hip impingement/ labral tear surgery

I had a femoroplasty and hip labrum surgery in February with Dr. Byrd in Nashville Tennessee. Dr. Byrd was phenomenol and all of his staff members were great. He was down to earth and answered every question i needed. Even after surgery whenever i called him for a question the therapists and nurses would answer everything.

I was miss diagnosed for about 5 years. I also have a sports hernia however the doctors suggested to get the hip surgery first so i could try and play soccer this coming fall.

I was on crutches for 5 weeks, and have been doing therapy ever since. I began running end of may/early june and have been steadily progressing my therapy/workout sessions.

I tried to play a soccer game this past week and felt my hip give out again and lock up... i couldnt walk and am still sore 4 days later...not sure if i developed bone spurs again or if the clicking inside could be old scar tissue.....if neone experiences some clicking or tightness after theyve done their surgery let me know....i got a month till preseason and really want to play....but also dont want to get another surgery on it if it's even possible to have 2 surgeries for the labrum tears and femoroplasty impingement surgery

i got this surgery in december '07 for a hip impingement/labral tear. I am running 60 miles a week now. it gets sore, but as long as i ice it i'm fine. i started really easy stationary biking a couple days after the surgery. it's really not too bad of a surgery. just don't go off crutches before you're supposed to! i got fed up with them and stopped, but that only prolonged the healing process.

did you have both hips done???

how long before you could do things like squats without pain?

was your pain more in the groin or more on the outside of the hip?

thanks

another bumpup

Hello

I am 20 years of age and a runner and baseball player. I had arthoscopic surgery to repair labrum and correct impingement on left hip in November of 2007 and will have same surgery on my right hip on August 12th.

My left hip was doing extremely well when running about 30 miles per week. I also play baseball and have had no problem. But during last two months, I began running hills on fairly rugged terrain and get an occasional sharp pain in my back left buttocks and on side of my left hip. I am hoping that the cause is compensation for right hip which is now bad enough to need surgery. I am also wondering if it could be caused because I am often not landing same way on rough terrain. Anyone still having pain 8 months after hip impingement corrective arthroscopy???

Thanks

BillBallplayer

Hello

I am 20 years of age and a runner and baseball player. I had arthoscopic surgery to repair labrum and correct impingement on left hip in November of 2007 and will have same surgery on my right hip on August 12th.

My left hip was doing extremely well when running about 30 miles per week. I also play baseball and have had no problem. But during last two months, I began running hills on fairly rugged terrain and get an occasional sharp pain in my back left buttocks and on side of my left hip. I am hoping that the cause is compensation for right hip which is now bad enough to need surgery. I am also wondering if it could be caused because I am often not landing same way on rough terrain. Anyone still having pain 8 months after hip impingement corrective arthroscopy???

Thanks

BillBallplayer

To "Do It"

Could you please advise who performed your surgery and how you recovered from the operation. I am experiencing the same conditions as others on this thread and am seeing Dr. Clohisy at Barnes Hospital in St. Louis next week. Your post gives me and others hope that one can recover from this painful and debillitating condition. Thanks.

Justintherunner and Johnny....bi lateral sports hernia repair myself in Jan 08. Now possible FAI.....Justin, how do you feel? What do you guys think the connection is?

mstegner wrote:

Justintherunner and Johnny....bi lateral sports hernia repair myself in Jan 08. Now possible FAI.....Justin, how do you feel? What do you guys think the connection is?

In my experience, the connection is dysfunctional firing patterns in the muscles surrounding the hip musculature, which typically results in "groin" pain or "quad pulls." The injuries are then treated until the pain goes away, but the root of the problem is never fixed. When the tissues are exposed to either higher velocity or higher volumes of running, the tissue tolerance won't be high enough, and the stress gets transferred to the lower abdominal wall. The bilateral part simply comes from poor movement on both sides of the pelvis instead of just one.

-CB

gtaseff wrote:

To "Do It"

Could you please advise who performed your surgery and how you recovered from the operation. I am experiencing the same conditions as others on this thread and am seeing Dr. Clohisy at Barnes Hospital in St. Louis next week. Your post gives me and others hope that one can recover from this painful and debillitating condition. Thanks.

I highly recommend David King of Orthopedic Associates. He is located in St. Louis, and he did an excellent job on my surgery. Additionally, he is regarded as one of the best hip doctors in the country, and he studied under the guy who is supposed to be the best in the world. He is absolutely the very best you will get in the St. Louis area, and I think if you go to anyone else you will be doing yourself a disservice.

mstegner wrote:

Justintherunner and Johnny....bi lateral sports hernia repair myself in Jan 08. Now possible FAI.....Justin, how do you feel? What do you guys think the connection is?

My situation is still ongoing. My rip hip that I had FAI adn labral tear repair feels completely better. I still have a lot of trouble with the sports hernia repair because I had some nerve entrapment afterward, causing me a lot of pain. I just had surgery to remove those entrapped nerves, and my doctor feels very confident it will fix me. It is still very early so we'll see. I also have a lot of pain in my left hip now, so I figure I will be getting the FAI/labral tear surgery on it as I have already been diagnosed with a hip impingement on that side too. Additionally, I have had a whole host of low back, glute, and knee problems, likely from imbalances.

I agree with what CB said about the connection with FAI and sports hernia. I have been told the same thing by my hip surgeon, basically that the torque from the hip impingement causes added stress that in turn causes the hernia. If you get you FAI fixed, and correct the imbalances, you should be good to go. Finding someone to help with those imbalances may benefit you. Actually, the guy who responded to your post before me, CB, was helping me out before my surgery with some of my problems, and I was making some good headway. He specializes in this sort of thing so you may want to contact him. His website is

.

I ahve no or very little groin pain. A chiro has been very beneficial in hip alignment issues. It just seems like a slippery slope. If one hip is doen I assume the other will have to follow. All these surgeries makes me wonder. Do we knoe of any one who has had sports hernia then bi lateral FAI and returned to high level of running?

I have plantar fasciitis in my left foot which threw off my gait and caused right hip pain. I'm going to a chiro also. I'm wondering if surgery is usually necessary or does anyone ever get healed otherwise? Has anyone had any luck with just rest and icing, etc.? It seems as if most have gone the surgery route.

Thanks CB...that makes sense....have you had clients who have had success with FAI surgery and returned to a high level?

CB wrote:

mstegner wrote:

Justintherunner and Johnny....bi lateral sports hernia repair myself in Jan 08. Now possible FAI.....Justin, how do you feel? What do you guys think the connection is?

In my experience, the connection is dysfunctional firing patterns in the muscles surrounding the hip musculature, which typically results in "groin" pain or "quad pulls." The injuries are then treated until the pain goes away, but the root of the problem is never fixed. When the tissues are exposed to either higher velocity or higher volumes of running, the tissue tolerance won't be high enough, and the stress gets transferred to the lower abdominal wall. The bilateral part simply comes from poor movement on both sides of the pelvis instead of just one.

-CB

msteer wrote:

I ahve no or very little groin pain. A chiro has been very beneficial in hip alignment issues. It just seems like a slippery slope. If one hip is doen I assume the other will have to follow. All these surgeries makes me wonder. Do we knoe of any one who has had sports hernia then bi lateral FAI and returned to high level of running?

I think I could get back to high level running if I can get straightened out. My hip that was repaired has given me no problems, and I was running and biking pretty hard three months after my surgery. Really, the only thing holding me back is my knee, that is likely screwed up from all the imbalances, and my other hip. I think if you get the surgery done right you can get back to running, as I have talked to some guys who have returned to high volume running after labral tear repair.

Tim Seamon from USATF has just undergone FAI surgery. He was Dr. Cattey's big name guy for bi lateral sports hernia....Very interesting..what came first the chicker or the egg. i feel the problem may have been with the hips the whole time. What do you guys think

Absolutely. It simply takes a bit of time to progress to full function following surgery. Typical course of events is around 16 weeks from the date of surgery. Pain and function will greatly improve much earlier than that, but I've found the key to long-term management is to take the time now to develop the requisite motor control and mobility/strength/power/tissue tolerance so you don't have to be on a vicious revolving circle of pain and function. That doesn't necessarily mean you aren't running for 16 weeks, we just have other priorities.

-CB

DC,

I tend to favor the non-surgical option wherever possible. However, you need to be careful to not use the typical RICE model in recovery. The problem with that model is that we tend to associate a lack of pain with "ready to go" but in reality, if we just treat the pain site and not the source, it won't be long until you flare up again.

As such, in my opinion, RICE is only one small piece of the puzzle. You'd be well off to proactively mobilize your soft-tissues (foam roll or manual therapist), improve mobility, and improve activation patterns.

Specific to runners and SH/FAI, check this out:

Sports Hernia and the Runner:

http://boddickerperformance.com/?p=60

Hills and Sports Hernia:

http://boddickerperformance.com/?p=63

BP Newsletter: Hills and Hips

http://boddickerperformance.com/?page_id=195

Let me know if I can answer anything else!

Regards,

CB

Hi, I have the same issues and I was only wondering if you had your injury diagnosed with the enlarged lymph nodes.