protrusio acetabulum

[Guest guest]

protrusio acetabulum

Sounds like a spell that would be cast in Harry Potter!! Sorry,

couldn't resist. I haven't heard of anyone having that here yet. If

there is anyone, I'm sure they'll speak up.

[Guest guest]

> protrusio acetabulum

>

> Sounds like a spell that would be cast in Harry Potter!! Sorry,

> couldn't resist. I haven't heard of anyone having that here yet. If

> there is anyone, I'm sure they'll speak up.

>

>

Thanks alot ! I can't help it if that's the spell that was cast

on my hips!...Susie

[Guest guest]

Hi Susie,

Your story could be mine. As a child I could not sit cross-legged,

turn cart-wheels and I did not even consider doing the splits. I was

always quite sporty though - I swam and played badminton

competitively. At school, when we had to run the hurdles, I made sure

I was on the outside lane and just ran round them instead of trying

to jump across them. Nobody seemed to think it worthwhile to find out

why this child/teenager was doing such strange things.

I also played squash and began to play tennis at 30. Looking back,

this was when the real problems started. Feet, back, knees were

hurting (hardly ever the hips as I did not really use them). At 36 I

finally went to see a specialist. His reaction was that had I been 30

years older he would have had me in the next day to have the right

hip replaced. Instead I went for 4 weeks rehab. This did me the world

of good and from then on I went to physiotherapy once a week and

tried to keep on the move as much as possible. I gave the ball sports

up. My first goal was to reach 40 and then 45 with my own hips.

I was still doing ok until about 9 months ago. Then I discovered I

could no longer get on my bike to ride it. My nordic walking

companions commented on how slow I was and I started getting pain at

night. My idea then was to go to rehab and get back more mobility and

strength. Well, in January 2004 the doctor at the rehab clinic gave

me quite a lecture. He seemd to be surprised after seeing my latest x-

rays and my non-range of movement that I was not in a wheel chair. He

told me quite bluntly that he did not know what I was waiting for and

why I was punishing myself like this. I should seriously think about

getting both hips replaced as soon as possible. There was nothing he

or his team could do for me other than work on my back problems. I

left his office in tears and took quite a while to digest what he had

told me, but realised in the end that he was right. I resigned myself

to getting 2 thrs.

However, my husband then started to search the network for any

information he could find. This is how we found out about

resurfacing. We both were convinced I should go for this if possible.

I think he is more nervous about next week than I am. I turned 45

last month and my range of movement is practically non-existent. This

bothers me more than anything else. I get really frustrated when I

cannot put on my socks or do up my own shoes. It takes such a lot of

effort. I do not have much pain and hardly ever need medication. I am

well aware that I am going to have to work really hard to get more

range of motion. My muscles are going to hurt and not want to do the

things I want to do. And I'm going to have to be patient, not

necessarily one of my virtues... Nobody can tell me how successful

I'm going to be.

Oh dear, this has turned out to be a lot longer than intended, but

then I am writing about 45 years of weird hips. How about you - how

old are you and when did things start to get worse. Jill

> jigo59!!!! Thank you so much for responding! I have

> questions....have you had problems with your hips all of your

life?

> I have always had limited range of motion...could not sit

comfortably

> with crossed legs, never could do the splits or cart-wheels as a

> child. How old are you and when did your hips start to bother

you?

> Do both hips hurt? My range of motion is getting worse and worse.

> It's scarey. What made you go to the doctor in the first place? I

> love to hear about your surgery and rehabilitation. I would love

to

> have the increased range of motion that re-surfacing is supposed to

> give. Please keep me posted. Thank you so much for reading my e-

> mail!!! Susie in Memphis, TN. (ps...my daughter lives in

Lausanne,

> Switzerland)

[Guest guest]

Hi Susie,

Your story could be mine. As a child I could not sit cross-legged,

turn cart-wheels and I did not even consider doing the splits. I was

always quite sporty though - I swam and played badminton

competitively. At school, when we had to run the hurdles, I made sure

I was on the outside lane and just ran round them instead of trying

to jump across them. Nobody seemed to think it worthwhile to find out

why this child/teenager was doing such strange things.

I also played squash and began to play tennis at 30. Looking back,

this was when the real problems started. Feet, back, knees were

hurting (hardly ever the hips as I did not really use them). At 36 I

finally went to see a specialist. His reaction was that had I been 30

years older he would have had me in the next day to have the right

hip replaced. Instead I went for 4 weeks rehab. This did me the world

of good and from then on I went to physiotherapy once a week and

tried to keep on the move as much as possible. I gave the ball sports

up. My first goal was to reach 40 and then 45 with my own hips.

I was still doing ok until about 9 months ago. Then I discovered I

could no longer get on my bike to ride it. My nordic walking

companions commented on how slow I was and I started getting pain at

night. My idea then was to go to rehab and get back more mobility and

strength. Well, in January 2004 the doctor at the rehab clinic gave

me quite a lecture. He seemd to be surprised after seeing my latest x-

rays and my non-range of movement that I was not in a wheel chair. He

told me quite bluntly that he did not know what I was waiting for and

why I was punishing myself like this. I should seriously think about

getting both hips replaced as soon as possible. There was nothing he

or his team could do for me other than work on my back problems. I

left his office in tears and took quite a while to digest what he had

told me, but realised in the end that he was right. I resigned myself

to getting 2 thrs.

However, my husband then started to search the network for any

information he could find. This is how we found out about

resurfacing. We both were convinced I should go for this if possible.

I think he is more nervous about next week than I am. I turned 45

last month and my range of movement is practically non-existent. This

bothers me more than anything else. I get really frustrated when I

cannot put on my socks or do up my own shoes. It takes such a lot of

effort. I do not have much pain and hardly ever need medication. I am

well aware that I am going to have to work really hard to get more

range of motion. My muscles are going to hurt and not want to do the

things I want to do. And I'm going to have to be patient, not

necessarily one of my virtues... Nobody can tell me how successful

I'm going to be.

Oh dear, this has turned out to be a lot longer than intended, but

then I am writing about 45 years of weird hips. How about you - how

old are you and when did things start to get worse. Jill

> jigo59!!!! Thank you so much for responding! I have

> questions....have you had problems with your hips all of your

life?

> I have always had limited range of motion...could not sit

comfortably

> with crossed legs, never could do the splits or cart-wheels as a

> child. How old are you and when did your hips start to bother

you?

> Do both hips hurt? My range of motion is getting worse and worse.

> It's scarey. What made you go to the doctor in the first place? I

> love to hear about your surgery and rehabilitation. I would love

to

> have the increased range of motion that re-surfacing is supposed to

> give. Please keep me posted. Thank you so much for reading my e-

> mail!!! Susie in Memphis, TN. (ps...my daughter lives in

Lausanne,

> Switzerland)

[Guest guest]

This is the first I have heard about protrusio acetabulum. Is this

something they can tell from a simple xray? As a child I never could sit

crosslegged and I was even embarassed to try the splits. When I was in my

thiries and was diagnosed with OA I assumed that it had started as a child

and that was why I had such a limited range of motion. I was a runner for

many years and stretching was always a challenge. I had my right hip

resurfaced in August and I was hoping the range of motion would suddenly

appear. It hasn't. Is it possible that I have protrusio acetabulum and

nobody has noticed because of the OA?

June

> Hi Susie,

>

> Your story could be mine. As a child I could not sit cross-legged,

> turn cart-wheels and I did not even consider doing the splits.

[Guest guest]

> This is the first I have heard about protrusio acetabulum. Is this

> something they can tell from a simple xray? As a child I never

could sit

> crosslegged and I was even embarassed to try the splits. When I

was in my

> thiries and was diagnosed with OA I assumed that it had started as

a child

> and that was why I had such a limited range of motion. I was a

runner for

> many years and stretching was always a challenge. I had my right

hip

> resurfaced in August and I was hoping the range of motion would

suddenly

> appear. It hasn't. Is it possible that I have protrusio acetabulum

and

> nobody has noticed because of the OA?

>

> June

>

> > Hi Susie,

> >

> > Your story could be mine. As a child I could not sit cross-legged,

> > turn cart-wheels and I did not even consider doing the splits.

June, I guess you very well could have protrusio...I sure didn't know

until this January but I sure have had a life-long limitation in my

hip range of motion. The OS that diagnosed me is an older, well

respected very conservative guy who would never dream of doing a re-

surfacing. He knows his orthopedic problems though and could

probably do a hip replacement in his sleep. I'm disheartened to hear

that you do not have a greater ROM in your resurfaced hip...are you

going to have your other hip done? Did you have a problems with the

surgery? How was the rehab? Thanks for responding. Susie

[Guest guest]

Hi June and ,

No doubt the ladies with this will describe this condition in

full.........however June, your surgeon would have had to make provision

for the extra large area on the top half if you had this.......... I think

that is why some end up having to have a BHR device as it has special

cups and necessitates some going to Europe or UK etc...........

The Resurface device cannot fix range of motion problems perse..............

no device can including a THR.............. For while any device will go in

many directions freely it sits within a framework of our muscles/tendons

etc................and they are the real issue long term where ROM is

concerned............ The devices only cure the pain of bones rubbing.

From what I can understand of all this as soon as there is any

restriction/problem in a natural hip joint inner workings the

muscles/tendons start to shorten/tense up etc.........or simply

wither........... if this started young the muscles/tendons may never have

even developed properly............. that will be why some were given

stretching exercises when young in an effort to try to lessen the long run

damage. And I am sorry but you will live to regret you didn't

find that time for stretching.

There is also an element of catch 22 involved.......... when older it could

well be muscle/tendon problems that led to the OA etc that started even more

muscle problems etc etc.............. As I keep nagging gait problems

appear to be rampant in our community for one reason or another and not a

lot of attention seems to be getting focussed on this area of

health............ They come from natural defects and are aided and abetted

by poor shoes (yes women's fashion), concrete, lack of balanced exercise,

poor exercise etc............. And then there are all the accidents that so

often seem fairly harmless at the time but set up permanent damage

potential............i.e. contrary to apparent expectation we are all not

born perfect, we don't stay that way, even if we were, and often we do

have to spend time on our bodies, like it or not .

And later, well the long and short of it is that people like me with

zilch ROM at day -1 Resurface find that day + 1 gives very little ROM

and a long path of much hard work if one wants any..............But as I

am finding, anything is possible if you want to put the work in...........

and again I will say pool work seems best for this sort of thing because

of the support the water gives in experimenting with twists and

turns........... The other good news is it seems that once some critical

point is reached in muscle function it all seems to go a bit easier and

some sort of auto pilot seeking ROM comes into play.............. if that

makes any sense.........

Edith LBRH Dr. L Walter Syd Aust. 8/02

> This is the first I have heard about protrusio acetabulum. Is this

> something they can tell from a simple xray? As a child I never could sit

> crosslegged and I was even embarassed to try the splits. When I was in my

> thiries and was diagnosed with OA I assumed that it had started as a child

> and that was why I had such a limited range of motion. I was a runner for

> many years and stretching was always a challenge. I had my right hip

> resurfaced in August and I was hoping the range of motion would suddenly

> appear. It hasn't. Is it possible that I have protrusio acetabulum and

> nobody has noticed because of the OA?

>

> June

>

[Guest guest]

Hi June,

I did not have the first xrays done until I was an adult. I've seen

various doctors over the years and they were all unaninmous in their

diagnosis. So I assume they could see what was wrong. Even I can see

the problem when I look at my xrays.

My physiotherapist has warned me not to expect too much too soon.

Just because I get my hip resurfaced, does not mean I will suddenly

be able to do things I have never done before i.e. sit crosslegged.

Be patient and work hard. Then I'm sure you'll slowly but surely

achieve more range of motion. Jill

> This is the first I have heard about protrusio acetabulum. Is this

> something they can tell from a simple xray? As a child I never

could sit

> crosslegged and I was even embarassed to try the splits.

[Guest guest]

At 06:50 AM 4/23/2004 +0000, you wrote:

>My physiotherapist has warned me not to expect too much too soon.

>Just because I get my hip resurfaced, does not mean I will suddenly

>be able to do things I have never done before i.e. sit crosslegged.

I'm nearly three years out, and still working towards the cross-legged

sit. I can get the right one there, but the left one is not quite

ready. So does that make me half crossed, or half sat? I never have been

comfortable sitting cross-legged, although I was quite flexible as a

kid. The last several years of being frozen in pain and stiffness are

taking a long time to recover from, but I still see progress.

Cindy

C+ 5/25/01 and 6/28/01

[Guest guest]

Hi Cindy,

Thanks for a chuckle re sitting crossed-legged....... cheering to me that

you are still talking progress 3 years out........

Edith LBHR Dr. L Walter Syd Aust 8/02

>

>

> I'm nearly three years out, and still working towards the cross-legged

> sit. I can get the right one there, but the left one is not quite

> ready. So does that make me half crossed, or half sat? I never have been

> comfortable sitting cross-legged, although I was quite flexible as a

> kid. The last several years of being frozen in pain and stiffness are

> taking a long time to recover from, but I still see progress.

>

> Cindy

> C+ 5/25/01 and 6/28/01

[Guest guest]

Hi Cindy,

Thanks for a chuckle re sitting crossed-legged....... cheering to me that

you are still talking progress 3 years out........

Edith LBHR Dr. L Walter Syd Aust 8/02

>

>

> I'm nearly three years out, and still working towards the cross-legged

> sit. I can get the right one there, but the left one is not quite

> ready. So does that make me half crossed, or half sat? I never have been

> comfortable sitting cross-legged, although I was quite flexible as a

> kid. The last several years of being frozen in pain and stiffness are

> taking a long time to recover from, but I still see progress.

>

> Cindy

> C+ 5/25/01 and 6/28/01

[Guest guest]

Hi Cindy,

I guess that's the way it is. Muscles and tendons that haven't been

used for years and years cannot be expected to work again at the drop

of a hat. I enjoy reading about the progress you are still making and

will surely continue to make. I'll be quite happy if I make the same

kind of progress.

Jill

>

> >My physiotherapist has warned me not to expect too much too soon.

> >Just because I get my hip resurfaced, does not mean I will suddenly

> >be able to do things I have never done before i.e. sit crosslegged.

>

>

> I'm nearly three years out, and still working towards the cross-

legged

> sit. I can get the right one there, but the left one is not quite

> ready. So does that make me half crossed, or half sat? I never

have been

> comfortable sitting cross-legged, although I was quite flexible as

a

> kid. The last several years of being frozen in pain and stiffness

are

> taking a long time to recover from, but I still see progress.

>

> Cindy

> C+ 5/25/01 and 6/28/01

[Guest guest]

June wrote:

As a child I never could sit

> > crosslegged and I was even embarassed to try the splits. When I

was in my

> > thiries and was diagnosed with OA I assumed that it had started

as a child

> > and that was why I had such a limited range of motion.

June,

I, too, had great difficulty trying to sit cross-legged as a child -

and sitting cross-legged was considered a virtue in primary school,

as that was how one was supposed to sit on the floor. However, I

didn't develop OA in the hips. (My hip was fine till I fractured the

neck of femur last year.) I did develop RA in the knees (and most

other joints, except the hips) and one doctor told me a few years ago

the knees had OA, too.

I think sometimes we'll never know if something started in

childhood or if lack of ROM is a side issue. What's important is that

we've had a chance to improve on where we were at, at the time of

surgery.

Virginia

[Guest guest]

June wrote:

As a child I never could sit

> > crosslegged and I was even embarassed to try the splits. When I

was in my

> > thiries and was diagnosed with OA I assumed that it had started

as a child

> > and that was why I had such a limited range of motion.

June,

I, too, had great difficulty trying to sit cross-legged as a child -

and sitting cross-legged was considered a virtue in primary school,

as that was how one was supposed to sit on the floor. However, I

didn't develop OA in the hips. (My hip was fine till I fractured the

neck of femur last year.) I did develop RA in the knees (and most

other joints, except the hips) and one doctor told me a few years ago

the knees had OA, too.

I think sometimes we'll never know if something started in

childhood or if lack of ROM is a side issue. What's important is that

we've had a chance to improve on where we were at, at the time of

surgery.

Virginia

[Guest guest]

Thanks, Edith for the info, but what would cause a young child to have

restriction in the natural joint? I had ROM problems before I started

running seriously at the age of 11. I could not sit cross-legged and

stretching was very difficult.

June

>

> Hi June and ,

>

> No doubt the ladies with this will describe this condition in

> full.........however June, your surgeon would have had to make provision

> for the extra large area on the top half if you had this.......... I think

> that is why some end up having to have a BHR device as it has special

> cups and necessitates some going to Europe or UK etc...........

>

> The Resurface device cannot fix range of motion problems perse..............

> no device can including a THR.............. For while any device will go in

> many directions freely it sits within a framework of our muscles/tendons

> etc................and they are the real issue long term where ROM is

> concerned............ The devices only cure the pain of bones rubbing.

>

> From what I can understand of all this as soon as there is any

> restriction/problem in a natural hip joint inner workings the

> muscles/tendons start to shorten/tense up etc.........or simply

> wither........... if this started young the muscles/tendons may never have

> even developed properly............. that will be why some were given

> stretching exercises when young in an effort to try to lessen the long run

> damage. And I am sorry but you will live to regret you didn't

> find that time for stretching.

>

> There is also an element of catch 22 involved.......... when older it could

> well be muscle/tendon problems that led to the OA etc that started even more

> muscle problems etc etc.............. As I keep nagging gait problems

> appear to be rampant in our community for one reason or another and not a

> lot of attention seems to be getting focussed on this area of

> health............ They come from natural defects and are aided and abetted

> by poor shoes (yes women's fashion), concrete, lack of balanced exercise,

> poor exercise etc............. And then there are all the accidents that so

> often seem fairly harmless at the time but set up permanent damage

> potential............i.e. contrary to apparent expectation we are all not

> born perfect, we don't stay that way, even if we were, and often we do

> have to spend time on our bodies, like it or not .

>

> And later, well the long and short of it is that people like me with

> zilch ROM at day -1 Resurface find that day + 1 gives very little ROM

> and a long path of much hard work if one wants any..............But as I

> am finding, anything is possible if you want to put the work in...........

> and again I will say pool work seems best for this sort of thing because

> of the support the water gives in experimenting with twists and

> turns........... The other good news is it seems that once some critical

> point is reached in muscle function it all seems to go a bit easier and

> some sort of auto pilot seeking ROM comes into play.............. if that

> makes any sense.........

>

> Edith LBRH Dr. L Walter Syd Aust. 8/02

[Guest guest]

Hi June,

I am by no means an expert on all the things that can go wrong with the

natural formation of joints.......... though sometimes when I think about

how generally we are precisely made I can only be in wonderment of the

process..............

I can only comment that there are a number of things that go wrong via being

defects in just how the joint fits together.......some have smaller than

normal cups, some larger, the femur head itself can be not quite

right.......... so they don't fit together and operate well right from the

start........... then the tendons/ligaments could also be

responsible.......... some are simply not born with the capacity of these to

support/stretch/move as well as what is considered normal......... The hip

joint moves in a few directions if you think about it and all these seems to

matter to its smooth operation............so one bit being a bit short or

tight can have a big impact on another area............ and this sort of

problem would also serious affect running, sitting cross legged

etc.......... My own ROM was not as good as my siblings as a child and I

think a look at the general population would reveal quite a few hidden

problems of the same nature of your own.

I think if you really want to get to the bottom of your own particular

problems you may have to do a bit of research via the web on hips........One

assumes there is a fair amount of info out there on how they work..........

and think about where the actual restrictions were to early movement.......

I take it you also asked your OS a little at the time of the Resurface?

With you sitting in front of him he may well be able to provide some idea of

what caused the hassles - i.e. can test where the ROM is not happening and

which particular bits were responsible and why they were like that from a

very early age.

Edith LBHR Dr. L Walter Syd Aust 8/02

> Thanks, Edith for the info, but what would cause a young child to have

> restriction in the natural joint? I had ROM problems before I started

> running seriously at the age of 11. I could not sit cross-legged and

> stretching was very difficult.

>

> June

> >

>

[Guest guest]

Hi June,

I am by no means an expert on all the things that can go wrong with the

natural formation of joints.......... though sometimes when I think about

how generally we are precisely made I can only be in wonderment of the

process..............

I can only comment that there are a number of things that go wrong via being

defects in just how the joint fits together.......some have smaller than

normal cups, some larger, the femur head itself can be not quite

right.......... so they don't fit together and operate well right from the

start........... then the tendons/ligaments could also be

responsible.......... some are simply not born with the capacity of these to

support/stretch/move as well as what is considered normal......... The hip

joint moves in a few directions if you think about it and all these seems to

matter to its smooth operation............so one bit being a bit short or

tight can have a big impact on another area............ and this sort of

problem would also serious affect running, sitting cross legged

etc.......... My own ROM was not as good as my siblings as a child and I

think a look at the general population would reveal quite a few hidden

problems of the same nature of your own.

I think if you really want to get to the bottom of your own particular

problems you may have to do a bit of research via the web on hips........One

assumes there is a fair amount of info out there on how they work..........

and think about where the actual restrictions were to early movement.......

I take it you also asked your OS a little at the time of the Resurface?

With you sitting in front of him he may well be able to provide some idea of

what caused the hassles - i.e. can test where the ROM is not happening and

which particular bits were responsible and why they were like that from a

very early age.

Edith LBHR Dr. L Walter Syd Aust 8/02

> Thanks, Edith for the info, but what would cause a young child to have

> restriction in the natural joint? I had ROM problems before I started

> running seriously at the age of 11. I could not sit cross-legged and

> stretching was very difficult.

>

> June

> >

>