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Miss J, You may want to contact Dr Philippon in Vail and see if he recommends anyone in Boston. I have friends who had this surgery with him. He is very well known for that surgery and people from all over the world go to him for that surgery. The recovery from it though, takes longer than a hip replacement; can take longer than a year. I would do lots of research. http://thesteadmanclinic.com/dr-marc-philippon.aspMissJ wrote:Well, I've been researching it (again) all day looking for Boston area docs conversant in it. Thing is once you have this thing, the arthritis sets in. So, I have the arthritis to the hip joint. Ya, at least I have diagnostic info conforming to FAI. But there are too many orthopedists out there who don't accept that diagnosis because it is a relatively 'new' thing to come to the forefront of orthopedics. Requires a specialty in hip PRESERVATION surgery where many of the orthos want to do total hip replacement. Hip preservation surgery via arthroscopy, itself is a relatively 'new' thing too.
Alex Rodriquez a baseball player had FAI surgery. FAI correlates highly with young pro athletes but I'm a middle age woman.
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MissJ wrote:My physical therapist did a barrage of tests for it. Also, my symptoms are right on the money with the information out there about FAI.
have you had imaging? I have had two docs, a decade apart tell me they were sure I had a particular disorder in my foot structure (which would require surgery) from the symptoms and their physical examination... however, thank goodness I had an MRI because there was nothing there. the first doc was ready to cut me open and I insisted on the MRI. I know you are on the way to finding a physician and that's good... they will do some kind of films. The Hospital for Special Surgery in new york is teeming with all kinds of joint specialists... if you can't find someone directly in the boston area, you might try HSS and see who is affiliated with them in boston.
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Robin is absolutely correct, and the only way to diagnos FAI is to get an MRI arthrogram not a regular MRI. You need to have the dye injected directly into the hip joint. Robin wrote:
have you had imaging? I have had two docs, a decade apart tell me they were sure I had a particular disorder in my foot structure (which would require surgery) from the symptoms and their physical examination... however, thank goodness I had an MRI because there was nothing there. the first doc was ready to cut me open and I insisted on the MRI.
I know you are on the way to finding a physician and that's good... they will do some kind of films.
The Hospital for Special Surgery in new york is teeming with all kinds of joint specialists... if you can't find someone directly in the boston area, you might try HSS and see who is affiliated with them in boston.
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LOL, he came up in one of my searches. I think he did the baseball player rodriquez? Zoey wrote:Miss J, You may want to contact Dr Philippon in Vail and see if he recommends anyone in Boston. I have friends who had this surgery with him. He is very well known for that surgery and people from all over the world go to him for that surgery. The recovery from it though, takes longer than a hip replacement; can take longer than a year. I would do lots of research. http://thesteadmanclinic.com/dr-marc-philippon.asp
NOTICE: I'm having COMPUTER PROBLEMS and can hardly get on the internet or get to my e-mail. It's taken me like 6 hours just today to try to post this message. So, no e-mails or PMs to me until I can remove this message. I have no idea what the problem is. It started with Google Chrome not loading any pages for me. TT helped to uninstall but ran out of time and it would not re-install. CAn't explain the computer problem other than to say I'ts hard for me to access the net or my site.
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Robin, I have not has the type of MRI imaging to confirm the diagnosis. However, I would like a doc conversant in FAI or at least with a focus on JOINT PRESERVATION to confirm the diagnosis. Technically/legally speaking what I have might not be considered an 'official' diagnosis as my physical therapist strongly suspects I have FAI because I tested positive for all the diagnostic PT tests they do for that and also, according to an article in "American Family Physician", my complaints are right on the target for FAI. When I went to the physical therapist, I had already done a lot of research as to what possibly could be wrong in addition to the arthritis they saw. The list was stuff ' I hope I don't have' such as A vascular necrosis, occult femoral hernia, femoral (or other nerve) IMPINGEMENT and FAI as I was HOPING it was just a groin muscle pull. So, some of those things were ruled out but I tested positive for the FAI. Now the PT did not tell me I needed surgery and we were both hoping that the PT could help. I'm pretty confident that her findings were correct. I'm confident they are correct because the cross reference with all my research about FAI (which I was hoping I did not have). Don't really have the resources to go out of state for this although some NYC docs conversant in FAI did come up in some of my searches. Yes, an MRI is needed to confirm the diagnosis. I'm just searching around for docs who have a focus on joint preservation via small scar techniques (arthroscopy) who are experienced treating FAI. Like those are the ones I wish to consult with as I have to narrow down my consults. I know what you mean about insisting on an MRI. I too want one but in reference to FAI. I actually do have X rays and the PT could SEE the morphology that conformed to FAI in the X rays. However, the X rays were taken at Mt Auburn where the doc looking at them was just trying to rule out FRACTURE. Also, since FAI is a relatively 'new' diagnosis in orthopedics, it's not something an emergency doc reading an X ray is really going to look for. Believe me, I'm NOT looking for surgery and hesitate to go to an orthopedic doc who's 'default' is hip replacement. Those are the docs I want to first rule out. Robin wrote:
have you had imaging? I have had two docs, a decade apart tell me they were sure I had a particular disorder in my foot structure (which would require surgery) from the symptoms and their physical examination... however, thank goodness I had an MRI because there was nothing there. the first doc was ready to cut me open and I insisted on the MRI.
I know you are on the way to finding a physician and that's good... they will do some kind of films.
The Hospital for Special Surgery in new york is teeming with all kinds of joint specialists... if you can't find someone directly in the boston area, you might try HSS and see who is affiliated with them in boston.
NOTICE: I'm having COMPUTER PROBLEMS and can hardly get on the internet or get to my e-mail. It's taken me like 6 hours just today to try to post this message. So, no e-mails or PMs to me until I can remove this message. I have no idea what the problem is. It started with Google Chrome not loading any pages for me. TT helped to uninstall but ran out of time and it would not re-install. CAn't explain the computer problem other than to say I'ts hard for me to access the net or my site.
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Well, yes that is true. I would be looking to confirm a diagnosis of FAI that way but would need to find a doc who had as his OBJECTIVE to either confirm or rule out FAI--like not just some MRI to take a general look. Zoey wrote:Robin is absolutely correct, and the only way to diagnos FAI is to get an MRI arthrogram not a regular MRI. You need to have the dye injected directly into the hip joint.
NOTICE: I'm having COMPUTER PROBLEMS and can hardly get on the internet or get to my e-mail. It's taken me like 6 hours just today to try to post this message. So, no e-mails or PMs to me until I can remove this message. I have no idea what the problem is. It started with Google Chrome not loading any pages for me. TT helped to uninstall but ran out of time and it would not re-install. CAn't explain the computer problem other than to say I'ts hard for me to access the net or my site.
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MissJ wrote:Well, yes that is true. I would be looking to confirm a diagnosis of FAI that way but would need to find a doc who had as his OBJECTIVE to either confirm or rule out FAI--like not just some MRI to take a general look.
yeah that's the way to do it. glad you are researching to find the right doc to see...
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Yes, he did do Rodriquez. Mininder S. Kocher, MD at Childrens in Boston is another surgeon that people go to for FAI. MissJ wrote:LOL, he came up in one of my searches. I think he did the baseball player rodriquez?
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Thanks for the name mention. Just found an article with his name on it. http://www.orthojournalhms.org/volume6/manuscripts/ms10.htmZoey wrote:Yes, he did do Rodriquez.
Mininder S. Kocher, MD at Childrens in Boston is another surgeon that people go to for FAI.
NOTICE: I'm having COMPUTER PROBLEMS and can hardly get on the internet or get to my e-mail. It's taken me like 6 hours just today to try to post this message. So, no e-mails or PMs to me until I can remove this message. I have no idea what the problem is. It started with Google Chrome not loading any pages for me. TT helped to uninstall but ran out of time and it would not re-install. CAn't explain the computer problem other than to say I'ts hard for me to access the net or my site.
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cybergirl wrote:I found this segment creepy. Is this what's going on while we are doped up?
I’m not going to try and pretend like physicians are always professional. I mean, especially in surgery. It’s a bunch of guys—mostly, still. It’s not a “hot or not” conversation because, I mean, really, what percentage of patients are actually hot? But it’s “hotter,” “better,” you know? Yes, all that's totally true. I live with a surgeon (not a plastic surgeon though) and I was around when he was in training. You'd flip, totally flip, if you heard some of the stories I've heard. Flip.
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