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Injuries and Rehab
 
19 with FAI
 

arcadiafades
Level 1

Join date: Sep 2009
Posts: 23

Prolotherapy for bony overgrowth in the hip...strong second post. And if you want to know how I feel about prolotherapy, check my post history.

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CJT
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Join date: May 2011
Posts: 13

I'm very glad I found this thread. I'm 19 as well and have had hip/groin pain for the past year and a half. I wrote it off to hip flexor tightness and a tight groin and not warming up properly. I stretched and foam rolled for about 30 minutes a day for the past two months but I have barely noticed any lessening of the pain.

So I kept researching what it could possibly be and I've discovered that is has got to definitely be hip impingement, as I have all the symptoms. I'm going to have ti go see a doc and get his opinion. I've already had knee and shoulder surgeries due to football injuries and I'm really not looking forward to another possible surgery. I believe I can live with the pain of hip impingement and keep doing squats/lunges/etc, but if there is a risk of arthritis I may have to consider the surgery.

Keep us updated with your condition.

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cavemancop
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Join date: Mar 2012
Posts: 6

I had the same issue when I was your age, and it turned out that I had synovial chondromotosis. I had surgery to remove it ten years ago, and now I am dealing with the pain as much as I can until I have to have surgery again. Look into the hip resurfacing procedure, it wasn't available when I had my surgery and it could possibly eliminate your arthritis

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MAXpower92
Level

Join date: Feb 2012
Posts: 21

@fisch I am also 19 and have severe pain in my right hip joint. For me this pain started after changing my squat stance from a close weightlifting stance to a wider PL stance. Since December 2011, the pain progressively got worse until I got to the point where I could not squat or deadlift.

After taking 2 weeks off there was hardly any pain at all, so I began squatting and deadlifting again. The pain came back. What I would like to know is, specifically how did your pain start? Was it all of a sudden or did the pain come after doing something markedly different in training? Right now I am in the process of getting X-rays and MRI's to see what the problem is with my hip.

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fisch
Level 3

Join date: Jun 2008
Posts: 747

MAXpower92 wrote:
@fisch I am also 19 and have severe pain in my right hip joint. For me this pain started after changing my squat stance from a close weightlifting stance to a wider PL stance. Since December 2011, the pain progressively got worse until I got to the point where I could not squat or deadlift.

After taking 2 weeks off there was hardly any pain at all, so I began squatting and deadlifting again. The pain came back. What I would like to know is, specifically how did your pain start? Was it all of a sudden or did the pain come after doing something markedly different in training? Right now I am in the process of getting X-rays and MRI's to see what the problem is with my hip.


From what I remember (started happening at least 2 years ago), it would never really bother me during lifting, maybe the blood flow helped in some way I have no idea. I always did the same things, the pain just started appearing. I did nothing different in training. If you have this condition, it may be that when you widen your stance your causing your ball joint to hit the socket in some way. X-Rays will be able to tell any hip doctor who knows about this condition (which should be a fair number of them) right away if you have an impingement. My doc pulled out the xrays ans showed me the excess bone. MRI with dye tells them if the labrum is damaged, how much/little they can't tell without cutting you open.

Pain was always worse after a few hours after lifting. I would be sitting and go to lift my leg and I would have a sharp pain. resting for a couple weeks always eliminated (for a VERY brief time, once training resumed hurt again) or greatly reduced the pain.

In your case depending on how wide your stance is I would probably change that back to your original stance, or close to it. That is ONLY if the doctors cannot find anything noticeably wrong. If they find this FAI (impingement), then discuss options with them. Right now I can't do jack shit for leg workouts, only extensions and curls while I wait for surgery. Boring.

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fisch
Level 3

Join date: Jun 2008
Posts: 747

Kind of an update.

Still waiting to hear back from the doctor (so far its been 3 weeks) that the insurance company agrees to the surgery. Pretty frustrated since this means no leg work essentially, especially with a recent injury on my left (opposite) foot. Leg extensions and leg curls right now.

Pain is still there, but since I don't do squats/leg press/hack squat or anything that causes flex, it is minimal. My wrist injury is close to being 100%, so I'll be pretty bummed when I do get this surgery that I won't be able to upper body lifting for 4 weeks either. Honestly at this point, I just want the freakin surgery to happen so I can move on with my life and see what injury next befalls my body.

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fisch
Level 3

Join date: Jun 2008
Posts: 747

CJT wrote:
I'm very glad I found this thread. I'm 19 as well and have had hip/groin pain for the past year and a half. I wrote it off to hip flexor tightness and a tight groin and not warming up properly. I stretched and foam rolled for about 30 minutes a day for the past two months but I have barely noticed any lessening of the pain.

So I kept researching what it could possibly be and I've discovered that is has got to definitely be hip impingement, as I have all the symptoms. I'm going to have ti go see a doc and get his opinion. I've already had knee and shoulder surgeries due to football injuries and I'm really not looking forward to another possible surgery. I believe I can live with the pain of hip impingement and keep doing squats/lunges/etc, but if there is a risk of arthritis I may have to consider the surgery.

Keep us updated with your condition.


On the arthritis part, you will not get your doctor to ever say this leads to it. Mine in a roundabout way hinted at it, but when I asked directly said "theres no long term conclusive evidence". When I said "Well, if 2 bones keep slamming into each other and rip up the cartilage, pretty much sounds like a receipe for arthritis to me" he said he shared that view. Even though he did, he says it is a bad idea to operate on my left hip since it is showing no pain symptoms.

I personally believe this condition leads to arthritis, but odds are you will not find a doctor who will recommend this surgery if you do not have pain. But since you have pain, I think the doctor will be more then happy to cut you open assuming he is qualified. Not a lot are because it is a relatively new procedure. My guy sent me to one of 3 in my state that is qualified.

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MAXpower92
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Join date: Feb 2012
Posts: 21

fisch wrote:
MAXpower92 wrote:
@fisch I am also 19 and have severe pain in my right hip joint. For me this pain started after changing my squat stance from a close weightlifting stance to a wider PL stance. Since December 2011, the pain progressively got worse until I got to the point where I could not squat or deadlift.

After taking 2 weeks off there was hardly any pain at all, so I began squatting and deadlifting again. The pain came back. What I would like to know is, specifically how did your pain start? Was it all of a sudden or did the pain come after doing something markedly different in training? Right now I am in the process of getting X-rays and MRI's to see what the problem is with my hip.


From what I remember (started happening at least 2 years ago), it would never really bother me during lifting, maybe the blood flow helped in some way I have no idea. I always did the same things, the pain just started appearing. I did nothing different in training. If you have this condition, it may be that when you widen your stance your causing your ball joint to hit the socket in some way. X-Rays will be able to tell any hip doctor who knows about this condition (which should be a fair number of them) right away if you have an impingement. My doc pulled out the xrays ans showed me the excess bone. MRI with dye tells them if the labrum is damaged, how much/little they can't tell without cutting you open.

Pain was always worse after a few hours after lifting. I would be sitting and go to lift my leg and I would have a sharp pain. resting for a couple weeks always eliminated (for a VERY brief time, once training resumed hurt again) or greatly reduced the pain.

In your case depending on how wide your stance is I would probably change that back to your original stance, or close to it. That is ONLY if the doctors cannot find anything noticeably wrong. If they find this FAI (impingement), then discuss options with them. Right now I can't do jack shit for leg workouts, only extensions and curls while I wait for surgery. Boring.


Thanks for your input. Weird thing is I've always been a sumo deadlifter, but not until I switched my squat stance to toes out and slightly wider did I feel pain. Good luck with your injuries

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CJT
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Join date: May 2011
Posts: 13

On the arthritis part, you will not get your doctor to ever say this leads to it. Mine in a roundabout way hinted at it, but when I asked directly said "theres no long term conclusive evidence". When I said "Well, if 2 bones keep slamming into each other and rip up the cartilage, pretty much sounds like a receipe for arthritis to me" he said he shared that view. Even though he did, he says it is a bad idea to operate on my left hip since it is showing no pain symptoms.

I personally believe this condition leads to arthritis, but odds are you will not find a doctor who will recommend this surgery if you do not have pain. But since you have pain, I think the doctor will be more then happy to cut you open assuming he is qualified. Not a lot are because it is a relatively new procedure. My guy sent me to one of 3 in my state that is qualified.


Yeah I know what you're saying about they're not going to tell you decisively that it can lead to arthritis but they wouldn't hesitate on cutting you open. I'm going to try to get in to see the doctor soon and get some results.

I squatted today, first time squatting since I discovered it was a bone/cartilage issue rather than a muscle/tendon/ligament issue. So I cut my stretching/dynamic warmup in half and the squats felt the same, painful. But I think I can live with this pain and keep doing squats. I have this pain that's only been occurring the past few weeks, it's almost directly behind where the impingement pain is, right in my glute. Is this related to the hip impingement or is it just an ass strain?

Also is there any chance of stretching or physical therapy work that can reduce the pain? I know surgery is needed to actually go in and shape the bones to fit but is there any chance of reducing the pain other than surgery?

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fisch
Level 3

Join date: Jun 2008
Posts: 747

CJT wrote:
On the arthritis part, you will not get your doctor to ever say this leads to it. Mine in a roundabout way hinted at it, but when I asked directly said "theres no long term conclusive evidence". When I said "Well, if 2 bones keep slamming into each other and rip up the cartilage, pretty much sounds like a receipe for arthritis to me" he said he shared that view. Even though he did, he says it is a bad idea to operate on my left hip since it is showing no pain symptoms.

I personally believe this condition leads to arthritis, but odds are you will not find a doctor who will recommend this surgery if you do not have pain. But since you have pain, I think the doctor will be more then happy to cut you open assuming he is qualified. Not a lot are because it is a relatively new procedure. My guy sent me to one of 3 in my state that is qualified.


Yeah I know what you're saying about they're not going to tell you decisively that it can lead to arthritis but they wouldn't hesitate on cutting you open. I'm going to try to get in to see the doctor soon and get some results.

I squatted today, first time squatting since I discovered it was a bone/cartilage issue rather than a muscle/tendon/ligament issue. So I cut my stretching/dynamic warmup in half and the squats felt the same, painful. But I think I can live with this pain and keep doing squats. I have this pain that's only been occurring the past few weeks, it's almost directly behind where the impingement pain is, right in my glute. Is this related to the hip impingement or is it just an ass strain?

Also is there any chance of stretching or physical therapy work that can reduce the pain? I know surgery is needed to actually go in and shape the bones to fit but is there any chance of reducing the pain other than surgery?


I have a pain in my glute when I do RDL's. Not a lasting pain, not even that much of a pain, but it is there. I know its two of my bones hitting each other or sliding off each other, because this is a slight click I can feel if I do them weightless and focus on the area. When I asked my doc about it he showed me on the x-ray I actually have a pincer impingement on both the top/front and the bottom/back, the bottom/back one is more rare but is likely the cause of the glute pain/clicking. It is not fixable by arthroscopic procedure, so the only fix would be open surgery. My doctor does not think that is a great idea from my symptoms, as it does not cause much pain just clicking.

That could be what you have, without an x-ray it is impossible to know. From what I understand, if that pain is not severe/a lasting issue, the trouble of fixing the glute pain is much more bothersome then the normal impingement. And thats saying something, cause fixing the normal impingement is a pain.

I had the same thought about non-surgical treatment. The doctor said there wasn't really much you can do with your muscles/tendons to fix this. If you have an impingement, it does not matter how loose/tight certain muscles are, when you go through a certain range of motion (squat, leg press, deadlift) the bones will hit. So if you wanted to do non-surgical, it appears that you would have to alter your lifestyle to avoid flexing (squat, leg press, deadlift) movements.

To reduce the pain, only thing seems to be an prescription anti-inflammatory long term. I hate the idea of constant medication, so that was out the window. Plus I ran the meds for 4 weeks and while the pain was reduced it was still there, though I was not allowed to do squats or leg press during this time so it is possible if I did those the pain would be equal.

From my view, even if you did that your day-to-day life would still cause you to go through the range of motion that would put you in flexation (is that a word?) so it would still hurt sometimes, though likely no where near as much as an active lifter would have.

Im all for lifting through the pain and living with it. I did it for 2+ years, but eventually after 3x a week leg lifting for a while I realized this wasn't normal. I would say look into the procedure. I love lifting, it is the highlight of my day and has been for years, but I also want to walk when im 30. If this surgery allows that, im in. Just realize that taking a 6 month setback IF you need this surgery is not the end of the world. If I can take almost 2 years off upper body lifting from injuries, you can take 6 months off for lower.

Long post, but I want to help others with this. This (plus my wrist injury) has pretty much f'd up my life for 2 years and I would rather not have anyone else suffer any longer then they have to.

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fisch
Level 3

Join date: Jun 2008
Posts: 747

MAXpower92 wrote:
fisch wrote:
MAXpower92 wrote:
@fisch I am also 19 and have severe pain in my right hip joint. For me this pain started after changing my squat stance from a close weightlifting stance to a wider PL stance. Since December 2011, the pain progressively got worse until I got to the point where I could not squat or deadlift.

After taking 2 weeks off there was hardly any pain at all, so I began squatting and deadlifting again. The pain came back. What I would like to know is, specifically how did your pain start? Was it all of a sudden or did the pain come after doing something markedly different in training? Right now I am in the process of getting X-rays and MRI's to see what the problem is with my hip.


From what I remember (started happening at least 2 years ago), it would never really bother me during lifting, maybe the blood flow helped in some way I have no idea. I always did the same things, the pain just started appearing. I did nothing different in training. If you have this condition, it may be that when you widen your stance your causing your ball joint to hit the socket in some way. X-Rays will be able to tell any hip doctor who knows about this condition (which should be a fair number of them) right away if you have an impingement. My doc pulled out the xrays ans showed me the excess bone. MRI with dye tells them if the labrum is damaged, how much/little they can't tell without cutting you open.

Pain was always worse after a few hours after lifting. I would be sitting and go to lift my leg and I would have a sharp pain. resting for a couple weeks always eliminated (for a VERY brief time, once training resumed hurt again) or greatly reduced the pain.

In your case depending on how wide your stance is I would probably change that back to your original stance, or close to it. That is ONLY if the doctors cannot find anything noticeably wrong. If they find this FAI (impingement), then discuss options with them. Right now I can't do jack shit for leg workouts, only extensions and curls while I wait for surgery. Boring.


Thanks for your input. Weird thing is I've always been a sumo deadlifter, but not until I switched my squat stance to toes out and slightly wider did I feel pain. Good luck with your injuries


Sumo deadlifting does not require you to go as far down as squatting, at least how I've always seen it done/done it myself, so that could be why. Also, from what I understand, wide stance causes much more stress on your hips. I think it is the ligaments/tendons, but that's just a guess. Could be when you started squatting and deadlifting wide stance you put much more stress on the hips. Or could be you have an impingement that doesn't come into effect until your near the bottom of the squat, so you would not notice it during deadlifts. Depending on where the impingement is exactly it could be a non factor when your feet are closer.

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CJT
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Join date: May 2011
Posts: 13

Thanks for the reply, you're definitely helping me by giving me your experience with it.

Today during squat day, I did goblet squats (holding dumbell infront of you while squatting) and I felt absolutely no pain in the area. So I thought maybe I don't have exactly what you have. After 2 sets of painless goblet squats I tried to do front squats, which also do cause the area pain, and they did indeed hurt. I went back to goblets and they felt fine. Then I tried to do just a plain bodyweight squat and the pain appeared again. I just found that whole session very strange. Goblet squats and front squats are similar in style, both being front loaded, deep squatting exercises and only one caused pain.

Also to help with the other poster, I've recently switched to a Sumo DL to relieve some of the hip pain and because I don't need to go down with my ass as much as I did with conventional DL's, and that's relieving the hip pain.

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fisch
Level 3

Join date: Jun 2008
Posts: 747

CJT wrote:
Thanks for the reply, you're definitely helping me by giving me your experience with it.

Today during squat day, I did goblet squats (holding dumbell infront of you while squatting) and I felt absolutely no pain in the area. So I thought maybe I don't have exactly what you have. After 2 sets of painless goblet squats I tried to do front squats, which also do cause the area pain, and they did indeed hurt. I went back to goblets and they felt fine. Then I tried to do just a plain bodyweight squat and the pain appeared again. I just found that whole session very strange. Goblet squats and front squats are similar in style, both being front loaded, deep squatting exercises and only one caused pain.

Also to help with the other poster, I've recently switched to a Sumo DL to relieve some of the hip pain and because I don't need to go down with my ass as much as I did with conventional DL's, and that's relieving the hip pain.


Well your form might be different with the goblet, like maybe your feet are wider/narrower, your feet point differently, you go down farther/higher. Generally when I think front squats I think narrower stance, more forward toes and when I think goblet I think wider stance, forcing knees out. Any of those are possible, though if you have this impingement unless your stance is fairly different it doesn't make much sense.

Kind of an side note, if anyone thinks they have this due to the pain/clicking, try to rotate your knee inward. Like, sit up with good posture, hands on knees,, and push your knee toward the other. You will likely feel a lot of tightness/discomfort in the effected hip. You will know, trust me. Especially if you have a "good" hip.

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CJT
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Join date: May 2011
Posts: 13

So yesterday was Squat day in week 3 of Wendler's 531 for me. I figured I would give the squats one last shot and see how things go. I didn't do a long warmup routine, a few dynamic movements and then 2-3 minutes of hip/glute stretching with a band. The first couple warmup sets of squats I felt a slight pinch like usual, but a few sets later I could barely notice the pinch on my working sets. I contribute this to leaving my hip alone for the past week and not doing nightly stretching like I was prior to last week and also only squatting once a week instead of twice a week like prior weeks. I'm going to repeat this again next week and see if this is my savior or if it was just a one time coincidence.

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fisch
Level 3

Join date: Jun 2008
Posts: 747

Called the insurance company on Friday and was pretty mad at them, asked them why the hell it was taking so long to get approved only to find out they approved the surgery on March 14th. Called the doc office, they say the insurance company never contacted them and they will call me back after talking to the insurance company. Eventually it got settled and my surgery is scheduled for April 25th, I will be getting the impingement shaved down and the damaged labrum cleaned up/removed.

Right during dead week for school, so right before finals. Inconvienient, but I don't want to wait any longer then I have to, and the week before I have 3 tests, 2 quizzes, and a project due so dead week it is. Have to get a CAT scan tomorrow, not sure why since I already have x-rays and an MRI, but doc says so.

My left foot (non-surgery hip) is still inflamed (injury over 4 weeks ago) and hurts, I am somewhat nervous because I need it to be healed by surgery day so I can walk on crutches.

For any of you that are going to get this surgery and have to get it approved by the insurance, make sure you call the insurance company after a couple weeks to see where they are. It saved me countless weeks of wasted time. I wish I called them a couple weeks ago when I first thought about it.

If anyone has any questions I am always happy to help.

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Shala
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Join date: Mar 2012
Posts: 1

I just had this surgery last Wednesday in Nashville. What they thought was a bone growth on my femur turned out to be a huge calcium build up that was rubbing against my labrum. They were able to shave that down and reatach the labrum as well as clean up the joint. They gave me a disc of the surgery, it is pretty crazy. There was a little arthritis in there but they didn't have to do a micro fracture so I was happy about that.

So far the recovery is ok. Painful but not as bad as I thought it would be. If you have the option I STRONGLY suggest getting the Game Ready ice machine. I have only had to take the pain medicine once a day while using it. Good luck.

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fisch
Level 3

Join date: Jun 2008
Posts: 747

I had the surgery on May 3rd, so 2 days ago. It took 3.5 hours to do because there was more cartilage damage then he anticipated. The bone was shaved down, part of the labrum was reattached and some was removed. I am on crutches with no weight bearing on my leg, I go back for a post op appointment on May 15th (12 days post op). They emphasized repeatedly that I should stay on top of my pain meds and that I could use 2 pills every 4 hours if I needed, but honestly the pain isn't noticable if I just stay in bed with just 1 pill. It is sore/stiff when I get up on my crutches to move, but it is not bad at all. Way less pain then I anticipated, especially after all the warnings from the doctor/nurses.

Obviously too early to tell how successful the surgery is, but right now I am happy I did it. I'll post again after my post op appointment to log where I am at and what the recovery plan is.

I encourage anyone who has this surgery to make sure someone is around for a few days to help you. I could probably do most things myself, but it is really nice to have food made for me and help in and out of bed the first day.

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ucallthatbass
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Join date: Mar 2008
Posts: 3433

fisch I was diagnosed with this on Monday, Saw a specialist on Friday. The specialist has done over 600 FAI surgeries and 1000's of other hip surgeries. He has 23 years of experience, and I was referred to him by the doctor that did my shoulder surgery. Both of the doctor's have had this surgery themselves.

I don't have arthritis in the joint, and I don't think I have a labral tear. The hip specialist was getting pretty aggressive with the testing and I had no pain, so that's a pretty good sign. No MRI, but he wants a CT scan done.

My left hip is the one giving me issues, I also have it in my right hip, but with no symptoms at all. I'll be following this thread, keep us posted, and best of luck with your recovery.

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fisch
Level 3

Join date: Jun 2008
Posts: 747

I said I would post an update after my post op appointment so here goes. I had the appointment on May 15th, 12 days post op. Stitches were taken out and I was told I can start weening off my crutches over the next 1-2 weeks. Right now I walk with one crutch, and the only issue I have is the stiffness in my hip but that should go away within a couple weeks. Could probably walk crutch free but I don't like how stiff it feels afterward. I start light physical therapy on the 29th, which is basically stretching and some light strength work. No running or anything high impact. I go back in on June 19th to see the doc again and see what restrictions are lifted.

My rehab will likely be slightly complicated because I have opposite foot issues/inflammation and have had it for 9 weeks now. I go back to see the foot doc tomorrow and see if he has any new ideas. Hoping to get it fixed before the June 19th appointment so I can start jogging if I get the clearance.

ucallthatbass - I responded to you in the other thread, though I will add it seems like you have a great doctor. I don't know how many FAI surgeries my guy had done but I know it was not 600+, though I still trust him alot. Let me know if your doc recommends both hip surgeries or just the one giving you issue. My doc has told me repeatedly that unless the other starts causing pain it is not recommended to be operated on, but I would love to hear another docs insight.

I wish I could change the title of the thread because while I "technically" have arthritis it is only because of the FAI caused cartilage damage. It is not typical arthritis and I do not have any idea how much lasting issues will be because the cartilage damage. Im guessing my hip will likely be stiff/sore for much of my life after hard physical activities.

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ucallthatbass
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Join date: Mar 2008
Posts: 3433

fisch wrote:
I said I would post an update after my post op appointment so here goes. I had the appointment on May 15th, 12 days post op. Stitches were taken out and I was told I can start weening off my crutches over the next 1-2 weeks. Right now I walk with one crutch, and the only issue I have is the stiffness in my hip but that should go away within a couple weeks. Could probably walk crutch free but I don't like how stiff it feels afterward. I start light physical therapy on the 29th, which is basically stretching and some light strength work. No running or anything high impact. I go back in on June 19th to see the doc again and see what restrictions are lifted.

My rehab will likely be slightly complicated because I have opposite foot issues/inflammation and have had it for 9 weeks now. I go back to see the foot doc tomorrow and see if he has any new ideas. Hoping to get it fixed before the June 19th appointment so I can start jogging if I get the clearance.

ucallthatbass - I responded to you in the other thread, though I will add it seems like you have a great doctor. I don't know how many FAI surgeries my guy had done but I know it was not 600+, though I still trust him alot. Let me know if your doc recommends both hip surgeries or just the one giving you issue. My doc has told me repeatedly that unless the other starts causing pain it is not recommended to be operated on, but I would love to hear another docs insight.

I wish I could change the title of the thread because while I "technically" have arthritis it is only because of the FAI caused cartilage damage. It is not typical arthritis and I do not have any idea how much lasting issues will be because the cartilage damage. Im guessing my hip will likely be stiff/sore for much of my life after hard physical activities.


My Doc said the same about operating on both hips. He basically said the following:
"Unless you have symptoms, don't bother. You know what if feels like, and know the early signs. If you have any abnormal pain or stiffness for an extended period of time, or clicking and popping come back in."

The only plus with this condition is that most of the damage occurs to the labrum. Though it sucks that it gets damaged, the labrum has a rich blood supple and can be repaired and heal. I'm not sure if a removed portion of the labrum will ever heal 100%, I know that some tears can heal on their own. If this condition is left to run its course then you can damage to the articular cartilage which has no blood supple.

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fisch
Level 3

Join date: Jun 2008
Posts: 747

ucallthatbass wrote:
fisch wrote:
I said I would post an update after my post op appointment so here goes. I had the appointment on May 15th, 12 days post op. Stitches were taken out and I was told I can start weening off my crutches over the next 1-2 weeks. Right now I walk with one crutch, and the only issue I have is the stiffness in my hip but that should go away within a couple weeks. Could probably walk crutch free but I don't like how stiff it feels afterward. I start light physical therapy on the 29th, which is basically stretching and some light strength work. No running or anything high impact. I go back in on June 19th to see the doc again and see what restrictions are lifted.

My rehab will likely be slightly complicated because I have opposite foot issues/inflammation and have had it for 9 weeks now. I go back to see the foot doc tomorrow and see if he has any new ideas. Hoping to get it fixed before the June 19th appointment so I can start jogging if I get the clearance.

ucallthatbass - I responded to you in the other thread, though I will add it seems like you have a great doctor. I don't know how many FAI surgeries my guy had done but I know it was not 600+, though I still trust him alot. Let me know if your doc recommends both hip surgeries or just the one giving you issue. My doc has told me repeatedly that unless the other starts causing pain it is not recommended to be operated on, but I would love to hear another docs insight.

I wish I could change the title of the thread because while I "technically" have arthritis it is only because of the FAI caused cartilage damage. It is not typical arthritis and I do not have any idea how much lasting issues will be because the cartilage damage. Im guessing my hip will likely be stiff/sore for much of my life after hard physical activities.


My Doc said the same about operating on both hips. He basically said the following:
"Unless you have symptoms, don't bother. You know what if feels like, and know the early signs. If you have any abnormal pain or stiffness for an extended period of time, or clicking and popping come back in."

The only plus with this condition is that most of the damage occurs to the labrum. Though it sucks that it gets damaged, the labrum has a rich blood supple and can be repaired and heal. I'm not sure if a removed portion of the labrum will ever heal 100%, I know that some tears can heal on their own. If this condition is left to run its course then you can damage to the articular cartilage which has no blood supple.


Cool, thanks for the feedback. Keep me posted on what route you decide to take and how it goes, especially how your surgery and post op is if you do go that way. From what I understand from my doc it takes 4+ months until "athletic moves" such as cutting while running are allowed, though from reading online people don't feel normal every day again until at least 6+ months.

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ucallthatbass
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Join date: Mar 2008
Posts: 3433

At the moment I don't know which route to go. It's not debilitating, I can run, jump, twist, squat and leg press. I just get aches afterwards. I work a desk job and the sitting is what's killing me. I can literally feel the pressure on my hip from sitting. I get tight, stiff, and sore until I move around.

Everyone yells "Your hip flexors are tight. Your quads are tight" But there aren't. Mt physical therapist ran me through the paces and said I wasn't tight. I can do the kneeling hip flexor stretch, squeezing my glute hard, and still have the heel of that foot touching my ass. If I do cossack squats I can go ass to ankle on the right leg, but once I hit parallel on the left I impinge.

I don't have much pain, but I know something is definitely wrong. I have a cyst in the joint which the doctor says is caused by the constant irritation and friction. Its more of a constant stiffness, minor clicking, and a dull ache after sitting for long periods. Family members I talk to are 50/50 on doing surgery and thinking I'm crazy. I'm almost 30, my wife thinks I'm nuts for wanting to go under the knife. My train of thought is to minimize joint damage now, and avoid a hip replacement later.

I've had more orthopedic issues than anyone I know. Broken hands, feet, shoulders, knees, and hips.

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ucallthatbass
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Join date: Mar 2008
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fisch wrote:

Cool, thanks for the feedback. Keep me posted on what route you decide to take and how it goes, especially how your surgery and post op is if you do go that way. From what I understand from my doc it takes 4+ months until "athletic moves" such as cutting while running are allowed, though from reading online people don't feel normal every day again until at least 6+ months.


I had a rough shoulder surgery. It consisted of an anterior capsular shift, rotator interval closure, and a bankart repair. I was in a sling for 7 weeks. My range of motions was reduced about 90%. I couldn't reach my arm high enough to touch my chin, or rotate my arm further than 6 inches from my belly button. PT was a brutal 2 months, of stretching the shoulder capsule back out to normal. No weights over 5 pounds until month 3. Back in the gym deadlifting 225 by month 6, but I still couldn't bench and empty bar.

It took about a year before I could do a still painful pushup, much of which was mental. PT is as much a mental game after something like this as it is physical. You need to get over the hurdle of thinking you are going to re-injure yourself. The most important thing is to get range of motion back. Honestly don't worry about strengthening until you can move without pain, discomfort is fine, pain is not.

If you try to strengthen while still in pain you will just enforce incorrect motor patterns.

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nschneid
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Join date: May 2006
Posts: 192

hows recovery going? i am 12 days out of having my second hip done, with the first one 8years post-op. very happy with the results, but im not sure heavy squatting is in my future. we'll see... flexibility will eventually be much greater, and the pain will be gone, but they haven't been doing these long enough to know long term implications. as in, some early arthritis might happen... i'm personally going to avoid limits in rom while loaded and do sled stuff more unless someone clears it.

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fisch
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Join date: Jun 2008
Posts: 747

Recovery was going great, but literally the first day I was allowed to do upper body work (June 2nd) I had an incident. It was the end of my workout, decided to do some incline BB bench, only some light weight work nowhere near failure. Well since I haven't lifted in forever was doing a couple reps with 95 lbs when all of the sudden my muscles died.

Like I did a rep, normal speed no issue no sign of weakness, then the next rep couldn't get it off my chest. No warning at all my muscles were tiring. No spotter because my friend couldn't make it that day, and the weight wasn't anything that should've gave me problems especially since I planned on avoiding failure.

Had to push the weigh down to my hips, then I stood up with the 95 lbs in my hands/against my hip. Didn't feel a pop or anything, but walking hurt a little and after the car ride home it hurt to move my leg out of the car. I have no idea if I damaged the cartilage by basically doing a 95 lb squat, or if its just a bunch of inflammation because I did something waaaay different then what my hip is used to. This is 5 days later though, and the uncomfortable feeling and slight pain when I lift my leg is still there.

If anyone knows the likelyhood I damaged my hip structurely I'd appreciate some insight. I've been very freaked out and anxious ever since Saturday, my hip doesn't hurt when im sitting but it just feels uncomfortable. I have pain in the joint if I pick up my leg with my leg muscles, but not if someone lifts my leg with my muscles relaxed.

The PT said it's possible to damage my hip by doing a twisting movement with weight but this wasn't a twist, just a squat basically. Called my doc a few minutes ago and left a message with the nurse, hopefully she'll call back soon and I can get some assurance.

I am very freaked out, if I damaged the cartilage again I really don't know what I'll do. There is no way to convey how nervous I am, I actually took a painkiller leftover from my surgery just to try and relax myself and get the uncomfortable feeling to go away, didn't work.

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