For hip dysplasia diagnosed as an adult, there aren’t a massive amount of treatment options.
- Pain relief, including opiate medicines, anti-inflammatory drugs, or steroids/anaesthetic injections
- Arthroscopy, where the hip is pulled in traction and teeny tiny instruments are used to cut/burn/stitch/screw any damage to the cartilage, bone or labrum
- Periacetabular Osteotomy, which literally means they cut your pelvis in three places and move your bones
- Hip replacement – usually a last resort or where there is too much arthritis for a PAO to be a success
Aside from the hip replacement, which I may need in years to come, I’ve had all of the above done to my left hip, and if I am honest, its made a difference far beyond what I expected. In that side, unless I overdo it, I’m virtually pain free most days. The right hip is, however, another story. You see, it was fine until it wasn’t.
During my PAO recovery, the right side took all my weight and barely niggled. Last month though, I got out of bed one day and it just buckled beneath me, and so began The Hippening episode 2. The deep groin aches and wonky gait are just as they were last time and so I’ve accepted I may need more surgery.
When it happened, I called my surgeon’s secretary and got straight booked for a steroid and anaesthetic injection with the wonderful Alan Marriott. He’s rather avuncular and pretty amusing (he drew a smiley face on my leg in surgical marker!) and he did my last injection.
The first time I had a different doctor who did the procedure by ultrasonic guidance but Mr Marriott prefers to use the x-ray machine (fairly sure it’s a fluoroscope) to get the positioning correct. I personally prefer the x-ray one as it’s very very quick. Once he has the position marked (which takes about a minute) it’s straight in, and boosh! Done.
It really bloody hurts. Like, so much. The needle, containing a fairly long lasting local anaesthetic and a steroid, it inserted into the joint capsule to allow the liquid to fill the space between the head of the femur and the socket. Due to resistance to lidocaine, I have a different anaesthetic in and so it takes about 20 minutes before I get any relief and so it’s pretty damn sore. Last time I forgot to pre-medicate and so I absolutely pooped myself and swore at the doctor. Whoops.
The main benefit of the injection is pain relief – I got six weeks from the first one (pre-arthroscopy) and three months from the second, helping me manage my pain in the run up to my PAO. I’m hoping for another three months from this one. I’ll keep you all posted tomorrow!
Just gonna take this opportunity to thank Alada James who is chaperoning me tomorrow and making sure I don’t wander off, injure the public, injure myself, or drive at all! You, woman, are an absolute angel!