Hip arthroscopy (removal of excess bone at ball joint)

[giw12]

I had the above procedure on Monday and all I can get from the consultant are worst case scenario recovery times as it's a relatively new procedure.

Would be great if anyone who's had one or knows someone who has could give me an idea of how long I'm likely to be on crutches.

Ta.

[deevlash]

its probably totally irrelevant to your situation but when I had an arthroscopy on my knee to trim off some cartilage and a cyst I was back walking around within a week and back to work in 2. They had to slice part of my knee open too so it wasnt just an arthroscopy. It took about 6 months until I could properly bend it and it was back to normal again though.

[996 sps]

What did they remove?

If you can get yourself to a pool and try doing some mobility exercises this will help your recovery.

[giw12]

The ball at the end of the femur wasn't ball shaped. It was too big and hitting the socket within the limits of normal movement. The cartilage was also taking a bit of a pummelling.

I've got some hydrotherapy arranged for next week so hopefully that'll speed things up.

[996 sps]

Well thats good news then hydro will get things moving, also get some isometric strength in by doing static quad holds (just tensing your leg up pushing knee cap into the floor and bracing) hold for 10 seconds and relax. get some theraband and keep working your calfs and keep working your glutes with clam shells (look up glute exercises on search engine).

This should lower your recovery time......

[HRG.]

Static quad holds??? Are you a physio or orthopod? I'd question that immediately after arthroscopy.

[996 sps]

I Work in sports rehabilitation.......

[HRG.]

Wouldn't something non-weioghtbearing be safest till he's off crutches?

[996 sps]

Static quad holds are non-weight bearing as is theraband calf extenstions as is clam shells (no weight bearing until told otherwise by a clinican), mobility in the pool is non-weight bearing as you use the bouyancy of the water too raise the leg (move the hip joint)in abduction, extenstion and flexion.

Hydro will assist you know end.


All these exercises will prevent complete muscle wastage and keep the time period down until your moving again.....

[giw12]

Thanks for all the info...I've been advised that I should put no more than 25% load on the operated side for a couple of weeks, but to behonest I'm going a little bit beyond this at the mo with no problems at all. (fyi...this website has all the exercises listed http://www.damiangriffin.org/rehab.html )

The reason for my question really is that in Germany they take your cructches away after 2 weeks but in UK it's more likely to be 6 weeks. I much prefer the sound of the former given that I need to have my other hip done as well.

Edited by giw12 on Sunday 2nd August 18:20

[996 sps]

Well thats a hard question reference removal of crutches as everyone recovers so differently after ops, its between you and your clinican and without seeing you its hard to give someone that advice over the internet.

Can't see the website you've listed but glad you've got some direction for your injury.

[artywiz]

Hi there, I had the same procedure carried out in March this year, unfortunatly they couldn't address the FAI issue and only managed to trim the labrum, I had further open surgery 3 months ago to remove the bony part.....still sore :-(. With the arthroscopy I had basic exercises for about 6 weeks then just gradually went back to normal activities.

With this surgery though I have got physio and also start Hydrotherapy in a weeks time.

For the first op I was on 2 crutches for about 3 weeks, weaned down to one and then none, I found I didn't need them around the house after about 3 weeks. Its dependent on your pain levels I guess, with the surgery I've just had I had to treat it like a fracture initially due to the amount of bone they removed.

Edited by artywiz on Tuesday 4th August 13:02

[giw12]

artywiz said:

Hi there, I had the same procedure carried out in March this year, unfortunatly they couldn't address the FAI issue and only managed to trim the labrum, I had further open surgery 3 months ago to remove the bony part.....still sore :-(. With the arthroscopy I had basic exercises for about 6 weeks then just gradually went back to normal activities.

With this surgery though I have got physio and also start Hydrotherapy in a weeks time.

For the first op I was on 2 crutches for about 3 weeks, weaned down to one and then none, I found I didn't need them around the house after about 3 weeks. Its dependent on your pain levels I guess, with the surgery I've just had I had to treat it like a fracture initially due to the amount of bone they removed.

Edited by artywiz on Tuesday 4th August 13:02

Thanks for the info Arty. I had my frist hydrotherapy session this morning (one week post op) and the physio was pleased with my range of movement and lack of pain/discomfort. Starting to phase out the crutches after 3 weeks sounds like a realistic target to me.

p.s. were you 'done' at North Downs if you don't mind me asking?

[artywiz]

Nah mate Nuffield Orthopeadic centre in Oxford. There aren't that many orthopods around that actually do the hip scope. I had a cam fai so sounds similar to yours and yes it looks like the other joint is on it's way out as well...but at least it should hold off the hip replacements for a while! I've had to wait till my 8 week check before I got referred to physio hence only just starting....

A good website to look at also is http://www.injuryupdate.com.au/forum/forumdisplay.... loads of other people to compare with!

[giw12]

artywiz said:

Nah mate Nuffield Orthopeadic centre in Oxford. There aren't that many orthopods around that actually do the hip scope. I had a cam fai so sounds similar to yours and yes it looks like the other joint is on it's way out as well...but at least it should hold off the hip replacements for a while! I've had to wait till my 8 week check before I got referred to physio hence only just starting....

A good website to look at also is http://www.injuryupdate.com.au/forum/forumdisplay.... loads of other people to compare with!

Lots of people in quite a bit of pain...poor sods. Fortunately I was never in anything more than discomfort and went to get things checked out as my grandfather had a total of 9 hip replacements and I was worried there was something genetic at play. And there was, hence last Monday and the right side on 21st September. Sounds much better than new ships though.

[artywiz]

Aye, especially at a reasonably young age, mind you they reckon that the hip replacement patients recover quicker than us that have had the bone re-shaped!

[jules_s]

996 sps said:

Static quad holds are non-weight bearing as is theraband calf extenstions as is clam shells (no weight bearing until told otherwise by a clinican), mobility in the pool is non-weight bearing as you use the bouyancy of the water too raise the leg (move the hip joint)in abduction, extenstion and flexion.

Hydro will assist you know end.


All these exercises will prevent complete muscle wastage and keep the time period down until your moving again.....

Interesting post that.

I'm in no way quetioning your knowledge/experience here so please don't take offence

I had a knee arthroscopy about 7 years ago. The main focus of physio afterwards was an 'excercise' whereby I would position myself against with my back against a wall, in a sitting position (but no seat) I was then instructed to 'stand up' keeping my back against the wall. The idea was the friction against the wall would help to build up my quads.

I've no idea what the above means in relation to your advice above, but before you advise such a procedure I would suggest you do some further research into the patients possible other 'problems'

For me, roll on 7 years and i've been diagnosed with AS (I know I keep banging on about it, but I couldn't give a st when I read advice given willy nilly on the 'net - no offence meant again)

With hindsight my physio for my knee in isolation of my back was, lets just say, 'unfortunate'

[996 sps]

jules_s said:

996 sps said:

Static quad holds are non-weight bearing as is theraband calf extenstions as is clam shells (no weight bearing until told otherwise by a clinican), mobility in the pool is non-weight bearing as you use the bouyancy of the water too raise the leg (move the hip joint)in abduction, extenstion and flexion.

Hydro will assist you know end.


All these exercises will prevent complete muscle wastage and keep the time period down until your moving again.....

Interesting post that.

I'm in no way quetioning your knowledge/experience here so please don't take offence

I had a knee arthroscopy about 7 years ago. The main focus of physio afterwards was an 'excercise' whereby I would position myself against with my back against a wall, in a sitting position (but no seat) I was then instructed to 'stand up' keeping my back against the wall. The idea was the friction against the wall would help to build up my quads.

I've no idea what the above means in relation to your advice above, but before you advise such a procedure I would suggest you do some further research into the patients possible other 'problems'

For me, roll on 7 years and i've been diagnosed with AS (I know I keep banging on about it, but I couldn't give a st when I read advice given willy nilly on the 'net - no offence meant again)

With hindsight my physio for my knee in isolation of my back was, lets just say, 'unfortunate'

Offence taken to be honest, as you would have read my previous posts you would have seen I stated between you and your clinican. Wall slides which is the exercise you have stated is weight bearing exercise so to advance for someone you can not assess, the exercises I have mentioned get given to most people in a hospital bed, static quads are just a case of bracing up your thigh and holding for 10 seconds, works the VMO mainly which helps track the patella (knee cap) correctly (one of the main muscles which waste with lack of movement). As for hydro I've taken people in some poor states in the pool and they can pull off amazing movement because of the properties of water. I stand by my advice as I know its non-weight bearing and hydro is one of the first activities to improve mobility.

Sorry to hear you have AS, but does the above mean your physio diagonised you incorrectly?