Thanks
Physiotherapist
If you could still notice gradual improvement over the past 2 months, then I would suggest that you wait for another few months or until the improvement plateaued before seeking professional opinion.
But if it's the case that no improvement has been observed over the past 2 months, you probably need to investigate whether the pain you experience is truly from acetabular labrum. Adjacent ligaments and muscles or even overstress of joint/bone may give you similar discomfort. To confirm where the issue is from, coordinated care between physio and GP should be able to exclude these mentioned structures, once these structures are addressed (if identified to be part of the problem) but pain still persists, then we can have more confidence in thinking the pain is more likley from acetabular labrum, this is when you should speak to your surgeon or get a second opinion.
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to your account or now (it's free).Agree
HealthShare Member
Thank you very much Brian
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to your account or now (it's free).Thanks
Physiotherapist
no worries, anytime, hope you get better soon
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to your account or now (it's free).Orthopaedic Surgeon
Dear Trevor,
Brian has made some very good points. From a surgical prespective you definitely want to see things improving by three month, although things can continue to improve up to 6-9month. There is always reason for pain. As Brian says, address sorrounding structures, rest, physio, NSAIDs, if all that fails over the next 2-3month reassesment of the joint would be smart. Reasons for ongoing pain include scarring at the site of labral repair (commonest cause of revision surgery, paper presented at the hip arthroscopy society meeting here in Sydney), the next commonest from surgical prespective could potentially be (not saying this is the case, only examining you and looking at up to date scans can tell) presence of excess bone on the femur or acetabulum that continue to crush the labrum, general synovitis and Ligamentum teres tears (which can positively respond to intra-articular cortisone injection) wrap up the top reasons for reoperation. Anyway hope you getting better, good luck.
Regards
Amir Kalanie
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