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  • Q&A with Australian Health Practitioners

    Should I get advice from another specialist?

    Related Topics
    Musculoskeletal Health Sports Injuries & Prevention
    4 months post op done by one of Sydney's best Orth. Surgeons, for a hip labral tear repair, a 20 min walk is still painful (5/10 tolerance). Should I seek a second opinion, try 6 months total rest or just get used to it?
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    Thanks

    Brian Lee

    Physiotherapist

    I graduated from the University of Melbourne in 2004 and have worked in various healthcare settings, including primary care, private practice and community health services, … View Profile

    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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  • 1

    Agree

    Trevor Giblin

    HealthShare Member

    Thank you very much Brian

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    Thanks

    Brian Lee

    Physiotherapist

    I graduated from the University of Melbourne in 2004 and have worked in various healthcare settings, including primary care, private practice and community health services, … View Profile

    no worries, anytime, hope you get better soon

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  • Dr Amir Kalanie

    Orthopaedic Surgeon

    Dr Amir Kalanie is a Fellowship trained orthopaedic surgeon with further sub-specialist training in Hip and Knee replacement and Arthroscopic Hip surgery. He migrated to … View Profile

    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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