Discussions By Condition: I cannot get a diagnosis.

Hip labral tear -- flareup #2

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: treadinglightly
  • January 7, 2013
  • 08:19 AM

Hi, I tore my acetabular labrum in 2005 doing an aikido roll during a dance rehearsal. (There were a lot of squats prior to that and a very active day.) It was confirmed on MRI several months after the fact. (It took me 3 months to convince Kaiser to do an MRI after my chiropractor told me it was probably a labrum tear.)

I didn't dance again for 3 years, and when I walked into a modern dance class in 2008, I felt some pain during the class, and had trouble walking for a couple months. Kaiser wouldn't do an MRI that time, but they gave me an injection. It helped, but only after 10 days, so the surgeon (who did not want to do surgery) told me he didn't think the problem was in the hip joint.

month ago, after a couple years of building up to it, I did modern dance again with no problems, but a ballet class caused another flareup. They gave me a steroid shot but it's been 10 days and I haven't had any relief. In order for them to do an MRI now, they would have to give me another injection (for the dye) and I can't take that much time off of work. I wish Kaiser would have given me an injection and MRI sooner, because now I have atrophy and don't know what is wrong with my hip. Also, an x-ray showed a CAM impingement in my *other* hip (the non-injured hip). And I have shallow acetabuli. Please let me know if you have any suggestions. I do not know what to do. I've been icing and taking ibuprofen, and I've only left my house 4 times in the last month, because every time I leave, it gets much worse. (Worse with activity such as walking, bending, getting up, etc.) I'm getting a lot of atrophy but activity just makes it worse. Pain level is 5 out of 10.
(I do not know if my labrum is torn this time, but the injection into the joint did not help, so it may not be torn)

Thanks! Katya

Reply Flag this Discussion

5 Replies:

  • The most common treatments are taking pain relievers and physical therapy. Further if the problem persists the doctor can use arthroscopic techniques to repair the tear by finding the joint location.
    henry88 5 Replies
    • January 9, 2013
    • 10:48 AM
    • 0
    Flag this Response
  • The most common treatments are taking pain relievers and physical therapy. Further if the problem persists the doctor can use arthroscopic techniques to repair the tear by finding the joint location.Hi,It turns out I have adhesive capsulitis of the hip. Very little research is known about this pathology in the hip, but they've recommended painkillers and physical therapy.Thanks!
    treadinglightly 2 Replies
    • January 19, 2013
    • 01:31 AM
    • 0
    Flag this Response
  • the best treatment is physical therapy.. you must consult a good physician for your proper treatment... May your problem solved soon...:cool:
    adwardrob 1 Replies
    • January 24, 2013
    • 08:47 AM
    • 0
    Flag this Response
  • So I did end up seeing 2 physical therapists. The one who specialized in hips told me they didn't think I had adhesive capsulitis because I had so much flexibility. He thinks it is just inflamed. I'm doing PT, and got 6 sessions of acupuncture which really helped.The acupuncture helped immediately, and the PT is helping me keep some of my (remaining) muscle mass.Thanks for the well wishes :)TLthe best treatment is physical therapy.. you must consult a good physician for your proper treatment... May your problem solved soon...:cool:
    treadinglightly 2 Replies
    • February 8, 2013
    • 02:07 AM
    • 0
    Flag this Response
  • Dear treadinglightly,I've read all your posts, and I have some info to share. I had a lot of groin pain after a race in 2005. I could barely lift my leg. One day to the next healthy to barely able to move. I was given an xray and then told I just had a groin pull and hip bursitis. PT did NOT help. I went to probably 6 different ortho offices (I live in Boston where we supposedly have great medical resources) and was given regular MRIs and more xrays - and told "we don't know what's wrong with you". Finally, a doctor suggested I get the arthrogram MRI. Labral tear. I finally got arthroscopy surgery to repair the labral tear in April 2009. FOUR YEARS! I was getting bounced around like a rag doll. I was given PT after the surgery and again, did NOT help.I was in so much pain I finally saw nerve doctor and after about another year of trying things/waiting for appointments, I had surgery for "nerve division" on my ilioinguinal nerve. That helped. Finally, right?Nope. I started getting really bad again (just like you did) and been getting bounced around again trying PT (did NOT help), acupunture, ART (active release therapy), massage, meditation, rolfing, stretching, yoga, and finally had to be put on antidepressants/pain killers for the pain.Told my primary this was not the way I wanted to live out the rest of my life. Said I wanted to start from scratch. I was given a new doc, he finally gave the OK for another arthrogram MRI (5 yrs later to the day), and guess what? Torn labrum again (or maybe the surgeries didn't work). But this time, I also was diagnosed with adhesive capsulitis. By the way, I'm diagnosed as hypermobile, so don't let the fact that you're flexible keep you from understanding adhesive capsulitis. I am very flexible, my doctors say a bit too much, in a way that's almost harmful.Why did I go through all this detail? Because doctors are GUESSING. You know your body better than anyone!!! You have to be your fiercest and best advocate. If I were you, I'd push for another arthrogram MRI to get a concrete diagnosis instead of hearing all the opinions all the medical professionals have. And keep doing all the stuff you're doing as far as ice/heat/ibuprophen. But also ask about Voltaren Gel or Diclofenac NSAID (Rx) - they do help me somewhat. I just got put on amtriptyline (sp?) which is supposed to help with chronic pain and I am sleeping better.GOOD LUCK!
    hiptroubleslady 1 Replies Flag this Response
Thanks! A moderator will review your post and it will be live within the next 24 hours.