The meeting was... interesting, to say the least. He did a few, quick tests and felt that I really didn't have an impingement of the hip (this would kind of make sense since I've been working on my stretching my hip capsules for almost two years to the day now.), but he definitely felt some instability in the hip joint as well as that laberal tear. This is almost completely opposite of what the PRP Dr Wager diagnosed like two years ago (no laberal tear, but FAI). Perhaps all the stretching and stuff has made the impingement a non-issue, that would definitely be ideal as well as the hope of getting all those massages.
He told me that he felt he could help, and if I wanted to he could do a procedure in like 30 minutes. ...He gave me the option of taking some painkillers before the procedure, as I will get poked by a needle 30+ times. That is a ridiculous amount of needle, so I felt I would be best served by some vicodin. However, I have a lot of work to do, and I can't really afford to take today off so instead I scheduled an appointemnt for the 23rd.
There is one thing that really, really bummed me out though, and that's the recovery. One of the main reasons why I wanted to try prolotherapy before surgery was because of the recovery. In the clip of Dr. Hauser getting an injection of stem cells (the stem cells come from the marrow in his own tibia) for treating his knee he talks about how he was running three days later. Well, appearently with a labral tear I would have to be inactive to let the labrum knit together. I can swim and walk,but anything that causes my hip to snap would be bad (so no more than 20 degree movement), and I wouldn't be able to do any external rotation as well. ...That last part may mean I might have to hold off on dance lessons (have been learning how to dance with Kristin in preperation for our wedding).
It's that last part that kills me. I've really been enjoying dancing with Kristin, and that I would have to hold off on dancing for like eight weeks is sad news. The recovery time for prolo is almost the same as surgery, so it makes the idea of prolo less appealing. However, I know that surgery is not always the answer, in various forums there are people who are months post-op and are still expereincing pain just walking.
So I think I've decided to try at least one prolo treatment, but I swear I'm not as near as excited about this as I was when I thought I could immediately get back into squatting and stuff.
I will keep posting about this, as well as some other things. I apologize for the lack of posts, but since I've become more inactive there hasn't been too much to write about.
Showing posts with label hip labrum. Show all posts
Showing posts with label hip labrum. Show all posts
Monday, December 12, 2011
Thursday, December 10, 2009
Possibly a light at the end of the tunnel of hip pain
Finding a way to relieve the pain pain in my hip has been been quite the journey, one that almost sounds like an episode of House, MD (although I was never dieing at any point). Because I'm not sure if I've been very clear on my plight for a cure, I've decided to write up a summary of my dealings with this problem:
June 27, 2008: Started crossfitting, and soon after my right hip started to feel pain, like it was on fire.
July: Saw Dr. Bruno, an Orthopod, for my hip, and he wasn't sure what was going on but had some physical therapists work with me. This involved stretching and weight exercises as well as TEMS and ultrasound therapy. Nothing was really working though.
August: After researching the crossfit forums, I realize I need to see a DO, and I have the therapist confirm that my pelvis and hip are twisted, causing the illiopsoas to stretch unnaturally resulting in severe inflammation. This inflammation is what is causing the sensation of my hip being on fire. Dr. Craddock also tells me the twisting of the pelvic muscles is why my hip clicks when I raise and lower my knee (a problem I've had since I can remember).
August 26: I meet a DO, Dr. Craddock, for the first time, he resets my hip and the pain goes away almost immediately.
August '08 - June '09: I receive regular treatments from Dr. Craddock, but after two months of no longer experiencing the inflammation of the illiopsoas I notice there is still a lingering, deep throbbing pain. This pain doesn't feel like fire, and is much easier to ignore. I figure it's still the illiopsoas, that it just needs some time to get used to being un stretched. However, this pain doesn't really go away.
February '09: I see a massage therapist and tell her about all of my various ailments, although I find her massage relaxing I do not find it therapeutic.
July '09 part 1: I casually mention to Dr. Craddock that my hip still clicks when I raise and lower my right knee. For a brief moment he seems a little confused by this because all the muscles are in the right place. After a second he then says I may have a torn labrum in my hip, and this might be causing the clicking and the residual pain.
July '09 part 2: I see Dr. Bruno again and he reccomends an MRI, but without contrast. He gets the results and tells me I have a torn laburm, but he's not sure since he deals mostly with old people. He then sends me to another Orthopod, Dr. Johnson, who deals with sports medicine.
July '09 part 3: Dr. Johnson determines I have fermoral acetabular impingement (FAI), but is unsure about the labrum because the MRI does not have contrast. I believe the pain I am experiencing is in my hip joint, as it feels incredibly deep. It's around this time when I come across prolotherapy for torn labrums. Dr. Johnson says that if theses treatments don't work there is arthroscopic surgery for this condition.
August: I meet up with the prolotherapist Dr. Wagner, and he says he needs an MRI with contrast in order to do anything.
September: I see Dr. Wagner again, and after the MRI he tells me that I do not have a torn labrum, only FAI and that he can not do anything for me. So I'm back to square one. Or is it two? I'm confused now with all these doctors and procedures.
September: I go back to Dr. Johnson, preparing myself to have surgery. He comments that there probably is a small, small tear in my hip labrum, but it is the FAI that is causing the pain. He suggests trying Euflexxa injections to lubricate the hip joint and render me asymptomatic.
November part 1: The meds finally arrive and I get my first injection of Euflexxa, where they take a needle, pierce the hip capsule, and then inject the viscous solution. During the procedure I find out that I have extremely tight hip capsules, which Dr. Johnson notes may be the cause for my FAI. After the procedure, thanks to the numbing agents I receive during the procedure I do not feel any pain in my hip, and Dr. Johnson takes this, as well as my description of the pain, as a sign that the pain is indeed in the joint and not muscular. However, as the meds wear off the pain returns. ...I have a feeling that this new piece of the puzzle is important.
November part 2: I meet up with the chiropractor Dr. Bills for back and shoulder pain, but then mention the tight hip capsules, he then works on them and they suddenly feel a whole lot better. This indicates it is muscular and not a joint problem. This gives me a lot of hope.
November part 3: second Euflexxa injection. Still have pain in the hip.
November part 4: I talk to Dr. Craddock, and he recommends Rolfing, a deep tissue massage. I find one and book three appointments.
November part 5: I mention this to Andrea and she recommends Olga, her massage therapist. I cancel my appointments with the Rolfer and make one with Olga.
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Part One: Hip feels like it's on fire.
June 27, 2008: Started crossfitting, and soon after my right hip started to feel pain, like it was on fire.
July: Saw Dr. Bruno, an Orthopod, for my hip, and he wasn't sure what was going on but had some physical therapists work with me. This involved stretching and weight exercises as well as TEMS and ultrasound therapy. Nothing was really working though.
August: After researching the crossfit forums, I realize I need to see a DO, and I have the therapist confirm that my pelvis and hip are twisted, causing the illiopsoas to stretch unnaturally resulting in severe inflammation. This inflammation is what is causing the sensation of my hip being on fire. Dr. Craddock also tells me the twisting of the pelvic muscles is why my hip clicks when I raise and lower my knee (a problem I've had since I can remember).
August 26: I meet a DO, Dr. Craddock, for the first time, he resets my hip and the pain goes away almost immediately.
August '08 - June '09: I receive regular treatments from Dr. Craddock, but after two months of no longer experiencing the inflammation of the illiopsoas I notice there is still a lingering, deep throbbing pain. This pain doesn't feel like fire, and is much easier to ignore. I figure it's still the illiopsoas, that it just needs some time to get used to being un stretched. However, this pain doesn't really go away.
February '09: I see a massage therapist and tell her about all of my various ailments, although I find her massage relaxing I do not find it therapeutic.
Part two: Maybe it's a torn labrum?
July '09 part 1: I casually mention to Dr. Craddock that my hip still clicks when I raise and lower my right knee. For a brief moment he seems a little confused by this because all the muscles are in the right place. After a second he then says I may have a torn labrum in my hip, and this might be causing the clicking and the residual pain.
July '09 part 2: I see Dr. Bruno again and he reccomends an MRI, but without contrast. He gets the results and tells me I have a torn laburm, but he's not sure since he deals mostly with old people. He then sends me to another Orthopod, Dr. Johnson, who deals with sports medicine.
July '09 part 3: Dr. Johnson determines I have fermoral acetabular impingement (FAI), but is unsure about the labrum because the MRI does not have contrast. I believe the pain I am experiencing is in my hip joint, as it feels incredibly deep. It's around this time when I come across prolotherapy for torn labrums. Dr. Johnson says that if theses treatments don't work there is arthroscopic surgery for this condition.
August: I meet up with the prolotherapist Dr. Wagner, and he says he needs an MRI with contrast in order to do anything.
September: I see Dr. Wagner again, and after the MRI he tells me that I do not have a torn labrum, only FAI and that he can not do anything for me. So I'm back to square one. Or is it two? I'm confused now with all these doctors and procedures.
Part three: No, it's tight hip capsules.
September: I go back to Dr. Johnson, preparing myself to have surgery. He comments that there probably is a small, small tear in my hip labrum, but it is the FAI that is causing the pain. He suggests trying Euflexxa injections to lubricate the hip joint and render me asymptomatic.
November part 1: The meds finally arrive and I get my first injection of Euflexxa, where they take a needle, pierce the hip capsule, and then inject the viscous solution. During the procedure I find out that I have extremely tight hip capsules, which Dr. Johnson notes may be the cause for my FAI. After the procedure, thanks to the numbing agents I receive during the procedure I do not feel any pain in my hip, and Dr. Johnson takes this, as well as my description of the pain, as a sign that the pain is indeed in the joint and not muscular. However, as the meds wear off the pain returns. ...I have a feeling that this new piece of the puzzle is important.
November part 2: I meet up with the chiropractor Dr. Bills for back and shoulder pain, but then mention the tight hip capsules, he then works on them and they suddenly feel a whole lot better. This indicates it is muscular and not a joint problem. This gives me a lot of hope.
November part 3: second Euflexxa injection. Still have pain in the hip.
November part 4: I talk to Dr. Craddock, and he recommends Rolfing, a deep tissue massage. I find one and book three appointments.
November part 5: I mention this to Andrea and she recommends Olga, her massage therapist. I cancel my appointments with the Rolfer and make one with Olga.
Conclusion: There is hope still
So yesterday I saw Olga, and she worked me over thoroughly, and unlike the previous time I got a massage I felt like this was extremely therapeutic. She worked extensively on my hip/leg muscles, and it was an incredible sensation. I told her to go as hard as she could, and the pain was indescribable. It was like my muscles were bubble wrap, and she was a rolling pin. As she slowly dragged her elbow up and down my muscles, I had this sensation like some combination of popping or sparking in muscles I never even knew existed. She commented that my muscles were extremely tight, but they were releasing quite nicely. She worked both my right and left hip.
While she was able to get my left hip to release, she said she was unable to get my right hip to release. She also commented that because this is a chronic problem it will take a while to fix it. I've scheduled an appointment with her next week, and I really hope that next week will be the week the muscles learn to relax. Unfortunately, she told me not to workout after the massage, so I had to forgo the wod.
Today I saw Dr. Bills again, this time exclusively for the hip. As he worked on them, I asked if he noticed any difference, and he said they felt a LOT better, that he couldn't feel as much "gristle" in them as he did last time.
This makes me very happy. It has been a long, long journey, but it seems like I've finally figure it out: Tight hip capsules twisted my pelvis causing the inflammation of the illiopsoas, but the tight muscles also jam my femur into the hip socket, creating the FAI.
I know I've said this before, but I'm very excited by the thought of no longer being in pain. Hopefully there will be no more curveballs, and this will finally kill the throbbing ache that I experience everyday. I write this so that others out there who may have hip pain or any other type of ailment may have hope and learn from my experiences. If I help at least one person out there, then I am a happy man.
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Saturday, August 1, 2009
Gameplan for the hip and Deadlift 3 rep max
On Wednesday I got to see the surgeon, Dr. Johnson. According Dr. Johnson, Dr. Bruno was a little uncertain if I have a torn labrum because in his notes for Dr. Johnson he wrote, "torn labrum?". Anyway, after looking at some x-rays and the MRI, he determined that I definitely have femoro-acetabular impingement, as indicated by a cyst in my femur. Whether or not the labrum is torn was a little harder to tell, given that the MRI was done without contrast (even though I suggested to Dr. Bruno that it be done with contrast, thank you online med sites). However, the cyst is from the femur hitting something in the hip improperly, so even though the images were not exactly clear, if the hammer shows damage, most likely the anvil has damage as well.
He said that if I were to have surgery I wouldn't be able to get back to crossfit for around six weeks.
Six weeks? Is that all? I could do that no problem.
However, first I will try conservative treatment to see if addresses the pain, and if not then we'll do surgury. Here's the Hierarchy of treatment, starting from the most conservative to the least, being surgery.
Regardless, I'm very excited about prolotherapy and am not afraid of surgery anymore. I'm also very, very happy to have a game plan. I think the mental anguish of not knowing what to do was worse than anything else. Now that I have a plan, nothing looks that bad.
I think the mental boost was very helpful for Wednesday, because we had another heavy lifting day, and tried to find our 3 rep deadlift max. Last time we did this (6/23/09) my 3 rep deadlift max was 265. Today it was... 305. A full 40 pounds more. I also managed to do 2 reps of 315, which is 20 pounds more than my previous two rep max.
I'm very happy with how I approached this workout. I caught myself mentally giving up, looking at the 305 bar and doubting my ability. Thankfully, because I caught it I reminded myself that this is my chance to prove my strength, that I have to make this moment count because this exact moment won't come around again. This motivated me to address the bar, take a deep breath and pull. At first nothing happened, and I almost gave up, but then I dug a little deeper and the bar started to move, and then I was standing. I could feel my back bend under the weight, but I kept the core tight and nothing hurt. This was great because I found a way to keep focus and push though, and most importantly, I didn't hurt myself.
It seems that I'm addicted to making large gains, it's like I've been going through withdrawal and Wednesday I got my fix, and it was quite a high.
He said that if I were to have surgery I wouldn't be able to get back to crossfit for around six weeks.
Six weeks? Is that all? I could do that no problem.
However, first I will try conservative treatment to see if addresses the pain, and if not then we'll do surgury. Here's the Hierarchy of treatment, starting from the most conservative to the least, being surgery.
- Physical Therapy
- Prolotherapy
- injection of the hip joint of a numbing agent
- Arthoscopic surgery
Regardless, I'm very excited about prolotherapy and am not afraid of surgery anymore. I'm also very, very happy to have a game plan. I think the mental anguish of not knowing what to do was worse than anything else. Now that I have a plan, nothing looks that bad.
I think the mental boost was very helpful for Wednesday, because we had another heavy lifting day, and tried to find our 3 rep deadlift max. Last time we did this (6/23/09) my 3 rep deadlift max was 265. Today it was... 305. A full 40 pounds more. I also managed to do 2 reps of 315, which is 20 pounds more than my previous two rep max.
I'm very happy with how I approached this workout. I caught myself mentally giving up, looking at the 305 bar and doubting my ability. Thankfully, because I caught it I reminded myself that this is my chance to prove my strength, that I have to make this moment count because this exact moment won't come around again. This motivated me to address the bar, take a deep breath and pull. At first nothing happened, and I almost gave up, but then I dug a little deeper and the bar started to move, and then I was standing. I could feel my back bend under the weight, but I kept the core tight and nothing hurt. This was great because I found a way to keep focus and push though, and most importantly, I didn't hurt myself.
It seems that I'm addicted to making large gains, it's like I've been going through withdrawal and Wednesday I got my fix, and it was quite a high.
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