So Many Issues

This blog has a lot of information that I had to look up myself as I had no idea what it meant or how to treat it so some of this is directly from the internet.

So, this is what I know about my hip issue after my Ultrasound. Starting with the right side.

Gluteus Minimus Tendon: Mild tendinosis. Focally tender. No tear. Enthesopathic changes are noted. This means there is mild, chronic wear-and-tear or degeneration of the collagen fibers within the tendon, usually from repetitive use rather than a sudden injury. It is not a sudden, red, swollen "tendinitis," but rather a gradual fraying or weakening of the tissue. To recover from this, I have the following options.

1) Activity Modification: Temporarily avoiding the specific repetitive motions or heavy loading that triggers the focal pain. Already modifying but hard to modify walking, standing, and even sleeping.

2) Load Management: Gradually reintroducing movement to ensure the tendon adapts and grows stronger without being overloaded. Need to figure out how to do this so hopefully 3 below will help with this.

3) Physical Therapy: Utilizing targeted eccentric exercises (slow, controlled lengthening of the muscle-tendon unit) to help stimulate proper collagen remodeling. This is the path that will help the most I think and the one I plan to pursue.

Now the left side is where it gets interesting as I already have a shortened femoral neck which can cause pain and issues on both sides. This is an issue that will have to be dealt with seperately. There was no anterior joint effusion. Labrum sub optimally assessed sonographically. Which means the ultrasound was unable to provide a clear, conclusive view of the tissue to rule out a tear or degeneration. So I would need an MRI or something similar to view this. On top of this I also have the following:

1) Dystrophic mineralization is noted of the labrum. No paralabral cysts. This means that calcium has been deposited into damaged or degenerated tissue in the rim of fibrocartilage (the labrum) that lines my hip joint.

2) Direct-Rec Fem: Intrasubstance calcification measuring up to 4 mm. No tear. Which means there is a small calcium deposit within the upper tendon of your quadriceps muscle (the rectus femoris), with no evidence of a tendon tear.

3) Gluteus Minimus Tendon: Mild tendinosis. No tear.

4) Gluteus Medius Tendon: Mild tendinosis. Focally tender. No tear.

So treatment for these would be the same as for the tendinosis above. For #1 it may involve arthroscopic surgery to remove the calcified deposits, repair the torn labrum, and reconstruct the tissue. For #2 it may involve ultrasound-guided needle therapies to break up the calcium. This is all speculation on my part for now, but I think next steps may be an MRI and a referral to an orthopedic specialist, It feels like a lot of things going wrong and I wish I would have looked into this sooner but at least I am working on it now. I will not be talking about my shoulder.