Thursday, November 12, 2009

Hip Arthroscopy # 4...Scheduled

Ironically, today is the 2 year anniversary of hip arthroscopy #3, the revision of hip arthroscopy #1, which was a great success. I did really well after it, had a great pregnancy and delivery (hip-wise), and did great for 5 months post-op. After that, well.....

The surgery is scheduled for November 30th, yes, 18 days away. Shit. That is really soon. I also just got my CT scheduled for this coming Monday (I think I called and the receptionist said "shit, I forgot to schedule her CT", because she put me on hold for about 20 minutes and then asked if that day was ok...whatever, it is done and hopefully this is the last procedure they EVER have to schedule for me).

November 30th is the Monday after Thanksgiving. We are going away for the weekend, so I decided that it would be a good idea to have the surgery late in the day. I have always had them done first thing in the morning. This time, I don't really want to wake up at 4:30AM, and I thought maybe I would want to run errands, go to the supermarket, Target....but then I started thinking that I normally don't respond so well to the anesthesia and the drugs...and I don't want to be there all night...or worse, get admitted....so I am thinking of calling back and asking them to schedule me for early afternoon. What do you think? Other than I am obsessing over this too much. But hey, I can obsess over the things that I have slight control over, everything else is up in the air.

On another note, I have been in awful pain lately, much worse than ever. I think my psoas is acting up, but as you know, I REALLY don't want it released (been down this road before). I asked a colleague to work on me today and release it. She started looking and feeling around my hips, and found that they are severely asymmetrical. The right (bad) one is higher and flared out anteriorly. She thinks it is causing the psoas to impinge and cause me pain. She released the psoas, iliacus and some others (I was in a lot of pain and having a really bad day...so I don't remember details), but when she was done, everything was level and the pain was just in the joint, where it usually is. I was also able to flex my hip a little easier. She uses a different technique than P, my old therapist used, but P has left my practice, so I have to move on! She will be the one I use after this surgery. I already booked an appointment with her, but not the day after surgery, it will be Thursday, I don't want to torture myself and have to go out the day after surgery, like I have in the past.

Any suggestions on what to do about the time would be much appreciated!!!

11 comments:

Anonymous said...

Susie,
Hip pain is really annoying and impossible to avoid (can't really immobilize that area or "stay off it").

I don't know what you should do about the timing. I'd like the option of running errands and getting everything organized after a weekend away, but like you, not so sure how I'd do with the meds and pain control. I was at the surgical center until the afternoon, and I was first case of the day.

So, a question about the psoas muscle. I'm 5 1/2 months out from repair of a labral tear and I have two issues. First, I can run on a treadmill and bike without pain, but I can't simply walk. I finally figured out it's the longer stride that kills me (still trying to stretch the psoas). Second, I feel a pinch in the side of my hip.

I'm mostly worried about the pinching feel. My question for you is that you mention in your blog that your PT has released your psoas...what does that mean?

Good luck with the scope. Like you, I have no exciting story to tell about an injury either!
CJ

Sloan said...

Hi Suzie. I had my surgery in the afternoon and wished I had it in the morning in terms of eating. The combination of not sleeping the night before combined with not being allowed to have anything in my stomach the day of I had one of the worse headaches ever. I actually threw up just before the surgery from the combination. So you might want to think about that.
I still have issues with my psoas as well. It was one of the muscles after surgery that really gave me a lot of problems. Do you have an explanation of why? I had a superior anterior tear that turned out to be much bigger when he went in. After reading your past post on your procedure to release it I decided to not do it. I am curious though as to what is done when your therapist manually releases it as well. And like anonymous I do get a lot sorer after walking and hardly any issues when running. Hmn something to think about. Also Susie what are the symptoms of scar tissue releasing? Still having issues today but have increased my activities, flexibility and did have my guy work in there to help with nerve regeneration. By the way I did not use a cpm after surgery and wished I did.
Good luck and god bless.

Anonymous said...

Susie & Sloan,
I didn't use a CPM after surgery either.

Sloan, the issue that we can run but can't walk is rather interesting and I'm glad someone else understands that. It sounds crazy!

Susie, I'm impressed, Susie, that you're going through surgery number 4.

Now, Susie, you should be careful, I'd hate for you to hurt the other hip doing something as dangerous as BFing...maybe sleeping...

CJ

Kate.Mich said...

Susie,

I was reading back through some of your posts from I think hip scope 3 for you. Maybe it was 2. I was reading about your fear of needles in the spine! Eeeeek! Me too! What's the anesthesia process for a hip scope? Is it regional? I know nothing about these things - never had surgery before. Don't like that something as major as hip surgery is going to be the first one.

Anonymous said...

Hi there,

I just came across your blog and am so thankful to have found it. I was just told I need surgery to repair a labrum tear and correct an impingement. My OS told me that hip scopes are not always effective because they may not be able to reach the entire impingement. He also said that out of the last 100 patients he has scoped, about 10 of them had to go back in for open surgery because he couldn't reach the impingement. Do you know if these are normal statistics? They sound a bit high to me. Should I be concerned?

Thank you for any help you can provide!

T said...

Hi Susie.
Sorry to hear that you have to have another surgery. I know how awful that is. From my experience I would always do the first appointment in the am, that way if the dr gets stuck in other surgeries you won't be put off till G-d knows when.
Also, perhaps you should have the psoas released if BK feels it is appropriate? I know how against it you are but if he feels that it is something that really should be done...
Best of luck!

T said...
This comment has been removed by the author.
Vanessa said...

I couldn't go all day without eating, so I'm voting for early! This coming from the person who set the alarm early so I could have a cup of coffee at the 4:30 am cut off.

And, I'm with the other posters above. Running is easier than walking and I never had psoas trouble pre-op but it's been my biggest problem post-op.

The stretch where you let one leg hang off the side of the bed, lying on stomach and pull a strap over shoulder that is attached to the foot of the side you are stretching...does this make sense? Has been the biggest help for me with stretching and relieving the stiffening pain.

Good luck Susie,
Vanessa

Susie said...

Thnx everyone for your responses! I can't relate to the running pain free bc I don't run. I decided against the pm surgery and emailed the scheduler for the first surgery of the day, of course I haven't heard back from her so I will follow up this week on that.

I do have a lot of pinching thse days from what I believe is the psoas (I am gong to post abt this issue soon).

The hospital where I have the surgeries uses mostly regional (spinal) anesthesia for their surgeries. They sedate you first though, so you have no recollection of it whatsoever.

10% failure rate sounds high to me, the more experienced scope surgeons should (hopefully) have a lower failure/ higher success ratr, and be able to get all the impingement with a scope. There is a steep learning curve to this surgery, it is very important to have a very very experienced surgeon.

As far as the psoas release goes, there is no way I would agree, I have never seen anything good come of it and I don't believe it is something that I couldn't take care of with good manual therapy. Plus, it is just coming up now, I haven't had this issue all along.

Vanessa, the stretch you are referring to gets more quad than psoas, but it is still a great stretch!

Anonymous said...

The psoas release did help me (touch wood) so I think you might only hear about the bad stories. Most people complain and don't compliment. But you have to do what you're comfortable with. Good luck.

Aarone said...

I have also gone through hip arthroscopy under the supervision of orthopedic specialists of Seattle and the surgery gone right now I’m fine till now.