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Thread: Hip arthroscopy

  1. #1
    DrJAG2 is offline Senior Member
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    Default Hip arthroscopy

    After a setback with my right hip, there's a good chance I will be recommended to have arthroscopy on my hip, which is a fairly new concept. It is believed I have some loose bodies or other irritation that does not appear on an MRI. I am the ultimate candidate for this type of surgery (great shape, many active years left, can stave off and prevent arthritis and eventual replacement), and recovery rate is supposed to be very, very good. I have made tremendous progress, but it's obvious there is still something wrong with the joint though the MRI does not show anything. Joint mobility drills seem to irritate it more than anything.

    Anybody out there had experience with this? I hate to think about surgery, but it's looking like the last refuge, and I DON'T want to develop arthritis and have a replacement down the road.

  2. #2
    Deacon is offline Junior Member
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    Recommend you do the "scope." I had my knee scoped a couple of years ago...I ruined it on an airborne op in Korea. Best thing I could have done...my knee is almost as good as new.

  3. #3
    docjohn is offline Senior Member
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    Hi DrJag,
    The scope for the hip can work wonders especially when a diagnosis has been arrived at.
    Was the mri an arthrogram? (dye assisted) The reason being, the choice by the radiologist to "numb' the region can be diagnostic in its own right, as well as false negatives when looking for labral disorders with out the arthrogram.

  4. #4
    DrJAG2 is offline Senior Member
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    I have passed the initial screen, and now we are heading toward the arthrogram (getting held up in convincing the insurance company that this is necessary). I have been MRIed out the yingyang many times, and nothing is coming up despite what I feel and what has been experienced in manipulation. This is sounding more loose bodies and impingement related than a labral tear.

    I'm finding out all MDs are NOT created equal. All of the hip guys I've seen up to now have been "take some motrin and call me in 10 years for the hip replacement", and I'm not playing that game anymore, even if I have to pay out-of-pocket for the treatment. I'm really surprised by the lack of intellectual curiosity in my case by everyone I have seen previously, and I live in a large metropolitan area, so I'm not seeing "the only doc in town."

  5. #5
    ZachariahSalazarRKC is offline Senior Member
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    Let us know what you discover. Where are you at ? zzzzzzzzzzzzz

  6. #6
    DrJAG2 is offline Senior Member
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    Quote Originally Posted by ZachariahSalazarRKC View Post
    Let us know what you discover. Where are you at ? zzzzzzzzzzzzz

    Northern VA. I'm not surrendering to the "inevitable" hip replacement.

  7. #7
    Randy Hauer is offline Banned
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    My brother had one hip replaced and one "resurfaced". He wishes the resurfacing was available for the first hip, but it wasn't an approved procedure in the US when he had it done.

    He had his hips done at age 45 and 48 respectively. Better mobility than he had when his hips were healthy. Back to full rolling in yoseikan budo classes pretty quickly all things considered.
    There's a great hip doc in Galesburg IL who did his hip resurfacing..in case you have to surrender to something.
    Midwest Orthopedic Services, sc - Hip Resurfacing

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    DrJAG2 is offline Senior Member
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    Quote Originally Posted by Randy Hauer RKC View Post
    My brother had one hip replaced and one "resurfaced". He wishes the resurfacing was available for the first hip, but it wasn't an approved procedure in the US when he had it done.

    He had his hips done at age 45 and 48 respectively. Better mobility than he had when his hips were healthy. Back to full rolling in yoseikan budo classes pretty quickly all things considered.
    There's a great hip doc in Galesburg IL who did his hip resurfacing..in case you have to surrender to something.
    Midwest Orthopedic Services, sc - Hip Resurfacing
    Good news on your brother. Do have a ref for a doc that can get my 88mph fastball back? Actually, the problem is pushing off that right hip all those years. I wish I had been born amphibious.

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    omranger is offline Senior Member
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    hey there DrJAG2, I wonder if I am having a simular situation with my left hip. All the docs and therapist I see[ I am in the health field[ say my range of motion is good Fabere's test does not cause any sharp pain. the xrays show plenty of space in the joint but still it hurts like hell. I wonder if we are in the same boat.

  10. #10
    DrJAG2 is offline Senior Member
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    Quote Originally Posted by omranger View Post
    hey there DrJAG2, I wonder if I am having a simular situation with my left hip. All the docs and therapist I see[ I am in the health field[ say my range of motion is good Fabere's test does not cause any sharp pain. the xrays show plenty of space in the joint but still it hurts like hell. I wonder if we are in the same boat.

    My Fabere's test is painful, but the images aren't showing much if anything. From my research, that's that case in many instances where arthroscopy was able to find very tangible issues. Loose bodies seems to be the #1 culprit in a case like yours. They don't really show on most imagery.

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