@A MySpondylitisTeam Member. I have this. And one hip with 2 quadrant tear in labrum along with tendon tear, the other hip one quadrant tear. Ive been dealing with it using physical therapy for a couple of years. I cant get anymore steroid injections without risk of hip necrosis. I tried a stem cell transplant for the torn tendon last October and woke up from that procedure (it was an adipose fat derived stem cells taken from abdomen via liposuction so it was under anesthesia in an outpatient OR) with a significant increase in pain ever since. The joints themselves are fine except for the torn soft tissues outside the joints. Therefore, the joints would not be replaced in surgery. The procedure will be, if i opt for surgery, arthroscopic repair of the tears. The problem with this surgery is that all surgery creates more inflammation to the area as a result of the surgical "injury". Inflammation is a vital part of the repair process so anyone considering it needs to be prepared to accept some significant pain because narcotics will only be prescribed for a few days post op. After that, taking nsaids like Naproxen, Ibuprofen, Meloxicam etc, prescription or otherwise, will slow the recovery process and ultimately prolong and increase the pain. No easy solution to this. Physical therapy, with a really good DR of physical therapy, done daily to include prescribed strengthening of the surrounding muscles in the upper legs, hips, back, and abdominals along with specific stretches can fix the dysplasia and teach you how to compensate for the labral tear. Ive seen some online therapists on You Tube teach how to do some physical therapy for labral tears to learn to live with them. Humanity lived with this condition for millenia before surgery came along. It's all about using the body, strengthening the surrounding areas, to compensate for the injury. If you do opt for surgery, please please post about your experience to help others here decide if it's something they want to do. One last consideration for surgery is to keep in mind that someday you may need the joint replaced. This surgery will include, obviously, the labrum as well. Might as well wait to avoid two surgeries. Every time you go under anesthesia not all connections in your brain start firing again. Multiple surgeries prime your brain for dementia. Much to consider. Yours in better health P 😌🙏

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A MySpond...

I had a hip replacement done due to dysplasia but it was prior to my AS diagnosis. I have been told I will need the other done but am holding out till I feel I really need it. I am happy to answer any questions if I am of any help