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Can hip arthroscopy complications involve a gaping hole? I blogged awhile back on what I call the hip arthroscopy “portal syndrome”. I have a collection of patients who have had one or more hip arthroscopies who have an obvious open portal on their MRIs. This is the place where the arthroscopy equipment goes that should quickly heal, but instead the area is a gaping tissue tunnel. They all have chronic pain in this general area and all found no relief with hip arthroscopy surgery that was performed to “fix” their hip impingements. Yesterday we were performing diagnostic blocks on one of those patients (the woman highlighted in the prior post) to see if her hip joint was the remaining source for her pain. I was very surprised to see just how big the unhealed hip arthroscopy portal was in this woman (image above). Note that the radiographic contrast in the black dashed circle shouldn’t be there. This means her joint now freely communicates with the surrounding muscles, something nature never designed. Is this the cause of her pain? I’m not sure as it could also be the joint itself or a nerve that was injured by the two hip arthroscopies on this hip. Either way, disrupting the joint capsule in this way can’t be good. The upshot? If the first hip arthroscopy doesn’t succeed, don’t “double down” for a second!
Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications.
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Regenerative procedures are commonly used to treat musculoskelatal trauma, overuse injuries, and degenerative issues, including failed surgeries.
Shoulder
Many Shoulder and Rotator Cuff injuries are good candidates for regenerative treatments. Before considering shoulder arthroscopy or shoulder replacement, consider an evaluation of your condition with a regenerative treatment specialist.
Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.
Knees are the target of many common sports injuries. Sadly, they are also the target of a number of surgeries that research has frequently shown to be ineffective or minimally effective. Knee arthritis can also be a common cause for aging athletes to abandon the sports and activities they love. Regenerative procedures can be used to treat a wide range of knee injuries and conditions. They can even be used to reduce pain and delay knee replacement for more severe arthritis.
Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.
Hand and wrist injuries and arthritis, carpal tunnel syndrome, and conditions relating to overuse of the thumb, are good candidates for regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
Hand and Wrist Arthritis
Carpal Tunnel Syndrome
Trigger Finger
Thumb Arthritis (Basal Joint, CMC, Gamer’s Thumb, Texting Thumb)
Hip injuries and degenerative conditions become more common with age. Do to the nature of the joint, it’s not quite as easy to injure as a knee, but it can take a beating and pain often develops over time. Whether a hip condition is acute or degenerative, regenerative procedures can help reduce pain and may help heal injured tissue, without the complications of invasive surgical hip procedures.
Foot and ankle injuries are common in athletes. These injuries can often benefit from non-surgical regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
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