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[Supertraining] Re: Avascular necrosis right hip - best solution? jameson.harry Mon Jul 14 08:41:48 2008

> --- In [EMAIL PROTECTED], "jameson.harry"
> <harryjameson1@> 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.
>
> ****
> Harry,
>
> I too am a strength coach and had avascular necrosis of the femoral
> head at age 26 (29 now).  My condition however was caused by severe
> trauma.  I
> was shot by a sniper in Iraq through the left hip. The damage to the
> femur healed somewhat over the five and a half months I spent in an
> external fixator.  However, the damage to the blood supply was too
> severe and the head of the femur began to wear away. I was forced to
> have a total hip replacement about a year later.  Today my strength
> has returned to a decent level.  I am able to box squat about 400
lbs
> (180 kg) to just above parallel although I think my ortho Dr. would
> have a heart attack if he knew.  I do not however run very much.  I
> generally stick to the stepmill, elliptical, and the bike for cardio
> work.
>
> I did not have the options for the treatments you mentioned because
> the degradation of the femoral head was too severe.  Not trying to
> frighten you just relating a simular story/condition. Good luck and
I
> hope you are able to return to a level of performance higher than
> before your condition.

****
Dear all,
Thank you for your kind words and advice. I have decided to postpone
the operation until I have got 2 more opinions' from orthopaedic
surgeons. I will try to explore alternative treatments before opting
for invasive surgery. Once again thank you and i will let you know
what happens.

Cheers
Harry Jameson
London, England