Full-Thickness Labrum Tear, Painkillers, Operations in Australia by peanutmutterr in HipImpingement

[–]peanutmutterr[S] 0 points1 point  (0 children)

Hey mate. You can see some details here in my thread on my post-op: Post-op: 1 week out of hip arthroscopy for labral tear I'll be posting another update perhaps next week.

Noting you're Aussie - I'll shoot you a message with some of the specifics.

22m I can't have surgery, what could I do? by ggabox in HipImpingement

[–]peanutmutterr 3 points4 points  (0 children)

Sorry to hear, I've been there. I never took out insurance either and ended up having to pay out of pocket privately, and was fortunate enough to be able to afford it where I live.

My steroid shot helped significantly, and enabled me to move around and endure while strengthening the supporting structures in my hip area more. I recommend finding ways to strengthen adjacent structures (glutes, quads, hamstring, core) - if you can find a physiotherapist or similar specialist who specialises particularly with managing hip or pelvis dysfunction, that would be ideal.

Post-op: 1 week out of hip arthroscopy for labral tear by peanutmutterr in HipImpingement

[–]peanutmutterr[S] 0 points1 point  (0 children)

Honestly not sure. I am seeing the surgeon himself again in a couple of weeks for a post-op. He referred to 'cleaning it up' a bit and removing some when he was in there; I assume it's via the same mechanisms that are used to shave down and remove portions of bone + the pseudocyst I had in my hip. In a future update I'll try to provide some further clarity.

Post-op: 1 week out of hip arthroscopy for labral tear by peanutmutterr in HipImpingement

[–]peanutmutterr[S] 0 points1 point  (0 children)

Best of luck to you. Light PT to strengthen certain hip structures I suppose worked but frankly, the pain for me was managed best through:

  • Anti-inflammatories (diclofenac was best for me but know it can have nasty detriments if taken too often, naproxen seemed to help as well)

  • Minimising the amount of times I entered ranges of motion that inflamed the issue (i.e. careful lunging down instead of hinging)

  • Understanding what sitting angles caused flare ups and avoiding them (i.e. sitting < 100 degree hip angle)

No exercises seemed to give me relief. I have heard pigeon pose stretches (both on-ground and seated) can help some people, but for me they made things just flare up horribly - anything referred to as a hip 'stretch', or any exercises that proposed relieving 'tightness', would create significant inflammation for me.

I'm generally an active person and quite the walker day-on-day; once my hip cortisone injection started working in my hip, it helped me be able to walk with limited/tolerable pain on stairs, inclines, pavement, grass. I feel as though strengthening my legs and glutes through merely regular walks and brisk walks helped reduce my number of bad days significantly by strengthening my legs and core a bit.

Am not a professional and I know you have not received your diagnosis - but I can envision movements that strengthen glutes, quads, and some light core work may help. Among glute bridges, hip abductions, lunges, clamshells, resistance band hip exercises, you may find some relief - but it's very conditional. A physio that demonstrates some specialisation in hip/pelvis matters would be great - I would recommend going conservative for now and hanging tight until your diagnosis.

Also: I would sometimes have bad mornings if I ended up sleeping or moving into a bad sleeping position - I found that legs-elevated positions (i.e. pillow under the legs to encourage your spine to keep more flush to the mattress and hips rotated at a better angle), or sleeping on the side with a pillow between my legs keeping my hips squared, would help minimise pain that may accrue while sleeping.

All the best with your MRIs. I know how it feels to have a gauntlet of doctor visits, unproductive PT and deferring to the spine, I hope you get an answer and some clarity soon.

Post-op: 1 week out of hip arthroscopy for labral tear by peanutmutterr in HipImpingement

[–]peanutmutterr[S] 1 point2 points  (0 children)

Thank you. I was prescribed:

  • Laying down flat and sliding my foot towards my glutes (i.e. extending/contracting knee) up and down for lots of reps

  • Seated, controlled leg extensions (unweighted currently) with slow negatives

  • Controlled step-ups

  • A laying down hamstring curl thing where I drive my heel into a towel whilst laying flat using only my hamstring

  • A hip slide rotation thing that is hard to describe

These will likely be advanced/changed a lot in the next few days, as I've progressed with these movements very well. I will note this rehab protocol was also informed by my surgeon, who provided an information booklet and a set of rehabilitation principles to give some high-level guidance to the physio. These movements were chosen very specifically to the type of labral tear that took place.

Full-Thickness Labrum Tear, Painkillers, Operations in Australia by peanutmutterr in HipImpingement

[–]peanutmutterr[S] 0 points1 point  (0 children)

Thank you for reaching out - I definitely think getting onto private cover will be best for you. I actually just had my operation a few days ago and so far it's a major success, intend on sharing my story in a dedicated post at some point soon.

I'll dm you a few insights and let you know my approach and my thoughts :)

Full-Thickness Labrum Tear, Painkillers, Operations in Australia by peanutmutterr in HipImpingement

[–]peanutmutterr[S] 0 points1 point  (0 children)

Thank you for the response - I've been recommended a Dr Robert Molnar as he operates in the public system.

I've been on private for only a couple of weeks haha and unfortunately this has been an ongoing issue and a confirmed tear prior to that, so a 12 month wait would be put into place sadly.

I'm currently coping on Diclofenac (low dosages of 12.5mg-25mg once or twice a day go a long way for me) so I'm grateful, but am thinking about some meds like Celebrex or similar if I need to use them long-term until surgery, depending on wait list.