#hip impingement

[disability-shout-outs]

Shout out to folks with Femoroacetabular Impingement/Hip Impingement!

[heartfucksmouth]

welp my MRI of my hip shows bursitis and tendinosis of my glutes, no visible labral tear (it only showed up on CT 2 years ago) and it didnt mention impingement this time, but I had an FAI with CAM impingenent 2 years ago. x rays still show the bone spur so im assuming things are the same.

I also have scattered bone islands in my pelvis, and they could clearly see that my uterus is enlarged and there are multiple cysts in my myometrium (more evidence of adenomyosis) and a separate MRI focused on the area was advised.

so, like, yeah. a hip MRI has been more validating than almost any ultrasounds ive ever had (too. fucking. many)

[the-girl-with-hip-dysplasia]

Tips to Prepare for Labral Repair & Hip Impingement Surgery

Hey Guys!

I wanted to share my tips for preparing for labral repair and hip impingement correction surgery. If you've read some of my prior posts you may have seen that when the surgeon went into my hip he actually did not find a tear; my tissue was perfectly intact.

So even though I didn't get the labral repair, my prepping for surgery tips remain the same because that is the surgery I was preparing for. Also, as far as recovery, I'm still following the same protocol as someone who did get a labral repair because I still underwent a surgery and I still got the extra bone growth shaved down to address the hip impingement.

Okay so here are my Surgery Prep Tips:

Enjoy Life :) I decided to get my surgery before the start of summer because that worked best with my work schedule, but I was sad about having to miss out on many summer activities. I love the summer. So I did as many fun things as I wanted to do before the surgery so I wouldn't feel as sad about what I would be having to miss during recovery.

WORKOUT! Surgeons call this pre-hab. Strengthening the muscles surrounding your hips and legs as best you can will only help you during recovery. The muscle memory will still be there when you start physical therapy and start walking properly be there. During my first two weeks of PT, my PT asked if I was athletic because I was able to do the exercises better than she expected I guess lol

Eat Healthy. A few months prior to surgery I tried to kick my health stuff up a notch. I've already been trying to be more intentional about what I am eating over the past few years anyway, but 2-3 months prior to surgery I was trying to revv up my Vitamin C and Vitamin D. I drank green juices a few times a week, took a multivitamin each day, tried to eat a proper serving of vegetables each day, lowered my alcohol intake (probably a month before surgery), and tried to drink enough water each day to make sure my body was hydrated going into surgery.

Create a Peaceful Recovery Space. I knew I was going to be in my room majority of the day for a few months. So I decluttered my space and re-organized and/or added things that would be peaceful to look at (ex. my plants & candles)

Put Important Things within Reach. All of the things I would need, I tried my best to put within reach of my bed. I received a "grabber" in my hip kit from the hospital to help me grab things within reach since I wasn't able to bend or twist much.

Consider a Mini-fridge & Microwave in Room. I live in a 2-story apartment with the kitchen on a different floor than my bedroom so a mini-fridge in my room was essential. In there I had a brita water pitcher, fruits, and other things I wanted to snack on.

Consider a Removable Shower Head. I had got one, but didn't use it because I tried to install it the night before and I couldn't get the old shower head off. And then when I went to shower after surgery I was able to do so with help from my mom so I just let the removable shower head go, but install it if you can because it would be really helpful.

Ask Surgical Team about Hip Kit. So the social work team at the hospital handled ordering items to help me with recovery such as a shower chair and a raised toilet seat. They also told me that I would receive a Hip Kit from the hospital the day of surgery. This Hip Kit is VERY important because it includes items to help you reach for things and put on your clothes and shoes since you aren't supposed to bend much. BUT when I was done with surgery they were saying goobye and I was like "wait where is my hip kit?" They were looking at me like HIP KIT?!?! So apparently someone didn't communicate with the OT department who was responsible for putting the kit together and they had to put it together last minute because I wasn't leaving without one. If they don't provide one, you can order one online.

Stock up on Gatorade and Meal Prep. The gatorade has a lot of electrolytes to help w/ recovery (they even had me drink one the morning of surgery). I had my mom to cook for me, but even she got tired of cooking lol. It would have been nice if I cooked as much as I could and froze the meals to have them ready to go.

Get Ice Packs. I had a small ice pack, but needed to order a bigger one during my first week of surgery to cover my thigh and hip at the same time.

Have Things to Do. You may get REALLY BORED. I definitely did. So I made sure to have things ready to keep me busy. Books to read, shows/movies to watch, games to play, etc etc.

I hope this is helpful and if you have anything to include from your experience or have any questions feel free to comment 😊😊😊

[pernlover]

I think I'm going to have to give in and use the cane. It's hard because walking has always been something I enjoyed. But it has gotten so hard. I feel like I'll lose part of my identity if I lose the ability to enjoy walks. Plus I feel like people will judge me. And how will I still be sexy.

And my doctors are just like yep you need hip surgery but are not a candidate for it.

Yep your in extreme pain we can't do anything about it.

You will lose the ability to walk but that's just life.

And the only cane I could afford was a foldable one.

I have heard of pretty light up acrylic ones with like flowers in them. But I bet they are heavy and expensive.

[chaosundone]

Me: What if I’m just faking my chronic pain? Maybe I should test it.

*moves hip in just the wrong way, screams in pain*

Me: Nope, definitely not faking it. Also, I should stop doing that.

*five minutes later*

Me: ....

Me: But what if I’m faking-

[thegaitguys]

A return to "the Kickstand Effect". So your foot is turned out, externally rotated huh.

Why is my foot turned out ?  A 3rd return to the solitary externally rotated foot.

Below you will find our 2 prior articles on this topic, but this is a relatable concept to other thing which we have embedded in many of our blog posts and podcasts over the last decade of sharing what we know.

In the photo above the brave Army Veteran Sergeant Melendez one can see the concept brilliantly as he only has one limb.  One can see the concept in full play, he must balance his body mass over one point, not two like the rest of us lucky folk.  In trying to balance over one point, if the foot is straight forward (if one is blessed with close to neutral torsional bone alignment) one will have good stability in the sagittal plane (forward /back) but will be at risk to fall, drift or sway into the frontal plane. Here Sergeant Melendez displays the foot and limb turn out into the frontal plane so that he can use the quadriceps to help him protect into that frontal plane, plus, by situating his base posture in more of an externally rotated position (likely losing internal rotation capability over time, unless forcibly maintained through specific exercises) he can more fully and skillfully engage all 3 divisions of the gluteus maximus and medius, and perhaps hamstrings and adductors and who knows what else, to maintain a more stable and likely less fatiguable posture. Go ahead, try it for yourself, this is easier to balance and maintain that a straight sagittal foot posturing. The one trouble he might have, is not deviating too much, or too often, into a frontal plane drift hip-pelvis posture. This will put much aberrant compressive load onto the roof of the femoral head-acetabular interval, where most of us begin a degenerative hip arthritis journey, unfortunately. 

Side note:   So you might think your client has FAI ?  Maybe start here, our thinking might lead you done a helpful path to get started. Search our blog for FAI as well.

here are the 2 prior articles on the topic, with video.  Watch for this one, it is everywhere out in the world, walking amongst us.   Thank you for your service Sergeant Melendez.  Here is the article written by K. Thor Jensen, on Crave Online.  

https://thegaitguys.tumblr.com/post/14262793786/gait-problem-the-solitary-externally-rotated

https://thegaitguys.tumblr.com/post/40617674450/a-return-to-the-solitary-externally-rotated-foot

Shawn & Ivo, The Gait Guys

[v3mpirem0ney]

and ill say im im not scared because this is all ive ever wanted

[starkid2464]

You never realize how much you depend on your pelvis for like everything until it decides to give you chronic pain whenever you use it.