Adhesive Capsulitis of the Hip

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I am a 30 year old, male, former kick boxer. I am 1 month post-op today from left hip arthroscopy. I had 2 small tears in the labrum, 1 in the joint capsule, and most notably Adhesive Capsulitis. Doctors said they perormed a manipulation to break up the scar tissue, and prescribed Physical Therapy 8 days after the operation. I have worked very hard on low impact range of motion excercises every day, but pain has increased, and range of motion decreased since the operation. This is not a common problem so I have had difficulty getting answers on if the level of pain and lack of range of motion is normal. Any ideas? Similar cases?

-- Jason R. Price (jason.price@framatome-anp.com), October 16, 2002

Answers

Sometimes removal of the scar tissue can help. Sometimes there is a problem with the components themselves which needs to be addressed. Often some improvement is possible but not a return to normal.

-- Marc Hungerford, M.D. (mhunger@jhmi.edu), December 20, 2002.

any resolution to this??????i would be interested in what has happened to you

-- christina (sunny95828@yahoo.com), September 28, 2004.

I too would love to hear more about this. I had a frozen shoulder all last year which was pretty much resolved with a MUA. But I am now experiencing similar symptoms with my hip.

-- Cheryl Bostelman (cab@henry-net.com), September 28, 2004.

Quite a bit has happened since the 1st surgery I spoke of above. I have subsequently had another manipulation under anesthesia, and a second scope. The second scope was performed to remove scar tissue, perform a capsular release, and lengthen the hip flexor and psoas tendons as they have permanently shortened causing a permanent 30 degree contracture. That was January 5, 2004 and the short story is that after extensive rehabilitation and a constant home program I am basically no better. My contracture is less than the original 30 degrees, but I sacrificed quite a bit of flexion range now. The pain is no better, perhaps worse. This looks like a permanent life changing illness. The upside is that the patience and faith I have gained through this trial make it bearable.

-- Jason Price (jason.price@framatome-anp.com), October 08, 2004.

I ALSO HAVE THIS PROBLEM!I WAS TOLD THAT THE ONLY ANSWER IS A HIP REPLACEMENT!THE PAIN IS SO GREAT IM ALMOST A ADDICT TO PAIN DRUGS!IF THEY CAN TAKE A LIGAMENT FROM A CONDAVER FOR A KNEE WHY NOT A HIP!

-- SHAWN SWIFT (WWW.NADDERLEY11@AOL.COM), October 15, 2004.


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