I am missing the last page of the MRI report (sound familiar), hopefully tomorrow I will be able to get it (sigh), nothing can be simple, ever!!!
To illustrate the absurdity of my life at times, the chinese delivery person no longer rings my doorbell or knocks on my door, rather, just pushes it open and announces her arrival. I guess she feels that being 'invited' over 3 times per week (at a minimum) has made her a part of our family, and she can simply come and go as she pleases! The doorman no longer calls up when she arives, not that we would turn away food, regardless of whether we had ordered it or not!!!
Ok, back to the MRI, once I have the full report, I will type it up and add it, in the meantime I will just point out the parts I found interesting. Both hips are observed on the scan.
Left hip (most recently operated on, not reason for MRI)- incidental note is made of a moderate amount of fluid in the left hip joint, not present on prior study on 1/07. In addition, mild high signal is demonstrated in the anterior margin of the proximal left gluteus medius and minimus muscle, without established muscular atrophy.
Right hip- mild bony offset at head-neck junction of the proximal right femur that may contribute to a cam-type femoroacetabular impingement. There is an attenuated and frayed anterior labrum, as well as a deficient anterosuperior labrum, without a displaced tear.
Progressive Chondral loss is seen in the interval since the prior study of 1/07 with focal small full thickness defect over the superomedial margin of the acetabular dome, adjacent to anterosuperior labral detachment. (Rest of cartilage looks good, no synovitis, muscles and tendons look good, nothing going on in the pelvis)
Showing posts with label synovitis. Show all posts
Showing posts with label synovitis. Show all posts
Wednesday, August 15, 2007
Friday, July 27, 2007
Ignorance is Bliss...or is it???
Let me start by saying that I scheduled my MRI, but like everythig else in my life these days, it could have gone smoother.
I called Dr. Kelly's office this morning to have them set it up, which is already annoying, I could just as easily called myslef! So the receptionist asks me when is good, I said Mon. afternoon, or Tues. or thurs. all day, but the sooner the better. She leaves me on hold for about 5 minutes, comes back and says they are not answering. I remind her I need it at HSS, whoops, she is trying to schedule me somewhere else. I need HSS bc they have my prior scans to compare. Oh. So she calls HSS. How is Thursday, after 2? Fine I say, she says ok, so I said what time exactly, bc after 2 is not very specific, so she puts me on hold again, 1:00. Fine, sigh, nothing earlier in the week? No. Fine, I take it.
Later in the day, I am not pleased with a Thurs. appointment. This means I won't have results until the following week, the suspense is killing me! So I decide to take matters into my own hands and I call HSS myself, they can do Mon. at 4:30 (too late in the day for me) or Tues at 2:30. Perfect! Sometimes you just have to speak up and do things yourself!
I have been trying to imagine that all of this is synovitis, or the psoas. I go into my old MRI reports, to see what they had shown. Did I have synovitis the first time? No, both reports specifically say no synovitis. I know this doesn't mean much, since he did find it with the scope, but I want to make sure all grounds are covered, and there are no unexpected surprises. My husband would say stop being neurotic, you know too much, but I think this helps keep me more sane than not!
I called Dr. Kelly's office this morning to have them set it up, which is already annoying, I could just as easily called myslef! So the receptionist asks me when is good, I said Mon. afternoon, or Tues. or thurs. all day, but the sooner the better. She leaves me on hold for about 5 minutes, comes back and says they are not answering. I remind her I need it at HSS, whoops, she is trying to schedule me somewhere else. I need HSS bc they have my prior scans to compare. Oh. So she calls HSS. How is Thursday, after 2? Fine I say, she says ok, so I said what time exactly, bc after 2 is not very specific, so she puts me on hold again, 1:00. Fine, sigh, nothing earlier in the week? No. Fine, I take it.
Later in the day, I am not pleased with a Thurs. appointment. This means I won't have results until the following week, the suspense is killing me! So I decide to take matters into my own hands and I call HSS myself, they can do Mon. at 4:30 (too late in the day for me) or Tues at 2:30. Perfect! Sometimes you just have to speak up and do things yourself!
I have been trying to imagine that all of this is synovitis, or the psoas. I go into my old MRI reports, to see what they had shown. Did I have synovitis the first time? No, both reports specifically say no synovitis. I know this doesn't mean much, since he did find it with the scope, but I want to make sure all grounds are covered, and there are no unexpected surprises. My husband would say stop being neurotic, you know too much, but I think this helps keep me more sane than not!
Thursday, July 26, 2007
Uncertainty
I have had a day of indecisiveness!! If I had had time, I would have posted my question to all of you and maybe had some help, but I ended up coming to my own decision. So...what the heck am I talking about???
As you know, my right hip has been pretty bad, it is at the point I was before surgery, sex hurts too, so when I am ready to actually go to sleep at night, I am in so much pain, it is hard for me to fall asleep. I really don't know what to do, I was afraid that if I called Dr. Kelly, he would blow me off, tell me it is compensation, and leave me even more annoyed and frustrated, which I cannot handle now. But I was getting so frustrated with the pain as well...I didn't know what to do. My friend Amy, who has been through a lot of hip shit told me to call him, she didn't understand why I wouldn't, P, my PT said not to bc he knew I would be pissed. So after much deliberation....I called!
My message went like this: Please tell Dr. Kelly that I am having a lot of issues with my right hip, and it is not from compensation!
He called me about 4 hours later, in the past, I have waited 4 days for a call back! I am highly impressed!
I explained that I am having a ton of pain in the right, very much like I had pre-op, pain in the joint, non-palpable. He said it could be the muscles acting up, maybe we should inject the psoas...I repeated that the muscles are fine, my PT worked on them ART'd them...they are not the issue. He said it could be synovitis, the joint is inflammed from the added stress. I reminded him of the twisting episode, and how I am not sure what to think of it, especially since I went on crutches 3 days later, and I really don't know what to do, thats why I called! He said I could get the joint injected if I wanted to. Again, I don't know what I want! So he read the chart over for a few minutes, he said he is confident that I did not re-tear the labrum, this is why he likes to debride, bc there is nothing left to tear. Sometimes, the mechanics of the joint change, causing the muscles to act up. I could get an MRI if I want, but sometimes it is hard to read in the area of the old tear, so it may show nothing. Ok, I really didn't know what to do. He said continue working on it in PT, have somene work on it, modalities of my choice.... still looking through my chart...ok, get an MRI, then we can decide on the injection!!
So, now I am glad I called, at least it is all out in the open, not just on my blog! So, he thinks it is synovitis, I think his first thought is the psoas, possible tendonitis, but the joint hurt first, the psoas does occassionally flare, but it is in response to the joint flaring. So now I am nervous. First of all, my last MRI was awful, I almost panicked. I had a really bad cold and was really congested, also had a cough. Midway through, I needed to cough, alot, but I was afraid to move. But I really had to, I pressed my button, I informed the technician of my needs, he said I could under so circumstances get up bc the machine takes a picture of the hip angles in the beginning and uses them to compare all the images. So I stayed there, and began having a coughing fit, then all this gunk got stuck in my throat and I felt like I couldn't breathe, it was such an awful feeling. I have had awful flashbacks of it, and have been petrified to have to ever have another MRI, I never thought I would! Then comes the issue, what if he finds something bad? I don't want more surgery? Or, what if he finds nothing? Where does that leave me? Crazy????
As you know, my right hip has been pretty bad, it is at the point I was before surgery, sex hurts too, so when I am ready to actually go to sleep at night, I am in so much pain, it is hard for me to fall asleep. I really don't know what to do, I was afraid that if I called Dr. Kelly, he would blow me off, tell me it is compensation, and leave me even more annoyed and frustrated, which I cannot handle now. But I was getting so frustrated with the pain as well...I didn't know what to do. My friend Amy, who has been through a lot of hip shit told me to call him, she didn't understand why I wouldn't, P, my PT said not to bc he knew I would be pissed. So after much deliberation....I called!
My message went like this: Please tell Dr. Kelly that I am having a lot of issues with my right hip, and it is not from compensation!
He called me about 4 hours later, in the past, I have waited 4 days for a call back! I am highly impressed!
I explained that I am having a ton of pain in the right, very much like I had pre-op, pain in the joint, non-palpable. He said it could be the muscles acting up, maybe we should inject the psoas...I repeated that the muscles are fine, my PT worked on them ART'd them...they are not the issue. He said it could be synovitis, the joint is inflammed from the added stress. I reminded him of the twisting episode, and how I am not sure what to think of it, especially since I went on crutches 3 days later, and I really don't know what to do, thats why I called! He said I could get the joint injected if I wanted to. Again, I don't know what I want! So he read the chart over for a few minutes, he said he is confident that I did not re-tear the labrum, this is why he likes to debride, bc there is nothing left to tear. Sometimes, the mechanics of the joint change, causing the muscles to act up. I could get an MRI if I want, but sometimes it is hard to read in the area of the old tear, so it may show nothing. Ok, I really didn't know what to do. He said continue working on it in PT, have somene work on it, modalities of my choice.... still looking through my chart...ok, get an MRI, then we can decide on the injection!!
So, now I am glad I called, at least it is all out in the open, not just on my blog! So, he thinks it is synovitis, I think his first thought is the psoas, possible tendonitis, but the joint hurt first, the psoas does occassionally flare, but it is in response to the joint flaring. So now I am nervous. First of all, my last MRI was awful, I almost panicked. I had a really bad cold and was really congested, also had a cough. Midway through, I needed to cough, alot, but I was afraid to move. But I really had to, I pressed my button, I informed the technician of my needs, he said I could under so circumstances get up bc the machine takes a picture of the hip angles in the beginning and uses them to compare all the images. So I stayed there, and began having a coughing fit, then all this gunk got stuck in my throat and I felt like I couldn't breathe, it was such an awful feeling. I have had awful flashbacks of it, and have been petrified to have to ever have another MRI, I never thought I would! Then comes the issue, what if he finds something bad? I don't want more surgery? Or, what if he finds nothing? Where does that leave me? Crazy????
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