Friday, May 24, 2013

Why You Need an FAI Surgeon Who’s Specialized in Hip Impingement: All Orthopedic Surgeons Are Not Equal


Recently, I met someone who had seen an orthopedic surgeon who told his patient that the labrum fills no function whatsoever. He would just cut it out, and the patient was told she would walk out of the operating room like it is nobody’s business. Doctors like this scare me because they clearly do not understand femoroacetabular impingement (FAI or hip impingement) but are happy to slice and dice their patients.

I say it in my book, but it is so important that I want to put it out here on the Internet for the world to read. Just because someone is a board certified orthopedic surgeon does not mean he/she is qualified to perform surgery to remove hip impingement and treat hip labral tears.

Wednesday, May 15, 2013

Diagnosing Pain Generators throughout the Hip Using the Layer Concept

Last week, I gave a very brief introduction to the layer concept in my post Hip Impingement and the Unraveling of Related Diagnoses. I promised you I would dig deeper. Now I have. This post will probably be by far the longest post I will write. In fact, it deserves a book chapter.

The layer concept for diagnosing hip was developed by Dr. Bryan Kelly of Hospital for Specialty Surgery in New York, NY. It is quite fascinating how he details four layers of diagnosis and treatment. I wish every hip patient would get this kind of evaluation. Unfortunately, that’s not the case. But, by educating ourselves, identifying and finding the care we need, many of us might get closer to the Layer Concept and the Hip Center model that Dr. Kelly advocates (see aforementioned blog post).

Wednesday, May 8, 2013

Hip Impingement and the Unraveling of Related Diagnoses

For years now, I’ve been frequenting virtual networking groups on hip impingement (FAI). Many patients get diagnosed, treated, rehabbed and move on with their lives. Unfortunately, some patients get stuck in the status quo, have trouble getting a correct diagnosis and treatment although hip pathology is highly suspected. Yet other times, patients have surgery to treat FAI and labral tears, but problems persist after surgery.

When medical problems overlap, some patients end up dismissed by healthcare providers because their pain picture has become too complex. At times, complex regional pain syndrome or fibromyalgia is diagnosed. In my book I write about how it takes a systematic approach to diagnose someone where pain has escalated beyond just an ache in the hip joint and a clear-cut x-ray, CT or MRI impingement diagnosis, as well as and some strategies patients can apply to reach their goals.

From personal experience, I know how hard it can be to get shuffled from specialist to specialist. So I was excited to find a summary from a recent hip symposium (hosted by The American Journal of Orthopedics) where a number of hot shot hip surgeons gathered to discuss surgical preservation of the hip and how the understanding of complex issues keep developing. For example, the symposium addressed the topic of layers of diagnoses some patients may experience as well as a discussion on sources of impingement.

Thursday, May 2, 2013

Study Reveals Higher Rate of Hip Arthroscopy Complications than Previously Thought

If you are one of all hip FAI patients considering surgery, you might wonder about the complication rates hip arthroscopy. A recent case study on more than 500 hip procedures revealed that complication rates may be higher than previously thought. The researchers – led by Dr. Christopher Larson, MD, of the Minnesota Orthopaedic Sports Medicine Institute in Minneapolis – presented the study results at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Specialty Day in Chicago, IL.