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Hip labrum tear. I need some neutral advice please
david1981
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Hi everyone.
I injured my hip in October 2018 after doing yoga and running volume of 50 per week.
I have had a mra, which has picked up a labrum tear of the right hip. I am seeing a surgeon in the uk. But because of covid it has been put on hold for a while. A physio I know says loads of people have labral tears and don’t know they do and that I don’t need surgery. My surgeon has given me a cortisone injection in the joint (most painful injection I’ve ever had), this did not improve anything.
My question is should I go in for this surgery (key hole) or just continue running on it. I only have pain now and again and is mostly a pinching feeling on the vertical part of my iliac crest (internal).
I don’t want to end up worse after surgery and I also don’t want to hurt my hip past the point of repair. Has anyone experienced this please.
Sorry for the long post, but this is driving me insane
Thanks in advance
I injured my hip in October 2018 after doing yoga and running volume of 50 per week.
I have had a mra, which has picked up a labrum tear of the right hip. I am seeing a surgeon in the uk. But because of covid it has been put on hold for a while. A physio I know says loads of people have labral tears and don’t know they do and that I don’t need surgery. My surgeon has given me a cortisone injection in the joint (most painful injection I’ve ever had), this did not improve anything.
My question is should I go in for this surgery (key hole) or just continue running on it. I only have pain now and again and is mostly a pinching feeling on the vertical part of my iliac crest (internal).
I don’t want to end up worse after surgery and I also don’t want to hurt my hip past the point of repair. Has anyone experienced this please.
Sorry for the long post, but this is driving me insane
Thanks in advance
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Comments
I had surgery, it was hideous, for medical reasons I will not go into on a forum! However, after six months I started the C25K and after 12 months ran a HM. Have a few related issues, but I have a good physio and it has not torn again.
On the NHS it can take a long time to get surgery, and you might need to invest in private physio to be back running.
> Hi David, I was diagnosed with a labral tear, and pincer and cam impingement in 2017. Your physio is right, according to various sources about half the population have a labral tear and many do not know it. However if it has been diagnosed it means that you do know something is wrong.
>
> I had surgery, it was hideous, for medical reasons I will not go into on a forum! However, after six months I started the C25K and after 12 months ran a HM. Have a few related issues, but I have a good physio and it has not torn again.
>
> On the NHS it can take a long time to get surgery, and you might need to invest in private physio to be back running.
Thank you for your reply, really appreciate it. I’m just really confused
Because it has taken so long (covid) to see my surgeon face to face. He forgets what we have discussed. From a phone call a few month ago, he told me the next step would be to inject me in a muscle ( but we would have to find which muscle first. When I turned up on Tuesday I got a shock when he said “ you’ve got a lump on your hip bone, we need to shave it down and repair the tear(which I knew). I said to him that it doesn’t hurt all the time and he said why are we even discussing surgery then.
Now and again he tells me to stop running it will get worse, then he tells me I I can run on it then run on it 😟
The pain I get is mostly a pinch feeling 2” down from belly button an 3” to the right on the iliac crest bone, once in a blue moon I have pain on the side of my hip
It’s great to talk to someone who’s went through the same scenario
Regards DAVID
I take it if the tear prevent you running, that’s when to get the surgery?
Regards DAVID
> David, I could also run on it, I ran a marathon on it in March 2015 but I’d get sore towards the end of my long runs in training. So after the marathon I decided I was going to stop running until I could get it sorted. To prevent losing my mind, I got into road cycling instead of running as I could do that with no pain. The surgeon said it was a bit of a mess when I finally had the surgery, I’m guessing because it was left so long. He had to trim down quite a bit of bone and he said the tear was as bad as he’s seen. Basically the bit that was torn had kept being dragged into the joint as it pivots.
> The MSK consultants are busy people and do lots of surgeries so don’t take it personally, though maybe this particular one hasn’t been great at making notes if he’s giving you mixed messages. From experience, I’d say go through the process and try to get it done, it’ll only get worse. And it won’t be quick, especially with covid causing a huge backlog.
> I’ve also found that being as flexible as possible has really helped in getting back to running 5+ days a week. My hip was getting sore at first, almost like it was pre surgery. So I got in the habit of doing a lot of strength work for the surrounding muscles and yoga to make sure I’m flexible, I’m now doing 30-40 mile weeks again with no issues.
It’s so good to speak to someone who has been through this too. Thank you for your time. I was nervous about getting it done with covid in the hospitals. He asked me how the pain was for the first 4 hours after my cortisone injection (back in January) and I couldn’t remember. I’ll probably go ahead with this next injection and note down everything and take it from there. Thanks again
DAVID
I ended up with eight weeks on crutches! I paid, if I had waited for the NHS I was looking at a two year wait (confirmed by consultant, GP and various medic friends).
My agreement with the hospital was they would get me back running, however long it took, unless the consultant had said do not run after surgery. He said I would be able to run, eventually, and I had six months of physio every 7-10 days. That alone was worth paying for.
It was, for me, a very long, and hideous, time but it was so worth it.
That is exactly what I do, I run one day, then not the next, then I get injured, then I go back to 1 day on 1 day off. Same cycle all the time. I’m currently injured after rolling my ankle on the same side as my bad hip. Before that I was off with calf issues on the same side.
Sorry I do overthink these things