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Old 09-12-2012, 01:54 PM   #1
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Labrum tear bilaterally and femoral osteotomy

Any one have this? After 9 months of hip pain and countless doctors specialist and ********, I finally got diagnosed with labrum tear bilaterally. I also have to get a femoral osteotomy. So to date I have spent almost 15,000$ on MRI's and docotor visits. I also have scoliois and bulging discs in my spine.. So doctors just assumed I guess it was all coming from my back. I insisted it wasn't and never stopped pursuing this matter. Finally a hip specialist said let's take an MRI arthrogram. And sure enough. There they were. It's bitter sweet. 9+ months of chronic hip agony. So anyway who has had these procedures done? The arthroscope surgery and the femoral osteotomy? How is it pain wise?. Also, I can't have this procedure done until January 2013. What can I do in the mean time with this damn pain... Now knowin what it is. I have been on countless anti inflamatories. Any exercises?. Or anything else?. It hurts even while I sit, stand, walk, lay.. Anything.
Thanks too all who read.

 
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Old 09-12-2012, 03:40 PM   #2
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Re: Labrum tear bilaterally and femoral osteotomy

I don't know where you live but I saw an anesthesiologist named Dr. Yi from U Penn who gave me a 3 part injection for this lower abdominal pain I'd been having for years. It was really powerful, the pain completely went away. It wasn't just straight cortisone. You can also consult anesthesiologists about a possible nerve block. Hope this helps.

 
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Old 09-16-2012, 03:14 PM   #3
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Re: Labrum tear bilaterally and femoral osteotomy

Hi there-- I know what bittersweet relief comes with a diagnosis. I have had three hip arthroscopies on my right hip; it took 15 years to get a diagnosis. The morphology of my left hip is worse, but it doesn't hurt as much or as often so I am leaving it alone.

As far as pain relief, I would recommend avoiding lunges, crunches, planks, taking stairs two-at-a-time, 3-inch heels. As much as possible, keep your hips out of a closed-seated position (how you would sit on an airplane), but don't compromise your back in order to do so. I strongly suspect that my bad hip pain led to my L4-L5 disc extrusion and subsequent fusion; since you already back problems, you certainly don't want to aggravate them. To accomplish this goal, I recommend reclining your chair while maintaining good back posture OR finding a way to sit on the edge or corner of your seat so your knees are below your hips. With pre-existing back issues, you may have a hard time with the second option.

Also, when sleeping or lying down, try sleeping on your back, with a pillow or two under your knees. This puts your hips in slight traction, opening up the hip joint. If you cannot do so, put a pillow between your knees to sleep on the less painful side, or at least, to alternate sides.

Are you planning to have open surgery? (I'm not sure osteotomies are done any other way.)

 
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Old 09-17-2012, 10:15 AM   #4
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Re: Labrum tear bilaterally and femoral osteotomy

Thank you for your comments. As far as the osteotomy goes, yes he has to cut my leg open and cut the femur and reposition and put rods in. Not looking forward to that. He said his is what caused the labrums to tear. I don't know what happened first or what was the cause of things. My back has scoliois and it's only getting worse even after I'm done growing. I defiantly don't have any extrusions in my spine... From the MRI it's only considered mild but on almost ever level in lumbar there is a bulging disc with mild echrochemnt into thecal sac and neural foramen. This Wednesday I have to go back to the hip doctor and they will be determining by use of injections and ultra sound if my hip pain is soley coming from the detached and torn labrum or if it has something to do with my back also. I'm just over this chronic pain I guess. I want to be able to sit, walk, stand, sleep, hold my baby... And just live life without ******** I guess. Thats hard for a doctor to understand apparently. But I did see a pain management doctor who I will see wht he can do for my pain in the mean time.

 
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Old 09-17-2012, 10:47 PM   #5
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Re: Labrum tear bilaterally and femoral osteotomy

Typically, when the doctors do the injections, they inject marcaine, which is a longer-acting numbing agent. When I had my last one, I could feel my sciatica, because my intra-hip pain was gone temporarily. I've also had cortisone and synvisc injected. While they are doing the arthrogram, you might consider asking about either or both. My cortisone injection made no difference; the synvisc gave about a 20 percent reduction.

Not sure if you have had an arthogram before; make sure that your doctor uses lidocaine or another medication to numb the surface. I had one doctor who poked me repeatedly with a piece of plastic to desensitize the area -- this technique does not help!

Given that your hip surgery is going to be so extensive, I highly recommend consulting with a couple of specialists, either in person or remotely, if you have not done so already. I rushed into my first hip surgery, which was with a general orthopedic surgeon, and the rushing was a mistake. Since you have some time on your side, you might request a couple of film reviews. I had contact with Thomas Byrd's office in Nashville; he was the doctor my general ortho doctor referred me to when my symptoms were worse after surgery. I eventually went with Dr. Sampson in San Francisco, in part because I moved and in part because I had a good gut feeling. I think he did the best with my tortured joint, about which he twice said, "It was worse than I thought it was."

 
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