|
|
Re: Hip Impingement Syndrome
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
Re: Hip Impingement Syndrome - April 6, 2006 3:40:00 PM
|
|
|
srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
Status: offline
|
Steve,
Fortunately I do not have any structural issues except for bilateral femoral anteversion. I was concerned about some type of femoral head deformity too. Theoretically, the anteversion predisposes the hip to impingement problems though. Thanks for the article, I have it in my archives.
Sarah
|
|
|
|
|
Re: Hip Impingement Syndrome - July 6, 2006 5:11:00 PM
|
|
|
srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
Status: offline
|
Here's the latest:
I saw a surgeon who is experienced in arthroscopic hip surgery and he pointed out bilateral femoroacetabular impingment on the films and a bone spur on my symptomatic side, in addition to the labral tear. My femoral head is more squared off laterally, instead of completely round and that, coupled with the anteversion, and history as a ballet dancer is not a good combination. So, I am scheduled for surgery on August 11th. Three weeks PWB on crutches and no formal PT needed according to the surgeon (although I will still be doing my Pilates reformer and my own PT, I'm sure). So, wish me luck! Any suggestions for rehab are welcome.
Sarah
|
|
|
|
|
Re: Hip Impingement Syndrome - July 7, 2006 2:52:00 AM
|
|
|
Sebastian Asselbergs
Posts: 1206
Joined: September 29, 1999
From: Barrie, Canada
Status: offline
|
Just a quick thought based on the experience with one hip-scope patient: as soon as you can, get into water! gentle non-weightbearing motion - good for a bit of increase in endurance, but mostly - neuromuscular retraining within the pain/stress limits. Walk in T12 deep water, use a float board and flutter kick gently, hang on the sides and ab/adduct smoothly, swin on your back with just knee/ankle propulsion etc etc. All the best Sarah!
_____________________________
Mundi vult decipi
|
|
|
|
|
Re: Hip Impingement Syndrome - July 7, 2006 11:20:00 AM
|
|
|
nari
Posts: 1568
Joined: November 14, 2003
From: Australia
Status: offline
|
Sarah
Best of luck! As Sebastian has suggested - get into the water as much as you can. Strengthening is not the important thing here, it is the general, moderate activity that is needed, to cool down the CNS. Don't try to do difficult or complex things, just move slowly and don't repeat any one movement more than 4-5 times; move onto the next variation. And...crucially...enjoy it!!
Nari
|
|
|
|
|
Re: Hip Impingement Syndrome - July 22, 2006 2:27:00 PM
|
|
|
Surfchick
Posts: 2
Joined: July 21, 2006
Status: offline
|
Reply to Sarah C 4115
Have you started any research into treatment of labral tears?
I have a lot of information - too much to type here!
Email: Surfchick@totalise.co.uk
|
|
|
|
|
Re: Hip Impingement Syndrome - July 22, 2006 2:40:00 PM
|
|
|
Surfchick
Posts: 2
Joined: July 21, 2006
Status: offline
|
Hi again Sarah,
Didn't read you are scheduled for surgery. I am nearly 5 weeks post hip arthroscopy. Labral tear debridement and ligament debridement! (18 months of misdiagnosis lead to a private 2nd opinion!)
I live in England UK, there are only 2 surgeons that perform hip arthroscopy. I have a very good physio rehab schedule to follow. I am given booklets of all the exercises to do and each phase lasts about 4-5 weeks! I just had 1 week on crutches PWB and am doing well post op - so far.
Diagnosis of labral tears, from my experience, is very difficult. I am keen to set up an awareness group/education seminar for orthopaedic surgeons and anyone else who should know about signs and symptoms of labral tears of FAI. I don't know how to go about this, my plan is to ask my Professor when I see him in September!
There is a very good forum on acetabular labrum tears - I think its "injury update forum". I have posted a few threads! Do a search for "acetabular labrum tears" - I am sure you will find it!
I am keen to hear from you
Amanda
|
|
|
|
|
Re: Hip Impingement Syndrome - August 10, 2006 3:55:00 PM
|
|
|
srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
Status: offline
|
Thanks guys!
In my preoperative appointment a few weeks ago, the PA said I would be on crutches for 6 weeks (instead of 3) and that I should not do any type of rehab at first (pool included) as it will only aggravate the joint and risk fracturing the femur. I have to recline a lot and just be lazy I guess!
My surgery is tomorrow morning and I have gotten past the nerves. Now I just want to get this over with! I'll be giving updates, and you'll probably see me posting more often to combat the boredom!
Sarah
|
|
|
|
|
Re: Hip Impingement Syndrome - August 11, 2006 7:10:00 AM
|
|
|
dfjpt
Posts: 238
Joined: April 9, 2006
Status: offline
|
I hope it went well for you Sarah. How are you doing?
Diane
|
|
|
|
|
Re: Hip Impingement Syndrome - August 11, 2006 6:07:00 PM
|
|
|
srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
Status: offline
|
Hi Diane,
Didn't know you were still reading RehabEdge. The general anesthesia effects are finally starting to wear off. I can read the computer screen without getting nauseated, which is a plus! I'm on Vicodin and icing every 4-6 hrs. Still trying to get the hang of the crutches.
The surgeon gave me the photos from the scope and said I also had some damage to my ligamentum teres. I will get more details next week when I get the stitches out, but that makes sense given my initial mechanism of injury was a "pop" and severe pain during a ballet barre stretch in flexion and external rotation (12 years ago).
I currently have no nerve palsy, which is excellent. It's a risk given that my leg was tractioned during the surgery, but rare now compared with when arthroscopic surgeries were first being performed. Now it's just a matter of time to heal and I'll be dancing and golfing again!
Sarah
|
|
|
|
|
Re: Hip Impingement Syndrome - August 11, 2006 6:53:00 PM
|
|
|
dfjpt
Posts: 238
Joined: April 9, 2006
Status: offline
|
Good. Glad to hear everything went well.
Diane
|
|
|
|
|
Re: Hip Impingement Syndrome - August 12, 2006 3:07:00 AM
|
|
|
SJBird55
Posts: 2438
Joined: May 10, 2004
From: Michigan
Status: offline
|
12 years is a long time to live with an injury - I bet in time you'll be so glad you had the hip taken care of!
My opinion on what the PA told you about fracturing your femur - WHAT? The arthroscopy took care of an internal derangement, so I would believe it would be highly unlikely that you'd fracture the femur. I think you could potentially damage what was repaired, depending on how the repair was performed... but fracture your femur? I swear, if I were sitting in that room when the PA told me that, he'd be stuck having to back up his claim. LOL Sounds like a crock of crap to me, used as a scare tactic.
How's your shoulder holding up?
|
|
|
|
|
Re: Hip Impingement Syndrome - August 12, 2006 5:53:00 AM
|
|
|
srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
Status: offline
|
I wondered about that too SJ, but the spur was shaved down and the underlying bone has no cortical covering right now. On the pictures, it looks yellow and a little bloody. Besides, it just plain hurts to put too much weight on it. Otherwise, it's really not too painful. I think I'll stop taking the Vicodin tomorrow and switch to NSAIDs. Vicodin makes me feel woosy.
My shoulder is holding up ok. Thanks.
|
|
|
|
|
Re: Hip Impingement Syndrome - August 27, 2006 5:23:00 AM
|
|
|
iksmd93
Posts: 2
Joined: August 26, 2006
From: Vienna, Va
Status: offline
|
Hello all- I read the posts with interest and boy, what they didn't teach us in med school!
Wondering if I could get some wisdom from you- I am a too near 40 yoF, athletic, with a h/o ant hip pain- strongly suggestive of psoas bursitis since 1994- now recently becoming more symptomatic- quickie MRI last week (neut posit, no 90 deg abd) revealed 3 subcm grouped subchondral cysts in the anterior aspect of the acetabulum at the rim with no evidence of associated fem head abnl or chondral cartilage defect; my colleagues were split on a labral tear... Flex, int rot, add, prolonged sitting (what I am stuck with til we get PACS!) exacerbate. I would prefer to find an awesome PT and start there as surg is irrevocable (had prev rt 5th bunionette fix '96 and prob secondary biomech issues...quit running a long time ago, but interestingly, that didn't make it worse before. Duh, tho started again from a non pain free state to help my son get ready for football). I am going to get Sahrmann's book anad muddle through, any PT recommendations in my area? I will ask the orthopods too... Thanks for your time in advance- Ingrid Schneider
|
|
|
|
|
Re: Hip Impingement Syndrome - August 27, 2006 8:08:00 AM
|
|
|
srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
Status: offline
|
Dr. Schneider,
Sounds like you have a labral problem, most likely since 1994 and possibly it has become degenerative. I appreciate your interest in physical therapy for your condition, but from the sound of it, you probably won't benefit much from therapy. I had 4 rounds of therapy in the last 5 years, before I decided on surgery. The surgeon confirmed that therapy wouldn't help.
Try to find an orthopod who will order an arthrogram (dye injected into the joint under x-ray, then MRI picture). This is the gold-standard for imaging a labral tear. The Sahrmann exercises kept the pain minimal if I didn't do anything strenuous (no working out, no golfing, no prolonged sitting or driving), but that's no way to live.
I'm not trying to discourage you from trying PT, just telling you that I've been there and I'm really glad I had the surgery.
There are a handful of orthopods who specialize in arthroscopic surgery of the hip, which is the least invasive. Private message me and I'll give you some resources to try.
Good Luck!
Sarah
|
|
|
|
|
Re: Hip Impingement Syndrome - August 28, 2006 3:27:00 AM
|
|
|
iksmd93
Posts: 2
Joined: August 26, 2006
From: Vienna, Va
Status: offline
|
Hi Sarah- please Ingrid. Thanks for your reply! Feel free to give me a shout at iks67@yahoo.com, I live in Vienna VA. I guess the next step is to do the MR arthrogram (the only question is which of my colleagues I should have do the honors ( I am a radiologist)... Our Neuro/msk guys do these all the time. For sure "nothing strenuous" in my book cannot be that short a list! Thanks so much for your advice, it does seem that the MR arthrog is the next best step.
Thanks again- Ingrid
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.094
|
Printable Version
