u/Groomed_by_Pekomama

Previous post

Surgeon

Originally, I asked if 15 weeks would be enough time to recover in time for an upcoming accounting job (I'm looking for zero pain working, not return to sport yet). I pretty much got positive responses but then I had a discussion with my parents that made me doubt my upcoming surgery. They basically mentioned that the recovery timeline I have is too short and to consider what could go wrong if I don't recover as expected or have a complication. They don't want me to potentially have to postpone starting this accounting job after the job already accelerated my start date at my request. Instead, they recommend delaying the surgery for a year or 2 to get settled into my upcoming job and then work with them to schedule time off and remote work while I recover. So I'm a bit undecided:

Option 1: Get surgery now, aim to recover enough in 15 weeks so that sitting and travelling is zero/minimal pain.

Pros: Lot's of time to recover before starting job, lots of free time for PT, have lots of time off from my current part-time job.

Cons: Taking a risk of things getting worse before starting a new job. Might not look good for me to potentially request delaying my start date or to start my employment working remotely.

Option 2: Wait a year or so after working at my upcoming new job to request time off for surgery.

Pros: I establish myself within the company first and give a strong first impression before requesting time off. Can very likely work remotely.

Cons: Less time off to recover. Have to schedule my PT around my work. Potential for my hip issue to get worse.

Overall, my hip pain is 0-2 if I don't push things (spikes up yo 3-5 if I do) so I CAN delay if needed but I've essentially been limiting myself athletically more and more just to keep the pain mild. My athletic goals and progress have been completely destroyed at this point and me getting the surgery is more in the hopes of removing my restrictions rather than getting rid of the pain. There ARE exercises I can do to keep fit but I don't feel fulfilled. Sorry for the long read and any opinions would be helpful.

Already scheduled surgery cause I think this surgeon is much better than the last one but I'd like to hear opinions

Surgeon: Randy Marc Cohn

• Time on crutches
  • 1 month
•  Time until weight-bearing
  • 4-6 weeks
•  Time until return to sport (Heavy weight training/Powerlifting)
  • Treadmill: 3 months
  • Full sport: 4-6 months
•  How long to rest before resuming college? (Until I am able to sit comfortably?)
  • 6 weeks max
•  Percentage of successful outcome due to lidocaine numbing hip pain when squatting. (Note: Proximal hamstring issue was seperate).
  • Upper 90s

Surgery Questions

• What surgical techniques do you use most? (Postless technique is preferred)
  • Post-less technique
• How many times do you perform hip arthroscopy in a week? (Green flag for 5+)
  • 50-60 a year. 1-2 per week.
• What is your take on labral repair vs reconstruction? (Hint if the answer is anything otherthen “repair feasibility is assessed first and reconstruction is used if repair isn’t feasible”… RUN)
  • "If repairable, repair it. You reconstruct it if needed."
    • Says I have a high chance of just a repair.
• How many hips in total have you worked on in your career? (Green flag for 1,000+ hips)
  • 1,000
• What is your success rate? (Red flag under 90%)
  • I don't have any notes of him answering this directly. He did talk about my personal case being high 90s.
• What do you estimate the success rate to be for my specific case?
  • 97% or 98% due to small tear and small joint.
• Do you regularly check for and decompress subspine (AIIS) during the procedure? (Red flag if answer is no)
  • Says I don't have subspine impingement from looking at my MRI.
• What is your post-op physical therapy plan? (🚩 Red flag if they don’t have a packet to give you or if they wait 6 weeks to begin PT)
  • Start PT about a week after surgery
• How do you handle the hip capsule at the end of your procedures? (green flag for capsular closure, capsular repair, or capsular plication; 🚩for left open/unrepaired)
  • "Close every capsule every time."

Note: While his MD page doesn't label him a hip preservationist, he is the director of a Hip Preservation program and a surgeon for multiple college and highschool teams.

M27

Basically title.

Scheduled my surgery for June 16th and I'll be starting a new accounting job Sept 29. This is basically my last shot to get the surgery while I have alot of free time before my life gets complicated (going from a part time worker & college student to a full time white colar worker).

My accounting job will have alot of sitting and driving but I might be needed to fly as well. So my question is, would 15 weeks have me ready for extended sitting, driving, and flights? A note if I may add is that my surgeon says he is likely to only need to do a repair (and shave bone) and not need to reconstruct my labrum.

Thoughts?