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tear of the right acetabular labrum
I was in a car accident 2 years ago and am still suffering with pain.....My last MRI show worsening of osteoarthritis of the right hip joint with high grade chondral loss and bone on bone contact.There is an extensive degenerative tear of the right acetabular labrum, which has progressed compared to 1 year ago is is now associated with a new smal paralabral cyst. There is also a new small right hip joint effusion. On top of that i have a severe degenerative disc disease at l3 and l4.....Prior to the accident i was very active, worked out at the gym 4-5 times per week, ran 4-5 km 5-6 times per week, played golf, walked, curled, very active... I contine to have pain in the glutes, lower spine, lower back and also sharp pain down the front of the right leg.....
I saw a surgen today and left very confused..... He advised me that my pain was from the arthritis that has set in and wants me on medication and to have another xray in 6 months.....He doesnt seem to be concerned about the tear...He told me to go back to do everything i was doing as long as it doesnt hurt....I see a chirprator,acupuncture and active release weekly, which help tremendously....I keep reading about surgery for the tear but he didnt even mention a possible repair, just said i would need a new hip at some time.... does this mean that the tear is probably beyond repair and will wait this i need a new hip.....
PS I am 61 but very active and have a high tolerance to pain.....what would you suggest.... I am thinking about seeing another surgeon.....I dont want to make the tear worse unless its beyond repair....
I saw a surgen today and left very confused..... He advised me that my pain was from the arthritis that has set in and wants me on medication and to have another xray in 6 months.....He doesnt seem to be concerned about the tear...He told me to go back to do everything i was doing as long as it doesnt hurt....I see a chirprator,acupuncture and active release weekly, which help tremendously....I keep reading about surgery for the tear but he didnt even mention a possible repair, just said i would need a new hip at some time.... does this mean that the tear is probably beyond repair and will wait this i need a new hip.....
PS I am 61 but very active and have a high tolerance to pain.....what would you suggest.... I am thinking about seeing another surgeon.....I dont want to make the tear worse unless its beyond repair....
Best Answer
Honestly I would seek a second opinion. Arthritis and tears are likely to get worse with age and you are more likely to recover better and return to activities when you have surgery at a younger age. You don't want to have to rely on pain medication. I would go see an orthopedic surgeon. Take your xray and MRI results or have them sent over from the doctor you are currently seeing. I just think that if you want to continue to be active for many years to come surgical intervention and then physical therapy (which doesn't take very long) is probably your best best.
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