Wednesday, April 17, 2024

Pros And Cons Of Hip Labral Tear Surgery

Pros And Cons Of Hip Labral Tear Surgery

What Is Causing Your Hip Pain, Femoroacetabular Impingement, Labral Tear, How to tell

If you are experiencing pain in your hip, you may be considering surgery to correct the problem. A Hip labral tear surgery or Arthroscopy is a commonly practiced procedure that can provide relief for many people. However, it is essential to understand the pros and cons of hip labral tear surgery first. In this blog post, we will explore the pros and cons of hip labral tear surgery so that you can make an informed decision about your health.

The hip joint is a ball-and-socket joint held together by strong ligaments. The labrum is a ring of cartilage that surrounds the hip joint’s socket and helps keep the ball in place. A hip labral tear can occur when the labrum becomes damaged or torn. This can happen due to a traumatic injury, overuse, or aging. Symptoms of a hip labral tear may include pain, clicking or catching in the hip joint, and decreased range of motion.

Surgery is often recommended for people who have a hip labral tear causing pain and interfering with daily activities. Surgery can involve either repairing the tear or removing the damaged tissue. Some people may also require a hip joint replacement if the damage is severe.

My Hip Labral Repair Surgery And Recovery

Disclosure: This post may contain affiliate links. I receive a small commission when you make a purchase using my affiliate links.

I recently had hip surgery to repair a torn labrum on my left hip. I share my experience with surgery and my recovery so far!

Hey friends! Im back with another health update as promised If you follow me on , you may have seen some posts about my recent hip surgery. I got a lot of questions from people who were going to have this surgery, so I wanted to write down our experiences so far as a little encouragement for people who are getting this done.

Earlier this month, I had an arthroscopic surgery to repair torn labrum in my left hip, and also shave down some of the bony impingement I had as well. My surgery went great, they didnt have to do a ton of work, and Im on the mend! Im 3 weeks out from surgery, and Im healing up good.

I plan to keep adding updates to this post or create new posts as I continue on my road to recovery, as well as on Instagram and so make sure to follow me there as well.

Please note: these are my personal experiences, and not meant to replace any advice you receive from your medical professional. Also, every person is different and every procedure is different, my experience with this surgery is not a guarantee that your experience will be similar.

How Can A Physical Therapist Help

When you have been diagnosed with a hip labral tear, your physical therapist will work with you to develop a plan to help achieve your specific goals. To do so, your therapist will select treatment strategies in any or all of the following areas:

Education. Your physical therapist will work with you to identify and change any external factors causing your pain, such as exercise selection, footwear, or the amount of exercises you perform.

Pain management. Many pain-relief strategies may be implemented the most beneficial strategy to alleviate hip pain is to apply ice to the area and to decrease or eliminate specific activities causing your symptoms. Your physical therapist will identify specific movements that aggravate the inside of your hip joint, and design an individualized treatment plan for you, beginning with a period of rest, and gradually adding a return to certain activities as appropriate. Physical therapists are experts in prescribing pain-management techniques that reduce or eliminate the need for medication, including opioids.

Manual therapy. Your physical therapist may apply hands-on treatments to gently move your muscles and joints to decrease your pain and improve motion and strength. These techniques often address areas that are difficult to treat on your own.

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Is Arthroscopic Hip Surgery Painful

Everyones experience is different after this surgery. Some people can manage their pain with over the counter medications, but most people require stronger medications at first. Often the pain is significantly less within a few weeks after surgery, though you could have some soreness for several months after surgery.

The doctor will be sure that you have appropriate pain medications prescribed. You can also use ice to help decrease pain and inflammation after the surgery.

Q& a On Hip Arthroscopy With Dr Beigler

Playing with pain: Bears Kyle Long postpones shoulder labral repair ...

Dr. Beigler: Arthroscopic hip surgery is a minimally-invasive procedure involving two or three small incisions. The surgeon utilizes a camera and additional instruments to see and work inside of the hip.

A hip surgeon will make a small incision in the hip and then insert a tiny camera called an arthroscope. This camera allows the surgeon to see inside to assess the joint.

One or two additional incisions may be made to use other instruments needed to repair the joint or other structures. With this procedure, the surgeon can resolve the issue without a large incision to fully expose the joint.

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Read The Stories Of Two Patients

Hidden shoulder instability is a common condition that most orthopedic evaluations completely miss.

Two patients with different stories but similar outcomes illustrate some of the reasons. One 20-something patient with hidden shoulder instability visited a Regenexx office to help him decide whether to undergo labral tear surgery.

His current injury happened during a rock-climbing workout that left him in chronic pain. When the Regenexx doctor examined the patient, it was discovered that the shoulder ball was unstable in the socket. What caused the instability that led to his recent labral tear?

Upon speaking further with the patient, he recalled a bad mountain bike fall that occurred seven years before. His shoulder was injured but he never sought medical treatment. Oftentimes when someone has an injury and they do no corrective exercise or rehab after the injury this can lead to underlying instability.

Another patient, also an athletic man, had torn his left shoulder labrum as he dead-lifted 450 pounds. His right shoulder was perfectly fine, however. What caused the difference between the shoulders when they lifted the same poundage?

After examining the left shoulder, again hidden shoulder instability was the diagnosis. Damage inflicted during an MMA fight the year before had caused pain for weeks but the patient ignored the pain and did nothing to help the issue.

Where Do I Go From Here

Moving forward, Im not sure what to expect this year or the coming years with my body or my exercise. Im going to get my right knee looked at next month since Ive had 5+ years of ongoing IT band problems with it and more than likely bursitis as well.

Id like to get back to running again, but will probably have to make sure that I keep my distances lower. Not sure with how my legs are built they can handle long distances and many miles. I had always wanted to run a half marathon, but not sure if that is feasible at this point with my chronic leg issues.

My weight lifting will have to change a bit to focus on smaller muscle groups to make sure that my body is staying balanced. More hip exercises and fewer squats and lunges. More isolation exercises for my legs and fewer compound exercises. Lots of core exercise and hip stretches.

Overall, I feel good about my decision to stop teaching group fitness and stop personal training to just focus on The Fit Cookie and blog more. I sit more , but Im not forcing my body into painful fitness routines because I have a class schedule to keep. My fitness is my own right now, and I really enjoy that!

Ill try to continue to post more updates on my hip repair healing. Ive been posting a lot more of that on my lately, so if youre not following me there, lets connect!

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Who Should Consider Surgery

You may want to consider having surgery if:

  • You have hip pain that is affecting your ability to live life normally AND you have tried other treatments without getting pain relief.
  • You have stiffness or decreased range of motion in your hip that is not letting you do your normal activities.
  • You have hip pain almost daily.

Youre Having Surgery Now What

Arthroscopic Pan-Labral Repair (anterior, posterior, and superior labral tears in a shoulder)

If you have decided to have hip arthroscopy surgery, you need to prepare for surgery.

For many of you, you already have one. Great! Youre all set! If you dont have one, or you want a second opinion, keep these things in mind:

  • How often does your surgeon do hip arthroscopy? This is a technically difficult surgery, and surgeons who specialize in hip arthroscopy tend to have better outcomes.
  • Talk to your surgeon about their outcomes. The success rates of hip arthroscopy are hard to find because they vary so much between surgeons. You want to know your surgeons success rate with this surgery.

If you know anyone thats had the surgery, ask for recommendations of who to see!

  • Set up Pre-Op Appointments
  • Your surgeons office will let you know what appointments you need to make in preparation for surgery.

    Your surgeon will require a pre-op check. They will test your blood work, urine, and possibly an EKG to be sure that you are healthy enough for surgery. This is done about 2 weeks before surgery. Your surgeons office will let you know when to make the appointment and whether it can be done at your regular doctors office.

    Because of the pandemic, you may also need to schedule a COVID test. Your surgeons office will help you get a prescription for the test and tell you where to schedule the testing. They will also let you know if you need to make any other appointments.

  • Prepare Your Home
  • You need to prepare your home for surgery.

  • Surgery Day Preparation
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    The Recovery Period Is Long

    Post-surgery recovery for arthroscopy patients is typically six weeks long. Patients are expected to rest and avoid movement for the first week to allow the surgical wounds to heal. After that, however, they must gradually increase their activities with each passing week so that the joint can recover as much range of motion as possible. Physical therapists will recommend exercises to encourage a smooth interaction of the hip joint and the newly-repaired labrum.

    For people who are used to an active lifestyle or whose livelihoods depend on their physical agility, it will be challenging to limit their activities for a month and a half.

    When Is Hip Arthroscopy An Effective Course Of Treatment

    Arthroscopy is a surgical technique that has revolutionized procedures to solve knee and shoulder joint problems, and these surgeries are performed routinely. Hip arthroscopic surgery is performed much less frequently, because the problems that potentially can be treated this way are much less common. From a technical standpoint, the hip joint is difficult to arthroscope and historically the results of hip arthroscopic surgeries have been much less predictable than with other procedures. As a result, not many orthopedic surgeons even do the procedure. Heres what a candidate for this type of surgery can expect.

    During arthroscopy, an orthopedic surgeon makes two or three small incisions through which pencil-thin, specialized instruments, including an arthroscope, are inserted into the joint. The arthroscope contains a camera lens which magnifies and illuminates the interior joint structure. This information is transmitted by fiber optics to a visual monitor, resembling a TV screen, allowing the surgeon to see the interior of the joint and assess any injury or abnormality that is present. Some conditions can be repaired or corrected by using these specialized surgical instruments.

    The beauty of hip arthroscopic surgery is that it is a much less invasive way to solve some hip problems rather than through a large, open incision.

    What weve found is that hip arthroscopy has been most effective in treating conditions which include:

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    What Is The Shoulder Labrum

    The shoulder labrum is like a seal that surrounds the shoulder joints socket. Because its purpose is to guide the shoulder joint as it moves and to make the shallow socket slightly deeper, it serves as a shoulder stabilizer. In decades past, a tear in the labrum wasnt considered a serious issue.

    It was simply a shoulder arthritic condition. Once orthopedic surgeons realized a torn labrum could be resewn, shoulder labral surgery became more commonplace. Frequently, a labral tear does need to be tended to, and more than likely, surgical repair is not the answer.

    What Are The Pros And Cons Of Hip Replacement Surgery

    How to prepare for hip surgery to fix my hip labral tear

    The main advantage of hip replacement surgery is that in the majority of patients it effectively takes away the pain caused by hip arthritis. This usually allows arthritis sufferers to walk much better. The range of movement in the joint may be improved but not always.

    The potential risks of hip replacement surgery are infection, thrombosis, nerve damage, blood vessel damage, dislocation, fracture and leg length discrepancy. In the long term, hip replacements can fail as a result of loosening which might require a revision operation.

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    Hip Labral Tear Diagnosis

    As a first step, I had an X-Ray of the right hip and a dye injection with an MRI in December 2018. They also injected a steroid treatment into the hip. I didnt really find the steroid injection to be helpful mainly because the majority of my pain was stemming from my muscles being so tight. They really felt like hard rubber bands and the only thing that would loosen them up was rolling on the PVC pipe.

    My orthopedic doctor could see in the MRI that I had a hip labral tear on the right side. He also tested my leg strength with a serious of manual tests. For example, he would press down on the top of my leg and have me try to raise it. Or push my leg to the right while I push left.

    Based on the fact that I had a hip labral tear and a lot of muscular imbalances, he thought I would be a good candidate for hip labral repair arthroscopic surgery. I agreed, because at that point I had been in pain for a long time and knew I couldnt ever heal the torn labrum on my own without surgery!

    This particular doctor is also doing a stem cell research project where they extract your own stem cells from your bones during surgery and re-inject them into the hip cavity after he fixes the tear. The theory of the study is that the stem cells will promote more rapid and lasting healing. I signed up for the study because, well, it was free, and also why not?

    How Does It Feel

    Many people have labral tears in the hip and do not experience symptoms however, some labral tears can result in significant pain or limitations. Pain in the front of the hip or in the groin resulting from a hip labral tear can cause an individual to have limited ability to stand, walk, climb stairs, squat, or participate in recreational activities.

    With a labral tear, you may experience:

    • A deep ache in the front of your hip or groin, often described by the “C sign.”

    • Painful clicking or “catching” with hip movements the feeling of something painful stuck in the hip or blocking hip motion.

    • Pain that increases with prolonged sitting or walking.

    • A sharp pain in the hip or groin when squatting.

    • Pain that comes on gradually rather than with one specific episode.

    • Weakness in the muscles surrounding the hip, or a feeling of the hip giving way.

    • Stiffness in the hip.

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    Three Cons Of Hip Replacement

    Although total hip replacement is deemed a very safe procedure, there are associated risks that patients need to be made aware of before surgery.

    1. Possible Infections

    Dr. Sutphen: A minimal number of surgery patients can develop an infection around their hip replacement. This can be one of the most hindering complications associated with total hip replacements, as it can require additional surgeries and prolonged antibiotics to treat the infection.

    2. Potential for Change in Leg Length

    Dr. Sutphen: Leg length discrepancy after hip replacement can occur, meaning one leg feels longer or shorter than the other. While your surgeon attempts to make the leg lengths equal, minor differences may occur due to trying to increase the stability of the hip.

    3. Possible Mechanical Complications

    Dr. Sutphen: Dislocation can occur as the ball of the hip becomes displaced from the hip socket. This can occur in less than 2% of patients after surgery. In addition, over time, the hip replacement components can begin to wear or loosen. This is a long-term complication of total hip replacement.

    The Good And Bad Of Shoulder Labral Tear Surgery

    FAI â Femoroacetabular impingement
    • Ron Torrance II, DO FAOASM

    Todays orthopedic care model, much like the healthcare model in general, often treats the symptoms of an orthopedic issue without addressing the root cause of the problem.

    This is true of shoulder labral tears. The usual treatment prescribed by orthopedists is a repair surgery but the cause of the tear is never addressed during the patients brief consultation with the doctor.

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    Is Labral Tear Surgery Worth It

    Labral tears are typically discovered when a patient experiences lower back pain after an accident or injury. The condition is not associated with higher surgical risks, so doctors think that patients who are good candidates for surgeryâthose at low risk of surgical adverse events and are likely to have excellent postsurgery outcomesâshould undergo labral tear treatment. Other patients may opt for hip replacement or another hip operation.

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