First of all, let’s get this whole labrum thing defined, because frankly, it’s a weird and uncomfortable word to say out loud in conversation. Guess what? You all have a hip labrum too! “The acetabular labrum is a ring of cartilage that surrounds the acetabulum of the hip. The anterior portion is most vulnerable when the labrum tears.” This is another helpful description: “A hip labral tear involves the ring of cartilage (labrum) that follows the outside rim of the socket of your hip joint. In addition to cushioning the hip joint, the labrum acts like a rubber seal or gasket to help hold the ball at the top of your thighbone securely within your hip socket.”
When your hip labrum gets damaged or torn/frayed, really bad things happen. The hip socket becomes inflamed and the muscles and tissue all around the hip and groin are in constant pain. It is very unfortunate that once the labrum is torn it cannot heal on its own.
“What did you do to yourself?”
Succint Version: I had an anatomical predisposition to a labral tear due to an over-rotation of the hip socket. The bone positioning (possibly caused from and) combined with back-to-back pregnancies, running for a half marathon and breastfeeding kept my body from a period of rest and led to major irreversible hip damage during my third pregnancy.
Longer Timeline Explanation:
Allison got pregnant. Allison gave birth to Zachariah, June 2014.
Allison started training for the half marathon in 2015. She felt great, trained well, and lost lots of pregnancy weight.
Allison took a pregnancy test in April 2015 near the end of her training. It was shockingly positive.
Allison ran the half-marathon a couple weeks later and PR-ed. She felt great. She was healthy.
Fast forward to September 2015. Allison had signed up for the 5-mile Buffalo Run in Lincoln. She was six months pregnant. She ran it very slowly. Her hips felt great.
Here’s where things start to get ugly. Allison continued into her third trimester and her right hip/groin started hurting. It got worse, and worse, and worse. The night before Caleb’s scheduled water induction she was barely walking and distinctly remembers getting a couple things from Target and basically dragging her right leg behind her massively pregnant self.
I will now exit from this exciting third-person perspective.
Jacob and I thought that all the pain would go away after birthing Caleb in January 2016. Getting him out and relieving that enormous weight and pressure did help a lot. It went back to hurting badly but I could walk again.
We moved to Omaha in April 2016. There was a lot going on in our lives, to say the least. Over the next several months I sought out therapeutic treatment and nothing helped. I started with a chiropractor, then a physical therapist, then a pelvic physical therapist, then a physiatrist. The physiatrist saw me a couple times before he walked me next door to the orthopaedic surgeon. And that is where the line of doctors ended. The orthopaedic surgeon looked at my MRI, took new x-rays, read my reports and determined within a minute that I had a labral tear and would need arthroscopic surgery. We would not know until the surgery was happening whether it would be a labral repair or labral reconstruction.
On March 27, 2017, my daughter’s fifth birthday, I went in for arthroscopic hip surgery. I was under for about 3 hours. I woke up in extreme pain and felt like my body had been sawed in half. Whatever pain medication they gave me before the surgery was nowhere near enough. I was so thirsty. I must have had my mouth open with the breathing tube the entire time. My lip was fat and sore. After waking up they wheeled my bed to the recovery room. I was to move from the bed to the recliner chair with help. I was shaking in pain but the nurses called me a ” determined patient” and “tough cookie” and helped me over. I met Jacob in the room and he told me that I had labral reconstruction. Crap. That meant more pain upfront and a longer recovery and time on crutches. Perfect for my life with three little kids…
I ate a bagel and then attempted to go the bathroom. I puked. Somehow I got myself kneeling on the floor and to the toilet. I have really no idea how I did that in my condition. The nurse and Jacob helped me back to the room to get dressed. I asked for privacy for a couple minutes and then sobbed with my sweet husband because I was in so much pain.
We eventually got on our way home. I felt awful. I puked again, this time in a doggie bag the nurses had provided. The first two nights I set alarms on my phone to wake up and take oxycodone. After that I weaned off and switched to ibuprofen. I hate how narcotics make me feel sick and dizzy. I would rather have pain.
I saw pictures of the inside of my hip joint at my 2 week post op appointment. It was gross and fascinating. The labrum was a frayed mess. The hip socket was covered in red patches of inflamed bone. In my husband’s teasing words, “At least now we know you weren’t making the whole thing up!” The surgeon’s PA told me about the bones of the hip socket and ball that were shaved so they don’t have a chance of rubbing again. My new labrum was created from cadaver tissue. It looked very tidy.
Fast forward to 4 weeks post op. I still have more pain today than I did before surgery. My leg has gotten stronger but my range of motion is quite limited. It’s come a long way though from being dead weight. I could barely even step into our shower the first couple weeks. I go to physical therapy at 6:30am three times a week. The activity causes pain but it’s also ensuring that I become more flexible and stronger. The tissue massage and electrical stimulation are soothing. The hip and surrounding muscles have to relearn how to function again. I still use one crutch in the home. I can’t carry Caleb around. He’s 15 months old and quite mad about the whole event.
FAQs
When will you feel better?
– the intense pain should be better in a couple more weeks (6 weeks post op)
– it will not feel “normal” for six months.
– it will not be fully healed for one year.
When will you be off crutches?
When I can walk without a limp or pain. It’s not a matter of specific days you have to wait, it just depends on how quickly the hip socket and labrum heal. There is still a lot of fluid build-up and inflammation because of all the trauma to the area during surgery.
How many times a week do you go to physical therapy/how is physical therapy going?
I drive myself a short distance to physical therapy 2-3x a week at 6:30am. That timing assures there is no need for childcare since Jacob is still home in the morning. Physical therapy helps strengthen and my hip and increase range of motion. It hurts.
Can you get pregnant again?
Yes, in 6-12 months it would be safe to be pregnant again and the damage should not repeat because of the bones that were shaved. That said, future pregnancies are not on our calendar at this point. I’ve been in pain for almost 20 months now from this pregnancy-induced injury and the chance of messing this recovery up is slightly terrifying.
What has the doctor said?
You’re going to hurt for a long time! We really beat you up in there. – Surgeon
I would rather have my hip or knee replaced than the surgery you had. – PT
Four weeks out of surgery is like day 2 for pain recovery. It’s still really fresh. For you to be off of pain meds (narcotics) is amazing. You are tough. – PT
Motion is lotion. But don’t do too much. – PT
The numbness you feel will turn to pins and needles next. That’s the nerves waking up. – PA
You should feel great in a year. – PA
You are a conundrum. Your body is the perfect storm. – Pelvic Therapist, before surgery
Can I see your hip pictures? I would love to look at it as an example of the people who we try to help and don’t progress. (The unlucky 10%) – Chiropractor, after surgery
Are you healed yet? – husband, after every PT appointment
I’d like to express a HUGE thank you to all our friends and family who have helped us out these many weeks. We are so appreciative of all the time and food you’ve given us while I am on the mend. We could not have done this without you! Thank you, thank you, thank you!