I completely understand man, I tried to stay in the fight as long as possible too and it got to the point where i couldnt even get out of my car with out taking 5 minutes to let my back and hips get straight is when i realized i needed to have a lifestyle change. The ROM tests are complete bullshit man the VA examiners will try to screw you man they will force you into the movements and try to get you to move past your pain threshold definitely dont let them do this. I am currently fighting this right now.
Outcomes for FAI with and without laberal tears?
- Thread starter jd101proof
- Start date
We share a lot of similarities.. I appreciate your honesty with it, lets me know what to expect. Seems like I have a long road ahead of me, but from what I have read/heard more than likely I will be found unfit and either way I am moving on with my life. I have no idea what surgeries are available, so far I have had none. Just multiple injections that give no relief and just hurt on its own.
Agreed definitely going to be found unfit. I think the hardest battle you will have will be making sure you meet the 30% on DOD and as high of VA as you can get. While you have this non deployable time talk to your doc about getting some of the stuff that has been bugging you over the years checked out so it is documented correctly in your record.
As for treatments in the mean time you can not get surgery during the IDES/PEB timeframe you can however get Protein Rich Plasma (PRP) injections to help with the pain. I dont think the steroid injections do much either, and there is also some medical evidence that says that it can actually damage the cartilage in the hip. If you need any other info feel free to message me, I know marine and navy medicine speak pretty much the same language. feel better devil dog.
I will most definitely be reaching out in the future, I appreciate the open line. I am so new in this process haha, I don't know if the formal MEB has begun because I just had the conversation yesterday. I will post my experiences here for other people to read too.
Was finally able to meet with the surgeon, he strongly recommended I pursue the med board process. Followed up with my PCM to formally begin the process. My NMA is being generated at the command now.
Below are the surgeons notes, are these "good" for me to get separated?
ASSESSMENT: MALE with bilateral hip pain, most consistent with CAM type femoroacetabular impingement.
PLAN
atient has exhausted non operative management and given MRI results of herniation pit and chondral changes in acetabulum, doubtful that surgical management will be able to get this patient back to being and active duty marine. This patient has a low likelihood of returning to active duty and would recommend a physical evaluation board to determine fitness for USMC. From an Orthopedic standpoint condition is unlikely to improve within 12 months.
- Avoid high impact activity such as running or jumping
- F/u with PCM regarding Tramadol use for night pain
- No standing or sitting longer than 30 min
- WBAT
- F/U PRN should patient wish to revisit discussion of surgical management
Below are the surgeons notes, are these "good" for me to get separated?
ASSESSMENT: MALE with bilateral hip pain, most consistent with CAM type femoroacetabular impingement.
PLAN
atient has exhausted non operative management and given MRI results of herniation pit and chondral changes in acetabulum, doubtful that surgical management will be able to get this patient back to being and active duty marine. This patient has a low likelihood of returning to active duty and would recommend a physical evaluation board to determine fitness for USMC. From an Orthopedic standpoint condition is unlikely to improve within 12 months. - Avoid high impact activity such as running or jumping
- F/u with PCM regarding Tramadol use for night pain
- No standing or sitting longer than 30 min
- WBAT
- F/U PRN should patient wish to revisit discussion of surgical management
Was finally able to meet with the surgeon, he strongly recommended I pursue the med board process. Followed up with my PCM to formally begin the process. My NMA is being generated at the command now.
Below are the surgeons notes, are these "good" for me to get separated?
ASSESSMENT: MALE with bilateral hip pain, most consistent with CAM type femoroacetabular impingement.
PLAN
- Avoid high impact activity such as running or jumping
- F/u with PCM regarding Tramadol use for night pain
- No standing or sitting longer than 30 min
- WBAT
- F/U PRN should patient wish to revisit discussion of surgical management
I had identical bilateral SLAP tears FAI / CAM deformities and declined surgery to pursue PEB and was found fit. Submitted rebuttal/recon 20JAN and have been waiting since. Recommend looking at CFR codes and stating how this condition affects both daily living and inability to complete your job within your RATE. Dont focus on NEC/qualifications, but inability to perform your assigned duties of your rating! best of luck
Sorry to hear that, what is your rate?
Wow, that is definitely not good to hear. I was told that I am not a good candidate for surgery because of the cartilage fissuring and cracks, so the surgeon recommended a PEB. It has already been submitted to HQMC. If I am found most likely to be unfit then they will PCS me to continue (formally start) the PEB in CONUS. The only thing that was submitted was NMA and NARSUM at this point, I did not write a statement.
How are you moving along in yours?
How did your NARSUM write? my COC was very supportive with decision to get out / I worded it strongly not to retain due to chronic conditions with limitations of my ability to complete my job & still somehow had a FIT.
'Tis all good, im a HM / IDC. Hopefully the recon/rebuttal comes back. One of my friends submitted roughly the same time frame with verbatim version of NARSUM / findings from MRI's and surgeon recommendations & was processed out in Jan. Very inconsistent IMO.
NARSUM seemed to be really good, sent you a PM.
Thanks for this. This was found on an X-ray of mine. I had an accident in February and years of wear and tear in the infantryWas finally able to meet with the surgeon, he strongly recommended I pursue the med board process. Followed up with my PCM to formally begin the process. My NMA is being generated at the command now.
Below are the surgeons notes, are these "good" for me to get separated?
ASSESSMENT: MALE with bilateral hip pain, most consistent with CAM type femoroacetabular impingement.
PLAN
- Avoid high impact activity such as running or jumping
- F/u with PCM regarding Tramadol use for night pain
- No standing or sitting longer than 30 min
- WBAT
- F/U PRN should patient wish to revisit discussion of surgical management
What was your outcome?
H
If you're looking for surgeries for FAI, Labral Tears, you can look into a labral repair OR labral reconstruction. I fractured both hips in basic training but I pushed through and graduated, only to get emergency surgery in AIT for pins in my right hip. I ended up having FAI, Arthritis, labral tears and bursitis in both hips. I then had labral repair (hip arthroscopy) done on my left side. My right has yet to be addressed but I am now going in for labral reconstruction since the first surgery failed. If you still have pain I would recommend getting a hip arthrogram in both hips. If anybody has been given a rating for these types of things, please let me know what rating you got and how it went. I am going through this process now and Im afraid it won't go well reading all of these posts...
I got 30% for my bilateral FAI and labrum tears and got medically retired.
Referred conditions: left hip pain, right hip pain
DOD ratings
Left hip impingement 10%
Left hip strain - limitation of extension 10%
Left hip strain - limitation of flexion 0%
Right hip impingement 10%
Right hip strain - limitation of extension 10%
Right hip strain - limitation of flexion 0%
Total = 30%
Referred conditions: left hip pain, right hip pain
DOD ratings
Left hip impingement 10%
Left hip strain - limitation of extension 10%
Left hip strain - limitation of flexion 0%
Right hip impingement 10%
Right hip strain - limitation of extension 10%
Right hip strain - limitation of flexion 0%
Total = 30%
27 years old and I just got medboarded DOD put me at 30% and VA at 70% currently but going to 100%. My advice is any problems with hips and knees need to be addressed asap. Guaranteed they are because of your hips and will help make sure everything is included. This is 3 surgeries on hips and more scheduled. Remember- you’re going to need full hip replacements in the future so do not downplay anything
Also, go back and have an arthogram done on your hip you just had surgery on. My repair tore almost immediately after surgery and that was me doing almost absolutely nothing.
If you re-tore it I would highly advise looking into having PAO surgery.
Already have. I’m going on my fourth hip surgery. This January I just had labral reconstruction and cadaver put in. They said it’ll keep tearing. My fai was so bad along with my arthritis that they can’t shave off anymore bone without making it unstable thus making it tear over and over. Unfortunately every surgeon I’ve been to says I need a hip replacement but won’t do it on someone my age. So the cadaver is supposed to help with pain. But that’s bs. It hurts worse everyday.