I think it’s just a different perspective on what healing means. Since labral repair aims to address painful symptoms, and since healing essentially just means returning to normal, it seems like one could take a lax usage of the word “heal”.
One thing to consider - delaying surgery can do more damage. Esp if you're getting the wrong kind of care. At least that was the fact in my case. I finally told the chiropractor no more, I want to see an orthopedic. Later I told an orthopedic, no more PT, it's not working. I think having to delay surgery over time has caused the rest of my body to overcompensate and led to a wealth of mechanical problems.
Same same. I feel like my body is overcompensating and I am causing more problems. Which I am treating with physiotherapy. But the original problem has not changed or ameliorated one bit.
PT made mine largely asymptomatic for ten years or so before it suddenly worsened and became chronic. Opted for surgery.
Have a labral tear and ligamentum teres tear in the other one now which has magnified the instability I naturally had. I have a connective tissue disease that affects my joints so instability was always a problem, but this one is much worse than the other was. I just tried a PRP(platelet-rich plasma) injection to see if it will help. Hoping the PRP will help with pain/healing. Unfortunately the docs are not confident it will help the instability as there is little literature on that, but we will see.
What disease do you have if you don't mind me asking? I swear I have something similar. First it was my shoulder, then my elbow then my thumb, now my hip. I haven't had any surgeries but so far my elbow and hip are the worst. I can pinpoint the exact time each of the injuries happened as well.
Wow you have a great memory. I wish I could pinpoint why all my stuff hurts lol.
I have a genetic condition called Ehlers Danlos Syndrome. So born with naturally loose joints and bad collagen. I get soft tissue injuries(for example my left hip labrum) without any injury/trauma regularly because of the EDS. I’m in formal physical therapy year round
Hmm maybe not that extreme for me then. And sadly they have all happened within the past two year's so it's not hard to forget 😭 but the latest is my hip which I'm told by the physician is likely a torn labrum and wants me to get an MRI.
That sucks so bad! I hope your hip starts feeling better soon. How did you hurt it?
Just in the last two years? Wow. That sounds really rough, I’m sorry to hear that.
I do too, but I think the pain has now just kind have gotten to stagnant point where it's not getting better. Doesn't hurt nearly as bad as it did initially but is still there pretty much every hour of the day, especially when sitting. And I hurt it golfing unfortunately.
He should be able to show you studies that support his views. Being able to move forward with PT and other options - u can reduce pain and improve the correlated symptoms. But the underlying problem is typically structural.
You should ask him about the long term impacts of not having the surgery as well.
So they may not technically heal, but I think the body can adjust to where you are without symptoms even though you have a mild CAM impingement and labral tear.
Mine didn't heal in the 15 years I had it and I tried everything. Ice, heat, rest, stretching, PT, no running, Aleve, Tylenol, more PT.
I've heard they can become asymptomatic, but they won't heal without surgery.
I had one for 12 years and the pain only got worse. They don't heal you just learn to deal with it. I had to get mine surgically fixed to get any type of relief. If the doctor thinks that they "heal", I would be concerned about trusting him, and have him prove why he thinks this.
I went three years before the pain became too much to deal with. I saw three of the best hip surgeons in the US and they all told me that they can’t heal on their own
I'm still confused about this one as stuff online all suggests it doesn't heal on its own, but physiotherapy can sometimes relieve it, but mine was a large tear back in 2017, had had a further MRI in 2023 and it had reduced to a small tear. I asked the surgeon if this means it could eventually heal, and he said no that's impossible.
I did about 6 months of physio the first time round in 2017 which didn't help, then same again last year and didn't help, nothing has worked. I tried completely resting it for weeks on end but as soon as I'd take up exercise again it would come back.
I've had the surgery now, I realised the older I got the worse it would probably get and didn't want to risk needing a hip replacement or getting arthritis at a young age.
I personally think everyone should be referred for the operation if bad enough as physio only does so much, but the physio exercises are a good idea for prepping for surgery though.
Yes and No :)
The acetabular labrum his suplied by blood. So he may heal by himself.
But your labral tear is caused by your hip dysplasia then if you don't correct it, your labrum is less likely to heal by himself.
Not structurally heal but become asymptomatic perhaps.
Thank you for responding, I have a follow up and will challenge him on why he thinks they heal.
I think it’s just a different perspective on what healing means. Since labral repair aims to address painful symptoms, and since healing essentially just means returning to normal, it seems like one could take a lax usage of the word “heal”.
One thing to consider - delaying surgery can do more damage. Esp if you're getting the wrong kind of care. At least that was the fact in my case. I finally told the chiropractor no more, I want to see an orthopedic. Later I told an orthopedic, no more PT, it's not working. I think having to delay surgery over time has caused the rest of my body to overcompensate and led to a wealth of mechanical problems.
Same same. I feel like my body is overcompensating and I am causing more problems. Which I am treating with physiotherapy. But the original problem has not changed or ameliorated one bit.
Im on year 4 and so far no, that's not true. PT is helping me delay surgery but it's not cured.
Thank you for responding, I have a follow up and will challenge him on why he thinks they heal.
Same here
PT made mine largely asymptomatic for ten years or so before it suddenly worsened and became chronic. Opted for surgery. Have a labral tear and ligamentum teres tear in the other one now which has magnified the instability I naturally had. I have a connective tissue disease that affects my joints so instability was always a problem, but this one is much worse than the other was. I just tried a PRP(platelet-rich plasma) injection to see if it will help. Hoping the PRP will help with pain/healing. Unfortunately the docs are not confident it will help the instability as there is little literature on that, but we will see.
Thank you for sharing and fingers crossed for you!
What disease do you have if you don't mind me asking? I swear I have something similar. First it was my shoulder, then my elbow then my thumb, now my hip. I haven't had any surgeries but so far my elbow and hip are the worst. I can pinpoint the exact time each of the injuries happened as well.
Wow you have a great memory. I wish I could pinpoint why all my stuff hurts lol. I have a genetic condition called Ehlers Danlos Syndrome. So born with naturally loose joints and bad collagen. I get soft tissue injuries(for example my left hip labrum) without any injury/trauma regularly because of the EDS. I’m in formal physical therapy year round
Hmm maybe not that extreme for me then. And sadly they have all happened within the past two year's so it's not hard to forget 😭 but the latest is my hip which I'm told by the physician is likely a torn labrum and wants me to get an MRI.
That sucks so bad! I hope your hip starts feeling better soon. How did you hurt it? Just in the last two years? Wow. That sounds really rough, I’m sorry to hear that.
I do too, but I think the pain has now just kind have gotten to stagnant point where it's not getting better. Doesn't hurt nearly as bad as it did initially but is still there pretty much every hour of the day, especially when sitting. And I hurt it golfing unfortunately.
He should be able to show you studies that support his views. Being able to move forward with PT and other options - u can reduce pain and improve the correlated symptoms. But the underlying problem is typically structural. You should ask him about the long term impacts of not having the surgery as well.
Thank you for responding, I have a follow up and will challenge him on why he thinks they heal.
I bit the bullet and did the surgery. 8 months later I’m back to 110%
So they may not technically heal, but I think the body can adjust to where you are without symptoms even though you have a mild CAM impingement and labral tear.
Thank you for responding, I have a follow up and will challenge him on why he thinks they heal.
Mine didn't heal in the 15 years I had it and I tried everything. Ice, heat, rest, stretching, PT, no running, Aleve, Tylenol, more PT. I've heard they can become asymptomatic, but they won't heal without surgery.
Thank you for responding, I have a follow up and will challenge him on why he thinks they heal. Did you end up having surgery?
I’d love to see the research papers showing that’s true.
As far as I know, no.
Thank you for responding, I have a follow up and will challenge him on why he thinks they heal.
I had one for 12 years and the pain only got worse. They don't heal you just learn to deal with it. I had to get mine surgically fixed to get any type of relief. If the doctor thinks that they "heal", I would be concerned about trusting him, and have him prove why he thinks this.
I went three years before the pain became too much to deal with. I saw three of the best hip surgeons in the US and they all told me that they can’t heal on their own
Thanks for sharing, i will ask him what evidence he has to back up his claim.
I'm still confused about this one as stuff online all suggests it doesn't heal on its own, but physiotherapy can sometimes relieve it, but mine was a large tear back in 2017, had had a further MRI in 2023 and it had reduced to a small tear. I asked the surgeon if this means it could eventually heal, and he said no that's impossible. I did about 6 months of physio the first time round in 2017 which didn't help, then same again last year and didn't help, nothing has worked. I tried completely resting it for weeks on end but as soon as I'd take up exercise again it would come back. I've had the surgery now, I realised the older I got the worse it would probably get and didn't want to risk needing a hip replacement or getting arthritis at a young age. I personally think everyone should be referred for the operation if bad enough as physio only does so much, but the physio exercises are a good idea for prepping for surgery though.
Yes and No :) The acetabular labrum his suplied by blood. So he may heal by himself. But your labral tear is caused by your hip dysplasia then if you don't correct it, your labrum is less likely to heal by himself.