I got an earlier appointment with my OS and he was not happy about the new labral tear (….join the club!) and told me very directly – there is nothing he can do. Wham!!!
Labral tears are a subject on their own and I will try to simplify the reason for him telling me this.
My labrum is torn in an angle that makes it difficult for him to attach anchors. Even if he did manage to get the anchors around it, the labrum would end up more narrow and loose function in the hip, ergo – the hip becomes more unstable.
On top of it, the cluster of anchors would look like a “knot”, keep rubbing and speed up the progress of OA much faster.
To get a labral tear, in most cases it’s caused by an abnormality of the hip, a bone growth that keeps pounding against the labrum and eventually tears it. I had this twice before and the bone was successfully shaven off. It required surgery, followed by a very difficult, lengthy and tedious recovery.
If you have the stomach to watch it, here is a very educational video. But don’t say I didn’t warn you.
In a perfect case scenario this would be the solution here too but because of my fracture and hip pinning, the hip no longer has an optimal anatomic shape and my OS can not shave off bone.
Even if he did repair the labral tear; the underlying issue, the bone, would keep doing what it is doing and it is mostly likely to re-tear shortly afterwards.
He also pointed out that my hip has been through a lot already. First the hip arthroscopic surgery, stress fracture in the acetabulum, followed by the trauma of the fracture and then the actual hip pinning.
I asked if the tear could get bigger and was told, it might and if the pain gets really worse, we have to think of something else.
The best I can do for the moment is get a cortisone shot inside the hip joint, hopefully this will give me pain relief and a mental break for a while. I usually respond well to cortisone but unfortunately those shots always come with cortisone flares for me, which are not fun.
I was let go with an apology from his side. He said he wishes he could do more for me, but “you have always been a difficult patient.” Yes. Thanks.
So how am I dealing with this now? Yesterday was not great, but today is better. I am not loving it, but I understand the situation.
I’ll do one day at a time, hope for the cortisone to kick in and try to find a new level of working out to maintain my fitness level without aggravating my hip too much.
And for the record – hips suck.