Tiff-Dysplasia: and the journey continues.....

Tuesday, August 23, 2011

and the journey continues.....

This last year has been a mighty crazy one!!!!

My right PAO has not gone as well as my left
I still continue to have TONS of pain and pinching in my right hip joint

When I first told my surgeon about this pain he diagnosed me with Bursitis
and gave me and injection which I ended up having an allergic reaction to
and ended up in the ER for heavy doses of Benadryl intravenously (not fun)

after the injection did nothing for pain or swelling he ordered and MRI which showed
Heterotophic Ossification..
for those of you who dont know what this is
Heterotopic ossification (HO) is the process by which bone tissue forms outside of the skeleton.

this link better described symptoms, causes and other thing related to
http://en.wikipedia.org/wiki/Heterotopic_ossification

This was diagnosed in May he exlplained to me my options (being surgery)
I definitely was not ready to talk surgery so early after my PAO in October 2010
that I told him I would deal with the pain until basically it got to the point that I couldnt
take it any longer.

Well come July I started noticing the same problem in my left hip so at my checkup August 9th I explained to him the issued I have having and he diagnosed me with Bursitis in my left hip, he asked if I would like an injection, which I told him NEVER again I will deal with the pain.

We again spoke about my surgery option for my right hip.

Basically I was told the sooner the better so that it doesnt continue to grow deeper into my soft tissue
making surgery more extensive and recovery longer and more difficult.

I basically LOST it in his office and let him know that I knew my hips were not normal before surgery and knew that they wouldnt be normal after but hearing the word surgery again really got my emotions going he said he understood and I told him I would call when I was ready to have surgery.

The next day his office called to check on me to see how I was doing.
I let them know that I had thought about it and I was ready to schedule surgery after realizing that its better to have it now then continue to put it off and compromise my quality of life..

so the date is set December 22, 2011 at Palmetto Health Baptist
same place I had my surgery last October!!!

So heres to ANOTHER hip journey!!!!

1 comment:

Tiffany O.August 23, 2011 at 11:26 AM
I wish you the best in your hip-dysplasia journey. I can only begin to imagine the pain you go through as part of your normal life and I wish I could take it away. It takes a strong woman to go through even half of what you have. I'm here for you and will pray that all goes as planned. You will come out of this and you will have me as a Cheerleader by your side.
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HELPFUL DEFINITIONS

Hip dysplasia
Hip dysplasia is a congenital condition in which the ball and socket joint don't fit together the way they should. In my case, the socket is too shallow, which causes uneven pressure on the joint, a premature breakdown of cartilage and early osteoarthritis.
PAO surgery
involves cutting the pelvis in a few places and screwing it back together in a way that makes the socket joint less shallow and more accepting of the ball joint. It's meant to preserve the hip and prevent further arthritis and pain. A PAO is not a hip replacement, which is not ideal for people my age because they only last 10 years or so and require additional surgeries for revisions.
Femoroacetabular impingement (FAI)
previously termed acetabular rim syndrome, is a major factor in early development of osteoarthritis of the hip. This syndrome is caused by abnormal contact between the osseous protrusions of the acetabulum and the femur during hip joint movement.1 In patients with femoroacetabular impingement, repetitive microtrauma from the osseous impingement leads to recurring irritation, degenerative changes of the labrum, and ultimately irreversible cartilaginous damage. Femoroacetabular impingement tends to involve young, active patients and can be debilitating. Femoroacetabular impingement is often bilateral, but may be symptomatic on only one side. Femoroacetabular impingement is diagnosed and classified into two types, pincer and cam, by the clinical and radiologic presentation. However, most cases of femoroacetabular impingement are a combination of the two subtypes.Pincer impingement is caused by acetabular overcoverage with normal femoral head sphericity. The pincer effect is the linear contact between a normal neck and an overcovering acetabular rim, which can lead to labral damage. Pincer impingement is more common in middle-aged women with abnormalities of acetabular morphology.
Hip Labral Tear
The other name of hip labral tear is Acetabular Labral Tear. Labral tears frequently takes place in the front and top segments of the labrum. Hip labral (labrum) tear is a medical condition within the hip where a sort of cartilage takes place. The damage to the cartilage inside the socket of the hip joint makes your thighbone less stable inside the joint. Because of this complication the fluid may leak from the joint which may result with a friction in your hip. The cartilage is important for the hip joint for stability. The cartilage cushions the hip joint providing mobility to a person by giving autonomy and flexibility for movement.
Heterotopic Ossification
is the process by which bone tissue forms outside of the skeleton. Heterotopic ossifications will develop in 10% to 80% of cases with varying severity after surgery or trauma to the hip and lower legs. About every third patient who has to face heterotopic ossification following total hip arthoplasty (replacement) or severe fracture of the long bones of the lower extremities will develop pain and dysfunction resulting from extensive heterotopic ossification. Heterotopic ossification jeopardizes functional outcome, impairs rehabilitation and is costly because of secondary surgical procedures. Pain first arises a few days after surgery with calcified structures appearing as blurred contours on x-rays at 3 to 6 weeks postoperatively. Patients with heterotopic ossification after a previous hip arthoplasty are at greatest risk of developing additional heterotopic ossification, with incidence between 50% and 90%