What causes a Labral Tear?

Because so many people have been asking me this question, I thought I'd post it. The following is information on Labral Tears courtesy of www.hiplabraltear.com:

What Causes the Hip Labral Tear?

Almost 80% cases of hip labral tear have no known direct cause. Tears may occur with a slow progression in human life. The known caused factors include degeneration, injuries, osteoarthritis and problematic recurring activities and movements on hip joint, may cause hip labral tear. Many osteoarthritis patients suffer from hip labral tears (acetabular labral tear). Because hip fractures may tear their labrum. However the contribution osteoarthritis to the development of the hip labral tear is still a controversial issue within the medical society. On the other hand, majority of the physicians in this field believe that there is a close relationship between osteoarthritis and labral tears.

The cause of hip labrar tears (acetabular labral tears) are

• Capsular laxity
• Femoral acetabular (acetabulum: concave surface of the pelvis, it is the socket of the hip joint) impingement (impingement syndrome that affects the hip joint)
• Dysplasia (pathologic abnormality in maturation of cells within a tissue)
• Trauma
• Degeneration
• Bony pinching
  

There is a theory that supports the idea that the cause of hip labral tear is because of femoroacetabular impingement (FAI) which generally occurs two forms; pincer and cam. FAI is a disease where the bones of your hip joint come too close and touch tissue or cause too much friction. Thus femoroacetabular impingement is associated with articular cartilage damage and labral tears and as a consequence a hip arthritis may arise at a younger age than usually takes place.

Physical activities that involve force adduction of the hip joint in association with rotation in either direction be likely to worsen the pain.

The length of the leg is also an issue. If one leg is shorter than other leg, this may affect your walking and may put pressure on your labrum. There are specially designed pads
in your shoes to support you for a proper walking.

Recovery is still going well and I can bare weight on the leg, but I'm trying not to as much as possible. I'm up to 80 degrees on the CPM machine (started at 40 degrees), so I'm at my max already with no pain! I have my post-op appt tomorrow at 2pm, so I'm excited to get feedback from my doctor on my progress. My PT homework is going well and I've also been able to ride the upright bike again for 20mins pain free. I'm excited about the progress I've made so quickly and hope it still keeps moving forward at that pace. :)

I'm too sexy for my crutches!

Good morning, party people!

Here is a picture of me before my first outdoor crutch-about on Wednesday night
(day after surgery).
PS: I look kind of crazy.

Recovery is going well so far and now that I'm an "old pro" at my daily post-op routine, I'm kicking it up a notch to add some new homework (courtesy of my PT duo of Ben Gelfand and Rebecca Kalb at STAR Physical Therapy). My first session of PT was last night and I was able to do the upright bike for 20mins (very very slowly)!

I'm amazed at how much stronger I feel every day. I was crutchin' around like a fool yesterday (to/from PT) and am paying for it a bit this morning. My leg is a bit sore and so are my arms. Oddly, my right glute (opposite leg) is super tight. I think because I've been using my right leg so much more for stability. So, I have to be careful not to hurt anything else while compensating the next few weeks.

I just want to thank all my friends and family for their thoughts and well-wishes this week. It's meant a great deal to me to have so many friends and fellow runners so concerned with my recovery. From the bottom of my heart, thank you!

And so the come back mission is on, baby! Stay tuned!

We All Need Somebody To Lean On

Whether it's through blogging or posting on discussion boards, our resources and ability to lean on other runners/athletes for support is infinite. When I was at my most heightened point of frustration with my injury, I turned to a Runners World discussion board for support. It was a few days after my initial diagnosis when I found one of the longest and largest discussions in under the "injury" section titled "torn labrum in hip". The discussion was initiated in September of 2004 and has about 2,098 posts and over 110,000 views. Of course, I have not read the entire discussion, but I have followed the stories of a few of the more frequent runners who have posted. I have also posted there, seeking advice.

When my PT and Doctor gave me the nod for surgery, my PT (in the presence of my Doctor) told me that I would be "underwhelmed" with the recovery. So, I had myself taking tomorrow (surgery day) and Wednesday off with the idea that I might be able to return to work on Thursday. However, I'm starting to think that taking a few more days off might be a better option after reading a response from another runner who has gone through the same surgery. I have posted his suggestions to me (from the discussion board) below,

.

TheRunnerChick, I live in NYC so I can give you some advice. The CPM machine only bends your knee and hip to a certain degree determined by the doctor. Although it does look a bit crazy the motion it does is very simple. While you should be able to strap yourself into it you won't be able to lift it so someone will have to set it up for you. I did wear a hip brace. It's not too bad. THe first week really is the hardest...is there someone who can help you for the first week or two? At least drop by and do basic household things and help you out?
.

As for getting around NYC: I assume you have a week or two to just rest. You will need it most likely. You definitely do not want to go crutching around NYC in the first week even if you're feeling good. One, you don't want to overdo it and two if you are in a crowded area you definitely do not want anyone bumping into you. I would not attempt the subway on crutches. Wait until you are off of them...just not worth the risk of hurting yourself especially if you're by yourself. You could probably manage the bus, but it's hard because although you are on crutches you still really have to be careful not to overdo it and prolong your hip recovery. I took taxis. Yes, expensive, but I wasn't taking them often and it was the best way for me to get around. I am in school and I live about 3 blocks from school so I would go there and back. When I needed PT, doctor's appts, etc...I took cabs. My groceries were delivered from Fresh Direct and I had roommates in and out if I needed something. I did have to do a lot on my own and it's struggle, but hang in there, take it slow, and know that you will be frustrated at some points, but it will work out. Let me know if you have any other questions. Good luck!!

.

So maybe my original plan needs to be tweaked just a bit?? I suppose I won't really know what I this recovery is going to be like until I'm at that point, but I think the advice of "taking it slow" is something we can all benefit from when on a come back mission (like me).

.

Anyway, just wanted to promote sharing (again). I plan to continue posting on the Runners World discussion board as well as my blog to keep everyone posted on my progress. I promise not to make every post about me (because that's boring). If you know other runners who could benefit from more information on this injury, forward them to my blog or to the discussion boards on runners world. I know there are other helpful resources out there too, so if you would like to share them, please add a comment to this post.

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Godspeed, mighty runners!

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- TRC

Oh, that's hot!

So, it's four days until surgery and I really wanted to show off all of my flashy (post-op) accessories!

READY OR NOT....


Accessory # 1: The (deluxe) Bledsoe Philippon- Post-Op Hip Brace:




Oh yea, baby! You know you want one!





Accessory #2: The (incredibly comfy looking) foot positioning brace

As "Vivian" from the medical supply company told me (in her life long smoker sounding/native new yorker accent) ,

"if you have any friends with crazy fetishes, now's the time to invite them ov-ah"

Wow! lol!




Accessory #3: The Knee Continuous Passive Motion (CPM) Machine


I'll be riding this baby (the CPM machine) four hours a day!

Sorry boys, I don't think the chick's included. :)








Oh, and there's so much more! Just wait until you see my ice machine! wooooowhoooo!

I'd show you, but I just wouldn't want to make you too jealous! :)