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Hip FAI (impingement) and labral tear

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Hip FAI (impingement) and labral tear

Old 09-23-16, 09:28 AM
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lineinthewater
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Hip FAI (impingement) and labral tear

Has anyone been dealt this diagnosis? I'm curious if you pursued arthroscopic surgery, and if anyone has specific Dr. (surgeon) recommendations (mid-atlantic region).
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Old 09-24-16, 03:35 PM
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Hello!

I have just had my left hip totally replaced on the left (femoral head collapse from avascular necrosis, secondary arthritis). My right also has the avascular necrosis and the femoral head has started to collapse on the inside (I have to stand like Captain Morgan wit my leg up to see it on x-rays). On top of that I've got the same secondary arthritis, though not as bad, but also pincer inpingement going on.

Right now no doctor I've seen wants to do surgery on that hip as they all feel I can wait. My options were wait or I could get a cortisone shot which really doesn't do much anyway so I'll save myself the big needle stick. I've actually progressed to far that arthroscopic surgery won't do anything and it will be another total replacement down the road. (I'm 37 and made it about 11 years from diagnosis to first hip replacement)

I couldn't get on my bike the past two years with two bad hips, but I can now with just the one. I've found the motion of pedaling doesn't hurt, I just have to be careful to not lean far forward for long periods of time as I'll get stuck when the pincer pain hits me.

My surgeon of three joint surgeries is in Illinois so a bit of a drive for you
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Old 09-24-16, 04:17 PM
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lineinthewater
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Wow, I feel guilty for being worried about arthroscopic surgery after hearing stories like yours. I'm glad you are able to ride again.

I had my first cortisone shot yesterday. Hate needles - kept my eyes on ceiling. My hip was pretty painful last night, which I'm guessing is the extra fluid floating around in the socket. Not much relief as of yet. I think my Dr. is using it more of a diagnostic tool, to make sure the tear is the actual source of the pain. Unfortunately, I understand that many people don't ever get relief from a steroid shot, so it might not yield useful clues.

When I read about FAI, and combine that with the confirmed existence of a tear, I have to think that surgery is the best route. Otherwise, it will just get worse unless I reduce my activity level (and that would lower my quality of life). I've never had any surgery of any kind, so it's a big mental leap for me.
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Old 09-24-16, 06:08 PM
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Surgery is scary (and I've had several), but when you find a doctor you like/trust it makes a world of difference. There's a forum/site called Bonesmart and they have a lot of info about joint issues, surgeries, etc on hips, knees, shoulders, and ankles. I read a ton off of there when researching my own condition and it helped a lot in terms of making me not so nervous and that there were others like me.

I'm pretty sure people thought I was crazy today when I went on an organized ride. I was all excited as I had never done one and was all "I had a hip replacement and can ride now and I'm so happy!!!"
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