Hip arthoscope has not help pain and problem, help anyone?

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Phil - 05 Jan 2006 04:07 GMT

Hi all,

I've been suffering from a lot of pain in left groin / hip and lower
left buttock for 5 years now. During that time I've had Steroid
injections into left hip joint which have taken away 80% of pain for
about 12-14 mths each time, in 2005, I had two injections and none
helped for more than 1 to 2 weeks.
So I had a arthoscope surgery on left hip to find out what was going
on. ( note I had same thing down on right hip in 2000 and they found a
labral tear and some inflammatory arthritis, this hip has been 90%
plus good ever since) Arthoscope of left hip on Nov 23rd 2005 found no
inflammatory arthritis, but a slight tear to the front cartridge.
Surgeon cut away the tear ( flap) injected it with a steroid drug and
said I should be fine in six weeks. Well maybe I'm jumping the gun,
but this week is 6 weeks and pain is as bad as it was pre surgery.
It did appear to clam down for a few weeks after it got over surgery,
but now it feels like I'm back to square one.

Has anyone had a hip problem like this and had surgery, if so, how
long did it take to settle down?

Thanks in advance

Phil

Phillip(nospam)@pmassociates.com.au

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Gwen Love - 05 Jan 2006 05:33 GMT

Phil, pain in the groin area was the first sign of a bad hip that needed
replacing for me. I don't have any pain with it now unless I walk too much.
Gwen

> Hi all,
>
[quoted text clipped - 22 lines]
>
> Phillip(nospam)@pmassociates.com.au

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Phil - 05 Jan 2006 05:49 GMT

Thanks for reply Gwen,
But since both Arthoscope and Bone Desinty Scan ( which I get every
year as I have Crohns as well, meaning I'm on Steriods or have been on
and off them for past 16 years, they have to check bone denisty) and
that was fine and so was structle of hip according to surgeon who did
Arthoscope and even by the pictures he gave me of the hip afterwards,
I could see the tear and what he had done.
Maybe because of my strange immune system ( Crohns, Chronic Golden
Staph infection in sinus which will not clear because of swelling in
sinus membrame and which sinus surgery caused staph to get into
maxiallary sinus bone) I'm a slow healer,
I have an appt with him on the 31st, but I will ring him Monday and
tell him I'm still in a lot of pain, I had similar problem with right
hip in 2000 and by memory pain went after a few weeks and it only once
in a few months may, may give me a little pain.
I know being on steriods will slow down healing, but I was in 2000 and
now the steriod I take is not predislone, it is one called Entcort (
very expensive and supposed to have less side effects)
Anyway we'll see what happens.
Take care all
Phil

>Phil, pain in the groin area was the first sign of a bad hip that needed
>replacing for me. I don't have any pain with it now unless I walk too much.
[quoted text clipped - 26 lines]
>>
>> Phillip(nospam)@pmassociates.com.au

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spodosaurus - 05 Jan 2006 08:16 GMT

> Thanks for reply Gwen,
> But since both Arthoscope and Bone Desinty Scan ( which I get every
[quoted text clipped - 3 lines]
> Arthoscope and even by the pictures he gave me of the hip afterwards,
> I could see the tear and what he had done.

You need an MRI to rule out osteonecrosis (aka avascular necrosis). My
bone density was great, even though both my femoral heads were dead and
cracked. X-rays did NOT show this, even though the surface of the right
femoral head had cracked away! Long term treatment with corticosteroids
predisposes you to osteonecrosis of the femoral head.

> Maybe because of my strange immune system ( Crohns, Chronic Golden
> Staph infection in sinus which will not clear because of swelling in
[quoted text clipped - 4 lines]
> hip in 2000 and by memory pain went after a few weeks and it only once
> in a few months may, may give me a little pain.

When you ring, request that he or his nurse or receptionist phone (you
usually get in faster) and make a booking for an MRI. That way, you can
take the films with you. Do NOT get a CT scan. These do not look inside
the bone and are completely and utterly useless in diagnosing
osteonecrosis. Even a bone scan cannot tell the difference between
osteonecrosis and some other diseases, and the treatment is different.

> I know being on steriods will slow down healing, but I was in 2000 and
> now the steriod I take is not predislone, it is one called Entcort (
[quoted text clipped - 33 lines]
>>>
>>>Phillip(nospam)@pmassociates.com.au

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spodosaurus - 05 Jan 2006 08:13 GMT

> Hi all,
>
[quoted text clipped - 22 lines]
>
> Phillip(nospam)@pmassociates.com.au

Have you had an MRI of the hip? If not, at this point it is reasonable
to request one to get a better image of what's going on with the bones.
X-rays don't always show things happening with the hip very well until
the damage is severe, as I found out on multiple occaisions.

Cheers,

Ari

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Phil - 06 Jan 2006 08:49 GMT

>> Hi all,
>>
[quoted text clipped - 29 lines]
>
>Cheers,

Hi, I had a MRI done of both hips in 2000, that is how they found a
labral tear on right hip in 2000.
But an updated MRI on hip and pelvic area ( maybe it's hip related but
get very soon in pelvic area if I do much walking or water arobics /
swimming ( which I've not done for a while, as pain is too much)
is my next request to him, bloody GP's in Australia are too scared to
request them because of overservicing concerns, which funny enough
came about because ofa ex-federal health minister was linked to (but
never proven) GP's joining up with radiologists to do MRI's all the
time and then they get kick backs.
Now even specialists are reluctant to order them.

But since he has done the arthroscope, maybe he missed something!
And I'm not going through the post operative pain of that again.
Brings tears to ones eyes and I know to well about pain, had 3 bowel
resections done in 95 for Crohns and mutiple abcess's due to weak
bowel lining.

Thanks for post Ari

Phil

>Ari

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spodosaurus - 06 Jan 2006 09:14 GMT

>>>Hi all,
>>>
[quoted text clipped - 41 lines]
> time and then they get kick backs.
> Now even specialists are reluctant to order them.

We get a certain number of MRIs on each bodypart per year covered under
medicare in Australia. I didn't think GPs could even order an MRI, and
that a specialist like a rheumatologist or orthopaedic surgeon had to.
When my rheumatologist sends me for one I usually use Perth Radiological
Clinic, and they only charge a small gap, if anything at all, as I'm on
a health care card.

> But since he has done the arthroscope, maybe he missed something!
> And I'm not going through the post operative pain of that again.
[quoted text clipped - 7 lines]
>
>>Ari

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