I went back to the ortho today (my normal guy, not the mean one I hate who told me I am just old). And we're back to labral tear and surgery.
He said that the MRI is only about 50% accurate with diagnosing labral tears (so that was totally worthwhile!) and based on my symptoms, the results of his moving my leg around tests, the result of that cortisone injection (terrible), and the fact that this has been going on for 8 months and it is not better at all, he believes that it is, in fact, a labral tear.
I asked him about what the acupuncturist said and he said she is just wrong. I also asked about piriformis and some other muscular conditions that I looked up, he also said no. He said that none of that fits and just no. I guess if I am objective (and not swayed by desperate hope) it doesn't really make sense for something caused by tight muscles to last this long with zero improvement. Sigh.
He also wants to do an MRI of my lumbar spine because of some lower back stuff that I've had for a while.
Wtf, people. I just want someone to fix me. I don't even know any more. On top of that, there is a possible move in the works so probably I am going to have to go through this all again with a new doctor. Might as well round it out and make it a full year, right?
Sorry, I have been into the wine and am feeling pretty salty about all of this. Salty and whiney.
You definitely have earned the right to whine. Injuries suck when the are easy to fix. Injuries that take months out of your life are evil. I really hope you are able to figure out what is wrong.
Post by emilyinchile on Mar 4, 2014 8:32:12 GMT -5
Ugh, I'm sorry. I'll keep my fingers crossed that the back MRI shows something and that you can at least get a firmer diagnosis before you move so that you don't have to backtrack too much with a new doctor.
Ugh. That sucks. Where is most of your pain? Back in the butt or more in the groin. Have you done PT? (You may have mentioned this before but I forget). In my experience, many times a sacral iliac dysfunction can mimic a labral tear. Most orthopaedic docs miss this. I'm not discounting what he's told you but just asking. Also labral tears that are chronic in nature usually arise from either a change in the bony structure of either the femur or the acetabulum. This would be noticeable on X-ray
Butt and groin both. Yes PT, and she was thoroughly convinced that it was a labral tear even after the negative MRI. He said that he thought he saw something on my xray, but it was read clean by the radiologist. He also told me that sometimes the psoas can adhere to the hip capsule and cause a tear.
Post by runblondie26 on Mar 4, 2014 9:47:47 GMT -5
It's the worst when you don't even have a diagnosis, let alone a plan of action for getting better. You must be so frustrated. I hope you can start some answers soon.
It might. However an instability there which would cause it to become out of alignment wouldn't show up on imaging. That's more due to muscle testing and motion testing which I would think that the PT would have done.
She did do all kinds of stuff like that, but I am not sure what she was specifically looking for. One thing that really made her think it was a labral tear is that the only thing that made it feel better was when she would lift and gently pull my leg and hold it. I believe she called that distraction.