Hip Labral Tear x 3 after 2 surgical repairs

Posted , 5 users are following.

This discussion has been locked due to a period of inactivity. Start a new discussion

My first hip labral tear was due to a specific injury in February of 2010.  We did the MRI, the tear was visible, I received two cortisone injections into my hip and followed a PT regimen until we decided it was not working and went ahead with the operation in October of 2010.  I was 21 years old. Surgery consisted of sutures into the labrum to close the tear and debridement of the femoral head. 

In 2014 I was pregnant with my second child when I was diagnosed with SPD (symphysis pubis dysfunction). Basically, I had excruciating pain in my right hip (same hip that was operated on) that was unexplained by anything else.  The pain was so severe I was physically unable to walk or put the slightest bit of weight on my legs.  Because I was pregnant, we were unable to run any additional tests to see what the source of pain was so I was given this diagnosis, a script for pain meds, a cortisone injection, a SI Belt, and another PT regimen. After delivery, the pain subsided and I was able to continue life as normal.

In the summer of 2016 I was training for a 5K when my right hip pain returned.  I followed up with my surgeon who did an MRI and was unable to find a “visual tear.”  I received another cortisone injection, and started PT yet again.  The cortisone injection gave me relief for less than 3 weeks. After 5 months of PT, I had no noticeable improvement in pain levels but did increase my range of motion.  A week before returning to my surgeon for a recheck, I was at PT doing a hip flexor stretch (kneeling on the left knee and leaning in to my right hip) when the pain became so excruciating I was in tears.  I was unable to put weight on my right leg and ended up leaving PT on crutches. The following week, when I returned to my surgeon he suggested a second labral repair.  He explained that it was entirely likely that a tear was the source of my pain but was unable to be seen on imaging.  At this point I was unable to drive to and from work without being in tears from pain. 

In February of 2017 I had my second labral repair.  This repair consisted of sutures in the labrum, 4 anchors into the femoral head, and osteoplasty.  My surgeon debated on an allograft repair but decided during surgery not to use this technique.  I had a fairly easy recovery, was back to walking two miles a day by April with minimal to no pain at all in my hip. 

Last Friday as I was leaving work, I slipped on a wet floor and basically did the splits (I never actually fell to the ground, but my right foot slipped out).  I felt a pop in my right hip and immediate pain but the pain was not horrible.  Due to other circumstances, I was required to go to a walk-in clinic for immediate care where they did an x-ray and assured there was no bone displacement but to follow up with my surgeon for additional care.  My pain steadily increased throughout that night and the following weekend.  I went to my surgeon the following Monday as the pain had intensified without relief and my ROM had severely suffered.  My surgeon said that the way I described falling, the location and type of pain I described, and my decreased ROM was fairly indicative of a labral tear (yes…NUMBER THREE), however since my surgery was barely three months ago he absolutely would not operate again.  Since he refuses to operate he says there is no point in doing any further testing to see if there is an actual tear or not because his treatment will remain the same.  He said we will treat as a non-operative labral repair and follow up in two weeks to see where we stand.  I am back at physical therapy on stage 1 of the labral tear program and have been instructed to use crutches (non-weight bearing) for 2 weeks when we reevaluate.  Given my history with cortisone shots not providing much relief, I don’t see the point in even trying that.  I was given narcotics for pain tolerance which at this point is not providing much relief.  I am unable to sit for extended periods, drive, stand, etc. and sleep for any extended period of time is proving to be a challenge. 

Has anyone had experience with multiple labral repairs, specifically less than a year apart?  At this point, should I try to get a second opinion?  Any advice, experiences, or encouragement would be much appreciated. 

0 likes, 8 replies

Report

8 Replies

  • Posted

    Hi Thaton3girl, firstly I'm really sorry to hear of all the pain you've been through.

    Unfortunately I have never had a labral tear, but it was only very recently that it was ruled out as I also suffer with chronic hip pain.

    I'm still undiagnosed, but I was sent away from PT last year as the pain is intermittent. I also had cortisone injections in both hips to no avail and have just been prescribed liquid morphine for the pain.

    I hope you get sorted out soon. I know all too well how difficult it is to live with the kind of pain you're describing, can't sit or stand for too long etc. IMHO it wouldn't hurt to get a second opinion, I had three arthrograms before they ruled out any labrum damage.

    All the best - Greyf0x

    Report
    • Posted

      Thank you for the well wishes. I'm sorry to hear about your tough time as well.

      I have been going to my surgeon for many years and have always just trusted his recommendations and have never questioned anything. I guess after this second surgery I kind of has the "I'm not invincible" realization and that if I don't get this taken care of, I very well may be dealing with this hip pain for the rest of my life. (A terrifying thought as I have two young children.)

      This last time is a work comp injury and I'm really worried about the lack of coverage as well and am still trying to wrap my brain around everything. A week ago, I was well on my way to recovery with almost no pain and another hip injury never even crossed my mind.

      Report
  • Posted

    Yes since I was 16 (I am now 24) I have had a total of 5 labrum tears and a total of 5 arthroscopic surgeries all of which are possible. I constantly had pain even after and it would just gradually increased and I'm at a point now that I am in sever pain and only had my last surgery 2014 so I went to get another opinion when I just had a new scan show a tear. I saw Dr. Ernest Sink at HSS and was told I have hip dysplasia and will be getting PAO surgery to correct it. I definitely recommend seeing a specialist in hip preservation and hip dysplasia. Hope for the best.

    Report
    • Posted

      Wow!!! I am so sorry you have had to go through that! Were all of your surgeries performed by the same surgeon? What was the shortest time lapse between your repairs?

      I'm wondering if a third repair would actually do any good or just further weaken the labrum and hip in general. Before my second surgery my surgeon told me he would not do a third repair and my next surgery would be a replacement...but neither of us planned for that need to be only three months after my second surgery.

      Report
    • Posted

      Also...with any of your labral tears did you have visible swelling in your leg and foot? My right foot and toes are swollen and darker red. And I also have a large red area on my upper thigh and around my hip. I did not experience this with either previous injury but am assuming it's probably just inflammation from the newest injury.

      Report
    • Posted

      Nope Dr. Sink at HSS is my 4th Surgeon. And I had a ton of swelling still do in my knees as well and heat. My 3rd surgeon told me the same thing but then I found Dr. Sink and his PAO surgery for hip dysplasia and I have a strong feeling you suffer from that and if that initial cause goes I corrected it can lead to a TOHR early on in life and more arthroscopic surgeries will only weaken the joint. I won't even be 100 percent because I've weakened the joint so much but I'm hoping for most of my life back. Will see how this goes and if doing the left is worth it.

      Report
    • Posted

      My guess was the reason he said he wouldn't operate is that it would weaken the joint too much. I go back next week and have tons of questions for him. How long did you go in between your surgeries?

      I'm also thinking maybe the increased pain this time around could just be how close it was to my repair. Hopefully I will have more answers soon!

      Report

Join this discussion or start a new one?

New discussion

Report as inappropriate

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up