Was My Hip Surgery Worth It?

This is a bit more personal of a post than I’ve written for awhile, but I thought it would be important to share my thoughts and feelings about the subject. As some of you may know (if you’ve been a reader of this blog and/or have followed me on social media for awhile), I had a hip arthroscopy to repair a labral tear on my left hip last November.

Post-surgery selfie.

The surgery lasts for about 4 hours, is totally laparoscopic. I was extremely nauseous coming out of the anaesthesia which is no fun. And then there is the recovery period. The first 6 weeks you can’t put any pressure on that side (so again, for me it was the left) so I had to use crutches to get around (which was exhausting, especially because I live alone – though I did have some friends come to help throughout). You also can’t bend at more than 90 degrees during those first six weeks, and obviously, no exercising that hip. (I found some chair workouts to at least get some upper body exercise).

My very tiny scars have faded quite a bit since the surgery.

Then after the 6 weeks, you can start walking again and bending, but no “exercise” for 6 months. And by that I mean there are some physio-approved exercises including light walking and recumbant bicycling as well as specific strength exercise for it, but overall it is pretty limited. And for me, well I help my other UCTD and fibro symptoms with exercise, so being limited is not overly helpful.

Me trying to walk for the first time in 6 weeks.

Recently someone posted in an online group that I belong to, that she was diagnosed with a labral tear and was still undergoing testing for autoimmune diseases. She was asking questions about the tear and treatment options including surgery. Someone else responded to her post saying that she was told by her rheumatologist that labral tears (which can occur in almost any joint) are common in people with lupus and other connective tissue diseases. (Mind you my rheumatologist and orthopaedic surgeon said nothing about this). In my own research I had found that people with fibromyalgia tend to have much longer recovery times from the surgery. In my own experience, I realized over the summer that the pain in my left hip had returned. Not nearly as badly as it used to be, I mean I can sit (including cross-legged) for much longer than I used to be able to, but it was back nonetheless. This leads me to believe that (a) I re-tore the labrum, or (b) it just never healed properly. So that’s what I responded to this other woman’s post.

Still wondering how I survived on crutches for that long.

So, was the surgery worth it? Would I do it again? I don’t know to be honest. Perhaps not. At this moment if someone said to me, well we can go in and fix it again, I would definitely decline. So what I learned, and I suppose what this post is about, is to do A LOT of research before committing to a surgery that some doctors think will help. Unless they are making specific connections to your illness overall, something like this which is elective (because the other treatment option is physical therapy), I would say do not jump into it. I thought I had done my research but I probably didn’t do enough. That being said, I am self-compassionate and acknowledge that I made a decision based on the information I had, and that’s okay. And I choose not to forget that it perhaps did improve the quality of my life in the long-term (remember, I can sit longer now, and as a therapist that is super important). Just many things to consider.

Thanks for reading everyone, and keep making the most of it!

If you don’t mind, I’d love it if you can support my content on Patreon. I recently reduce the fee, and you get bonus perks including 2 e-books and bonus content from the podcasts. This week’s podcast episode is on how to get started with holistic health, check it out here.

Daily Exercises: Hip Strengthening

These are the exercises I’ve been doing to strengthen my hip post-op. They were all given to me by my physiotherapist and chiropractor (please consult with yours before trying new workout routines). I’ve found them to be really helpful, especially when I was learning to walk again after my surgery. All the exercises are 10 reps per set and 2 sets. Check out my podcast interview with Trachele for how you can get your exercising started again when you have a chronic illness.

Surgery & Post-Op World

First of all, I’m going to say that I’m pretty impressed with myself for writing a blog post just 24 hours after coming out of surgery. Also, this was my first ever surgery, so I thought I’d share some thoughts and feelings about the whole experience. If you’ve been following me for awhile you are probably aware that I was diagnosed with a labral tear in my left hip back in March (MRI was back in January). Of course, with Covid-19 any kind of surgical consult, let alone treatment was pushed back and back (also I was floated around to 3 hospitals because very few surgeons specialize in hip arthroscopy apparently).

My sexy hospital bracelet.

I didn’t choose the surgical route lightly. Actually, I took advice from several physicians and healthcare professionals before making the decision. My rheumatologist (actually my rheumatologist was on mat leave so it was the one covering for her) diagnosed the hip tear and sent off for a surgical consult. She also told me to start physiotherapy for the tear as it is often helpful. Because things closed down because of the pandemic, I started virtual physio with my regular physiotherapist mid-April. Though exercise helped a bit, it was minimal. I added chiropractics, and massage back into my routine care (because of my undifferentiated connective tissue disease as well) in July, and then most recently started seeing the naturopath again at the end of September. All helpful, but not enough to take away the excruciating discomfort cause by the tear. They all also offered opinions, some differing, on whether I should have surgery. At the end of the day, with research done on my own, I decided that as my naturopath put it, surgery was really the only option to fix the problem.

And my sexy post-op selfie.

Now, I actually wasn’t nervous about the surgery, especially after finally meeting with the surgeon mid October, and literally being booked for surgery less than a month later. He was confident, read me off the risks which were minimal, and again, I did some research on long-term outcome studies. Yesterday, after I had been checked in, and then taken into the pre-op area for some vitals and questions, I started to get nervous. However, the amazing healthcare team (all the pre-op, op, post-op nurses; pre-op and op anesthesiologists and assistants; and of course my surgeon and surgical team) made me feel at ease. According to my surgeon after surgery, it went “perfectly.” Also a relief.

Post-operatively not so fun. I wasn’t actually nauseous at first and the pain in my hip I rated at a 6-7 (for which they had me on morphine) after about 30-45 minutes later (really was out of it and couldn’t keep track of time) I rated the pain about the same, so they gave me oxycodone, which then made me nauseous. It took another 2.5 hours for me not to feel “as nauseous”… basically the least amount for me to go home (and my pain was also down to about a 4 at the time). Long day. Probably longer for my amazing friend, Mike, who picked me up from my appointment and then took care of me at home (even brought groceries, and Starbucks!). The nausea stayed until like 7:30pm. Honestly, I think food helped. And I was pretty out of it all day. Oh yeah, they gave me Gravol for the nausea which totally made me drowsy. But we had sushi, and watched Netflix until like 9, when I passed out in bed.

Is everyone else singing, “Vanilla Ice, Ice, Baby…”

At this point I’m more annoyed about the post-op complications I guess? First, sore throat which apparently is common after coming off of general anesthesia, but I didn’t know that. I’m trying to drink a ton of liquids to help! Second, I have numbness in the groin area… maybe I’ll share more about that on a later post but let me say, not fun. Finally, living alone and trying to get around on crutches post-op is not fun. I have to ice my hip constantly, and then it took me forever to get coffee/breakfast ready for myself this morning. If it weren’t for the pandemic, my mom would’ve flown out to help me. Oh well, I suppose this is Chronic Pain Warrior life.

I’m quite impressed with my breakfast abilities this morning!

That was mostly thoughts… as for feelings, I’m tired and sore and frustrated (about the numbness) but also relieved to have the surgery over with, and hopeful that I will have significantly less pain in my hip. I mean, if I’m going to be a practicing therapist soon I need to be able to sit for long hours without looking like I’m in discomfort, so I can be present on focused on those future clients of mine!

If anyone else has an op/post-op experience they’d like to share, I’d love to hear from you. And remember, keep making the most of it. 🙂

How’s Your Pain Today?

I always have a million topic ideas in my head (well technically I write them down on Stickies because I don’t want to forget them) but I often end up going with something currently relevant to me because, well, it just makes more sense to. As I’ve mentioned before, in addition to fibromyalgia (and maybe lupus) I also have a tear of the anterior labrum (hip) – I’ll throw in a picture of what that looks like). This tear is brutal. Initially my rheumatologist told me that it could be taken care of with physio and if that doesn’t work, then surgery. She asked me if I’d like a referral to the surgeon, to which I said yes. This was March 2020. About a week before Covid-19 really went for it and we started shutting everything down, including “elective” surgeries (because is a surgery that will take away pain really elective?).

hip_labral_tear_intro01Image from: https://eorthopod.com/labral-tears-of-the-hip/

Anyway, the pain has normally been around a 7 in my hip. I’ve been doing physio (virtual) since the end of March and while my physiotherapist is amazing (check out my podcast), it also doesn’t really seem to be helping with this particular problem. Fast forward to last week Thursday when I leaned against a counter at work while I was talking to my boss… and I happened to learn right against the tear. Talk about excruciating pain running down my entire leg – hip to ankle! But I sucked it up and stayed at work and powered through. The pain now around an 8.

IMG_7670Even with pain at an 8 I can still enjoy the great outdoors (Niagara on the Lake, Ontario)

Fast forward to Monday, when I’m doing my normal hardcore workout. It’s an upper body one, so I’m not too concerned because my hip is normally fine on these workouts (sometimes I have to adjust lower body and full body workouts to accommodate my hip). Well, as I moved to get out a position, I heard and felt a “pop.” This seemed like my hip popped in and out of place (though upon some research I read that’s not really a thing that happens, so I’m not sure what exactly happened). Now the pain is a 9. I went to work Monday and Tuesday, and then got a doctor’s note for a week off from today (Wednesday) through next Wednesday.

Bfc1%ODwRQqrhxfVqJaK5QSpike is a good nurse.

So how can I still smile and laugh through all of this? First of all, that’s not always easy. I have to frequently change my position (standing, sitting, walking, lying) in order to feel comfortable because I can’t really be in any of them for too long. At the end of the day though, I can sit and feel sorry for myself (or be hard on myself because technically it’s my own fault it got worse) or I can (a) be productive and constantly call the hospital to see if they can do this type of surgery now, and (b) realize that pain, even chronic pain, is a temporary sensation. I can do meditations that focus on physical pain (which I did this morning), I can write a blog post, I can rest, and I can still have a life with this, because the other option is to not and I refuse to do that.

b32b0b08e2b74c9dab175157eea3f602Upo reserch, this is the type of surgery that needs to be done. Image from: https://orthoinfo.aaos.org/en/diseases–conditions/slap-tears/

How are you all feeling about your pain today?

Also, if you haven’t yet checked out my podcast – Chronically Living and how to make the most of it (Apple Podcasts and Spotify), the latest episode is on Pelvic Health. I would really appreciate some reviews and ratings for it (plus I have a little promotion going for that – see my Instagram @janeversuspain for more details).