Am I the first?
Hello fellow hip people. Have been lurking on here for a while, and think I even posted a while back. Had my right hip arthroscoped 19 days ago and they found (and repaired) laberal tear as expected. Also found the labrum had come away from the bone so (in simple terms) stuck it back on. Had the same hip arthroscoped for a labral tear 8 years ago where they just simply repaired the tear. This time it was a new tear and they checked for any impingement at the same time. No bone impingement but they did find a mass of fatty tissue which would have caused pain as well as impingement, so this was removed.
Obviously I have had more done this time than last time round, but I really cannot remember being in this much pain the first time it was done. Have only just started to stop using crutches and I am continuing to take paracetamol to get through the day (have been taking Tramadol at night as well), last time I clearly remember not having to take any pain killers after leaving hospital. I would be interested to know how much pain other people had after their arthroscopies, once coming off crutches. I know everyone is different and it does significantly depend on what was done surgically, but suppose I am just looking for reassurance that all is normal. I did contact mmy surgeon's office last week to ask their advices. They said to ditch crutches as soon as I was comfortable without them, and expect to take pain killers for 6 to 8 weeks. I am sure I am worrying unnecessarily but you can't help but think is everything OK. BTW, I hate taking any tablets so maybe this is what is putting my mind in overdrive!!
Can I pick your brains here? I have lower back pain and have had it for 2 years now. I am trying to find out what it is via my GP as its been progressivly getting worse for almost 2 years now, it started off as a niggle and now its just painful! It started off and still to some degree feels like an irritation, I'd put it on a par with the intense irritation you get if you've ever gone to a womens bums and tums class and attempted to do the buttox clenches, nastily irritating!
Its now progressed and feels painful, its at the base of my spine just where the sacrum meets the lumber spine and also hurts on the outside top of the illiac crescent. It feels like its a joint issue as its made worse by movement and feels at its worst after having to lean backwards or curve my back upwards so things like walking and carrying things (where the spine curves), riding a bike, swimming breast stroke and yoga (the second series) it hurts like mad afterwards and can often hurt for a day or two if I don't rest.
It feels like a dull ache generally and all the time but following exercise feels more like I have been kicked very hard in a very small pinpointed area at two points just next to/around but not on, the base of my spine where my hip/illiac crescent is. Leaning forwards helps, leaning from side to side helps in a different way because it can help to stretch it out but it only partially helps because now aside from the irritation feeling there is the added ache/pain its now become.
I am also hyper mobile which apparently puts me at risk of osteoarthritis and so after my GP sent me to a physio who basicly said he didn't know and sent me back to my GP, my GP just said it was regular back pain, palmed me a few prescriptions for heavy duty pain killers and sent me off. I am not happy to live the rest of my life between tramadol and coedine so went back and asked to be referred to a rhumatoid doctor to see if it was osteoarthritis. They ran an MRI which showed up nothing and I have been told its not osteoarthritis though am not sure if I believe that!
So my question: what does a F.I feel like and do you think my symptoms sound like something similar to what you have experienced?
Hi Sue. Thanks for your reply. Has put my mind at rest that ongoing pain is quite normal after this sort of surgery. My pain seems to vary day by day, yesterday was pretty bad so replied on the pills, today has been much better and I haven't needed any. I read with interest that you have been on the exercise bike. My rehab protocol says that I can do this from the 2 week point but I am holding back a bit - don't want to push too much too soon (my physio keeps reminding me of the tortoise and the hare story!!), but thought I might try bunging my mountain bike on the turbo this weekend, with low resistance, and see what aftereffects there are. Do you get any pain whilst on the bike, or afterwards?
BTW, agree with your point about the crutches! Handy to lean on and take strain off the hips if chatting, also I have found useful at children's parties. My little boy had a couple of parties at the weekend and all the little kiddies kept a wide berth, leaving me lots of peace!!
Don't suppose you're tried icing your groin area have you since the op? Did it a couple of times about a week ago when I remembered, after physio at hospital had suggested it (and then I had subsequently forgotten to do as soon as I got home). Haven't done since, not sure what impact it would have 3 weeks after op. Anyway, hope your recovery is going well, always nice to have comments from others going through the same thing. I'm treating myself to a road bike once I feel rehab'ed enough to give it a test ride (partic as consultant said I needed to do less weight bearing stuff once up and running (hopefully ) again). Nothing beats running for me but suppose it adds a bit more interest to the rehab to try something I've never done before.
Pipes wrote (see)
But there is also a constant dull ache and stiffness, especially in the morning and evening and especially after sitting for a long time.
I think the hip hurting after sitting for a long time is very typical. I have a mild case (minor tear) and it's not the running that makes my hip hurt, it's long drives or sitting watching the TV for too long!
Sue Wats 3 wrote (see)
Hi Jenn, I was originally diagnosed wth a dysfunctional SI joint (six years ago). Back then, I booked myself into a pilates class and have been going ever since. My core strength was atrocious when I started, but now it's quite good and I think it helped to keep the hip/SI stuff at bay for quite a while. Last year, however, the lower back pain turned into groin ache and also a sharp pain/clicking/catching feeling towards the outside of the thigh - all classic FAI signs apparently. It was worse when running, walking (especially up hills) and sitting. My FAI wasn't picked up straight away from an xray. I was referred to a physio who suggested I had labral tear symptoms and referred me on. The hip specialist looked at the xray and said it was clearly an impingement in both hips. Of course, all this takes time and is terribly frustrating. I hope that you manage to resolve your problems soon. Let us know how you get on.
Thanks- thats really helpful as you have described symptoms which are near enough exactly the same as mine, I find though the pain is worse during cycling and having rest days rather then when running, infact running doesn't seem to affect it as much as anything else does (not even as bad as walking)! But I do feel it 'clicking' into place- and often clicking all the way up to the top of my thoracic spine and thats getting worse (though not painful just an odd sensation).
I have had an MRI and an X-ray already which have been looked at and said to be OK but will ask them for a second opinion -the thing that slightly concerns me is that I have whatever test which gets looked at by the person watching/doing the test and then is written up on a computer, so the person I speak to- the consultant just reads the report onscreen rather then looking at it themselves and coming up with their own conclusion! But as I have these scans I am hoping they will be able to pull them up onscreen. I had an MRI done last year, it had a report saying it was "all fine" yet the orthopedic consultant brought up the scan to see on the computer and picked out that my entire leg was inflammed! (It was inflammed because it had a stress fracture).
I have an appointment with a student doctor (it was either that or wait until the end of July for an appointment with a consultant- the last test was done 6 weeks ago and I am in pain so kinda want to see someone as soon as I can). I will mention F.I and see if I can get anyone to say if this is a possibility. Its a Rhumatologist I will be seeing so I hope I am in the right area for this!
One thing I will say though is that my core stability isn't bad at all. It wasn't always the case and in August/September when I was referred to a physio I was given the advice to work on my core stability and given exercises, told to do a set of 6 classes with them all of which I did. I don't now have bad core stability/strength yet the lower back pain has gotten worse.
I did notice that lying flat on the floor KILLED my back! OMG I will never EVER do that again unless I have to- it left me in a lot of pain for hours afterwards! (and yes, we did all have Pilataes/Yoga mats below us) It was instantly painful and as Pilataes classes seem to have a floor section it sort of takes that one out of the equation. I didn't find it helped me at all anyway though and I do core stability exercises by myself (balancing on a bosu ball or other wobbly surface, with eyes shut and sometimes when moving head and arms around, quad stretchs on the Bosu ball, cross trainer with my eyes closed- I used to use the spin bike with my hands off and out of the saddle but it hurts too much to cycle now so I avoid this). But I do all my own balancing/core stuff without the need of classes or to lie on the floor so not such a major issue.
Thanks for comments Pipes about turbo. Pain levels have been much better the last couple of days so thought I would give the turbo a try - did just 10 mins, v low resistance, and sat v upright (didn't hold handlebars, just left my hands dangling by my side) as could feel more discomfort if I leant forward. Won't say I didn't have any pain, well, it was more discomfort actually, but no worse after than before I had started. So will do the same tomorrow and for the next few days before building it up a bit. Thought I would try icing a bit in the evening as well - bit like the consensus from everyone above that not sure what it does, but certainly does no harm so what the hell.
Just checked my rehab protocol and it suggests 'jogging' from week 8-10 post op. Have been battling with AT in my left achilles so haven't actually run since Sept. It's a bit up and down, just got an addition to my orthotics to see if that helps with a leg length difference, so actually a slow come back to running with the hip will hopefully protect the achilles as well. Really hoping it works as I need to get my running mojo back - feeling a bit lost without it and damn grumpy at times!!!
Both times my tear symptoms were pretty much the same, i.e not so bad when exercising, in fact, pain free at times during exercise, but a constant dull ache in the groin area, exacebated by sitting and driving (anything that 'pinched' the groin). A freind of mine also had surgery for impingement/laberal tear and her symptoms were completely different - she had pain down the outer side of her hip. So, I suppose everyone is different.
Reading all these posts makes me realise the dark grumpiness and frustration I feel when I cant run or get an exercise buzz is not just me which helps sanity and so many times I am reading nodding and feeling less that I am a hypochondriac moaning on about a pain that really does get you down but isn't exactly life threatening!
So thanks everyone.
(Boinging this FAO Mickster)
Good to hear that, Linz - I always feel the same way when I read other people's posts. I've had a busy couple of weeks with work, so little exercise. As a result, both hips are feeling tight and sore, especially (for some reason) the operated one.
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