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4 years post-op LPAO

It's been four years since my left hip surgery, the day-long event that became a years-long cornucopia for which I am eternally thankful. My thanks does not wane, even though the periods of pain-free living have started to.

Hip Xray
Between anniversaries three and four, I have to admit that life has been a little tougher. My hips hurt more often and are less willing to take the beatings an active lifestyle evokes. My mind returns to dark places of my past, when pain ruled and I couldn't count on my body. The most challenging aspect is not letting fears and negative thoughts squash the positive feelings and abilities my new hips gave me.

Post-surgery pains are completely different than pre-surgery's. Sporadic, unpredictable and in places I didn't think even counted as "hip pain." Post-surgery pains also have been easier to control, just harder to understand. I am considering a visit to a hip doc in my town, rather than a flight to Tacoma to see Dr. Mayo. I need to get a better understanding of my symptoms before I try to explain them.

Despite the new aches and pains, I wouldn't change a thing. I am grateful for the freedom of mind and body. Happy 4th!


Laurie Amaro said…
I had my LPAO 2/08. I too am starting to have pain again. In both hips. I never got the RPAO done but it didn't hurt much once the left was done and I was back on 2 feet. Please post as you learn what the pain is caused by now. Thanks
HNS said…
What sort of tailbone pain did you have. I have recently been diagnosed with FAI and labral tear in left hip, but also have extreme pain in tailbone...could the tailbone pain be helped by the arthroscopic hip surgery?
Cass said…
HNS, my tailbone pain was, in some way, a result of my PAO surgeries. In my quest to fix that pain, I never heard that it could be fixed by arthroscopic surgery. Tailbone pain seems to dead end with very little solid knowledge of how to treat it. I'm sorry for your pain!

Laurie, I will keep posting if I find what's causing my intermittent pain. I'm back to being mostly pain-free again, so I haven't sought any medical treatment. I'm sorry for your pain as well!
Aubrey Hayes said…


I was wondering if you accepted any guest posting regarding hip pain and hip replacement surgery on your site? I couldn’t manage to find your email on the site. If you could get a hold of me at, I would greatly appreciate it!

Danielle said…
Hey Cass,
Love your blog! Had RPAO in October with follow up arthroscope a couple weeks ago. I have been blogging my experiences as well:
Wondering if there's something I can do to make my blog more visible? Just want to make sure I'm reaching the right audience and people who could benefit from it are seeing it. Thoughts?
Cass said…
Hi Danielle, thanks for the comment, and sorry for the late reply. I love finding new hip ladies to talk to, even though that means you have/had hip pain like me! I do have some tips for increasing your blog visibility. Email me at and I will be happy to share! Hope you are doing well; I've only had a couple of minutes to peek at your blog. Take care! -Cass
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Questions for surgeon pre-op

Below is my list of questions to ask Dr. Mayo pre-op.

About pre-op care and my dysplasia How many degrees is my dysplasia?How’s the other hip? When will I need surgery on it?What are my chances for a successful surgery?Should I be following any special diet or medication restrictions?
About the surgery
How long is the surgery?Will you be doing the entire surgery or do other surgeons help?Chances of finding FAI or tears in labrum? Then what?Worst-case scenario while in surgery? Any chance of THR or no PAO?Will I be intubated?Do you do a bone graft?Where will scar be?What kind of stitching?When will the catheter go in?What are the screws made of?Will I lose much blood during surgery? Should I donate my own blood prior to surgery? If so, will I get that blood back? About post-op care
What can I expect during my hospital stay? How long will I be in the hospital?How will my pain be managed in the hospital and at home? Will I get an epidural? When will it go in? What items do I need at home to he…

4 months post-op/scar pic

If there's one blanket statement I could make about having a periacetabular osteotomy, I would say this:

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3 years post-op LPAO

A surgery can change your body. Two surgeries can change everything.

Today, on the third anniversary of my LPAO, I inevitably think back to my first operation and the years leading up to that day.

Everything has changed.

I am an outdoors enthusiast and exercise nut. I can stay on my feet all day. My new body has freed my soul, and my heart responds in kind.

The breakdown is exactly the same as it was at two years post-op: zero pain with a couple of exceptions, great range of motion, same tingly patch and itching. The one difference is that my tailbone pain has waned considerably, which gives me much, much relief.

I'm a different person today than I was on April 23, 2008, and I'll be forever thankful.