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Here we go again...

Discussion in 'Hip Replacement Pre-Op Area' started by tessa, Oct 10, 2018.

  1. tessa

    tessa junior member
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    https://bonesmart.org/forum/threads/possible-hip-replacement.40335/page-2#post-1010678

    I last posted on the above thread last year when I saw a surgeon. Fair to say it was a disaster! He took one look at the xray, says it was fine but did order an MRI, again which showed no significant abnormality.

    He said the pain was probably revered from my spine (I do have a mild scoliosis). Feeling very deflated I agreed with my GP to make some lifestyle changes, lost some weight (not that I was very over weight) and tried to get fit. Guess what, it made no difference to my hip pain.

    I had also changed jobs and have private health care so my GP referred me to a rheumatologist who was amazing. Said he didn’t care what my xray said, I have a very stiff painful hip. He ordered an arthrogram which showed marked degeneration of the antero-superior and anterior acetabular labrum although no detachment. He then referred me to a different surgeon, very experienced in "less usual" hip problems.

    Have just seen him and he told me I have an impingement as well as the labral degeneration and my pelvis is tilted by the scoliosis. He is happy to do an arthroscopy but equally will offer a replacement. I do not have significant arthritis.

    I really am not sure what to do, any thoughts?
     
  2. Pumpkln

    Pumpkln FORUM ADVISOR Forum Advisor

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  3. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    That's a contradiction! If you have 'marked degeneration' in the acetabulum then you need a replacement. An arthroscopy would be at best, a 'BandAid' treatment, destined to be a short term solution.
     
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  4. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    Glad Jo weighed in.
    Seems like recovery can be same but hate to see you go through something twice!
     
  5. tessa

    tessa junior member
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    Thank you Josephine, value your input.
    I am just trying to get my head around this. As a retired nurse I do have Some knowledge of A&P and as I see it removing the labrum (and I assume that will be required given the degeneration )can help with the pain and catching symptoms short term. However a vital defense for the hip has been removed which means long term the hip is exposed to more pressure. Removal of the labrum can subtly leave the hip less stable, less protected, and will likely lead to an increased susceptibility to arthritis. Is there a chance that after removal of the labrum arthritis will not follow, or is it a given?
    I absolutely do not want to go through surgery twice but equally do not want to replace a joint that may not develop into an arthritic one!
    My head is spinning on top of the anxiety about having surgery!
     
  6. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    I can't tell you how many members we have here who have gone through arthroscopy and end up having THR not too long after. I agree - you don't want to have 2 surgeries. I'd be more inclined to go for the longer term solution. Your decision of course.
     
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  7. tessa

    tessa junior member
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    Yes that’s what I am seeing ! I just want to be clear in my mind the rational behind my decision!
     
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  8. Apricot

    Apricot senior

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    Good you’ve got a diagnosis and seen a specialist. One thing to think about, is it better to have a hip replacement in the near future and have a better quality of life whilst you are younger? Hip replacements can potentially have a long life.
     
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  9. SurreyGirl

    SurreyGirl post-grad

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    You are not far off my age. I was diagnosed at 55/56 and the hip deteriorated a great deal by the time I had the operation in July this year. With new changes in hip surgery coming up I am confidence that if I need another operation in 20 years time that things will have progressed way beyond where we are now.. I went ahead. My problem was not my age it was my weight!

    I see you are in Sussex so not far from me.. T

    Best of luck with your decision.
     
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    Last edited: Oct 15, 2018
  10. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    Double hip replacement for me at age 53. BTHR ...Not even on my radar.:flabber:
    Sure has made a world of difference in my life.
    Whatever you need to do to get your life back to pain-free!
    :happydance:
    Hope you get the answers you need to have peace with decision.:friends:
     
  11. tessa

    tessa junior member
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    Lots of thinking and research and I have decided to got for a THR. Seeing the surgeon on 31st and hopefully have surgery week of 26th November!
     
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  12. Apricot

    Apricot senior

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    Very good luck for an excellent result. Get yourself on the waiting list ASAP.
     
  13. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    :wave: I know this is a big deal...but not near so bad as thinking of life with hip pain.
    I am glad you will be well on your way to getting your life back so next year you will be Golden!
    Let us know when you get a confirmed date:ok:
     
  14. tessa

    tessa junior member
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    Thanks for all the support!

    I wonder if Josephine could answer the following? Afraid I am not sure how to tag!!!

    Thank you Josephine, value your input.
    I am just trying to get my head around this. As a retired nurse I do have some knowledge of anatomy and as I see it removing the labrum (and I assume that will be required given the degeneration) can help with the pain and catching symptoms short term. However a vital defense for the hip has been removed which means long term the hip is exposed to more pressure.

    Removal of the labrum can subtly leave the hip less stable, less protected, and will likely lead to an increased susceptibility to arthritis. Is there a chance that, after removal of the labrum, arthritis will not follow or is it a given?

    I absolutely do not want to go through surgery twice but equally do not want to replace a joint that may not develop into an arthritic one!

    My head is spinning on top of the anxiety about having surgery!
     
  15. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    You can tag by placing the @ sign in front of the name
    Let me tag @Josephine for you.

    I see you are still unsure of your decision to go forward with THR.
    I understand the consternation.
    BTHR has been a Quality of Life Saver for me.
    Hope your day is a good day!
     
  16. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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  17. tessa

    tessa junior member
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    Decision made!
    So met with the surgeon today and I am having a left replacement at the end of November .
    In one way I am relieved but also terrified.
    I am very confident with the surgeon , very experienced.
    I am sure I will have lots of questions .....
     
  18. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    Tessa is getting her life back:yes!:
    Do you have an exact date so we can add it to your signature and put you in the November Nimbles?

    I know there is a certain anxiety that comes with knowing you are having a hip replaced..but I can honestly say it gave me life back.

    Glad you won't have a long wait!
    And with Bonesmarties to support you, this journey will be on the road to healthy and happy!:egypdance:
     
  19. tessa

    tessa junior member
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    Just waiting for a call from the surgeons secretary but hoping for the 27th.
    Will let you know as soon as I know!
     
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  20. tessa

    tessa junior member
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    All booked for 30th November!!!!
     

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