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Re: Cortisone advice [Dynamichipgirl] [ In reply to ]
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If it isnt showing up on scans I have a random diagnosis, my wife had foot pain for 10 years from being a dancer everyone kept saying planta facitis . Finally got a nerve conduction test done and she had the equivalent of R.S.I. In her foot required a nerve release operation.

She had tried it all and lost hope before the diagnosis, and all mri never showed a thing.
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Re: Cortisone advice [zedzded] [ In reply to ]
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zedzded wrote:
Grantbot21 wrote:
Dynamichipgirl wrote:
Grantbot21 wrote:
What is the reason for the injection? Do they know what’s actually wrong?


To be honest it’s a very complex case that’s been over 2 years in the making. Basically my surgeon is ticking all the boxes and trying to figure out what’s causing the pain. This injection was to see if it’s within the hip joint or coming from the labral tear


They should be able to diagnose that easily. They did a injection into my hip and within 5 minutes it felt perfect. With the MRI showing a tear plus the injection that was diagnostic to do the surgery.


That would be the anaesthetic wouldn't it not the cortisone. The cortisone wouldn't work for quite a few days.

Yeah that’s correct. Not sure exactly what kind it was, but that’s right. I had a heck of a time trying to get it figured out. One doctor said it hurt too much to be my hip but even after it started feeling a bit better it still wasn’t right so I went to a different doctor who basically said that it was moronic that they didn’t think it was my labrum because I was in too much pain. They did the injection and it was immediately better. Unfortunately that lasted for like a few hours and it was back to normal.
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Re: Cortisone advice [Gilliga] [ In reply to ]
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Gilliga wrote:
If it isnt showing up on scans I have a random diagnosis, my wife had foot pain for 10 years from being a dancer everyone kept saying planta facitis . Finally got a nerve conduction test done and she had the equivalent of R.S.I. In her foot required a nerve release operation.

She had tried it all and lost hope before the diagnosis, and all mri never showed a thing.


I’m glad your wife finally got a proper diagnosis and treatment. I’ve had a nerve conduction study which came back negative..I’m really baffling the consultants!! In the end, a lot of the specialists have stated that it must be in my head..
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Re: Cortisone advice [Grantbot21] [ In reply to ]
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Grantbot21 wrote:
zedzded wrote:
Grantbot21 wrote:
Dynamichipgirl wrote:
Grantbot21 wrote:
What is the reason for the injection? Do they know what’s actually wrong?


To be honest it’s a very complex case that’s been over 2 years in the making. Basically my surgeon is ticking all the boxes and trying to figure out what’s causing the pain. This injection was to see if it’s within the hip joint or coming from the labral tear


They should be able to diagnose that easily. They did a injection into my hip and within 5 minutes it felt perfect. With the MRI showing a tear plus the injection that was diagnostic to do the surgery.


That would be the anaesthetic wouldn't it not the cortisone. The cortisone wouldn't work for quite a few days.

Yeah that’s correct. Not sure exactly what kind it was, but that’s right. I had a heck of a time trying to get it figured out. One doctor said it hurt too much to be my hip but even after it started feeling a bit better it still wasn’t right so I went to a different doctor who basically said that it was moronic that they didn’t think it was my labrum because I was in too much pain. They did the injection and it was immediately better. Unfortunately that lasted for like a few hours and it was back to normal.



Did you end up having surgery on your tear?
I haven’t felt any relief so far. If anything it aches even more than usual although the sharp catching pain has gone..
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Re: Cortisone advice [Dynamichipgirl] [ In reply to ]
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Dynamichipgirl wrote:
Grantbot21 wrote:
zedzded wrote:
Grantbot21 wrote:
Dynamichipgirl wrote:
Grantbot21 wrote:
What is the reason for the injection? Do they know what’s actually wrong?


To be honest it’s a very complex case that’s been over 2 years in the making. Basically my surgeon is ticking all the boxes and trying to figure out what’s causing the pain. This injection was to see if it’s within the hip joint or coming from the labral tear


They should be able to diagnose that easily. They did a injection into my hip and within 5 minutes it felt perfect. With the MRI showing a tear plus the injection that was diagnostic to do the surgery.


That would be the anaesthetic wouldn't it not the cortisone. The cortisone wouldn't work for quite a few days.


Yeah that’s correct. Not sure exactly what kind it was, but that’s right. I had a heck of a time trying to get it figured out. One doctor said it hurt too much to be my hip but even after it started feeling a bit better it still wasn’t right so I went to a different doctor who basically said that it was moronic that they didn’t think it was my labrum because I was in too much pain. They did the injection and it was immediately better. Unfortunately that lasted for like a few hours and it was back to normal.




Did you end up having surgery on your tear?
I haven’t felt any relief so far. If anything it aches even more than usual although the sharp catching pain has gone..

Yeah I had both hips done. So I’ll be upfront, there have been people that have had a horrible experience with the surgery and they’ll say not to do it. I’m around 100 percent convinced how the surgery goes is based primarily on the surgeon and what method they were trained on and where they were trained. The doctor who did my hips was trained by Philippon, and it is about 90 percent of what he does, literally day in and out it’s almost the only surgery he does. I would not do this with someone who is a general ortho surgeon who says they can do it. There are people on here who say they still don’t feel good.

My perspective is they have never felt better. The really bad one was my left hip and that was torn off the bone but not actually torn so every time I would move it, it would roll off the bone and pinch. So he fixed both and also rerounded both of the hip bones and that was it. The left hip I started biking a day after surgery and actually was allowed to 10 weeks after, which is super early he normally wont do before 12 but he also didn’t have a reason not to because I had full ROM. The right I was biking same day, then we were in the middle of COVID so I kinda winged it on coming back and haven’t had any problems. I had knee surgery oct 2019 then same hip redone maybe 2 weeks before they stopped voluntary surgeries.

I haven’t had any problems, it’s been great and I would have no problem telling someone to get it done, with the caveat don’t let anyone try this out on you.
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Re: Cortisone advice [Grantbot21] [ In reply to ]
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Grantbot21 wrote:
Dynamichipgirl wrote:
Grantbot21 wrote:
zedzded wrote:
Grantbot21 wrote:
Dynamichipgirl wrote:
Grantbot21 wrote:
What is the reason for the injection? Do they know what’s actually wrong?


To be honest it’s a very complex case that’s been over 2 years in the making. Basically my surgeon is ticking all the boxes and trying to figure out what’s causing the pain. This injection was to see if it’s within the hip joint or coming from the labral tear


They should be able to diagnose that easily. They did a injection into my hip and within 5 minutes it felt perfect. With the MRI showing a tear plus the injection that was diagnostic to do the surgery.


That would be the anaesthetic wouldn't it not the cortisone. The cortisone wouldn't work for quite a few days.


Yeah that’s correct. Not sure exactly what kind it was, but that’s right. I had a heck of a time trying to get it figured out. One doctor said it hurt too much to be my hip but even after it started feeling a bit better it still wasn’t right so I went to a different doctor who basically said that it was moronic that they didn’t think it was my labrum because I was in too much pain. They did the injection and it was immediately better. Unfortunately that lasted for like a few hours and it was back to normal.




Did you end up having surgery on your tear?
I haven’t felt any relief so far. If anything it aches even more than usual although the sharp catching pain has gone..

Yeah I had both hips done. So I’ll be upfront, there have been people that have had a horrible experience with the surgery and they’ll say not to do it. I’m around 100 percent convinced how the surgery goes is based primarily on the surgeon and what method they were trained on and where they were trained. The doctor who did my hips was trained by Philippon, and it is about 90 percent of what he does, literally day in and out it’s almost the only surgery he does. I would not do this with someone who is a general ortho surgeon who says they can do it. There are people on here who say they still don’t feel good.

My perspective is they have never felt better. The really bad one was my left hip and that was torn off the bone but not actually torn so every time I would move it, it would roll off the bone and pinch. So he fixed both and also rerounded both of the hip bones and that was it. The left hip I started biking a day after surgery and actually was allowed to 10 weeks after, which is super early he normally wont do before 12 but he also didn’t have a reason not to because I had full ROM. The right I was biking same day, then we were in the middle of COVID so I kinda winged it on coming back and haven’t had any problems. I had knee surgery oct 2019 then same hip redone maybe 2 weeks before they stopped voluntary surgeries.

I haven’t had any problems, it’s been great and I would have no problem telling someone to get it done, with the caveat don’t let anyone try this out on you.


Glad to hear you had success with both hips. Yes I’ve read the horror stories! :-(
If I don’t get any relief from this injection I don’t think my surgeon would consider any more surgery as he would assume the pain isn’t coming from the tear..then I’m back to square one! I don’t know how much more physio I can take haha
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Re: Cortisone advice [Dynamichipgirl] [ In reply to ]
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Other rarer causes of hip pain include entrapment of pudendal nerve, entrapment of superior/or/inferior cluneal nerve, piriformis syndrome, and issues with the multiple bursas that surround the hip (GT, illiopsoas, gluteal med) -but if you've had that injected that decreases probability.
Referred pain from SIJ, or lumbar facets can also trigger pain to medial groin.
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Re: Cortisone advice [dayvic] [ In reply to ]
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dayvic wrote:
Other rarer causes of hip pain include entrapment of pudendal nerve, entrapment of superior/or/inferior cluneal nerve, piriformis syndrome, and issues with the multiple bursas that surround the hip (GT, illiopsoas, gluteal med) -but if you've had that injected that decreases probability.
Referred pain from SIJ, or lumbar facets can also trigger pain to medial groin.


A couple of my scans have stated that I have some mild glute med/trochanter tendinopathies bilaterally but each professional I’ve ever seen doesn’t think this would cause me that much pain. Plus I’m doing all the physio/strength stuff to target that just in case.
I have no lateral pain
Everything else’s comes back as ‘unremarkable’ including SIJS. Nerve conduction studies all negative.
I’m being to lose hope!
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Re: Cortisone advice [Dynamichipgirl] [ In reply to ]
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Your surgeon sounds like he’s using the same moron logic the first doctor I saw did. I was originally going to see the guy who did my surgery but he had a wait and I was able to see a different doctor. They said nearly the same thing. It shouldn’t hurt that bad, with all the medicine you’re on it doesn’t make sense that it would be a labral tear, other things are more likely based on other scans, blah, blah blah. They gave me prednisone and it actually helped out for a bit but it was never completely better and started to hurt more again.

I went back to the doctor who I was going to see originally and saw his PA. I told her what happened and she’s like are you kidding? That is one of the dumbest things I have ever heard, we have people who are completely fine with no pain and people who can’t walk and are in excruciating pain. The pain level has nothing to do with if it’s actual due to the tear. That’s when they gave me one of the lidocaine or whatever Caines injections and said give this 10 minutes and I’ll be able to tell you if this is the problem. In both of those scenarios the injection and the prednisone it started hurting again. All those are doing is masking the underlying problem.
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Re: Cortisone advice [Dr. Tigerchik] [ In reply to ]
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Dr. Tigerchik wrote:
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Thanks for the info. Did you get the shot into the actual tendon or the hip joint? Did it help at all? :-)

I'm not an expert in hip anatomy, but the needle went into what I think was the tendon sheath to get the stuff under the tendon sheath. I envisioned it surrounding the tendon, but I don't know if that's the anatomy. It was near where the psoas tendon goes into the ball part of the hip joint ( on the femur bone) if that answers your question. Yes, it worked, knock on wood. Keep us updated as to how you are, okay?


Well, a week later and the pain is worse than ever…it’s a never ending saga with my hips…I’m glad yours seem to work out all ok!
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Re: Cortisone advice [Dynamichipgirl] [ In reply to ]
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I'm really sorry. I hope it settles down. Maybe it just needs more time for the shot to work.

maybe she's born with it, maybe it's chlorine
If you're injured and need some sympathy, PM me and I'm very happy to write back.
disclaimer: PhD not MD
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Re: Cortisone advice [Dynamichipgirl] [ In reply to ]
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Dynamichipgirl wrote:
trail wrote:
I don't have the experience you want, but it might be helpful to supply the nature of the problem (e.g. chronic arthritis vs. recovery from acute injury) and the desired outcome (e.g. just get through some upcoming event vs.seeking long-term improvement)




Thanks- good idea . The issues are very complex but long story short, after suffering a stress fracture 2 years ago which has been fully healed for a long time I’m still in daily discomfort and sometimes downright pain. I have labral tears in both hips so the injection will also act as a diagnostic to see if my pain is coming from them or they are asymptomatic and the pain is more muscular/tendon/strength related etc
Have done over a year of PT- gained so much strength but still not able to run very much and cycling is very irritating. Sometimes I can go for weeks without much pain but the past week or two I had a flare up and was hobbling around for a while (nothing particular set it off)
There’s also a lot of tendinitis and bursitis around the hip laterally but generally pain is front/groin

I have had bilateral hip labral tears - both have been arthroscopically repaired with great success. Pain was always in the front/groin, constant, achy, worse with walking, running, biking, and breastroke swimming, one hip also had mechanical catch on hip external rotation. The diagnostic arthrogram ( with lidocaine) was a pretty good indicator that the pain was coming from the joint itself (pain recurred as soon as lidocaine wore off).

I have had a total of 6 steroid injections into my right shoulder (subacromial bursa) over the past 6 years for supraspinatus tendinopathy/impingement, onset is usually in a few days and pain relief lasts maybe a month or 2. Biggest risk is re-injuring things while pain free.... I have also had about 4 steroid injections into my L4-5 and L5-S1 facet joints for facet arthropathy over the past 3 years. These work great and overall now the relief lasts 7-8 months.

Two wheels good. Four wheels bad.
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