Hip labral tear

ashb0435 wrote: »

Hey

Still in pain. Saw Dr Cashman a few weeks ago and he said all my symptoms are pointing towards another tear. I'm going for an MR Arthrogram in the New Year to see what has been done.

Has anyone had the steroid injections and had long term pain relief? It was an option he gave me. I had one during my last Arthrogram 2 years ago and only had temporary relief.

Thanks
Ash

Hi Ash,

I've had the steroid injections to help with recovery. For me they worked I had 2 injections within 3 months. They allowed me to do my Physio and work. I also had one pre surgery as a last step measure before surgery. That one lasted 2 weeks and the relief was minor. Pain and swelling are a torment, but I've learnt to ease back and try to limit what causes lots of pain. For me the pain is never gone just at a level I can handle.
Wish you the best and hope you get a resolution to your pain.

April1 wrote: »

Have you had surgery already?

Hi

Ya I had surgery with Dr Cashman in March which was 100% successful. Unfortunately it looks like when i slipped in September I might have created another tear.

I'm just wondering if I go the injection route this time is there a chance I might need to get the surgery anyways. I know it can make me completely pain free and just concerned the injections might not work.

Ash

ashb0435 wrote: »

Hey

Thanks for your reply. I had one injection as part of my Arthrogram 2 years ago and was in pain again a week later. Had the operation in March and was pain free for 6months until I reinjured. I just don't want to drag it out as I've had hip pain since 2013 as I also had a stress fracture in the same hip.

Are you still in pain even post op?

Hi Ash,

Still in discomfort as I call it now, which to others is pain. It's a pain I can handle. I've had my surgery over 18 months ago. Post that surgery my recovery was very slow. I had multiple flare up's which stopped me dead in my tracks. Anti inflammatories and rest. Then go again, had 3 of these episodes then had my first steroid injection and then again 3 months later. These helped me to do the physio. But pain is always there for me, and difficult to sit down at times. I've been told I need to do pain mitigation, I'm not bad enough for another injection and I've already had 2 of them.

If you need surgery then get it, it has relieved the extreme pain I was in. Again, wish you good luck and care with your recovery.

So had an MR Arthrogram last week and I have no new labral tear. However I am still in pain and have been in pain since September. He has recommended exercise modification and low impact exercise as well as the idea of the steroid injection.

The radiologist guessed I might have scar tissue as the injection of the dye was quite painful even with anaesthetic. I didn't have the same level of pain last time I had the dye.

Has anyone experienced this? Very frustrated as I have no idea what's causing the pain.

Appreciate your help. Thanks
Ashling

Hi folks,
Just been to see Mr.Carton in the Whitfield clinic. Definetly worth the trip. Highly recommend him, just on his manner and honesty. His about preservation of the hip and not just about doing an operation. I went as I wanted a second opinion and well I was happy with what he was proposing. Just not ignoring the subject. he is willing to give you back a quality of life which is all we want.
So let's see how this turns out.

When is the surgery?

Hi everyone,

I know this thread is a few years old now, but I wanted to ask a few questions on labral hip tears.

I started a new thread over the in Long Term Illness forum called 'Hip / Groin Pain - Over a year later'. You can check there for more detailed information, but all indications are leading to a labral hip tear on my left side.

It looks like surgery is no longer the main route when it comes to resolving this now. I have been told that PT exercises are now solely used and surgery is off the table unless you have a significant tear. Apparently, the success rate of surgeries have been hit or miss.

Have people heard similar? Has anyone gone for surgery recently? Happy with the results?

Thanks!

Hi

I'm a 51 years old, spent last 14 years completing Marathons, Triathlons, Ironmen and Ultra Marathons.

For the past 7 year's, I have struggled with continuous Groin and Pubic area pain/ discomfort. Only affects me running and only affects me when running with high intensity. Absolutely no impact to swimming, cycling, weight training or slow/medium intensity running.

Have spent the last 7 years on and off attending SSC with multiple MRIs, one cortisone injection into pubic area. Over the 7 years have dealt with all the main sports medicine doctors in SSC multiple times (Eanna Falvey, Matt Robinson, Andy Franklin Hill and couple more) Spent hundreds of hours on S& C with their top Rehab specialists. After rest and S&C the issue resolves to only come back after a year or so when I increase intensity. Have lost faith in them at this stage.

I ve been to see Pat Carton and XRay has shown up Hip Impinchment issue.

Have two more scans next week. From initial consultation it seems the Hip Atroscopy is what is being recommended. I'm considering it at present as I exhausted all other avenues over the years.

If I want to just cycle, swim and slow run, I don't need the procedure, if I want to continue with my sport of running and triathlon with any pace, I will need to do something. Hopefully after meeting pat carton next week I'll know more.

My main decision making criteria will be - How confident he is that the Hip Atroscopy is the answer to my problems? & How long will it take me to get back to training as before?

At 51, maybe it's time to wind it down, however I'm in great shape hitting decent performances and reluctant to throw my hat at it due to the joy it brings me.

Have a bit to think about. Will keep u updated in case anybody else here is in the same boat.

Had my second visit to Whitfield last week. Had an ultrasound and an MRI. Met with Pat Carton. In fairness, he never pushed the surgery on me. He said I had hip impingement and he had done hip atroscopy on athletes in the past. Some were successful, some were not. I asked him was the chances of success 50/50. He said it was greater than 50/50 that I'd see improvement but couldn't guarantee it. Also he said the surgery is minimally invasive. Said I'd be back swimming and cycling at two weeks post op and running 6 weeks post op. Is leaving it up to me to make the decision so lots to think about. Over last 8 years, I've tried everything else, so not sure that I have much to lose.

Impingement was identified on the XRay. The ultra sound and MRI were to check for hernias, Gilmores groin and any issues with the abdominal area. He said it was greater than 50/50 success. However when I suggested to him, would it give a 70/80 chance of success, he never specified a figure, but he felt it would give a benefit in his opinion.

However, he contacted me by email the other day to say that the ultrasound showed up an indication of a small inguial hernia or Gilmores groin and I have now being referred to a specialist in Whitfield for this.