Calgarypuck Forums - The Unofficial Calgary Flames Fan Community
Old 12-13-2017, 11:35 PM   #1
curves2000
Powerplay Quarterback
 
Join Date: Dec 2013
Location: Calgary, Canada
Exp:
Default Hip surgery: Anybody had it and what can I expect? Any radiologists on CP?

Hi all,

I have been dealing with a nagging hip injury for over a year now and I finally got some test results back showing a hip labral (labrum tear).

Surgery is looking like the most logical option to correct this but I am wondering if anybody has had this and what can I expect recovery wise? I haven't spoken yet with the specialist but will hopefully soon.

Also does anyone know any radiologists or work at a radiologist office? I was wondering about potentially paying for a 2nd opinion on some tests I had done overseas as there seems to be a potential difference of medical opinion between the two and would like a 3rd set of eyes.

Thanks!
curves2000 is offline   Reply With Quote
Old 12-14-2017, 08:34 AM   #2
NuclearFart
First Line Centre
 
NuclearFart's Avatar
 
Join Date: Mar 2006
Exp:
Default

If you don't want to pay and can wait a bit, ask your referring doctor to submit it to one of the hospital DI departments for a second read.

Otherwise, I'm pretty sure a private facility will take your money for a rapid second opinion. I would recommend EFW or Mayfair as both have MSK specialists doing the reads. I think Mayfair does all the imaging for the Major sports teams.
NuclearFart is offline   Reply With Quote
The Following User Says Thank You to NuclearFart For This Useful Post:
Old 12-14-2017, 03:41 PM   #3
redforever
Franchise Player
 
redforever's Avatar
 
Join Date: Feb 2006
Exp:
Default

Quote:
Originally Posted by NuclearFart View Post
If you don't want to pay and can wait a bit, ask your referring doctor to submit it to one of the hospital DI departments for a second read.

Otherwise, I'm pretty sure a private facility will take your money for a rapid second opinion. I would recommend EFW or Mayfair as both have MSK specialists doing the reads. I think Mayfair does all the imaging for the Major sports teams.
And ask for a referral for a doctor who practices at the South Medical Campus, specifically the Bone and Joint Clinic. Waiting times for referrals seem to be shorter.
redforever is offline   Reply With Quote
The Following User Says Thank You to redforever For This Useful Post:
Old 12-14-2017, 05:00 PM   #4
Deelow
Franchise Player
 
Deelow's Avatar
 
Join Date: Oct 2002
Location: (780)
Exp:
Default

Kris?
__________________
I PROMISED MESS I WOULDN'T DO THIS
Deelow is offline   Reply With Quote
Old 12-14-2017, 06:53 PM   #5
curves2000
Powerplay Quarterback
 
Join Date: Dec 2013
Location: Calgary, Canada
Exp:
Default

Quote:
Originally Posted by Deelow View Post
Kris?
LOL, no I am not Kris Versteeg but yes we have the same or similar type of injury.

My physician is actually the Calgary Flames Head Dr. but Versteeg went all the way to NY for his surgery so I am not sure why it wasn't done locally??
curves2000 is offline   Reply With Quote
Old 12-14-2017, 07:19 PM   #6
TheSutterDynasty
First Line Centre
 
TheSutterDynasty's Avatar
 
Join Date: Dec 2009
Exp:
Default

Quote:
Originally Posted by curves2000 View Post
Hi all,

I have been dealing with a nagging hip injury for over a year now and I finally got some test results back showing a hip labral (labrum tear).

Surgery is looking like the most logical option to correct this but I am wondering if anybody has had this and what can I expect recovery wise? I haven't spoken yet with the specialist but will hopefully soon.

Also does anyone know any radiologists or work at a radiologist office? I was wondering about potentially paying for a 2nd opinion on some tests I had done overseas as there seems to be a potential difference of medical opinion between the two and would like a 3rd set of eyes.

Thanks!
What type of therapy have you done for your hip?

Finding a labral tear is all well and good, but the trouble is that 1) many people have labral tears and don't have pain OR those that do recover well with conservative care and 2) the surgery isn't great. Let me know if you (or any one else reading this) want some research articles for either of those points, if you're into that sort of thing.

Surgery is a big risk and, in this case, may not be a big payoff. You will need significant therapy if you have a surgery, so you would be remiss if you didn't do some in the first place.

I can count the number of labral tears that I've seen that have needed surgery on one finger.
__________________
ech·o cham·ber
/ˈekō ˌCHāmbər/
noun

An environment in which a person encounters only beliefs or opinions that coincide with their own, so that their existing views are reinforced and alternative ideas are not considered.

Last edited by TheSutterDynasty; 12-14-2017 at 07:21 PM.
TheSutterDynasty is offline   Reply With Quote
Old 12-14-2017, 08:35 PM   #7
curves2000
Powerplay Quarterback
 
Join Date: Dec 2013
Location: Calgary, Canada
Exp:
Default

Quote:
Originally Posted by TheSutterDynasty View Post
What type of therapy have you done for your hip?

Finding a labral tear is all well and good, but the trouble is that 1) many people have labral tears and don't have pain OR those that do recover well with conservative care and 2) the surgery isn't great. Let me know if you (or any one else reading this) want some research articles for either of those points, if you're into that sort of thing.

Surgery is a big risk and, in this case, may not be a big payoff. You will need significant therapy if you have a surgery, so you would be remiss if you didn't do some in the first place.

I can count the number of labral tears that I've seen that have needed surgery on one finger.
I have done multiple rounds of physio and some chiropractic care but it doesn't seem to address the pain. Since I have just officially got the tear as a confirmation perhaps the hip specialist may recommend treatment, surgery hasn't been officially discussed.

I would love some research material as this is a big decision. I am not an athlete or anything, just a regular Joe who's in pain and without a clue as to where this happened. I don't recall a specific injury at the gym or anything that would have caused this, just a nagging injury that has been going on for about 14 months.

Thanks for your suggestions and I would like to take you up on your offer. Are you a health care professional? You mentioned you have seen multiple labral tears so I am just wondering.


Thanks in advance!
curves2000 is offline   Reply With Quote
Old 12-14-2017, 11:36 PM   #8
TheSutterDynasty
First Line Centre
 
TheSutterDynasty's Avatar
 
Join Date: Dec 2009
Exp:
Default

Quote:
Originally Posted by curves2000 View Post
I have done multiple rounds of physio and some chiropractic care but it doesn't seem to address the pain.
What did you do in therapy? Manipulations, muscle work, needling, machines? What exercises?

Quote:
Originally Posted by curves2000 View Post
I would love some research material as this is a big decision. I am not an athlete or anything, just a regular Joe who's in pain and without a clue as to where this happened. I don't recall a specific injury at the gym or anything that would have caused this, just a nagging injury that has been going on for about 14 months.

Thanks for your suggestions and I would like to take you up on your offer. Are you a health care professional? You mentioned you have seen multiple labral tears so I am just wondering.


Thanks in advance!
Yep. It's not a bad way for me to do a new check up on latest research.

Before we get to the wonders of the science of surgery (and conservative care), keep in mind that science is really damn hard when it comes to musculoskeletal issues. The are hundreds of variables, not the least of which are:
-Differences in patient profile (which can be reasonably controlled)
-Differences in patient injury (even if they group a certain type of labral tear, there are a ton of different variables for each patient's injuries, ie an old strain here, weakness there, etc)
-Inconsistent and unvalidated outcome measures (the 'questionnaires' used to determine how much disability your injury brings)
-Wild differences in pre- and post-surgical care, activity levels, etc (again, attempted to be controlled)
-Among many others

Also, before even talking about labral tears let's clarify that imaging findings do not mean you are having symptoms from your structural problem. Many people are walking around with labral tears that have no idea (no pain). Here's a great infographic with attached references: http://www.aptei.ca/wp-content/uploa...ts-English.jpg

Surgery:

Here's a 2009 review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2697339/

2016 article discussing a 2014 review (which I can't easily get full access for you to read if you're wanting to):
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127940/

And here are some key things from both:

Spoiler!


We are constantly learning more about the surgeries we perform - we know removing tissue is only a bad thing that we absolutely want to avoid if possible. The knee arthroscopy (debridements) are leading the way as there is now a lot of research showing no difference from 'scopes' in patients with knee arthritis. And yet an absurd number of people are still having them - and are probably accelerating the degeneration, weakness, and disability in their knee. I'm sure there are dozens of CPers waiting to tell us how much their knee scope helped them.

Spoiler!


It's important to know some risks.

Spoiler!


Prognosis. There's a lot in there. Important to note is timelines used - these studies look at patients YEARS after (1 - 3.5 or more) the surgery. There's plenty of natural recovery taking place there too - trouble being some methodological issues in control groups to properly differentiate this.

Spoiler!


This is a big problem with these studies - many are poor quality and the placebo effect / natural recovery is a huge variable.

The other consideration is that many of these studies and patients are undergoing post-operative therapy (often for months and months).
__________________
ech·o cham·ber
/ˈekō ˌCHāmbər/
noun

An environment in which a person encounters only beliefs or opinions that coincide with their own, so that their existing views are reinforced and alternative ideas are not considered.
TheSutterDynasty is offline   Reply With Quote
The Following 2 Users Say Thank You to TheSutterDynasty For This Useful Post:
Old 12-14-2017, 11:43 PM   #9
TheSutterDynasty
First Line Centre
 
TheSutterDynasty's Avatar
 
Join Date: Dec 2009
Exp:
Default

The other thing to consider is our system. Surgeons won't manage you - they will decide if they are going to perform surgery or not. Maybe our resident CP surgeon can comment more, but from what I know they weigh outcomes. If there's a chance you will be a little bit better from a surgery (ie young, fit, healthy), they will probably do it. That doesn't mean it will be better than conservative care. Surgeons do surgery.

There are also options in conjunction with conservative care. You take the least invasive and slowly introduce more if things are plateauing. Intra-articular injections, certain medications, etc.

So I think the next stage for you is to figure out if the conservative care you've had is adequate (gauging you as a patient as well as the treatment you've received).
__________________
ech·o cham·ber
/ˈekō ˌCHāmbər/
noun

An environment in which a person encounters only beliefs or opinions that coincide with their own, so that their existing views are reinforced and alternative ideas are not considered.
TheSutterDynasty is offline   Reply With Quote
Reply

Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump


All times are GMT -6. The time now is 03:53 AM.

Calgary Flames
2023-24




Powered by vBulletin® Version 3.8.4
Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.
Copyright Calgarypuck 2021