Tuesday, February 18, 2020

MRI Reults Are In.....

And while it doesn't appear "serious", it turns out I have some hip issues.

Duh.....!

Anyway....

From the report:

1. Right hip: Acetabular over coverage with moderate-severe chondrosis and joint space narrowing anteriorly and superiorly-lateral. Labrum is diminutive with diffuse tearing anteriorly and superiorly. No paralabral cyst.

2. Left hip: Limited images also show acetabular over coverage with moderate superior-lateral joint space narrowing. Probable diminutive labrum with tearing superiorly.


I don't have any apparent problems in the left hip, but it was on the image, so they reported on it.

Further reporting.....

RIGHT HIP:

Joint space: There is acetabular over coverage with center-edge angle of 48 degrees. Moderate-severe thinning of the articular cartilage especially anteriorly and superiorly-laterally with mild bone marrow edema within the adjacent segment of acetabulum. Mild-moderate thinning of the articular cartilage superiorly.

Bone marrow: No evidence of fracture, stress reaction or AVN.

Labrum: Labrum is diminutive with diffuse tearing of the remaining labrum anteriorly and superiorly. No para labral cyst.

Effusion: None

Other findings: None significant


Bony pelvis: Normal

Pubic symphysis and SI joints: Normal

Myotendinous structures: Foci of fluid and edema at the right hamstring origin likely secondary to chronic tendinosis. Mild bilateral gluteus medius tendinosis, left greater than right.

Soft tissues: Normal

Intrapelvic and lower abdominal findings: None significant

Visualized spine: Normal

Other findings: None significant


My Doctor's office called earlier, but calling them back dumps me into the hold/transfer/transfer/hold pattern.

My Doctor had mentioned she thought I had some "Labrum Damage" caused by arthritis, and this looks to confirm it, or some other problem.

It still hurts like H-E-double hockey sticks at times, usually in the morning, and I've just about burned through the "30 day" supply of Tramadol she gave me. I'm going to talk with her ASAP about trying a different pain killer, as the Tramadol mikes me kind of spaced-out if I take enough to knock the pain completely out, so I've been cutting the pills in half to give me a more granular dose that I can control easier.

Ibuprofen doesn't do much, and the Meloxicam I have from another Doctor does zip. Meloxicam is also NOT recommended for cardiac patients, so I should probably flush it down the toilet or otherwise safely dispose of it so I'm not tempted to use it.

Acetaminophen (Paracetamol) seems a better choice, but we don't have any, so I'll have to grab some when I pick up my other meds and give it a try.

So, now the ball is back in the Doctor's court, and we'll see what she recommends.

19 comments:

  1. No fun. No fun at all. I find that Aleve works better for me than other over the counter pain relievers. I feel for ya!

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    1. That's Naproxen, which is what the Worker's Comp "Doctor" back in Kalifornia prescribed. I don't recall if it did much, but I'll consult with my current Doctor on it.

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  2. What helps me with my knees is MSM (Methylsulfonylmethane). I take 1,000 -4,000 msg daily. Not expensive, and few side affects. It takes a few days to notice the difference; fewer when you stop taking it.

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    1. I take Glucosamine Chondroitan, and have been for quite some years. It helps my knees tremendously. If I haven't been on it for a while, it takes several days to a week to start working, and about as long to stop.

      My Dad tried DMSO decades ago, but I don't remember if it helped him.

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    2. Hope you get it figured out. I had forgotten til you mentioned DMSO. The Cowman took DMSO years ago for a bad shoulder. There were mornings where that was about the only thing that would allow him to saddle up.

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  3. What Vicki said. Hang in there, brother.

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  4. Are you looking at hip replacements?

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    1. Not at this time. My Doctor has mentioned getting another opinion from an Orthopedic specialist, and I'm sure she'll forward the MRI results after we confer again.

      It's not something I'm looking forward to, but I know several people who had complete hip replacement, and they said it wasn't as "bad" as they expected.

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    2. From the report, I'd have thought you were going to say they're sending you to an orthopedic surgeon to talk about hip replacements. With "moderate to severe" thinning of cartilage and the joint space narrowing (with less cartilage, it has to close up), you're on the way.

      My wife went through the glucosamine and other supplements. She said nothing helps when it's bone on bone. You still have some cartilage left, but they always say you'll know when it's time.

      Funny thing is everyone I know who has had both hips replaced waited longer for the first one than the second. All both of them! I read that as they realized surgery wasn't as bad as they were afraid it would be and didn't want to wait as long and endure as much pain the second time.

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    3. Thanks for the validation, SiG.

      I did a copy-paste-print of the report so I could read up on the condition(s) described. I hadn't thought about the the things you spotted, but I agree, the space is thinning out as the cartilage is wearing away.

      I'll call them again tomorrow to see what the next steps are. I'm sure they'll want me to do the PT.

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  5. If you get a new hip. Find an Ortho that does the anterior replacement. I was up same day, home the next and walking with walker short distance day 3. Back to work in 6 weeks.

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    1. The local hospital is pretty good, and the UCHealth system is pretty good, but I have no idea what's next.

      I suspect a new hip.....

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    2. Turns out we have a good Orthopedic Center here, called, strangely enough, "The Orthopedic and Spine Center of the Rockies". It's in the big medical campus where I had the MRI performed, and where my Cardiologist hangs his shingle.

      Our DIL was going to be a "Sports Physical Therapist" (No jobs for that), and she says they're very good at what they do.

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  6. Ouch! Hope you get things sorted out.

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    1. And I hope you get your back problems fixed!

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  7. Well, the good news is nothing catastrophic. The bad news is a grab bag of "things start to wear out at 100,000 miles"

    :-(

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    1. Yeah, I was worried there might be something really bad going on, but considering how many hard miles are on this chassis, I guess I'm getting over to the other end of the curve on parts replacement.

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Keep it civil, please....