Tuesday, February 24, 2015

Post surgical consult hoorays and blahs

While I have the labral tear in my left hip, I also have bursitis, a slight CAM impingement (on both sides), and a snapping iliopsoas tendon. Basically, my inner and outer bursa in my hip are both unhappy. My left hip has always been worse, so the fact there is more wrong isn't necessarily a huge surprise but it just seems like a lot to have wrong.

I wish it was snapping turtle syndrome
One of the perks of my new job in healthcare is that docs are treating me more and more like I know what I'm doing or talking about. The doc gave me homework - to look up an article on injections into the ilopsoas bursa and how that relieves the snapping tendon pain.

As of right now, the plan is to have one (possibly more) injection into this inner bursa and see how that affects the pain. In about 80% of cases, this eases and ends the pain from the tendon at least. There are so many things going on that it's hard to pinpoint what is causing the worst problems. The first injection is scheduled for Monday at 9am and we'll take it from there.

I don't know that I like this idea anymore. Thanks Google!
The nice thing is that the doc is super nice. Two of the docs I work with in pediatrics also work in sports med, so I had heard good things already about this guy. I was a little out of it from being so worried going into things, which was also weird just because I wasn't anxious as I normally am thanks to my new meds. Thankfully, it seems like they're a little more used to that than I am.

Is it possible that surgery will still be in my future? Definitely. The CAM impingement makes it more likely that I'll need a little more attention directed at my hips in the future. The fact that I've got tendonitis/bursitis kinds of issues doesn't help. If the injections don't clear up the pain, then I'll be looking potentially at surgery to lengthen that tendon... which will cause more instability in my hips than the impingement does. It's not the best option, so hopefully it doesn't come to that. On the other hand, if that happens it'd give the doc time to clear up the labral tear as well.


I have to say though I'm a little let down after today's appointment. Everything went well and all, but I was ready for more action I think that it feels like we're taking. I'll probably feel differently once the giant needle hits my hip Monday morning though!

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