#hip instability

[carapaced]

yall whenever I sit down if I clench my ass muscles I can feel something in my right hip socket slide closer to my body past the muscles and tendons and “click” into place but if I relax the muscles my hip slides back out to the side with another click. This is ofc accompanied by pain, soreness, and weakness on that side down to my ankle and also stiffness and pain in my lower back. Does this sound like a subluxed hip? Or SI joint issues? Just being sore? Lmk esp hyper mobility baddies

[mhael]

Hey so a few days ago I got an IUD put in a since I've been dealing with a lot of hip instability and pain which isn't something I usually struggle with and I can't really find any suggestions for it online so other hyper mobile folks any suggestions to avoid subluxing my hips while they're still being little bitches

[psoastoremember]

Hip pain and dysfunction are increasingly recognised as important causes of morbidity in younger and older adults. Pathology compromising the passive stability of the hip joint, including acetabular labral injury, may lead to increased femoral head translation, greater joint contact pressures and ultimately degenerative hip disease. Activation of hip muscles may play an important role in augmenting the stability in the normal and the passively unstable hip. Research at other joints suggests that the local, rather than global, muscles are well suited to provide subtle joint compression, limiting translation, with minimal metabolic cost. Based on the known characteristics of local muscles and the limited research available on hip muscles, it is proposed that the local hip muscles; quadratus femoris, gluteus minimus, gemelli, obturator internus and externus, iliocapsularis and the deep fibres of iliopsoas, may be primary stabilisers of the hip joint. Interventions aimed at restoring isolated neuromuscular function of the primary hip stabilisers may be considered when treating people with passive hip instability prior to commencing global muscle rehabilitation. Finally, further research is needed to investigate the potential association between function of the hip muscles (including muscles likely to have a role in stabilising the hip) and hip pathology affecting hip stability such as acetabular labral lesions.

[chronicallyinjured]

surgery/recovery.

I got to the hospital around 5:40, checked in and was sent down to the waiting room by 6am. There were two other people there and they were both so nice! I don’t know if it’s the whole “I’m getting surgery thing.” But everyone was friendly. After about ten minutes of waiting, we were all called back to the PACU. I had to change into a gown and booties. When the nurse finally came over to ask me questions, get my vitals, and start my IV, it was about 6:30 (maybe?). She was the sweetest nurse I’ve ever had. I loved her. And she thought I was the most hilarious person on the planet. She kept telling everyone that came over to talk to me that I was “a funny one.” Every time someone would ask if I was allergic to something, I’d say the sun— whoops. And when I was hooked up to check my pulse, it was 120 bpm. My Ortho was talking to me then and when he saw that, he was like “oh you’re nervous!” And I told him that I was just trying to beat the high score on the machine. Within like 30 seconds, it went down to 90 bpm which is my norm. He explained the surgery over again and said I’d be out of the OR by 10am (going back at 8). His resident came over and introduced himself and he asked if he could do anything. I said “it’d be wonderful if you could hook me up with some pain meds.” He thought I was joking but my whole body hurt so badly. Then he asked if I wanted to stay overnight and I was like “OF COURSE!” But then I didn’t. When I was taken back to the OR, the nurse anesthesiologist gave me fentanyl. That shit works so fast. Imagine being wheeled into an OR and seeing the traction table, haha. Even though I knew what to expect, it was still surprising. On top of that, there was a bunch of cute boys talking about my case in there. Like there was me and two nurses that were girls…everyone else was a cute guy. Not fair! Anyway, I laid there for about ten minutes while they set me up then I was out like a light for what turned out to be a three hour surgery.

So when I talked to the anesthesiologist beforehand, he said they were gonna wake me up with the breathing tube still in my mouth and told me not to freak out when it happened. I remember it happening and it’s one of the weirdest feelings. I felt like I couldn’t breathe at all and as soon as I wasn’t panicking, the doctor took it out. Then I was in and out of consciousness for like three hours. My mom didn’t come back till one then they made her leave about an hour after that. I couldn’t keep my eyes open to save my life but I was awake. All the nurses were great except for this one who kept yelling at me to open my eyes and wake up. I tried explaining to her that I was awake, I just couldn’t keep my eyes open. That didn’t work for her. And I was getting told to breathe more than eight times a minute. On top of that, I was so so nauseous. I couldn’t throw up though. It sucked. At one point, devil nurse was talking to the anesthesiologist about me and I was like “I can hear you!!” And the doctor came over to me and said “I didn’t say anything bad about you.” I know he didn’t. I just wanted him to know that I was, in fact, awake despite what it looked like. Ugh. This went on until 6pm when I was allowed to leave. It was a chore putting my clothes on over this goddam mammoth brace. But when I left, the in-take nurse came over and said bye to me. The ride home wasn’t that bad except for turns when my leg would roll. When I was at the hospital, I was initially in a lot of pain but I haven’t taken any pain meds since leaving except for an anti-inflammatory once a day. My hip is just really sore. I can’t move it by myself.

[chronicallyinjured]

hip ortho.

It went better than expected! Like I said, this guy was the one who did the first three surgeries on my knee. He was a jerk when he was treating me for my knee so I expected the same now. Not the case. He was really nice and ended up calling my house at 5:30 to apologize for rushing me. I actually didn’t feel rushed, at all. I felt the complete opposite. He also told me I could call him if I had trouble finding a doctor to treat me.

So…he can’t fix my hip. I didn’t expect him to be able to. I just wanted his opinion on what I needed to do. He thinks I need the surgery and doesn’t understand why my hip Ortho won’t do it. He said the tear is fixable and won’t heal itself. It’s obviously causing me a lot of pain so it should be fixed. He said my hypermobility doesn’t play that much into this. He said there’s three surgeons in the Philly that do hip scopes: two of them don’t take my insurance and the other is my current hip OS. Lucky me! His resident came back with another doctor’s name and when he read it, I was like “…the one in NYC?” He was so shocked that I knew who he was. I do my research, okay.

So the plan is to go see my hip OS and beg ask him to do the surgery. If not, I have no idea what I’m going to do because I can’t go to NYC to see a doctor and have surgery and I doubt that doctor takes my insurance if the ones here don’t. Ugh, insurance sucks.

Also, this Ortho said “you’re a mess” when talking about my knees and hip hurting. Then said “no surgeon would ever want to touch you” because of how many complications from surgery I’ve had. Oh, and he was inspecting my knee. He was talking to his resident about my knee Ortho’s technique and how it’s different from his. He said that my kneecap is very stable!

[chronicallyinjured]

PT wasn't that bad. I didn't do much. I did squats, bridges, some stretches, and some balance exercises. Then my physical therapist tried distraction on my hip which is basically pulling as hard as she could on my ankle to get my hip to come out of the socket some. Yeah, it hurt... a lot. It's supposed to help the impingement but I don't think it will.

[chronicallyinjured]

I am entirely TOO SORE from my PT eval yesterday. It definitely made me realize how much I've stopped using my leg. And I can tell that the cortisone has worn off a lot too. I can't even move my leg without pain. I'm not looking forward to real PT.