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caveman27

hip arthroscopy and hockey

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I have a hip arthroscopy coming up soon. I won't be able to do physical activity for awhile.

Anyone else have the procedure done and how long did it take before you were able to ice skate again?

 

I've had previous orthopedic surgeries in the past but not to the hip. I won't be going on the ice until the physical therapy is done.

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36 minutes ago, caveman27 said:

I have a hip arthroscopy coming up soon. I won't be able to do physical activity for awhile.

Anyone else have the procedure done and how long did it take before you were able to ice skate again?

 

I've had previous orthopedic surgeries in the past but not to the hip. I won't be going on the ice until the physical therapy is done.

i nearly had it done then went for a replacement as that was where i was going to end up anyhow. 3 months before I started skating again, 3 months after that before things started to work ok again so 6 months in total for bilateral hip replacements. If I had had the arthroscopy the surgeon said it was 6 weeks off before I could skate again and then it was up to me how fast I recovered.

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2 hours ago, Vet88 said:

i nearly had it done then went for a replacement as that was where i was going to end up anyhow. 3 months before I started skating again, 3 months after that before things started to work ok again so 6 months in total for bilateral hip replacements. If I had had the arthroscopy the surgeon said it was 6 weeks off before I could skate again and then it was up to me how fast I recovered.

Did your hip issues cause muscle tightness?

I had a cortisone shot in my hip and that made things better. Pain went away. For a while, I started getting lower back tightness, hamstring and glut tightness to where I couldn't do leg workouts in the gym. I could play hockey, but I would start the game off a bit tight and need to stretch after each shift.

I hope the surgery will get rid of the tightness long term.

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3 hours ago, caveman27 said:

Did your hip issues cause muscle tightness?

I had a cortisone shot in my hip and that made things better. Pain went away. For a while, I started getting lower back tightness, hamstring and glut tightness to where I couldn't do leg workouts in the gym. I could play hockey, but I would start the game off a bit tight and need to stretch after each shift.

I hope the surgery will get rid of the tightness long term.

I had some small limitations for a while but a long term niggling strain in the front of the groin that wouldn't go away was the main issue (every time I worked hard skating backwards it would flare up). This led to xrays after acupuncture and rest didn't work and a sad diagnosis. An MRI picked up some extension on the edge of the socket and this is what the arthroscopy was going to be for to give me more freedom of movement and stop the pinching on the bone but I had bigger issues that needed to be dealt with. So before everything turned to crap and I was still really fit, I skipped the arthroscopy and had the hips done. Is it the socket and or ball with the cartilage getting lifted or the edge of the joint? 

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7 hours ago, Vet88 said:

I had some small limitations for a while but a long term niggling strain in the front of the groin that wouldn't go away was the main issue (every time I worked hard skating backwards it would flare up). This led to xrays after acupuncture and rest didn't work and a sad diagnosis. An MRI picked up some extension on the edge of the socket and this is what the arthroscopy was going to be for to give me more freedom of movement and stop the pinching on the bone but I had bigger issues that needed to be dealt with. So before everything turned to crap and I was still really fit, I skipped the arthroscopy and had the hips done. Is it the socket and or ball with the cartilage getting lifted or the edge of the joint? 

Edge of the joint, minor labral tears and cam bone spur.

I did a lot of weight lifting through the years and heavy barbell squats was a regular/weekly thing. I played the goalie position too, but didn't play butterfly style.

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14 hours ago, caveman27 said:

cam bone spur.

Yeah, that's what I had plus a flattened femur head. I played a lot of basketball and pro football with a lot of hard ground running, current research shows competitive / pro level hard surface athletes playing through their teenage years have a significantly higher percentage of femur head deformation than soft surface athletes. Surgeon reckons if they had got to me 20 years earlier they could have saved the cartilage and helped prevent osteoarthritis in the joint. From everything I was told it's worth getting the spur removed for the primary reason that it should help to reduce inflammation in the cartilage and hence cut the risks of problems in later life. Good luck with your recovery if you get it done, if you go in fit and healthy you come out the other side much easier.

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20 hours ago, Vet88 said:

Yeah, that's what I had plus a flattened femur head. I played a lot of basketball and pro football with a lot of hard ground running, current research shows competitive / pro level hard surface athletes playing through their teenage years have a significantly higher percentage of femur head deformation than soft surface athletes. Surgeon reckons if they had got to me 20 years earlier they could have saved the cartilage and helped prevent osteoarthritis in the joint. From everything I was told it's worth getting the spur removed for the primary reason that it should help to reduce inflammation in the cartilage and hence cut the risks of problems in later life. Good luck with your recovery if you get it done, if you go in fit and healthy you come out the other side much easier.

pro football???  do tell!!!!

 

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Played in the UK for a few years when I was 16. 2 bad tackles later, doc said if it happened again they might not be able to put my right ankle back together properly so I had a choice, be able to walk properly on 2 feet or the possibility of just one. I took the former and quit. But the damage was done and despite all my rehab over the years, when skating the outside edge on my right foot is sometimes really weak when I unlock the ankle.

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13 hours ago, Vet88 said:

Played in the UK for a few years when I was 16. 2 bad tackles later, doc said if it happened again they might not be able to put my right ankle back together properly so I had a choice, be able to walk properly on 2 feet or the possibility of just one. I took the former and quit. But the damage was done and despite all my rehab over the years, when skating the outside edge on my right foot is sometimes really weak when I unlock the ankle.

Oh... so you mean the OTHER football....   

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1 hour ago, dkmiller3356 said:

I just can't watch, it's my deal.  

same here, boring af. Flopball is what my kids call it with all the diving and theatrics that go on these days. Last good thing that happened was when Eric Cantona kung fu kicked a fan, that was brilliant.

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I got the hip arthroscopy done and am walking around without crutches.

They didn't shave off the cam bone spur. Doctor didn't think it was necessary after looking at it from the arthroscope. No labrum was torn so it didn't need to be reattached, but the edges were rough so that was shaved down.

He saw a lot of arthritis so hip replacement is in my future.

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7 hours ago, caveman27 said:

He saw a lot of arthritis so hip replacement is in my future.

Hopefully they may have something better in the future for this. There is a lot of research going into cartilage regeneration and arthritis cures but I'm not sure we will see it in our lifetime. I researched this for around a year before I picked a surgeon and the implants. Critical deciding factor for me was how many ops the surgeon had done and did he do them all the time, every day, not just once or twice a week. The main reason for failure in implants is due to misalignment (which causes edge wear and early failure) and that comes down to the skill of the surgeon during placement. Went for Birminghams which was a good move given the issues that developed with Depuy and other brands. 8 years on and still playing hockey at a reasonable level.

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I had the same experience as dkmiller.  Labral repair and impingement in the hip socket.  Doctor said 6 months before I was back to normal, but it was actually closer to 1 full year before I was 100%.  I still experienced a lot of soreness at the 3-6 month mark, but that eventually went away.

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I'm also a candidate for THR, but I've been trying to postpone it as long as possible by limiting my skating time, always using the door instead of hopping over the boards, and doing my hip exercises on my gym leg days. It hadn't been bothering me for the last 2 years until a couple of weeks ago because I gradually started skating too much again, between my own games, subbing for other teams in my league, and sticks & pucks once or twice a week. Skipped my last 2 games to rest the last 8 days hoping it would calm down again. Got a game tonight. If it's still an issue, going to rest 2 full weeks this time and hope it goes back to where it was until it flared up again. 

If I do it, it's going to be Birmingham resurfacing instead of THR; but I'm scared shitless about any major surgery where they paralyze you, because of the nightmare scenario of anesthesia failure with no way to communicate that you're awake and feeling everything. (It's rare, but if you're one of the thousands of people to whom it happens annually,* the fact that it's "rare" isn't much help while you're the one enduring something as bad as any Medieval torture for 2 hours.) I'm also pretty sure that it will be at least a full year before I'd be playing again and I dread having to start all over (again), so just trying my best to appreciate and enjoy playing as much as possible right now.

*[Just trust me on this so I don't have to dig up links to the the peer-reviewed JAMA and NEJM studies. It does happen, and much more often than anybody considering surgery would like to believe.]

 

 

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6 hours ago, YesLanges said:

 the fact that it's "rare" isn't much help while you're the one enduring something as bad as any Medieval torture for 2 hours.) I'm also pretty sure that it will be at least a full year before I'd be playing again and I dread having to start all over (again), so just trying my best to appreciate and enjoy playing as much as possible right now.

Eeek, thank goodness I go out like a light. That sounds goddamn horrible and a THR is one of the most brutal surgeries around. My epidural stopped working about 12 hours out of surgery and I was climbing up the wall in pain until it started again after 30 minutes. I had a bilateral op in April, was skating again by August but nothing worked as it should. Played some pick up in December but was slow af. Around Feb / March I was getting close to pre op skill base and fitness but I did skate every day since August so that was 8 months of hard rehab.

When you do go, talk long and hard to your surgeon about how they will reconnect your muscles, inward pointing feet are a bitch to deal with because not enough finesse was taken when they restitched the muscles back together (assumes a rear entry approach).

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Scott Marwin is the guy I'd have do it; he uses a direct lateral approach. But I'm still hoping to go as long as possible without it. Played well tonight and feel pretty good so far; will have a better idea sleeping tonight and seeing how it feels tomorrow. I'm amazed that you were skating again in August. One of my teammates also started skating again only 2 or 3 months after his resurfacing and he was playing again in 6 months. I know that's not me, though: slow healer and I'd need to be back in whole-body shape first, not just skating. I feel like I'll be lucky to be playing again after a full year.

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25 minutes ago, YesLanges said:

Scott Marwin is the guy I'd have do it; he uses a direct lateral approach.

You are in good hands there. Others you may want to consider are Michael Clarke at Syracuse Orthopedic Specialists and Edwin Su at Hospital for Special Surgery. Edwin is a world leader and resurfacing is one of his specialties. He has done a number of sports people, including an NHL player, and I seriously considered seeing him when I was looking for a surgeon but cost was the issue as my insurance would not cover anything for a US based op. They know a lot more now due to the recall issues so its a pretty mature, stable op now with really good results (in the right hands).

 

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I'm back on the ice.

I played on pick-up game and got onto a team and played one game. We don't have a game this week but I skated today during an open skate time. Hip feels fine. I'm still getting lower back, butt and hamstring muscle tightness so its possible I have sciatica. In last week's game, I had a tingling in my right calf while skating for a couple of seconds. Aside from that, my cardio endurance is trash. I got pretty tired in third shift because I was skating hard every shift... as I got onto a new team and don't want to look like a slow mover.

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