Femeroacetabular Impingement

Am I the first?

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24/05/2013 at 13:54

Well done all on progress! I am almost 5 weeks post op and doing really well. Back to gym able to do at least 25 mins on bike and walking normally, od twinge and aching but thats all, just trying to get stronger every day!

Triple 07, you can opt for local follow ups, that is what I did and seems standard to be offered.

hope all are well!

25/05/2013 at 21:24

Hello everyone.  Good to hear the recovery progress and positive stories. Hope you continue to feel so positive and make such good progress, Rebecca, parklife, Moozer and loverunning.  I'm especially excited for Moozer and the fact that you've got your second op so soon. I had 8 months between mine and while the first one struggled a bit to take all the strain, I would not have wanted to wait any longer.

João - I agree with what parklife said about it being so soon after your op. I still get some days where my hips are uncomfortable/ stiff/ tingling.  My first operation was 18 months ago!  Things get better, but slowly.

Triple07 - do you know much about the surgeon 200+ miles away? If he/she's got a good reputation and you can have local care afterwards, I'd agree with what Rebecca said.  I travelled for over 2 hours 2 days after my first op and had no problems (stopped to stretch my legs every 45 mins or so). I think parklife travelled by plane a day or two after his op, so I'm sure he could reassure you if travel were a worry.  I think (assuming it's a good surgeon) that sooner is better, especially when your local option could be much longer.

I'm still happy with my recovery at the minute. I've been doing 3-4 runs per week and gradually improving my parkrun time. Today was my fastest since October 2010, when my hip problems first became apparent. I'm due to have an MRI with dye injection on 12th June. It has taken so long for the date to come through - since my last hospital appointment in early April, when the right hip was painful. Now that the hip is working well, I'm debating whether or not I should still have the scan - I feel now like it won't show anything, but I don't want to regret it if the pain returns and have to wait again.

 

04/06/2013 at 11:47

Hi All,

 

Hope everyone is well.  Just a question for everyone who has had surgery. Which strengthening exercises did you or are you doing and how often do you do them. Has anybody found the Clam exercise causes irritation ?  Parkiife you mentioned on here previous that certain exercises cause discomfort and I was just wondering which ones.

04/06/2013 at 13:53

Hi Moozer

I have been given a fair few exercises. I find the bridge + dipping each hip is good. Standing against wall and sloping down (only if several weeks on), lying flat and pressing legs into floor, pulling in all muscles....hope that helps.

I got put onto leg press by physio, boring but prob worth it. Did first run in a year on firday, only 20mins on treadmill but loved it. Still a little stiff after day out/at work, but doing well.

 

How you feeling Moozer?

04/06/2013 at 15:15

Hi Rebecca,

Great to her your progress is going well. Well done.

I was doing well until last week 13 weeks post op and did something to irritate either the hip or hip muscles. I was just finishing a walk at lunch and it basically stopped me in my tracks causing me to limp the rest of the way back to the office, the previous day I was doing some new balance strengthening exercises so maybe its something to do with that. Been getting a few twinges since then although walking is a bit easier now. if I stand up straight and lean back I can feel a bit of discomfort as well in what I think might be a hip flexor. Anyway going to see a physio on Thursday for a 1 hour soft tissue massage.  

04/06/2013 at 15:25

I had that the other day, went to the supermarket and limped the whole way around, I think that is just part and parcel of it all....well I guess it is. My physio says because of the way they had to disclocate the hip it can cause nerve and muscle damage. I will  get twinges and stiff leg pretty much daily, but managable.

Going to do a body pump class this evening, cant wait to get back to classes...hope I dont pay for it in the next few days.

Keep going, you will get there, i just look at it as every day being different, some are better than others! Hope the massage is good, let me know as I wandered about getting one done!

13/06/2013 at 19:27

Hi all,

Taking much comfort in reading your "success stories"

Had my pre-op today still no date though! Or even a hospital but now they have breached the waiting list times, I don't think the care if its by 3 weeks or 3months

After hearing of some of you guys travelling many miles after their op, I told them Id go to any hospital so hopefully that might speed it up.

Pre-op did seem a bit of a waste of time though, don't know how old they thought I was - I was booked for an ECG to see if I could withstand a general anaesthetic- to be fair the 75+ year olds I was surrounded by looked more able bodied! The nurse did MRSA screenings & took my blood,  After waiting 2hours the consultant was too busy to come through so in 2minutes a junior dr. who's answer to my "what exactly does the procedure involve?" was "they will fix your hip" listened to my chest & concluded I was fit & healthy & could go home.

Didn't see OT or physio, is that normal?

Now back to waiting for the postie/phone to ring!

17/06/2013 at 21:14

Update time,

Had review appt with the NHS specialist in sports medicine. He seemed a little deflated by my progress at 6 months post-op, said I was doing 'ok'.

The main problem seems to be shaking off this bloody limp!!AAArggg!!!

Am beginning to wonder if it will ever go. Recently physio has ben doing some pretty tough massge on the hip flexor psoas but still it won't completely shift.

Specialist said that by now I should be doing some impact (ie running on treadmill) but I find even cycling inflames the flexor! Thank Gord for learning to swim some or I would be going stark raving bonkers!

So, the specialist is sending me for a cortisone jag to try and release the psoas, 2 month wait time. I cannot believe this. Every time I think the end is in sight another bloody big hurdle gets put up - this has happened time and time again over the past 2 years - I will be 2 years injured on the 3 July.

Has anybody else had a cortisone jag post op to try and release muscles?

Otherwise I think the hip is pretty good, touch wood, if only I could get these seeming knock on effects sorted. Seems worse after driving or sitting at a table which seems to scrunch up that particular muscle.

Moozer, clams did irritate for a while, make sure you do them real nice and slow as this is what works the glute med not a fast up and down which is carried by momentum. And you don't have to fully extend them if irritating, just go halfway or so.

 

 

18/06/2013 at 11:02

Hello fellow FAI people

just thought I would touch base and give an update and see how everyone is? 

Im now 10 months post op right hip and 4 months post op left hip. I'd be lying if I said that I'm back to normal but I'm 75% there. 

Still have daily pain especially at night and its worse in my right hip but only very occasionally take naproxen and don't have full ROM but other than that life is good post op. 

have a mega busy job which involves long commutes to London and a lot of walking which I'm finding I can do, have had nights out where I've danced for hours in heels and I've joined my local triathlon club, did my 1st OWS a few weeks ago and loved It! Just doing the swimming training with them currently and will look to do the bike in time - I might have OA but its not stopping my from doing anything (only running)

19/06/2013 at 17:31

Hello,

Love running its great to hear that you are getting back to normal life again.

Triple 07 I hope that your wait is not to long to get a date for the surgery.

Parklife it sounds like I have a similar problem to you with Hip flexor issues. I am now nearly 4 months post op and was doing fine until I overdid either the cycling or my 2 mile walks at lunchtime which do involve a few hills 3 weeks ago. I have now a constant ache especially when sat at my desk or have been driving. I had a soft tissue massage 2 weeks ago and it helped a bit but the discomfort is still there. I am just stretching the hip flexors at the moment nothing else. It has caused me to have bit of a limp as well. Bloody flare ups.  I am back in surgery on Monday to have the other side looked at and after this hip flexor issue I am not looking forward to it at all.

 

 

23/06/2013 at 20:25

Good Luck for tomorrow Moozer!

 

Yes the crouched position for cycling seems to scrunch up my hip flexors. I noticed this when I felt I was doing well at 2 months post op and put the resistance up on an exercise bike. Also hurts more after driving or sitting at a desk - all scrunched up positions. Its a pisser as otherwise I think I'm doing well. Am due to se physio tomorrow so will go through all the do's and don't with her as I REALLY want to see an end to all this now!

23/06/2013 at 21:06

Yes - good luck, Moozer. Looking forward to your post-op update.

parklife - I had the jab to release the psoas. Didn't do anything. But it didn't do any harm, either, so I'm glad I tried it.

Had my MRA on the right hip just over a week ago. The injection was fine but left the hip a little irritated for a few days. The doctor said she could tell I'd been working on my hip muscles as she had trouble finding the right place to inject.  

Running is still progressing pretty well. I can now do 6 days a week, with a couple of those days being very easy 3 milers. I still can't go over 5 miles without aching, especially in the left hip. Left hip was done 17 months ago now, right hip 9 months ago. I still have no regrets about the ops.

29/06/2013 at 09:30

Had my left hip done last Monday, I did not have a Labral tear but had early signs of cartilage damage probably caused by the boney impingement which the surgeon removed. I did not have a general anesthetic this time as they said that to many people after this operation where waking up after surgery in quite a lot of pain. Instead I had what I think they call a spinal block. I can remember bits of the operation and watching it on the screen as the surgeon was working inside the joint. It wasn't as bad as it sounds as you are away with the fairy's. I have been told I only need to be on crutches this time for 10 days rather than 4 weeks like last time and I only have two incisions this time rather than the 3. 

Today it is 1 year since I last ran, I thought I had a groin strain I didn't really know where the hip joint was!!  I have now had 2 operations. I really hope that I eventually get back to being pain free and can cycle outside and do a bit of running every now and again.  

Pipes it is great that you are back running again and hopefully the MRA will show all is good.   

Parklife I hope your hip flexor pain is getting easier. What did the physio say about the dos and don'ts ?  I'm hoping that my right side will settle with having 10days on crutches. 

I hope everybody else is well. I will keep posting the good bad and ugly until I become pain free.

29/06/2013 at 21:41

That sounds really positive, Moozer - I'd loved to have seen the op on screen.  It's great that it has been caught in the early stages, without any actual tear.  Not long until you're off crutches! Keep us posted, even after you are pain-free.

I had a really funny experience today. Did a 6k multi-terrain fun run/race in a local village. While watching the medal presentation, I vaguely recognised the guy standing beside me, and he seemed to recognise me.  I then realised it was my surgeon! Given that I have just had a scan and am waiting for an appointment with him, I felt really awkward and guilty. Then I thought he'd have been pleased to know that he'd 'fixed' me enough to run again. In reality, he probably didn't have a clue who I was.

30/06/2013 at 20:03

Sounds good Moozer getting it in early stages - keep us posted. Did you have much pain pre-op with theis hip?

Between my physio and specialist doctor I think they suspect I now have hip bursitis.

This is what they think is causing my hip pain to be on a regular level and why I retain a slight limp at over 6 months post - op.

I await cortisone jag, I presume to try to calm this and/or release psoas though I think exercises for psoas have helped. Yet again another hurdle.

My swimming has come on though, now doing 1 mile about 4-5 days a week front crawl. I think this irritate the Bursa though.

If anybody has experiences of hip bursitis I'd very much like to hear them!

 

 

02/07/2013 at 10:39

Hi Parklife,  I did have a fair amount of pain with the recently operated hip. It was more in the glute when sat down and around the side of the hip rather than groin pain like the first one.

03/07/2013 at 13:41

Hi all

I am 9 weeks post op and have been getting stabbing pain returning, is that to be expected. Moved house this weekend and legs defienatly felt it, but its the stabbing pain in back of leg and side of hip that is worrying me.....any advice welcome.

04/07/2013 at 10:55

...and now I have pins and needles in my heal which wont seem to go

 

Hope you are all getting on well!

04/07/2013 at 11:37

Hi Rebecca, after my first Hip op 4 months ago I thought I had damaged some of the work that had been done every time I felt different types of pain. I spoke to the consultant about this and he said that its highly unlikely that this would happen. He said that the full recovery from this surgery is usually between 9mths - 12 mths and its very much peaks and troughs.  I still have an ache in my hip after walking, had hip flexor problems a few weeks ago, painfull back a month ago. I think the recovery has a  massive knock on effect on different muscles, joints etc.

04/07/2013 at 11:52

I am sure you are right, I just hope this pain in my buttock and heal is not siaticia - hey how, im sure I will live. Its just the first two months everything got better and now I have the same pains returning that I had pre surgery.

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