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Anyone had a hip arthoscopy?

Discussion in 'General' started by Senna, Oct 25, 2018.

  1. Senna

    Senna Well-Known Member

    Hey folks,

    So, track days have been giving me a lot of hip pain. I'm good for about half a day, and then the later sessions I can only run 3-4 laps before I have to pull in from the pain and I struggle to walk for a day or so after a track day.

    Decided to go to an ortho to see what was up, and it turns out I have an impingement in both of my hips from birth/bone development. This is not a shocker to me as my hip flexibility has always been brutally bad - I could never comfortably sit Indian-style for example.

    I had my MRI consult today and the MRI confirmed a cam-type impingement. Ortho is referring me to a specialist surgeon for a second opinion, but it looks like arthroscopy surgery will be necessary within the next year or so to avoid a hip replacement down the line.

    Has anyone had a hip arthroscopy done? How were the results - did it help with track-related pain or performance?

    Thanks in advance.
     
  2. knedragon29

    knedragon29 Well-Known Member

    I'm setup to do hip resurfacing with the Hip Whisperer (Dr Gross,Columbia S.C. ) on 1/4/19 and then from there will see when we do the other side. I'm turning big 50 this year and left hip is 85% bone on bone. More then likely my hips didn't develop nicely either and after falling off a perfectly good motorcycle for 20 + years , finishing concrete for 31 and playing hockey since I was 10 its time. I looked into doing arthroscopy on the good one a few years ago but knew eventually is was gonna be replced so opted not to.
    Usuing the bio-met device and he's done 4600 of em in the past 17 years or so. Seems to me way less evasive then THR and its out patient.
     
    Senna likes this.
  3. Senna

    Senna Well-Known Member

    The funny thing is...I'm nearly half your age at 27. Just got dealt a bad hand when it comes to my hips, unfortunately.

    I'm lucky in that the bike is the only thing that aggravates it. I can squat heavy with no problems and don't have any day to day pain. But, the ortho thinks that will come to an end sooner rather than later.
     
  4. Nine29

    Nine29 Well-Known Member

    Spare yourself the time, expense, pain and aggravation...get your hip(s) replaced, live pain free, and enjoy the physical activities that you're used to. Been there...done that...wrote the book at 49 years old.
     
    G2G and Once a Wanker.. like this.
  5. knedragon29

    knedragon29 Well-Known Member

    7-8 years ago I would be sore after hockey ( play goalie ) and if I was on the bike for more then 15 minutes ( which I raced 125’s and 250 two stroke stuff so the 125 was a bit small being 5’10” ) ... I always just figured I was inflexible! Called my butterfly a cacoon lol . We did the 2 hr endurance race back in 2012-2013 and that’s when I figured out it was more to it . 20 laps and I had no choice but to get off the bike a little earlier then I wanted . Had a buddy of mine take a couple quick X-rays and that was that . Should have probably done the bad hip 2 years ago now but keep pushing it off and dealing with the pain.
    Researched the resurfincing theee last two years and made my decision on the Doc after consulting with him and knowing I’m a candidate for his work.
    The arthroscopic way will help but my understanding it’s just giving u time. Hope I’m wrong on that . The joint won’t ever repair itself and for me it’s the arthritis, when that flares up it hell .
     
    Senna likes this.
  6. Senna

    Senna Well-Known Member

    That's funny - pretty much the same story to me. I always thought I just had shit muscle flexibility, but it's quite obvious that there's a hard "stop" in my hip movement vs. just a tightness.

    I'm curious to see what the ortho says. My understanding was the arthroscopy would take care of the issue completely, but I could be wrong.
     
  7. knedragon29

    knedragon29 Well-Known Member

    Got to find a good Hip doc or two and ask a million questions .Its gonna take a while and a good rehab. Couple Hockey guys were healing a good amount of time ( 6 months ) and that’s with the top docs and trainers helping them along . My case both hips were too advanced in joint deterioration along with arthritis and bone spurs. So to clean it up and rehab it just to maybe get another 2 years or so was t worth it.
     
  8. BigBird

    BigBird blah

    There is a FAI thread somewhere in beeb, but I had the surgery like 3 years back on one hip, and the pain has come back. It's better, and I didn't do the other side as the Doc said it was fine at the time, but now I think part of the issue is the alignment of the hips, as both hurt, especially when it rains, and it gets cold, or I do a lot of up and down like mechanic car work, even just switching from summer to winter tires or washing/waxing the car, I know I need to take some alleve ASAP.

    In my situation, and I believe the arthritis came back, I'm just going to wait it out and get a THR on both when it's time. Some people get relief, some people don't from FAI surgery. It's definitely not a cure-all. There is a good group on Facetubes that is very helpful, and there are a lot of success stories, I'm just not sure about the longevity of the success. To me the surgery is more like artwork, because there's reshaping to be done, arthritis to be removed, etc. Surgeon really matters, and so does PT, etc. But even with all of that, FAI surgery may not be the answer, but you are young, so they would not want to do a THR on you at all yet.

    If you are going to do one side, do the other side relatively close to the other, because at least for me, I never want to go through that again. People seem to have an easier time recovering from THR than FAI surgery, even though THR is much more invasive.
     
    XFBO and Senna like this.
  9. Senna

    Senna Well-Known Member

    Thanks BigBird. My doc is trying to see if THE arthroscopy surgeon in the country in Vail, CO, would take my case. My PT seems to think I'm not weird or difficult enough for Dr. Philippon, but my age may be enough for him to be interested in performing the surgery. I have a feeling that'll be a big $$ procedure, however, and the logistics of flying out to Vail for the surgery as well as lodging are not too enticing.

    I had read a similar anecdote on another forum where another track guy/racer had the surgery done on both hips and said he couldn't tell much of a huge difference from before to after. To me, that would be a failure and I'd be pissed about that. My number one goal is no riding pain, and my second goal is greater ROM. I'd accept no pain as a success, but if there's really not much of a difference I'd rather just do the THR instead down the road.
     
    BigBird likes this.
  10. BigBird

    BigBird blah

    That is the hip whisperer, so if I had to bet on one person to do it right with a good outcome, that would be the Doc. Plus side, is that you are young too, most failures are from people 35 yo + it seems. So there is hope for you that it may work out. Some people have had the impingement regrow, so there's no way for one how/why that happens.

    If I was to bet, I think you'll be ok espc if Philippon does it.
     
  11. knedragon29

    knedragon29 Well-Known Member

    BigBird- lots of good info on the surfacehippy site … check it out if you want to go the resurfacing route vs the THR route
     
  12. BigBird

    BigBird blah

    Thanks...good to know good sites... But I did resurface one hip already with mixed results.

    Sent from my smatrfone
     
  13. knedragon29

    knedragon29 Well-Known Member

    mind if I pick ur brain? … pm if u prefer?
     
  14. XFBO

    XFBO Well-Known Member

    Sorry to hear, hip issues suck. Did they mention if the impingement caused a tear in the labrum?

    Mine did, had the procedure done in Spring of 2015 and unfortunately, it didn't help me at all. I think I had a decent 3 month stint where it all felt good but stepping into a divot while at the MGP at COTA f'ed it up again as it got tender. So not a huge fan of the procedure as it seems pretty iffy from al I've heard. However, as stated you have youth on your side so God willing, you will be one of the success stories. Good luck!!!

    One of my former coworkers just had his hip replaced a yr ago, he said he felt like he could go jogging again within 2-3 months.....THR seems to be the best route for us older folks. I'm gonna wait til the pain is unbearable before I go down that road.
     
    Senna and BigBird like this.
  15. BigBird

    BigBird blah

    Sure. PM me what you would like to know

    Sent from my smatrfone
     
  16. knedragon29

    knedragon29 Well-Known Member

    PM sent
     
  17. Senna

    Senna Well-Known Member

    No labral tearing in the left side. Not sure on the right, but I'd suspect no labral tearing there either. Hips really only bother me on the bike.

    Yea, I'm reading very mixed reviews of the surgery. Dr. Philipon seems to be willing to take me on, however, so I'm leaning towards moving forward with the arthroscopy.
     
  18. XFBO

    XFBO Well-Known Member

    Have you tried some form of PT first?

    You made it sound like you have very limited flexibility in your hips, thinking if you improve that maybe it'll help you feel better? Just a thought.
     
  19. Senna

    Senna Well-Known Member

    I have been seeing a PT, but I’ve not been doing the exercises consistently. I was on vacation for two weeks right after my first appointment and just wanted to relax. I’m planning to hit the exercises consistently for the next month or two and see what sort of improvement I can drum up.

    Doc said that setting my rearsets further back and down will help as well as it puts my hip in a more relaxed position relative to my impingement.
     
  20. knedragon29

    knedragon29 Well-Known Member

    Maybe seat up some too … like thicker seat pad

    Krill oil(fish oil / omegas) , glucosamine ,plenty of water and lots more , stretching , cycling and exercises have been the norm around here. Exercise definitely helps and keeps things moving . Hope it works out for you Senna
     
    Senna likes this.

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