So to start this blog off I want to do a little background explanation of myself.
I was born (normally, not breech) with Bilateral Hip Dysplasia that my
pediatrician diagnosed when I was about 3 months old. If you are reading
this, chances are you are completely aware of what hip dysplasia is,
but if you stumbled across this let me explain. Basically, my hip
sockets did not develop completely when I was born. So instead of the
ball/head of my femur being in a nice cup-shaped socket, it's sitting in
something that looks more like a shallow dish and over time the femur
begins to rest on the labrum/cartilage and cause very bad pain as well
as arthritis. So back to my Doctor: He ordered me to get Pavlik's
Harness when I was 3 months old which kept my hips at right angles to my
body to help form/shape my hip socket. I wore this for 6 months as a
baby. When it came off, everyone thought I was fixed and my hips were
never looked at again. Now, fast forward a few years.
All throughout my life I have been very active. I have played sports all
my life, softball from around 5 years old until middle school,
basketball from 10 years old or so until 8th grade, volleyball 7th
grade-senior year and I rowed crew 7th grade-11th grade. All were very
demanding sports that had me jumping and bouncing and jolting around and
I never had much pain. Maybe a little sore after a lot of running, but I
assumed it was because I had this hip problem since birth so I never
thought much of it, we all assumed it was 'normal'. Fast forward again.
Now I'm in college and my hips are sore every once in a while, nothing
out of the ordinary. Senior year I thought it would be a good idea to do
some break dancing moves one night...everything seemed fine. The next
morning I got out of bed and almost collapsed because my one leg (left
leg) just gave out on me and I couldn't walk. I went to health services
on campus and they sent me for x-rays...which didn't show anything. It
was close to the end of first semester so over Christmas break my mom
made an appointment with her orthopedic doctor (did I mention my mom has
had two hip replacements, as well as had them both RE-done--yeah Hip
Dysplasia is hereditary, usually in females). So I had an MRI and an
arthrogram, which is when they insert a needle directly into the joint
and inject dye to see the cartilage. This was the MOST painful thing I
think I have ever had...as the numbing medication wasn't working. So
after all of this I then met with her Doctor who basically said yes I
have hip dysplasia and yes I will need replacements when I'm older, same
as my mom. However, there is a guy in NYC who does reconstructive
surgery and basically breaks the pelvis to create a new hip socket but
he has only done about 10. So right away we said no thanks. We met with
another doctor and he said the cartilage was broken and I can have
surgery to fix it, but it could break in a week. We left the
appointments depressed and with no answers.
I finished off senior year of college in pretty bad pain that would come
and go. Went to Florida on Spring Break and had trouble walking around
the park...etc.
Fast forward four years to 2010.
So here I am, planning a beautiful wedding with my soon to be husband
and scared about the future of my hips. I want to enjoy my day, I don't
want to limp down the aisle, I don't want to limp around Hawaii on our
honeymoon. But I had no choice so after the wedding my #1 goal was to
find a doctor and get some help. My fear was getting pregnant
eventually...I got to the point where I couldn't carry groceries without
being in the most excruciating pain of my life. Each step I took was
more painful than the last, both hips, added weight was horrendous and
standing for any amount of time over 5 minutes was dreadful. I would get
stiff, my hip would give out, it would click, I would limp and just
waddle all over. It almost felt like my hip was stuck sometimes and it
took a while to get unstuck, standing from a sitting position I would
get stiff and sitting from standing was also stiff. I NEVER took pain
medication because I wanted to only use it when I needed it. I have
taken it maybe 10 times in my life for hip pain. I took it last on our
Honeymoon when I wanted to hike one of the volcanoes semi pain-free. So I
really just fought through the pain. It was funny when my Mom, or
Husband would ask if I hurt....well of course I hurt, every step hurts.
Sometimes just worse than others.
Now we live in CT which is not where my Mom's Doctor is (I grew up in
NY). I now have to basically close my eyes and pick an orthopedic
surgeon to make an appointment with to see if he can help me. So I went
to see Dr. John McCallum in Branford, CT. He wanted to see any previous
MRIs and X-Rays that I have had done which I had sent over and they also
took new X-Rays since it had been 4 years (since 2006) since my last
visit for my hips. He took one look at my new X-Ray and said "you have
bilateral acetabular hip dysplasia and I have a friend in Boston that
takes care of patients with hips like yours". He didn't want to give me
too much information regarding the procedure as he wasn't positive how
it was done and didn't want to give me false information. He referred me
to Dr. Michael Millis at the Children's Hospital in Boston who
specializes in Young Adult Hips and he performs a procedure called
Periacetabular Osteotomy (PAO). I ran home, made my appointment and
began to Google PAO! What I found was less than exciting.
If you want to start reading from the beginning - I recommend - you can do so here
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