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"Small" Hip Labral tear

Discussion in 'Hip Replacement Pre-Op Area' started by fallenstar, Aug 3, 2018.

  1. fallenstar

    fallenstar junior member
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    I had felt a pop in my hip after running a 10mile race alittle over 3 months ago. and the pain started from there. I have tried resting to no avail I finally saw a Dr, had a MRI and was told I had a small labral tear but he didn't think it was bad enough to operate on. He also is not a surgeon mind you.

    He sent me to physical therapy which I have been in for a week now and they are struggling to find anything that I can do that doesn't cause horrible pain during and cause me a day of sharp pains after and was told that I may want to think of another option if a couple more sessions does not help.

    Has anyone gone through something similar with a "small" tear and needed surgery?

    Edit: I also have FAI

    I do PT twice a week with homework of bridges, leg raises, and hip pendulums
     
  2. Bull76!

    Bull76! junior member

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    I had a labral tear which eventually made it's way into the hip joint and shredded the cartilage. But that was me. It sounds like you need to speak to a specialist who can decide the best course of action for you. Find one that does repairs of the labrum instead of removal. But that depends on the damage. Physio can help but if it is just causing pain then you're best to stop it.

    I tore my labrum whilst out running, Physio just caused me unbearable pain. But he reckoned I had damaged my hip and had me see a specialised who operated on me and my pain was gone post the op.
     
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  3. InkedMarie

    InkedMarie graduate

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    I suggest you make an appointment with an ortho surgeon.
     
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  4. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    :hi::welome:
    I'm not a medical person but addressing a tear with PT doesn't make alot of sense to me.
    Resting, icing and letting it heal would seem like the better course of action.
    PT seems like it could cause more stress on it...but I have no experience.
    Let's tag @Josephine (I just did)
    She IS a medical professional and I would trust her advice.
    I would rest it for now.
     
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  5. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    Agree...especially since it has been 3 months!
     
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  6. fallenstar

    fallenstar junior member
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    I have tried resting it for 3 months before I saw a Dr. The point of PT is to strengthen my hip to subside the pain
     
  7. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    Josephine shall come along directly...she is in the UK and stays quite busy on the forum.
    Would you mind losing what kind of PT you were doing and how often? It might help Jo when she pops in.
    I'm sorry you are struggling...some other members have dealt with labral tears...hopefully they will come by and share.
    There is a search button also that might help you to find pertinent threads.
     
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  8. fallenstar

    fallenstar junior member
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    Not sure what kind of specifics to tell for PT, I am going 2 times a week with daily homework of bridges, leg raises, and hip pendulums.

    Thanks. I will definitely check it out.
     
  9. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Hi, Welcome to BoneSmart! Thanks for joining us.
    I'm sorry you're in pain and not really finding relief.
    Would you consider stopping the exercises at least until the forum Nurse, Josephine weighs in, or you get a second opinion from an Orthopedic Surgeon? I don't think it will hurt, but hopefully help.
    Wishing you comfort.
    @fallenstar
     
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  10. Going4fun

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    Sorry to hear of your pain ... in my experience PT is not a cure-all ... certain injuries don't lend themselves to PT. For certain conditions any movement involving that joint will cause pain ... and PT strengthening of the surrounding muscles or the core won't necessarily help.

    I had a meniscus tear in the knee that was causing constant pain ... With some previous pain in the knee, my sports medicine doctor recommended PT. Soon as he saw the meniscus tear on the MRI and he heard my description of the pain, he said PT was not likely to help, and he recommended arthroscopic surgery. I held off for a while and did my own PT program ... but ultimately followed his recommendation to have the meniscus surgery ... and pain is gone.

    Sounds like you wanted to avoid the surgery route ... totally understandable ... I did as well ... my first doctor visits for hip and knee problems were with a non-surgeon sports medicine doctor and a physical medicine doctor (guy who oversees physical therapy) ....

    But I'll share this: when I finally went to the orthopedic surgeons, they seemed to have a much clearer understanding of the problems in my hip and in my knee than did these non-surgeons. Just my thinking. Looking back, I'm not sure the non-surgeons I consulted were specialists in hips and knees. The orthopedic and sports medicine surgeons I consulted did have a specialty in hips or knees.

    Also keep in mind that consulting with a surgeon doesn't require that you ultimately have surgery. But I would seek a second opinion with an orthopedic surgeon ... and or a sports medicine surgeon (arthroscopic) who does hip labral tears ... You'll often have a clear sense of whether or not this person "gets" your problem. And they may or may not recommend surgery. Orthopedic surgeons deal everyday with people who don't want to have surgery, so in my experience the good ones don't push surgery very hard for surgery, though they will tell you when they think surgery is the best option to relieve your pain.

    And even if you want to continue to give PT a try, the surgeon can often precisely target the kind the PT that is most likely to help you and may make a recommendation for a really good PT practice that their patients have had success with.

    Good luck!
     
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    Last edited: Aug 4, 2018
  11. fallenstar

    fallenstar junior member
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    The more I read about labral tears the more I want the surgery. I have read mostly everyone says it never heals on its own. Next year I wont have good insurance as my company is downgrading, If I don't solve this issue this year I don't know if I can afford it next year. I gave up on my knee issues but I can't deal with have aching knees plus a aching hip.

    The non surgeon ortho I went to played it off like the tear is not that big so it is not worth the surgery. But he doesn't feel what I feel daily.

    Thank you so much for sharing your story and giving some input
     
  12. dlp

    dlp senior

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    This is the ultimate factor. Find a specialist, let them get some images, and tell them how you feel. Even if things don't look bad, that doesn't mean you don't feel the pain.

    For my first THR, I actually chose to do the one that hurt more rather than the one that looked the worst in X-rays and MRIs. Surgeon, doing due diligence, made sure to ask if I was certain but was totally on board with doing the one that was giving me more grief.

    Good luck!
     
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  13. dapplega

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    Hi @fallenstar - looking back, if I have learned anything (and I consistently now preach it to my kids) it is that you need to carefully listen to your body and take early proactive action...

    I had been playing sports and working out for years. Groin pain, just work through it, shoulder pain, just work through it. Unfortunately, if you have certain injuries or a generic predisposition for arthritis or FAI that is not a good approach. Get your xrays, get your MRIs and see 2-3 orthopedic specialists. If the damage has been limited there are repairs possible that may greatly delay or avoid a total replacement (Arthroscopic surgery to repair or debride the labrum and reshaping of the femur head).

    I have FAI in both hips, by the time I realized my pain was more than a simple groin pull it was too late. Years of continued running and working out had taken their toll and THR was only option. I also have grade 4 bone/bone arthritis in my shoulders from lifting weights and ignoring the warning signs over the last 20 years.

    My 15 year old daughter injured her hip in soccer in July 2017. PT, fully ceasing activity, more PT, until she had to drop all sports because she couldn't run. She also has FAI and just underwent arthroscopy this last Thursday. Surgeon believes it was successful and necessary but only time will tell. My hope is she can resume recreational activities and such but I will discourage her from any frequent running or high contact repetitive training. Objective is to have her natural hip last her lifetime.

    To summarize, be proactive, go get 3 surgeons opinions and ask about preventative options that may delay/avoid THR.

    Also, her tear also showed as very small on the first MRI. First orthopedic surgeon called it a misread. Only by way of elimination (2nd MRI with contrast along with injection directly into hip joint to confirm that was source of pain) was the tear confirmed. If you get an MRI to look for labrum tear, make sure it is with contrast.
     
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  14. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    This is very true.
    Ah but which surgery are you eager for? A repair (which almost always fails) or a hip replacement?

    You need to read these articles
    Femoro-Acetabular Impingement (FAI)
    FIA - a review of diagnosis and management
    FIA: Femoro-acetabular Impingement. Does Physiotherapy Improve Symptoms

    Well I can tell you hear and now that those exercises a) won't help your pain and b) will definitely make it worse!

    If you're alarmed at my mention of a hip replacement, you might like to see our star, shugaplum, who had her hip done at the tender age of 24 and two years later gave birth to a fine baby boy!

    ai58.tinypic.com_jt6xa8.jpg

    You might also take a look here to see that even younger people have hips replacements!
    Teenage hip replacements
     
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  15. fallenstar

    fallenstar junior member
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    Thank you for the articles very informative.

    My ortho believes I don't even need surgery. How do you convince anyone that you want to go that route instead of cortisone and PT? A full hip replacement never crossed my mind, I will definitely read more into it.

    PT has caused so much more pain! It has been so much worse since starting. I was trying to wait it out a few sessions so I can say I tried. I am in so much pain at this point I am scared to even attend Tuesdays PT but again I want something to back me trying other options. Could this cause the tear to become larger or do more damage?
     
  16. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Your problem is that you probably haven't got a surgeon who knows enough about FIA. It's a relatively recent addition to the list of hip issues and for a long time, a lot of hip surgeons refused to accept it existed! Your chap sounds like one of them! So I suggest you do some research and see if you can find a surgeon who lists FIA as an interest in his list of interests.

    I'll also ask my colleague @Jamie to see if perhaps she knows of such a surgeon in your area.

    Of course it can! But basically what you are talking about is freedom of choice and consent. You need to read this so you know your rights Saying no to therapy - am I allowed to?.
     
  17. Jamie

    Jamie ADMINISTRATOR Administrator

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    @fallenstar .... please let me know your zip code in Florida and I can take a look at surgeons for you. Be sure and tag me so I see your post!
     
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  18. fallenstar

    fallenstar junior member
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    @Jamie

    My zip code is 34788. I appreciate it.
     
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  19. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Sorry you're in pain, sweetie.
    Hopefully you can get a second opinion and some sound direction bringing you relief.
    Please take Jo's advice on the PT. She's had 50+ yrs experience in Orthopedics.
    Wishing you comfort!
    @fallenstar
     
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  20. fallenstar

    fallenstar junior member
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    @Layla

    Thank you, I have an appointment tomorrow for a 2nd opinion. I am so nervous that it will be a dead end. The original ortho wanted to use PT first then cortisone(I said no) then 3rd PRP....unsure about PRP bit have a feeling they will all suggest it first
     

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