
What Do My Lab Test Reports Indicate?

I had an MRI which showed a torn labrum and swelling, and x rays which showed 2nd degree hip dysphasia and arthritis.
I saw 2 Orthopaedic surgeons, one said have the labrum repaired with arthroscopy which could help for a few years, the other said to have a hip replacement when the pain is really bad..It is affecting my sleep and is hard to cope with, I have painkillers every night..which operation do you think I should have.? Also I have osteopenia.
Thanks a lot, Philippa
Replacement needed in a setting of arthritis and constant pain
Detailed Answer:
Hi there.
Welcome to Healthcare Magic.
Thanks for the query.
I have read your query and understood your problem. You are suffering from hip joint arthritis due to hip dysplasia or malalignment of the hip bones. Over the years this malalignment has damaged the hip joint cartilage causing a torn labrum which can cause pain on walking. In the long term, cartilage has damaged quite a bit and now the hip bones are coming into close contact and causing severe pain.
Since you have arthritis, it is best to get a Hip replacement which can keep you almost free of pain. But an arthroscopic debridement or repair of the labrum will only relieve the pain to some extent and not completely and you will still have night pain.
Avoid squatting, cross leg sitting, climbing stairs. Apply hot water bottle over the painful areas. You can do static cycling exercise if that does not cause you any difficulty and keep fit and prevent obesity. Eat diet rich in calcium and protein like chicken, lean meat, cereals, pulses, eggs, soya and keep well hydrated.
You also need calcium and vitamin D supplementation as well, to treat you for osteopenia as this make you prone to getting fractures easily if not treated.
I hope you have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu

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