in NYC. I’m still not convinced I have a true “sports hernia,” but I think misalignments in the pelvis, inguinal canal, and adductors could have caused the inguinal hernia.

For now, I have my next follow up with my hip surgeon on the 30th. I’m hoping to talk with him more before scheduling any more appointments related to the hernia. And as silly as it sounds, it absolutely breaks my heart that I have to find another surgeon to address all of this. When you find one amazing doctor, you wish they could just do everything!

Truth be told hippies, I’m also just mentally and emotionally exhausted. My hip is feeling better, but I basically had a “breakdown” this past week—I just don’t feel like myself anymore. I had a long overdue appointment with an NP to get some help for depression and anxiety and just need more “boosts” in my life, not more surgeries.

If you’ve made it this far, thank you for the long read. I’m off to rest and nurture myself.

Wishing everyone safety and wellness—Sammy-Am.
 
Last edited:
Hi Sammy. I'm new to bonesmart. Don't have anything to offer in the way of concrete help. But I think you are very wise to forgo hernia surgery with the surgeon with the yucky bedside manner.
Yea, definitely get a 2nd opinion. And I sympathize with the panic attacks. Ugh. No fun. I drive myself crazy sometimes with health anxiety. It's why I've always got Klonopin on hand, just in case. Hadn't taken any in a looong time, that is, until 2 days before my THR (12/10/24). After having the surgery, then I was ok.

'Hoping you find a resolution to the mysterious belly pain.
 
Hi Sammy. I'm new to bonesmart. Don't have anything to offer in the way of concrete help. But I think you are very wise to forgo hernia surgery with the surgeon with the yucky bedside manner.
Yea, definitely get a 2nd opinion. And I sympathize with the panic attacks. Ugh. No fun. I drive myself crazy sometimes with health anxiety. It's why I've always got Klonopin on hand, just in case. Hadn't taken any in a looong time, that is, until 2 days before my THR (12/10/24). After having the surgery, then I was ok.

'Hoping you find a resolution to the mysterious belly pain.

Hi @daisyduck0801,

Welcome to the forum and congratulations on your recent THR! I don’t have any useful advice to give you in terms of your recovery, but I wish you all the best. I’ll try to pop on to your thread and familiarize myself with your story.

I’ve had severe anxiety all of my life. I’ve been off of any medication for depression and anxiety since about 2018.

Health anxiety and the incessant worry that comes along with that has always been a struggle for me. I also have a hard time relinquishing control and trusting people, so I’ve been incredibly lucky to find a hip surgeon that understands my personality and isn’t “annoyed” by it. It truly is a rare find.

I’m happy that I’m getting closer to having answers, but there’s always that sense of confusion. Mentioning “sports hernias,” a lot of general surgeons have no idea what you’re talking about. Ortho’s know about them, but often don’t have the training to operate. It’s a lot to take in.

If I proceed with this next surgery (which seems inevitable) that will be surgery #5 for me in 2 1/2, almost 3 years (L Hip, R Hip x’s 2, and Appendectomy, plus this next one).

Health anxiety is of course one thing, but I think for me, I’m just exhausted. I’m 33 and I’m just tired of having surgeries. I’m incredibly grateful to have the opportunities to feel better, but I just want to start living again. I know a lot of it is mindset, but I’m just pooped.

Thank you for the well wishes and here’s hoping to less anxiety for the both of us!
 
Hi Sammy Ann,
So sorry to read of all this aggravation with your pelvic issues, hernia, etc.
I'm with you in wanting no more surgeries.
I've had enough recovery in last 5 years & once I was back to my old self I wasn't about to get anymore surgery ( I do have hernia that has grown a bit), seeing doctor on 1/16 & I already know what he's going to say cause 2 years ago he said "little hernia, little surgery" "bigger hernia, bigger surgery."
And my son is an ER nurse & already told me I don't want to end up in emergency surgery. I have my annual 2 week vacation coming up & will reconsider when I return as well as when I do see doctor on 1/16. Plus I really don't want GA again.
The mental end of surgery/recovery I don't think is addressed properly. Surgeons do their surgery & send you on your way. Some of us need more. More information, more everything, more support for sure.
I wish you the best, please keep us posted.
 
Hi Sammy Ann,
So sorry to read of all this aggravation with your pelvic issues, hernia, etc.
I'm with you in wanting no more surgeries.
I've had enough recovery in last 5 years & once I was back to my old self I wasn't about to get anymore surgery ( I do have hernia that has grown a bit), seeing doctor on 1/16 & I already know what he's going to say cause 2 years ago he said "little hernia, little surgery" "bigger hernia, bigger surgery."
And my son is an ER nurse & already told me I don't want to end up in emergency surgery. I have my annual 2 week vacation coming up & will reconsider when I return as well as when I do see doctor on 1/16. Plus I really don't want GA again.
The mental end of surgery/recovery I don't think is addressed properly. Surgeons do their surgery & send you on your way. Some of us need more. More information, more everything, more support for sure.
I wish you the best, please keep us posted.

Hi @myglasshalffull,

Happy New Year and thanks for the support.

From my understanding, the general surgeon that I saw said the hernia was small. There is no bulge and only reproduces when coughing.

He didn’t give me an estimate in terms of sizing, nor a timeframe to have the surgery done within. I guess the hernia isn’t at risk of strangulation, so surgery is dependent on my discomfort. Apparently, smaller hernias can reproduce more pain.

I think at this point I’m more concerned with the “sports hernia” aspect. I’ve heard that they can lead to inguinal hernias and I’m sure these longstanding issues are a result of hip mechanics. I’ve read there’s a correlation between FAI and “sports hernias.”

All of the information out there is so limited and it’s frustrating getting a confused look from doctors when you try to ask questions. The general surgeon I saw doesn’t believe in “sports hernias”—many think of them as a variation of an inguinal hernia.

Regardless, best of luck at your doctors appointment on the 16th and enjoy your 2 week vacation. We’ll both get to the other side eventually.
 
Sending a hug, Sammy-Am :console2:
I am sorry for all you are enduring and hope you find answers soon as well as peace of mind. Please keep us posted, we're here for you.
@Sammy-Am
 
Hi Friends,

Just popping on with a quick little update.

My hip surgeon originally recommended Dr. Mark Zoland in NYC and from what I can see, he really is a powerhouse in groin, hernia, and pelvic related pains.

I called his office this morning and not only do they NOT participate with insurance, the consultation fee alone is $605!!!! I am flabbergasted, disgusted, and all of the emotions. Just WOW!
 
Back
Top Bottom