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Re: Any Canadians with/had a hip labral tear here? [blondie 44] [ In reply to ]
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6 months? geez - I was hoping for 6 weeks!!! I get a lot of pinching but mostly down the hamstring and sitting cross legged I get very stiff. I can still run but minimal amounts per sports doc - small tear and he said the benefits outweigh the risks. For sanity sake, I need to do that minimal amount! I thought the cycling would aggravate it more, but I will get my bike on the trainer and see. Are you in Hamilton? I'm travelling from Mississauga and am currently doing physio but not sure I'm at the right place. I'm glad to hear you are recovering quite well and I hope that I can get in sooner rather than later but we know the healthcare system and with the few doctors that perform this surgery, I think that may be wishful thinking. thanks for the info on the cortisone shot - I thought it would last right through - again wishful thinking :) Did you do much research prior - on both the injury and the doctor? Any sites you would recommend? thanks so much for your feedback!
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Re: Any Canadians with/had a hip labral tear here? [Jenham] [ In reply to ]
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I believe they tell most patients 6-8 weeks up to 12 weeks...I think they told me longer because of what I do...childcare.
I had a fairly large tear that they were able to fully repair and they shaved some bone to try to make sure I would not get a recurrance.
I use the upright stationary bike (as opposed to the recumbant(?)) I find that when I use the recumbant style, I get more of a catch in my hip.
I am up in Barrie but have family in Mississauga...where do you do physio? I know people in health care down there and can maybe check around for you.
Dr. Ayenni has told me that the weight is getting longer, his receptionist has said that the wait just keeps getting longer as more people are diagnosed than ever before and because the former top doctor for this procedure in Ontario (Dr.Wong) moved down east and recommended Dr. A to all his patients.
I did do some research on Dr. A before surgery and was very happy with what I found. He is very nice though very soft spoken. I did not research the surgery much as I felt I didn't need the graphic.
Here is the site for his profile at McMaster:
http://macortho.com/...le=47&popup=true
I'm sorry but I deleted the other sites I had used for research.
I know I looked a lot of injury/surgery info up on WebMD. I also seem to remeber reading an article or two on Dr Ayenni but can't remember where I found them.
I may be worth trying the corizone...I know I said it only lasted me a month but it was worth it. I was told it could last 3-6 months. Also my GP told me that they will only give you so many of these so use them sparingly. It could be worth it to get you back to a semblance of normal for a while.
I know how you feel about doing the minimal that you can...I felt the same, even if it hurt, I just needed to so something!
Any other questions...fell free!
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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Hutch: Don't know if you are still here, since it is 2 years since your post on Orthopods doing hip labral repairs. I am in the same vortex of trying to get to the surgical solution. Had the MRA and clearly indicated macerated labral tear. Lots of pain and immobility and restriction. According to my second Ortho, I am being referred to Dr. Ayeni in Hamilton, (6 weeks ago and no indication of any appointment yet...), but was advised of his long wait times; 8-12 months for the consult. I have been suffering for over a year already. I need a solution sooner rather than later. Gaining weight because I can do very little, and losing muscle mass at a ferocious rate.... Biggest issue for me is that I am older and my research indicates that I am likely to get resected not repaired because of my age; that means a likely hip replacement within a couple of years after the resection....Not a good prognosis.
I would like to reach out to you for your experience over the past couple of years, and get any new info you may have on which Dr. are doing hip arthroscopy and who is good / available.
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Re: Any Canadians with/had a hip labral tear here? [jhlett] [ In reply to ]
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Dr Philloppon (spelling) has done a lot of research on labral tears. I have a bunch of research papers on .pdf
You have to be assertive, flexible and try to approach doc directly. Tell them you can do a cancellation. I had my surgery 9 months after I felt the first pain. That is very quick as it took the first 3-4 months just to get diagnosed. PM me to chat via email
Last edited by: Hutch: Feb 19, 14 8:30
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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Thanks for the reply. Glad you recovered well. I have lots of research papers that I have read, and would certainly like to receive the ones you have. I don't know what you mean by "PM me..." to chat....
I pulled up ratings on several of the Orthopods you listed 2 years ago, and have a short list of 5 that I guess I need to pursue.
Who did your surgery?
Thanks.
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Re: Any Canadians with/had a hip labral tear here? [jhlett] [ In reply to ]
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Lucas Murnaghan. 10/10
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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I'm going through the whole hip arthroscopic surgery process in Canada as well, in the sincere hope that I can get back to work and some semblance of an active life again.

I have a wonderful sports medicine physician who was able to spot the problem and get the 3T-MRI imaging ducks in a row in 2 months flat. I've now been diagnosed with a large anterior complex labral tear and a smaller posterior one with some mild FAI. There is no sign of hip dysplasia or acetabular anteversion or retroversion. I'll need arthroscopic surgery for this so I have been looking at my options.

My first choice is to stay in Eastern Ontario to see either Dr. Paul Shim, Dr. Gavin Wood or even Dr. Lucas Murnaghan in Toronto (thanks, Hutch). Dr. Murnaghan's father is near retirement and sometimes they get confused with each other on paper so bear that in mind when searching for information. Dr. Paul Beaule has too long of a wait so he's not on my list.

I can't work at this point because of this injury, so seeing Dr. Michael Gilbart in Vancouver via private route might be an option. He does primarily arthroscopic surgery in a variety of joints (knees, hips, elbows, shoulders). He was enthusiastically recommended as well by my sports medicine doctor. The waits privately are far shorter and I have relatives who can put up with me while I recover to the point that I can comfortably fly home. I've been quoted 11-13K for surgery (all in) plus $750 for the pre-surgery consult and imaging reviews. Doing the same in the US would cost quite a bit more. My provincial plan can cover a small part plus it can jump in with both feet if I have to be transferred to a public hospital or have to visit an ER for complications, thanks to interprovincial health agreements. This surgery is considered day surgery so fingers crossed I won't have to deal with that.

I'll post a bit more as things progress to help anyone who has the same issue in Canada.
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Re: Any Canadians with/had a hip labral tear here? [PumpkinEater] [ In reply to ]
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How old are you?
How do you think you tore labrum? One traumatic event or chronic FAI?
Did you have an 'Dunn View' xray?
Surgery can have a relatively fast recovery assuming you don't need the microfracture technique which I don't think they know they have to do until they get in there.
Has this Van dock every done microfracture, FAI type surgeries? As I recall, there was someone out there that had a good reputation, perhaps it was him?
Sitting on a plane seat would be a bit uncomfortable but at least you could get the wheel chair assistance (perhaps hard on ego?) through the airport.
2.5 years post-op. Shaved down labrum debris. Shaved down FAI on femur. Did microfracture in acetabulum. Surgery took less than 90 min. 99.5% pain free. Can bike 2-3 hours at whatever intensity I want pain free. Can run short distances pain free (haven't really tried anything longer...not worth it).

Hutch
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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Hi Hutch, if you still have that rehab protocol and could send it to me, that would be great. I'm so glad that you've gotten most of your mobility back.

To answer your questions, I'm under 40 and sustained at least the anterior part of the tear thanks to hyperextension in beginner-level "triathlete" yoga under load and the idiotic instructor who instructed us to do so. There was no pop, no twinge, just a vague soreness the next day. It took me two classes to figure it out as I thought it was a irritated psoas issue. The injury was further exacerbated by an even more idiotic physiotherapist who didn't like that I wasn't extending my hip. I had good reason not to.

Yes, Dr. Gilbart is the one you're thinking of. He ordered the Dunn (45) and the cross-table xrays for me. I was provided with copies of all of my scans and Dr. Gilbart will be going over them in a few days to see if I'm a good candidate. He is an assistant professor at UBC and does a fair amount of research with labral tears and FAI. I hope he can repair the labrum instead of removing the damaged parts but it's anyone's guess with a complex tear. The MRI report says the cartilage looks mostly good so maybe I can avoid the microfracture.

If surgery is a go, I will fly on over for the consult and hang out with the relatives until the surgery. I'm not looking forward to the flying bit, and it's the sitting that will do me in. I can't bring any sort of ice pack on board unless I can MacGuyver one from the food court in the secure zone. On the ground, the airport folks are pretty good as soon as they see someone with a cane or crutches. I'm in too much pain to give a hoot about my ego; they can bring on the wheels.

Dunn xray for uninitiated:
http://roentgenrayreader.blogspot.ca/...02/dunn-view_08.html

Why yoga is evil incarnate:
http://www.nytimes.com/...ty-in-yoga.html?_r=0
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Re: Any Canadians with/had a hip labral tear here? [PumpkinEater] [ In reply to ]
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Sounds like you have a better than avg chance of full recovery or fully functioning normal person. I am fully functioning and very fit. Can't run 1:20 half marathon anymore but feel just as fit. I only took 1 pain pill. After 1st day, I was good as long as I wasn't stupid. Plane should be fine.
Hutch
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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Hi all!

Can anyone comment on Dr Ivan Wong or Dr. Danny Whalen?

I had my initial consult with Dr Whalen in December. He initially told me if I was not going pro then I should probably reconsider and not get the surgery (large labral tear, FAI). Before the injury I was running approximately 120 kms per week. His assistant also told me that the success rate is low with this type of surgery. That being said, my sister is a physio therapist in Halifax and has seen many of Dr Wong's patients post op who have had a lot of success so I am considering inquiring about getting an initial with him instead. I have recently re located back East and no longer live in Ontario. If anyone has had labral tear surgery with any of these two doctors, or have any information, it would be greatly appreciated! Thanks!
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Re: Any Canadians with/had a hip labral tear here? [Adams83] [ In reply to ]
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Hi All:

I am not an athlete but I have been practicing yoga for 10 years and have always pushed myself as opposed to "gentle" yoga. I'm fit and in my
early 50's. I've given up yoga but swim and power walk as the intense hip pain only occurs during certain movements.

For the last 3 years I've had painful "snapping" in my right hip/groin area. I had a hip x-ray which was negative. Had another hip x-ray a year
later which was also negative. This year had my third hip x-ray which showed minimal degenerative change. I tried physio which helped
with muscular tension relief but the unbearable snapping nerve pain has never subsided. I'm now being proactive and researching my
options. I'm searching for an orthopedic surgeon that performs hip arthroscopy in Toronto and the GTA. I assume I'll need an MRI or MRA.

Can anyone recommend a surgeon that has experience with FAI and tear repair?
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Re: Any Canadians with/had a hip labral tear here? [Adams83] [ In reply to ]
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Adams83 wrote:
Hi all!

Can anyone comment on Dr Ivan Wong or Dr. Danny Whalen?

I had my initial consult with Dr Whalen in December. He initially told me if I was not going pro then I should probably reconsider and not get the surgery (large labral tear, FAI). Before the injury I was running approximately 120 kms per week. His assistant also told me that the success rate is low with this type of surgery. That being said, my sister is a physio therapist in Halifax and has seen many of Dr Wong's patients post op who have had a lot of success so I am considering inquiring about getting an initial with him instead. I have recently re located back East and no longer live in Ontario. If anyone has had labral tear surgery with any of these two doctors, or have any information, it would be greatly appreciated! Thanks!

Hi there

I also have a large labral tear and FAI. I had my appointment with Dr Whelen last week and I was told the same thing (i.e. the success rate is low and it will not help with the pain or my inability to generate as much force by my right hip than my left). Have you got a second opinion ? What are you doing to manage ?
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Re: Any Canadians with/had a hip labral tear here? [Jessec22] [ In reply to ]
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Jessec22 wrote:
Hello,

I have just met with Dr Whelan at st mikes 2 weeks ago. His assistant did all the work and ran the appointment, Danny came in at the end said 3 words told me he is booking 9 months out for surgery and walked out... Arrogant to say the least. His assistant Brian was very good knowlegable and has had the surgery so that was assuring. Was told i could go home that night does anyone on hear know if that is true and if so a good idea?

Thanks

I had the same experience with Dr Whelan. He came in the room for 30 second, told me the surgery wouldn't help me and left. How big was your tear ? did you end up getting the surgery ?
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Re: Any Canadians with/had a hip labral tear here? [sweetpeach] [ In reply to ]
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I called the office in Vancouver and they no longer take public clinics...this office now only does private care. :(
I have been waiting 10 years to see someone...
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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Hi,
I'm Canadian living in Montreal. I will go through the labral tear surgery in 2 weeks. The doctor told me I should use a cpm machine for 28 days after the recovery, but I'm having trouble finding one. I saw on this thread that some of you used it too. Would you know where I could rent one, in Quebec, or in Ontario, for the time of my recovery? He also recommended a DVT-pump, so I'm also searching to rent one of those... Did you ever experience it? Thanks!
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Re: Any Canadians with/had a hip labral tear here? [mpl] [ In reply to ]
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Update 3.5 years post op
Dr L. Murnaghan did an awesome job for me. Now I am biking 1000km/mo and I have seen >600w+ a few times during intense intervals. Doing 275w intervals for 5-10 minutes at a time, several reps. I haven't had any problems with my biking or swimming.
I do not run anymore. <Sigh>.... I have tried shuffling around a few times, 500m, 1-2km here and there but I almost always have some minor discomfort the next day, sometimes in my non-op hip, so I am no longer a runner. Just not worth it, I have decided. My other hip is still pain free and I would like to keep it that way.
Aside from not running, I am 100% back to pre-op fitness.
I can't say enough good things about Dr. Lucas Murnaghan and upon checking his recent tri results online, he seems to have picked up his triathlon training/racing a bit. He is getting pretty fast for a guy who likely lives in the city, has a real job and likely works a lot.
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Re: Any Canadians with/had a hip labral tear here? [mpl] [ In reply to ]
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I did not use a Cpm machine but had already researched them before and that name had come up a few times:

http://www.cpmrental.ca/

Just found this one:

http://www.diamondathletic.com/...amp;-Dynamic-Splints

What you might also want to look into is an Aircast cryo-cuff with the hip attachment like this one:

http://www.worldtohome.net/...fsjcUCFYzMtAod1jAArA

I bought one just before my surgery (mosaicplasty) and it helped a lot for the next 2 weeks.
Cheap and efficient, easy to use (you might need some help to load and empty the cooler).
Kept everything cool which made a difference with the swelling.

Good luck



Only fools never change their minds and I'll never change my mind about that.
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Re: Any Canadians with/had a hip labral tear here? [Jenham] [ In reply to ]
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1 yr to the week Post op FAI/micro fracture [70% tear in labrum/cam & pincer - basically my R hip ws f-ed up!]
:)
anyway - I too initially saw Dr whalen - he felt the surgery was counter productive because of the size of the tear [too large], plus the onset of osteo-arthritis; he thus felt it was not worthwhile, also noting there was only a 40-60% chance of any marked improvement.
he wouldn't do the surgery but did refer me to Dr Femi Iyeni at McMaster - he specializes as well in FAI.

http://macortho.com/...1&viewprofile=47

Long wait to see him, longer wait to have the surgery - big wait list - but, Great surgeon and [pretty much] successful surgery - while recovery was/is long and continuing, much better ROM. Was on crutches for nearly 10 weeks with total non weight bearing for 8 weeks - that sucked. used a CPM and it really helped.

I have no plans/likelihood to race an Ironman or marathon ever again, and haven't raced any triathlons/road races since the surgery, but I can run 45 min and ride/swim fine. May go back and do the odd Sprint just because I could.
Like Hutch, since the surgery, I am noticing the wattage on the bike is steadily getting higher/better. Sold the TT rig post surgery and now ride my road bikes exclusively - they fit better and the Q angle on my hips is more adaptable to the road position. Took months to feel "comfortable" that I could stress the surgical hip, but now, no worries at all.
Bottom line:
The surgery was worth it - just realize it may not be the magic bullet you are hoping for; go easy after, and DO YOUR PHYSIO/REHAB! Don't let the hip get stiff and tight; you will pay for it down the road.
Lastly, while Dan Whelan is a very good surgeon, he was/is just too busy to spend the time with each patient - and so, I can't recommend Dr Iyeni enough - he was not only an excellent surgeon, but thoughtful [he called me the day after the surgery to make sure I was doing ok!], funny, caring and approachable.
Which is a good thing, because, f me, I have to do the other hip this summer [major tear in the L hip labrum - sigh - there goes 2015...]
Last edited by: runjohnrun: Apr 25, 15 14:46
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Re: Any Canadians with/had a hip labral tear here? [Bancarel] [ In reply to ]
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Ok, thanks a lot for all those info. hHe surgery is in a week, I'll arrange everything and... hope for the best! With a lot of physio, of course!
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Re: Any Canadians with/had a hip labral tear here? [Adams83] [ In reply to ]
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I saw Dr. Whalen for a consultation (fall 2014) for a hip labral tear with Cam Impingement. At the time I was on Dr. Beaulés' surgical waitlist, Dr. Beaulés' receptionist recommended a few Dr.'s closer to me in Toronto who would also be able to perform the surgery - likely much sooner than Dr. Beaulé . I felt my visit with Dr. Whalen was a waist of a day, I did not get a sense from Dr. Whelan that he was competent in diagnosing hip impingement or at performing hip arthroscopy. He said that he only performs the surgery on the cases that he feels will have the best possible outcome (1 in 10 patients) - I took this to mean young adults (<25) with acute labral tears. I had the surgery with Dr. Beaulé 5 weeks ago, I'm 42 and have had hip issues my whole adult life - from hip impingement as I understand now.

Dr. Beaulé was very confident he could correct the issue during my consult and during my post operative meeting he was very happy with the surgical outcome. At 5 weeks post-op my hip is feeling much better than before surgery. My advice to anyone with ongoing hip paint is to make sure you get an answer to what is causing the problem. A hip labral tear can be hard to diagnose, I was negative on the impingement test but MRI with contrast confirmed a "complex labral tear", this was only after every other possible cause was ruled out!

Dr. Beaulé, is a very competent Hip specialist, he confirmed CAM impingement just by looking at my X-Ray. His wait is very long: 1 year for consult plus 27 months later for surgery. I've followed this thread for a while and it looks like the Dr. at McMaster is also very good at hip arthroscopy.

If you have hip impingement with a labral tear and you can't get it under control surgery is available on Ontario, but you have to see the right surgeon and unfortunately the wait is long...but worth it!
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Re: Any Canadians with/had a hip labral tear here? [CWM] [ In reply to ]
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Hey Everyone,

Thank you so much for this thread - reading all of your posts has been helpful in reducing some of my anxiety and directing my research. I am lost on next steps though and was wondering if anyone can suggest what I have should prepared as I wait for a consult.

I have been dealing with limited mobility and constant pain in my right hip for about a year. I was being treated by a rheumatologist for misdiagnosed Bursitis but at my insistence to my GP that things were not improving (after rounds of meds and a cortisone shot) I was finally sent for an MRI which showed a large labral tear, severe tendonitis and something else in the glute area. The rheumatologist has informed my doctor that these tears "sometimes just repair themselves (!)" but I insisted on being sent for a consult with ortho surgeon after finding this thread. Based on the wonderful list here, I was able to get my GP to send a referral to Dr. Femi Ayeni in Hamilton. The rheumatoligst also sent a referral to Dr. Dan Whelan (of who I am not sure about seeing based on the feedback here), as well as to a local ortho in my area, Dr. Bertolia at Southlake Hospital. I have just learned of another in Richmond Hill, Dr. Anthony Marchie (his admin told me that he recently returned from specific training on these injuries in Europe) so I will be doing some research on him to see if I should request a consult. I have not yet heard back from the previously listed 3 surgeons and its been about 6 weeks since the referrals went out....... All of this is a time sensitive matter for me as I am turning 37 in a few months and would like to have another baby. I can't imagine being able to carry a pregnancy let alone going through labour with this type of pain and restricted mobility. I need to get this sorted out and on a list for surgery soon if that is a viable option for me.

My question to all of you is - is there any preparation that I can do while waiting to cut down on the run around once I have a consultation? As I have just had a regular MRI, I asked my GP to send me for a T3 or one with the dye so that we have more info for the surgeon as I anticipate that will be the first thing I will get sent for and then will have to wait for follow up. The GP said he is not able to request that... Would a physiotherapy clinic or chiropractor be able to do this? (I think I recall reading that in previous posts?). Has anyone begun a modified physio program to increase strength in prep for a possible surgery? Although its progressed to the point where some days I can't even lift my daughter or walk for longer than 5 min without a break... can't imagine exercise :)
Last edited by: teewee3: Jul 16, 15 9:11
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Re: Any Canadians with/had a hip labral tear here? [soya] [ In reply to ]
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One of my former age group athletes (40+) had surgery a few years ago and is in great shape. But he did take his time recoverying and did all the rehab work to ensure he was properly ready to go back to exercise. It took some time, but he is great. Where do you live/where is the surgery occurring.
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Re: Any Canadians with/had a hip labral tear here? [coachbarrie] [ In reply to ]
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No surgery date yet and still have to meet with a surgeon to hear about my options (I want to do the repair but don't know if surgery is even an option yet)..... I live in Aurora, Ontario
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Re: Any Canadians with/had a hip labral tear here? [CWM] [ In reply to ]
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10 week update on my recovery...my experience has been similar to most, the recovery from hip arthroscopy is a rollercoaster - I do my exercises and stretching as directed by my PT; there are days where I can't believe how good my hip and body feel and there are days where my hip is sore, tight, and I feel lousy. Overall I'm very happy I did the surgery, I've learned that when my hip feels lousy to stop...rest, elevate (and take NSAIDs if its really bad), after 2 or 3 days I seem to get back on track. I'm looking forward to progressing to dynamic PT in the next week or 2 :).

The restrictions from Dr. Beaulé don't seem to be as strict as I'm seeing from other peoples experience, don't know if this is good or bad, but I thought I would share. His instructions are 3 weeks TTWB (toe touch weight bearing) and then wean off crutches to weight bearing as tolerated. I was full weight bearing at 4 weeks, I felt good, then I walked TOO MUCH at the end of week 4 and had to go back to 1 crutch and NSAIDs for a week...then I felt I was back on track. Dr. Beaulé did a 2 portal approach for me, I think that is his standard, maybe but not sure if this allows weight bearing earlier on?
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