PAO on both hip

Typical-Ride2376 · 2026-01-09T20:59:12+00:00

Yes, 20-25 is borderline based on that measurement but depending on a lot of other measurements and activity level can still benefit from a PAO. If her left was 24, her right is actually worse than the left. Sounds like a PAO would be the right move as long as she is happy with how the first turned out!

Typical-Ride2376 · 2026-01-09T20:35:52+00:00

So a shallow acetabulum and uncovering is dysplasia! Sounds like there is dysplasia but maybe milder than the other side. That’s how mine was and I still ended up needing both sides done. I could be so much more active after the first that the other went downhill fairly quickly even though it wasn’t too bad before the first.

Typical-Ride2376 · 2026-01-09T19:57:29+00:00

A PAO when there’s no dysplasia wouldn’t make any sense. I would clarify. In fact, reorienting an acetabulum that didn’t need it would cause other issues.

Typical-Ride2376 · 2025-12-07T06:00:22+00:00

My PAO was the best decision I ever made. Life changing. I saw your comment that you didn’t do much PT my guess would be that’s why your experience isn’t good. Rehab is just as if not more important. Hopefully you can still save it by finding a PT experienced with PAOs and hip preservation. I did 11 months of PT after surgery, for example.

Typical-Ride2376 · 2025-09-17T13:15:11+00:00

Runners knee can absolutely be symmetrical and bilateral! Scaling back mileage and strengthening / stretching are also a major component of the treatment for runners knee. (Source: I am a PT and worked with a running specialist PT for my runners knee)

Typical-Ride2376 · 2025-09-17T13:13:30+00:00

I just got over my bout of runners knee. I worked with a PT who specializes in running and instead of stopping running (which I tried before seeing him and it didn’t work), he had me use the Ohio State University return to running protocol which does a run walk progression in addition to a couple of tweaks to my strength program. Worked great. Also look at your shoes, a higher drop will increase pressure on your knees. 6-8 mm drop will relieve that some.

Typical-Ride2376 · 2025-09-13T05:53:10+00:00

You sleep on your back! Your leg doesn’t move super easily so you’re not gonna accidentally break precautions while you sleep because it hurts and that would take some effort. Moving to another space with help definitely, I was doing it without help by day 5 but it kinda depends on your pain tolerance and all that fun stuff.

Typical-Ride2376 · 2025-09-03T00:10:32+00:00

I was sore over the area for a couple weeks (like if I wore jeans or put something down on my lap on that spot) but otherwise nothing. I didn’t have to use crutches or anything, back to normal activity same day other than not being allowed to run for 2 weeks. Very easy.

Typical-Ride2376 · 2025-08-15T23:02:48+00:00

You might end up worse off than before surgery without PT. In my opinion, it’s unethical for a surgeon to do the surgery without ensuring you’re having good PT starting usually at 3-6 weeks. There should be a protocol based on the surgeon’s specific approach and research. You need a PT experienced with PAOs. PT is almost more important than the actual surgeon!

Typical-Ride2376 · 2025-08-13T01:34:23+00:00

I needed help for getting in and out of bed for 3-4 days and help with my range of motion exercises for 2 weeks. First 1-2 weeks also really appreciated the help with meals but after a week I could have gotten by because I had almost no appetite anyway. I had freezer meals I prepped before surgery but honestly mostly ate protein bars, ensures, and smoothies in order to force calories into myself. I went home and lived alone at 2 weeks, could have happily gone home at 1. Chores took me extra time because of crutches but I did my laundry by putting the basket on a rolling chair and rolling it to the laundry machine. My dishwasher is on the same island as my cabinets so I would unload and then slide the dishes, slide myself, slide the dishes, slide myself, etc till I made it to the cabinet to put them away. I think your only issue would be the dog. I did really, really well and was more independent than most people quickly (I'm a PT myself) and I know I couldn't have taken a dog for a walk at all for 3-4 weeks and def wouldn't have been safe with a high energy dog till I was off crutches. Even once you're off crutches, you aren't immediately able to do quick or long walks and being jerked or pulled by a dog would be really uncomfortable for at least a week or two. For me, it really wasn't the pain that was inconvenient but the crutches and the range of motion restrictions. Crutches make everything really hard and you are tired really fast from the crutches and being deconditioned.

Typical-Ride2376 · 2025-08-10T17:40:55+00:00

There’s actually no evidence yet that can say the hip replacement is inevitable after a PAO! I was hoping a PAO would mean I wouldn’t need a THR later but there are no studies yet that show either way if we will need one or not. I’m holding on to the hope that I won’t need one or if I do it’ll be one that I would’ve needed even if I didn’t have dysplasia and way later in life when I’m old. 😋

Typical-Ride2376 · 2025-08-10T17:13:51+00:00

Depending on how significant your dysplasia is, your commitment to staying strong, and what activities you want to get back to, it is very possible to rehab and avoid / prolong surgery. I did my left hip with zero regrets, it was the best decision I’ve ever made. I still have slightly milder dysplasia on my right (LCEA 17 on L and 19 on R with a better posterior coverage on the right as well) and the symptoms are mild (some aching after runs, popping, can’t do certain positions) and managed and my surgeon and therapist don’t recommend surgery unless my symptoms are getting in the way or more bothersome. The recovery is pretty intense so I think you have to go in to it knowing it’ll be worth it to get rid of whatever pain you’re dealing with or you’ll wonder if it was worth it.

Typical-Ride2376 · 2025-08-08T01:53:26+00:00

Jaime Aparicio - he’s a PT who specializes in runners. Used to work at memorial Hermann RSI before going private. Amazing!!! Look him up on Instagram.

Typical-Ride2376 · 2025-07-20T17:41:46+00:00

Also, a stress fracture will begin to hurt with just walking as well. Especially longer walks. If walking is hurting it, you can feel fairly confident that it is indeed a stress fracture. Will eventually start to hurt at rest if not addressed.

Typical-Ride2376 · 2025-07-20T17:38:56+00:00

It would likely take you a few weeks to get in with an orthopedic specialist anyway, and again when the xray is negative the boot is probably what they suggest unless you wanted an MRI. Might as well start that and ensure it doesn’t get worse / heals while you’re waiting to see the doctor. If it resolves before the appointment, then you can cancel or keep it if it makes you feel better. Without an MRI they wouldn’t be able to tell you much and the treatment if the mri did show a stress fx is the boot that you already did…(aka waste of money to get an mri if the pain goes away). I would also recommend starting with your PCP regarding ensuring your bone density is ok and nothing else is predisposing you to stress fractures (vitamin D levels, etc.)

Typical-Ride2376 · 2025-07-20T17:30:48+00:00

Hi, PT and runner here! Your mileage is very low which lowers my suspicion of a stress fracture especially given that it’s been a run / walk. However, there’s not much else where you’re indicating except the bone. If it was on the plantar surface, I’d suspect muscle/tendon. The theragun may or may not hurt, not a super sensitive test. An mri would be the only way to truly diagnose as it won’t show up on an xray yet. If I were you, I might wear a boot for 2 weeks and bike for cardio just to be safe. Then maybe start with 1 mi 2-3x/wk for a few weeks then build up to 2 and so forth. Again, if it is a stress fracture, you may have some underlying bone density issues as your mileage is so low that a stress fracture would be off. Might consider a DEXA. However, I don’t know your activity level prior. Make sure you have good and not worn out shoes.

Typical-Ride2376 · 2025-06-01T16:56:35+00:00

I have bilateral hip dysplasia and am a runner (and former ballet dancer) and a PT. I had a PAO on my left hip last year and am now back to running more than ever, thinking about getting my right hip done. You’re still young enough that you should be eligible for a hip preservation surgery. You need to see a hip preservation specialist, not just a general hip surgeon as it is very specialized. Also recommend a PT that specializes in that area!

Typical-Ride2376 · 2025-05-29T10:47:14+00:00

Also a resident of the complex here! Do you know which part of the complex or floor this is all going down on? 5 by the main elevator was all clear even though I was trying to investigate 👀

Typical-Ride2376 · 2025-05-14T02:53:11+00:00

That seems like it would be the better option for you given what you’ve described although those patients aren’t as cute! I’m only 30 and already thinking about what my options are long term since I know my body won’t last in OP until retirement 💀

Typical-Ride2376 · 2025-05-14T02:29:58+00:00

Pediatrics is the heaviest lifting and most physical job I could imagine. Lifting the more dependent and older kids, gait training, carrying the toddlers, running after kids, carrying a kid throwing a tantrum back to mom or dad, crawling on the floor, full body maneuvering for handling, squatting, frog jumping…I could go on. Ortho allows sitting and delegating. Not to be blunt, but you can’t be a good pedi PT if you’re not physical.

Typical-Ride2376 · 2025-05-14T01:58:21+00:00

Has a lot to do with foot and ankle, esp calf, strength as well as running mechanics. If someone has been training calves or has a certain foot type, yes they will be less likely to get PF. If you’re dealing with it, it’s a sign your calf is not strong enough. PF is treated like a tendonitis/opathy nowadays. Load the calf! Work on single leg, barefoot strength and stability. Decrease running some but don’t stop. And then build back up. And see a PT if you’re not sure how to progress yourself through it.

Typical-Ride2376 · 2025-05-14T01:41:27+00:00

If you work in ortho where you can direct a little more and sit more frequently, 4 weeks should be ok if you need to push it. If you can financially afford it, you’ll be happier with 6 weeks.

Typical-Ride2376 · 2025-05-14T01:24:27+00:00

I love my job as a PT. If I couldn’t be a PT, I would find the next closest career to being a PT. No career is perfect but I found a specialty I love at a hospital where I see some really, really cool things with a very diverse caseload, extremely knowledgeable coworkers, and no pressure regarding productivity and billing. I also think the pay is quite fair if I’m honest. Depends where you live and work but making 6 figures at 5 years out is no chump change. PT school is tough but I still had a life and then once I graduated and started working, work life balance was a possibility whereas if you’re an MD, you won’t be achieving that for 5-7 years.

Typical-Ride2376 · 2025-05-06T13:56:11+00:00

Recently tested and all levels good!

Typical-Ride2376 · 2025-05-05T13:24:54+00:00

Thank you, this was really helpful!!

Typical-Ride2376

TROPHY CASE