parklife


Latest posts by parklife

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Femeroacetabular Impingement

Posted: 11/01/2015 at 19:07

Thanks sixphsio appreciate your response

so is there anything that can be done about the biomechanics side of things?

I had done a lot of pilates to strengthen core and a weak core had been identified as a previous problem.

It will be interesting to see if any new surgery reveals any new growth of bony bumps, which was pressing into the cartilage from underneath.

The thing is I had not been that active since the op at Xmas 2012. Just pilates, virtually no running and a fair bit of cycling, some swimming.

 

Femeroacetabular Impingement

Posted: 11/01/2015 at 15:59

Thanks for ur post six physio,

though I would say that the surgeon operating and shaving the bone and repairing the cartilage tear over the hip socket did eventually sort me out, I was pain free and felt as good as new....until doing lunge and squats (overdoing it in hindsight) caused a retear...too much pressure on a stitched weak spot?

Possibly there is a difference between small normal degenerative cartilage tears with age, and great big rips in the cartilage?

I would love to know why the extra bony growths occur in some people and not others; has their been any more research on this and I would be grateful if you could point me to relevant articles.

Regards

fai impingement

Posted: 09/01/2015 at 21:04

Hello, I think you should join the other FAI thread !

Well If I was you I would worry less about whether FAI meets a threshold of disability. Fact is I assume you have been diagnosed by specialist doctor who used scans and xrays for diagnostic testing and this is on your med records?

Therefore you have a medical condition with symptoms. Consider whether your GP should release your records to your boss or Occ Health dept if your place of work is big enough to have one. Or if you boss continues to be a pain consider joining a trade union who will advice, or go to Citizens Advice. But I'd say u have rights and if boss continues to be a pain get Trade Union/Employment Law advice on ur situation

 

Femeroacetabular Impingement

Posted: 09/01/2015 at 20:53

Hi Rebecca I think its just you and me keeping this thread going at the mo!

Happy New Year!

My Right Hip, the one that has been operated on, is modestly uncomfortable but doesn't get worse with cycling I guess the boney bit doing the damage has now been shaved away. I can almost feel the ripped cartilage right round the socket- it goes into my glute.

I took the bull by the horns and went and seen my surgeon again. He was very sympathetic. On reflection, my physio had me doing far too many lunges and squats putting far too much unnecessary force on the stiched up cartilage. I regret this a lot. I have not had a good overall experience with physiotherapy as a profession.

Surgeon wants to operate but then that is £££ which kills me financially but I have no other option as I can't really go through the NHS to have a look at another surgeons work. Needless to say I have made savings in other areas of my life.

This is the incredible bit - the month I had my op the surgeon tells me a new technique came out involving stem cell which might make the cartilage 'heal' better in lieu of it not being a vascular area. Costs an extre few hundred quid. I had a wry smile at this - the month I had my op this new technique comes out!  You have to laugh but I walked away headshaking.

Now, I had been doing a bit of cycling which has been a bit of a godsend but the left hip is now accelerating in terms of pain/not coping with exercise. 2 problem hips. Previous Xrays had shown the jagged bone sticking out rubbing into the cartilage in classic FAI pose. So that will need an op at some point and I have already been referred for NHS consultation.

Life's never a gentle rowing boat on the village lake, eh?

That sounds hard going having had your cartilage removed? Does anything help the pain like even painkillers even a little bit? Do they even know what is causing the pain?

 

Femeroacetabular Impingement

Posted: 09/09/2014 at 21:50

Time to check back in folks as I am having a shocker, a nightmarish scenario.

Now about 20 months post-op. Things had been going OK, went to see a new physio March, I had no pain, slight limp, and doing moderate exercise no running. He started strengthening further the muscle around my hip with squats. It worked, I had no pain, great ROM and was flabbergasted to gradually start gentle running again.

About 2 months ago whilst doing a strengthening squat I felt a tear. Not for 1 minute did  consider it to be a labral retear, and thought it was a smallish groin strain. After rest was able to get back to gentle painfree running. Only to slightly reinjure it in very innocuous fashion about 4 times since,walking up stairs etc.

This week the pain has shot up and is very similar to the type and location of pain prior to FAI surgery. I now understand this to be a retear of the cartilage. Am gutted.

I went private for my op. I can't afford to do that again. Am frankly devastated. Spent over 6k only to be 20 months later be back where I started. Now have pain, back to no activity/diminished quality of life, waiting lists, funding issues with NHS to deal with. I can't believe this.

Any thoughts all welcome.

Rebecca, you have been through the mill many times over. What does your surgeon say?

 

Femeroacetabular Impingement

Posted: 25/02/2014 at 20:45

Rebecca - the re-tear, do you remember an 'incident' where this might have happened and what was it, or was it a retear that just seems to have happened under normal activities?

Femeroacetabular Impingement

Posted: 23/02/2014 at 22:23

that is despearate Rebecca but I hope things will begin to go in the right direction for you. Sorry for the pain you are in.

I am OK. Had a good January, virtually no pain, slight limp vanished, was walking freely for first time in a year and had cardio through cycling back. All was well.

Then I upped my cycling from 40 miles to a 70 mile blast and the next day some discomfort came back and 3 weeks later hasn't gone again.

Strange thing is the discomfort is over my greater trochanter - I never had any pain here, and not where it was previously (mostly down the groin) Slight limp now also makes a reappearance.

Discomfort in unoperated side slightly going up and will need done at some point

Femeroacetabular Impingement

Posted: 18/01/2014 at 21:08

Rebecca, that is such rotten, rotten misfortune.

At least you have got answers.

I really can't advise about possible removal of cartilage though if it were my body I would be very cautious, surely some cartilage better than none? I would recommend more research on your part. I sometimes think surgeons see things in black and white, but its your body.

Sorry can't be of more help, except to say I hope to purchase this book 'the entrepreneurial patient' by Anna Thomas; all to do with being an FAI victim.

Best Wishes

Femeroacetabular Impingement

Posted: 16/01/2014 at 22:06

Shame Rebecca, hope you get some answers from your scan.

Miami Mike, I (partially) took your advice, and after a few days rest and core work, decided this time I would try exercise bike, though no running, as a way back into activity. Have done this x5 weekly past 2 weeks and the hip is coping I would say! Have graded up resistance so this eve did an hour burning 620 cals - not a bad work out at times pretty stiff resistance and lovely to have sweaty cardio back in my life! Pray it remains.

Have to stretch extensively before and after. The limp slightly returns after, slight twinges of pain, so not perfect.

I figure another few sessions of this to strengthen and waken up hip then I try short light running again.

My hunch- I will be able to cope with cycling (which I would take!) but am less sure of running ability, there is a general feeling of lack of nimbleness in hip.

why won't my groin adductor injury heal??

Posted: 16/01/2014 at 21:50

Justin C,

If your consultant is noticing hip problems but saying just ignore then he is burying the head in the sand.

He may be thinking you have Femoroacetabular impingement which an Xray ultimately diagnoses as it is a bony protusion which rubs against the hip socket cartilage/labrum.

There is a wealth of knowledge and experience on the Femoroacetabular impingement thread...if this is what your consultant suspects but you need to confirm it from him first.

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