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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Pain In Hip. MRI Shows Ulcer On Lambrum. To Have Key Hole Surgery. Advice?

hi i wonder if you can help me. please excuse my righting as i am dyslexic. i am a 22 year old female with a british bmi of 36 (i have lost 2 stone and am still going). about 3 years ago i started to get a painful popping in my hip, that has slowly got worse and worse, now just walking around the house i am in agony i am taking tramadol and buprenorphine for pain with little benefits. the popping is easily heard by other people, and happens on when i straighten my leg, as well as with nearly every step. i recently had an arthroscopy and an MRI, the results wernt very clear but show as my doctor described it, an ulcer on my labrum, i am waiting to go for an anesthetic injection into my hip joint to check that the pain is coming from inside my hip joint. i think it is as no matter where i touch on my hip it dosnt affect the pain and im very flexible an this dosnt feel like a muscular pain and i dont have any tightness as such. my doctor said that if the injection leaves me pain free for 6 hours, then i am to have key hole surgery. what is the difference between a labral ulcer and a tear, also iam looking at a further 3 months before the anesthetic test, what else can i do for the pain im at my witts end. any help is greatly apreciated. thank you jess smith
Wed, 25 Sep 2013
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case.

In labral ulcer there is microtrauma to labral tissue and there is degeneration ,but ,the labrum is intact there is no loss of continuity.

In labral tear there is loss of continuity various types of tear include radial ,patial, intrasubstance ,bucket handle.
continue physiotherapy , weight reduction ,and hip exercises.


Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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Have Pain In Hip. MRI Shows Ulcer On Lambrum. To Have Key Hole Surgery. Advice?

Hello, I have studied your case. In labral ulcer there is microtrauma to labral tissue and there is degeneration ,but ,the labrum is intact there is no loss of continuity. In labral tear there is loss of continuity various types of tear include radial ,patial, intrasubstance ,bucket handle. continue physiotherapy , weight reduction ,and hip exercises. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care