Supertraining

This sounds like pretty serious stuff.  I guess one of the
few bright spots is that you're only 26yrs old and seems like you
have a solid physical base upon which to build your rehab.

Honestly, I'd consult an orthopeadic surgeon (perferrably the one
performing the surgery) or physical therapist (when you said "PT",
did you mean physical therapist?  Ppl tend to get that mixed up).
Even better, the PT should be the equalivent to the APTA's Orthopedic
Certified Specialist. They both are able to better assess your
situation and what your rehab would entail, plus what the time table
would be like as far as continuing your normal physical activities.

There are plenty of questions that come to mind when trying to assess
your recovery(and I'm just a cPT!): What is cutting off "normal blood
flow" in the first place(fracture/sprains, clots, etc)?  Is the lack
of blood supply only to the actual bone or is to the supporting
connective tissue as well?  Any history of or current hip fractures
(femur/pubic/ischium)?  I've heard that alcohol consumption and liver
conditions also affect vascular disorders, though I'm not very
knowledgeable about that.

You may if you haven't yet want to get your other hip checked out,
too .... to make sure that whatever brought this on your right hip
doesn't hold true for your left one (esp since you'll be depending on
that leg while the right one recovers).

Best of luck to you and hope it works out.

Chris Crawford, NSCA-CPT
Washington, DC




--- In [EMAIL PROTECTED], "jameson.harry"
<[EMAIL PROTECTED]> wrote:
>
> Dear all,
>
> I am a 26 year old PT and strength coach. I am very physically
> active, playing soccer 2-3 times each week and doing between 3-6 gym
> sessions each week. Over the past 2years I have started to have
> serious problems in my right hip, consequently that I have had to
cut
> back on the soccer in the past 6 months and can no longer run for
> more than about 10-15 mins. After see a physio and having an MRI I
> have been diagnosed with avascular necrosis of the femoral head
(lack
> of adequate blood supply). After meeting with the doctor they have
> decided that the best course of action is for me to have a core
> decompression of the right hip in order to release the pressure and
> hopefully get normal blood flow back up and running.
>
> I have a number of questions/concerns and would very much appreciate
> any advice, experience and knowledge that any of you could pass on
in
> this matter.
>
> 1.    The success rate of this kind of procedure?
> 2.    Likelihood of the condition reoccurring?
> 3.    Length of recovery time? How long before full weight bearing
> impact exercise can take place? How long before light rehab work can
> begin?
> 4.    Likelihood that I will have full ROM and function restored to
> hip after this operation?
> 5.    Any alternative treatments? And effectiveness of these
> treatments (am seeing an acupuncturist for consultation on Friday,
> however I have very little knowledge in this area and therefore am a
> little sceptical)
> 6.    Finally any other help or information that you may be able to
> pass on would be gratefully received.
>
> Thank you guys,
> Harry Jameson
> London, England
>