"Unfortunately I am seeing more and more patients that have had previous hip arthroscopy but then have a return of their previous symptoms. In this setting the usual history is that there was a period of relief after surgery but a gradual return to their original state over the year or so after surgery. Commonly by this time PT has been exhausted, NSAIDS of no significant benefit, new Xrays and/or MRI studies are "normal" or equivocal, injections may provide transient relief but the pain returns, and the patient is left to deal with things on their own.
The most important question to ask if a hip arthroscopy is proposed is to ask your surgeon, "How many hip arthroscopies have you performed?" Not hip surgeries, but specifically hip arthroscopies. You might be surprised by the answer! Hip arthroscopy is unforgiving and if the problem isn't fully corrected at surgery it is very likely that your pain will return.
If you have had previous hip arthroscopy and still have pain don't throw in the towel! In most cases the problem is still correctable with revision hip arthroscopy. The usual scenario is that the original problem wasn't completely corrected. Again, hip arthroscopy and the conditions treated are unforgiving. Hip arthroscopy is the most technically demanding and diagnostically challenging of all arthroscopic procedures, and the surgeon's experience is critical to the success of the procedure.
I have had patients come as far as San Diego, CA for revision hip arthroscopy with excellent results! If you have had previous hip arthroscopy and still have pain, call for an appointment. Your problem should be solve-able."
New patient information:
Hip Pain After Hip Arthroscopy
Hip Surgery patient information: pre-operative
Prior to surgery, we will contact your insurance in attempt to obtain pre-certification and/or pre-authorization. Please note that authorization is not a guarantee of payment and insurance may not authorize procedures that are deemed experimental. After the surgery, as a courtesy to you, we will file a claim to your insurance company with a copy of the operative report and a description of services for any unlisted procedures. After the insurance company provides us with an explanation of benefits, you will be billed for any outstanding co-pays, co-insurance, and deductible amounts for covered procedures, and/or the Self-Pay rate for all non-covered procedures performed. If the patient responsibility is less than the pre-paid surgery deposit, a refund will be issued.
If you do not have insurance or your insurance will not cover your surgery or a portion of your surgery you are called “Self-pay” for these charges.
OUT OF NETWORK
Even if we do not accept your primary insurance carrier, we may accept your secondary insurance or be able to work out an out-of-network coverage plan for you. If you do not have insurance coverage, allow us to assess your unique situation and work out an arrangement that is feasible for you. Dr Harlan has surgical privileges at several facilities throughout the Kansas City Metro, which means your surgery will be performed at an in-network facility no matter what (the most expensive part!). The only potential out of network charge would be Dr. Harlan's fees. Most insurance policies have out of network coverage so your actual financial obligation may be smaller than you think.
Dr Harlan's bottom line is that his first priority is to figure out a way to get you the care you need and improve your health, and secondly, utilize all of our resources to make your surgery affordable.
Hip Surgery patient information: post-operative