I am considering a hip arthroscopy for treatment of a labral tear of the hip. has anyone had this done?

Question:

Amount of pain after surgery?
Any permanent limitations?
How long out of work?

Answers:
I've never had this procedure but I've been in the OR during one and so cannot speak from personal experience. That said, it depends on the extent of the tear. Assuming it's minor (and it probably is since you're having arthroscopy), your recovery time should be relatively short as opposed to an open procedure. Your pain should be moderate and controllable with pain meds. You will be given a prescription for those. Possible complications include infection (you may also be prescribed an postop antibiotic), nerve damage to the sciatic or pudendal nerve, potential injury to surrounding structures at the hip and continued pain even after surgery. But the rate of these complications is low but you will be informed of all this at the time of consent. The good things about arthroscopic surgery is that you should have an early recovery, early and/or accelerated rehab and could be back on your feet in 6 weeks (generally speaking) if you follow all postop instructions. Your surgeon may disagree with the 6 week period and may wish you to take more or less time off. Go with whatever he/she says. You should be eligible for disability for that period of time and your surgeon's office staff can help with the paperwork. Prepare the paperwork ahead of time because your disabled status begins the day of surgery. Good luck and good recovery!

The cost of hip surgery is very low in India as compared to USA, UK and Canada. You can get the surgery done there in a fraction of cost of what would you pay in USA or private UK

There is one company that is very famous in India that arranges orthopaedic surgery for foreigners in India. They are called the Forerunners Healthcare. I read a lot about them in the Newspapers and about their patient stories.

I have also read that they arrange financing for American and Canadian patients as all surgery is not covered by insurance or by NHS in the UK.They also have photos pasted of their International patients. You can checkout their website. The cost savings are incredible. As a doctor I personally believe that your joint surgery can be easily handled in India as the quality of healthcare available here is simply best in the world. The surgeons are USA/UK trained and facilities are 5 star.

My cousin also got her hip replacement surgery for in India through the forerunners healthcare .She is more than very happy with the results. She is totally pain free now. She just paid 25% of the amount she was quoted in USA and is all praise for this forerunners healthcare company. Hope this helps.

http://www.forerunnershealthcare.com

I had a tear of the top front part of my right labrum. I just had arthroscopy 3 weeks ago tomorrow. Depending on how much your back, glutes and thigh (and possibly knee) hurt right now, you might even feel better after the surgery than you do now. I know the pain in my glutes was much alleviated immediately after the surgery (I've read about this from others who have had the surgery). I didn't have much pain at all after the surgery (some nausea from the anesthesia, but that got better about 8 hours after the surgery --- surgery took about 1+ hours). Everyone's pain threshold is different, but I only needed about 1 1/2 codeine pills a day for the first 3 days (they say you can take 2 pills every 4-6 hours, I believe). If you have a job where you sit quite a bit, you should be fine to go back to work within about 7-10 days. I went back to work 7 days after the surgery. The main thing I noticed after the surgery is that I had a lot of trouble lifting my leg (due to their having hit my quadriceps muscles while doing the surgery --- the doctor likened it to a "charleyhorse"). The charleyhorse feeling went away about 2 weeks after the surgery. I was only on crutches for the first 3 days after the surgery. I limped for another 2-3 days, but now I'm walking just fine, and no one would suspect I'd had surgery. My range of motion is much improved, but my ankle feels quite tired/sore (not so much as to interfere with daily functioning, though). They say this is due to the swelling from the hip making its way down the leg --- I think it's the fact that my ankle has gotten weak from my not putting full weight on that leg since February. My physical therapist has suggested contrast baths for my ankle (you might look on the internet, because there are articles about how to do a contrast bath --- basically you soak your ankle for 6 minutes in 160 degree water and then soak it in water as cold as you can stand for another 4 minutes. You do this to alleviate the inflammation/soreness. I haven't tried it yet, but I'm sure it can't hurt me (hopefully it will help). I still had some lingering pains around where the tear had been after the surgery, but those have since gone away as the stability comes back in my hip and the inflammation from the surgery has gone down (I also had synovitis, which is inflammation in the synovium ---- the fluid around the hip joint). You might notice that you feel much better for about 3 days after the surgery,but then you don't feel as good for the next 4 or 5 days. They say that this is due to the swelling that results from them having done the procedure. Depending on how limited you are now due to your labral tear (I was quite limited, and it wasn't getting better on its own --- I did Phys. Therapy for almost 6 months), I would highly recommend the surgery. I am not a doctor, of course, but in my own experience, I'm glad I had the surgery. I don't feel I would be doing this well now without it. In fact, I've read that if you have loose bodies of cartilage floating around in your joint (which is basically what happens when you tear your labrum) and you walk around like that for years, it can lead to arthritis (see attached source). I'm only 30, so I definitely didn't want it to come to that. I would say that I was more fatigued/worn-out the week after the surgery than I was in pain. I had less pain after the surgery than I did the months leading up to the surgery. They say it normally takes 8 weeks to fully recover, and I would probably agree with that. However, you are not sore/in pain that whole time (just takes awhile to regain full range-of-motion, stability and strength). I'm not completely back to 100% functionality, but I'm regaining functionality a lot faster than I would have without the surgery. I recommend doing physical therapy starting about a week after your surgery (or continuing to do so, if you already are going). I worked out on my own, since I knew what exercises I needed to do). I go 3 times a week for an hour, and am working right now on 1 leg stands, since I'm still not very stabile when standing on my right leg. Doing range of motion exercises will also be helpful, so your leg doesn't get stiff after the surgery. The doctor has not given me any kind of permanent limitations, although I've read that one might not want to engage in sports with sudden stops and starts, like tennis, sprinting, etc. As far as day-to-day limitations at work, etc., I haven't been given any at all (whatever doesn't hurt me to do, I can do --- I can now bend at the waist to pick something up off the floor --- I couldn't do that before the surgery without pain). Apparently, according to my orthopedist, it's not a problem to have a portion of the labrum missing (they don't repair it, they just remove the tear (I think they call it debridement) --- at least they didn't in my case).
Best of luck to you!

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I am considering a hip arthroscopy for treatment of a labral tear of the hip. has anyone had this done?

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