vicarz: (DL)
[personal profile] vicarz
(cross posted from gymrats)
I've been diagnosed with a "labral tear" in my hip. I'm contemplating surgery, as they tell me there are 3 options: 1) do nothing and work around it, 2) cortisone shot, or 3) surgery. I have never experienced or heard of a benefit from a cortisone shot. Lifting weights has become very important to me, more so since I learned a bit more about how to do it properly (or less wrong, depending on your perspective).

I contemplated doing nothing as I could go through most of my life without having 300 lbs on my back or in my hands, the only thing that normally results in pain. I talked to a PT group linked with an orthopedic surgeon, and they confirmed there is nothing I can do to make the big lifts happen that I'm not already doing. The tear will not repair on its own.

The surgery is endoscopic but has a very long recovery time. They go into the ball and socket joint, remove frayed cartilage, suture the cartilage back to the bone, and in cases like mine shave the bone down where needed to prevent the impingement that damaged the material in the first place.

In worse cases than mine, they have to remove bone spurs - I have none (seen) of those, but my ball and socket joint is not formed properly, with my leg bone not having enough of a dimple (divot?) so when I am in a deep bend/squat, the bone is impinged and pulls out of the socket - hence the tear.

I was pursuing whether there were ways I could avoid the surgery and still do olympic lifts. My squat is back up to record for me levels, but causes "bad pain" particularly on or after heavy-to-me lifts - worse with full depth, worse even on light squats after heavy ones. I cannot do conventional deadlifts without significant pain, but with my sumo variant I'm at or near my old records as well. I don't feel like sumo is getting the same work level as conventional.

I'm also hitting the point I notice the pain more in my day to day life, getting out of a chair, standing, bending over and picking up items from the floor.

I can schedule in a 4-6 week timeframe (the surgeon I consulted with takes a month in advance minimum to clear up insurance issues). He suggested and I'm contemplating a 2nd opinion, focusing on doctors with experience with athletes. Someone in the gym recommended http://www.c-o-r.com/phys-microsite/parker-index.asp but I'm (pardon my politics here) hesitant because his record shows a "fellowship at Baylor" which makes me uneasy (I prefer, where possible, to spend my money with parties whose politics align or do not oppose one another - and I'm socially liberal leaning). He works with the local racist named football team, a positive for experience and perspective, a negative for displaying the racist name during a time it's been called into question (though not a big deal to me). That stupid blurb above aside, seems worth mentioning but overall if he's significantly the best for the job I'll run with it/him.

It appears the surgery is relatively young, 10 years or so in practice, where before the issue was often misdiagnosed as a "groin pull." I'm concerned the doctor may matter a great deal, more so when I do internet searches and some appear to remove tissue while others are more focused on reinforcing and reattaching as much as possible for use.

Failure to treat appears to result in arthritis over time.

I was thinking about working around it, but as my bud is blowing by me on most lifts, I have had significant progress with my bench press after overcoming an issue with shoulder and elbow pain. It's been well over a year, and I had forgotten what it was like to just struggle with motivation, discipline, and overcoming meat vs. weight battles - regular strength growth, rather than micromanaging 18 muscle groups to lift without giving into the feeling of being stabbed in the ass by an invisible midget. Half the battle on squats is not tipping sideways to let the not-in-pain side carry more of the weight / instinct to reduce load on the leg that has sharp pain. I am starting to imagine what it might be like to just fight normal strength gaining battles where the pain is just muscle strain instead of tearing, burning, and stabbing.

Anyone have knowledge or experience in this area they can share?

Date: 2014-09-15 08:53 pm (UTC)
From: [identity profile] djpsyche.livejournal.com
Sounds like getting a second opinion from this guy won't hurt. You don't have to go with him for the surgery. (And perhaps you could try to tease out his political leanings during the consultation.)

Date: 2014-09-15 09:04 pm (UTC)
From: [identity profile] vicar.livejournal.com
"But I thought you said to hump your leg! My bad, twinkles!"

Appropriating women's genitalia since 2014

Date: 2014-09-16 01:50 am (UTC)
From: [identity profile] seaopaque.livejournal.com
Will the labia joke ever get old? To you, I mean. It's old to me.

Re: Appropriating women's genitalia since 2014

Date: 2014-09-16 02:00 am (UTC)
From: [identity profile] seaopaque.livejournal.com
p.s. I do appreciate the further background on your pain/problem/options/etc. Or the consolodation here. Or maybe I just needed it repeated four times for me to get it...

Re: Appropriating women's genitalia since 2014

Date: 2014-09-16 08:52 am (UTC)
From: [identity profile] vicar.livejournal.com
Well it's just some medical issue - not terribly interesting. If you didn't pay attention it would be weird if I was offended.

Re: Appropriating women's genitalia since 2014

Date: 2014-09-16 08:51 am (UTC)
From: [identity profile] vicar.livejournal.com
I'm not mature, so it probably won't get old. I don't like the sexist sound though so I won't run on about it for long. Buried in it is the usual meta mockery of sexism in the gym, where more and more women are not just doing olympic lifting, but being really good at it. It's sort of like my harping about racism.

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