yes, "joint space is good" means there is no serious cartilage erosion. I'm thinking it surely could be possible that someone has back problems, and also has hip problems that point toward a THR. They do have chiropractors on staff, and do recommend that for some patients with back problems. the physiatrist I saw, at the hospital where I had my THR (one of the best if not the best in the U.S.), and the PT he assigned me to, think my back problems would not work out well at all with chiropractic treatment. I can keep scouring bonesmart, too, but I really don't see in the pre-op area anyone who talks about "good" X-rays but bad hip pain.Īs for the back. I might not be posing the question correctly. Can anyone answer this? I have searched and searched on the Internet and can't find any answer. will not approve surgery if the X-rays don't indicate erosion of cartilage? I guess THAT'S my big question.Īnd I am sure I saw that question brought up here, but for the life of me, I can't find it. I lurched along miserably for about 5 years and then finally went to another OS for X-rays and at that point it was bone on bone, bone spurs and cysts and there was no question I needed a THR.Īre there others like me who experience this pain, but the joint space isn't bad enough-according to the surgeon-to have the surgery yet? And is that because the ins. He did not do an MRI, but he said he'd bet anything I would need both hips replaced someday. I had pain that was bad enough I went to a doctor and she referred me to an OS (several years ago), who did X-rays that showed sufficient joint space, but he said the joint pain and groin pain was most probably due to uneven wear and tear of the dysplastic shallow socket, and he surmised maybe a torn labrum. My big question for Josephine and Jamie is if there are others like me who have joint pain that ultimately means a hip replacement even though the X-rays show sufficient joint space? That was exactly my situation with the first hip. I have thought about going to another OS or two to get another opinion (though I really did like the OS who did my right hip replacement). I almost wish I could beg the surgeon to just do the THR despite the good joint space, but I guess that is crazy. He sent me off to a back doc, who has sent me to PT, to get the back problems solved. My surgeon thinks it's possible a lot of my hip pain is from back problems that have nothing to do with my hip. Is there anyone else who was in pain despite good joint space in the X-rays? What did you do? It's very hard for me to just bide my time for years. This time around, the OS didn't recommend PT. I tried PT and glucosamine chondroitin, but they did not help. The xrays did show bone spurs, which I guess is the cause of the pain. He anticipates my needing a THR someday, but didn't specify when. I saw the OS two months ago and he did X-rays, but said the joint space is good. Despite 2014 not even being 24 hours old, I feel it's 2007 all over again and it's a Groundhog Day kind of situation: My new hip is 8 months old, but the other hip has been hurting pretty much nonstop for a couple of months now. I can't believe I am starting a new thread on the pre-op side again. The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study. Lespasio MJ, Piuzzi NS, Husni ME, Muschler GF, Guarino A, Mont MA. Prognostic factors for progression of osteoarthritis of the hip: a systematic review. Teirlinck CH, Dorleijn DMJ, Bos PK, Rijkels-Otters JB, Bierma-Zeinstra SMA, Luijesterburg PAJ. Glucosamine and chondroitin sulfate: what has been learned since the Glucosamine/Chondroitin Arthritis Intervention Trial. TGF-β signaling and the development of osteoarthritis.
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