My wife has a right hip Labrum Tear. We had the MRI on the 27th, yesterday, we got the results today.
She has been in pain most all this year, which is why we been trying to figure the issue. Here is the problem.
I do not see any reason to have the operation if we cannot find out what caused the problem. My wife, and I am telling the truth, wears out her right shoe 75% faster than her left. We are runners, or we were. Without knowing why she wears that right shoe out so fast, what good will it do to fix the tear? She is hitting that right leg hard when we run, which has to be why she wears down the shoe. I had her wear a pair of running shoes so the doctor could see, and he did not even seem to care. We went to the best place in Nashville, Elite sports.
I just do not know what to do. Everything I read is bad when it comes to Labrum surgery, but my wife can not longer stand the pain.
Any information would help
Location: San Francisco, California, United States
Re: Labrum Tear
Hi there -- sorry about your wife's predicament!
I tore the labrum in my right hip at age 14 (sitting incorrectly) and was not diagnosed until age 29. I would have periodic, excruciating pain when my hip locked, but no constant pain. Since my diagnosis, I have had three hip arthroscopies. The first was done by a general orthopedic surgeon. He did a labral trim, to cut off the ragged edge of the cartilage. The surgery took four hours, even though it was only expected to take an hour and a half. He noted that I had no femoral acetabular impingement (FAI). HA!
After the first surgery, I had daily, constant pain, so about 2 years later, I had surgery with a hip specialist to remove more ragged cartilage and to reshape the hip joint to correct FAI. He found damage on the femoral head, as well. Finally, 2 years after the second surgery, I had my final surgery. The hip surgeon found that more than half of the cartilage had delaminated from the acetabulum, so he performed microfracture under the cartilage, then put plastic anchors around the edge. I also had a lumbar disc rupture, which I suspect came from years of compensating for my hip -- mostly in the way I sit.
Cautionary tale, perhaps? Some of the things that I have learned along the way: Unless your wife suffered a significant trauma (car accident?), hip injuries do not spontaneously arise. Something about your wife's mechanics is off and you should definitely bring the shoe wear issue to the doctor's attention.
Given what I have been through, I should never have had the first surgery. However, I think surgery would have been inevitable. I strongly believe that only hip specialists should perform hip arthroscopies. Most of the extra time in my first surgery was spent trying to get the instrumentation into the joint. The hip specialist incised the hip capsule, which he finds he need to do in a majority of patients. He also released traction when he was not actively working in the joint.
My surgeon is in San Francisco (hour drive), but the other doctor I was considering for the revision surgeries is in Nashville: Dr. Byrd. If your wife has not seen him, I would urge her to make an appointment. While contemplating her options, she should probably cease running. Cycling (with the seat up high) is much easier on the hip joints. Aqua jogging, swimming, or water aerobics are other options. If she needs surgery, she will likely do a lot of cycling in rehab. Also, you will probably notice her slumping. This is to compensate for the hip. I have a saddle chair (looks like a horse saddle), which allows me to sit properly for my back but let my legs dangle. She can also seat on the corner of a hard chair (dining room chair) and let her legs drop to either side.
If she has any questions, or just wants to vent about how much her hip hurts, I am happy to answer questions or just "listen".
Sorry to hear all the trouble you are going through. Thank you for the reply. It is funny how it is such a small world. Dr. Byrd is going to do the surgery. My wife is an O.R. Nurse, she asked one of her doctor friends today, December 31, he told her there is only one person to see and that is Byrd.
I have been reading stuff all over and I think I have found the issue, planning on talking with Byrd about it. When we run I always hear wife's right foot hit the ground, meaning she is not running heel toe but landing on the ball of her foot. I think the beating is what caused the issue. I told wife today what I have come up with. I also told her it will be more or less confirmed if the tear is where I believe it to be. If the runnning caused it, the tear should be top back side of the joint. We will see soon.
The next thing would be to talk to another of our doctor friends the next time I see him at poker. He is a foot surgeon, I will see if he can make some type of insole to help how she lands when we run. Someday that is, will be awhile before we run again.
Hope Byrd works out for you as well. If you come this way do not forget to stop by Green Hills Mall. Just down the road maybe 5 miles.
I have had debridement arthroscopically 3 times for labral tear. I have not regretted any of them. As your joints age and are "abused" by use, the cartilage and labrum are going to break down. Debridement has, in each case, alleviated the pain and helped me to continue to be active. Will I need a joint replacement in the future? Most likely, but having recovered 3 times from this surgery was still worth it!
Location: San Francisco, California, United States
Re: Labrum Tear
Glad to hear that you might have discovered the source of the problem. Debreding the tear without resolving an underlying cause is not fully satisfactory. By the way, my surgeon had his hip scoped by Byrd; if that isn't a ringing endorsement, I don't know what is.
Once your wife is ready to get back to running, or even walking, she might want to look into a running clinic through a PT department. UCSF has one, and they use zero gravity (or reduced gravity) treadmills to take a look at your stride. My PT watched my stride and confirmed that I twist my hip through the kick, rather than pulling back through the leg and buttocks. I thought that was what was happening, and she had believed that this motion was common was hip pain. The twisting causes extra stress to the back muscles, which is probably why mine keep going into spasm. I am practicing taking short, correct strides and trying to build up the number of strides I can take without pain. It sounds like your wife has a good network of doctors and fantastic support system.
Badhips -- I hope that your hips last you for a long, long time! I am also facing the inevitability of some prosthetics in my hip. I am hoping for a resurfacing first, and waiting for technologies to improve. The current implants are so much better than ten years ago. If we can hold out for another ten years...