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new pains after 2 operations!

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golf4_58
golf4_58

Hi - just thought I'd tell my little story and see if there's an answer...so the last  years i've had to take a electric cart to play golf and i limped badly so it was time....in Sept 16 i had the interior approach THR and all was going well till week 3 when ther was swelling and tremendous pain...yup it was infected...they did emegency surgery 10 liters of saline to clean it out replaced soem of the infected plastic.

For the next 2 months i had a pic line IV and a hand full of anti bacterial drugs per day...

Finally at the end of november all was removed and my doc said i could swing a club and start PT...

Amazingly there was no pain at all and i played a few holes !!!

just the other day i was doing PT riding a recumbendt bike a wahoo ..it started to tighten up...to the point where i couldnt walk...i thought it was dislocated or worse...xrays showed it was perfect!....and blood tests showed no infection...

i saw my surgeon on Friday who was perplexed. he gave me 200 mg of Torodol to take and ordered more blood tests...

The pain is centered lower back butt and underneath the upper thigh

I''m 18 weeks out from the first operation and 14 weeks out from the second...

i think i should have never done any PT!!

0 likes, 8 replies

8 Replies

  • AnnieK
    AnnieK golf4_58

    Posted

    Golf, if the x-ray is good and no infection, then you may have a soft tissue issue, such as with muscle, connective tissue, tendon or ligament. Rest, ice, elevate and see if it gets better. If not, then investigation into soft tissue injury might be in order.
  • Michiana_Mom
    Michiana_Mom golf4_58

    Posted

    Sometimes our "gut instincts" are right. I can't easily access it, but a friend sent me a link after my surgery saying there was some research (I think?) that indicated that people who did physical therapy were no better off long term than those who didn't. 

    My opinion? I'd do what I have to (see doctor, etc,) but stay away from the therapy. I put mine off at two weeks post because it felt worse. It's not the end of the world if you don't do it. You can always start up later. Only my opinion,

  • beth2509
    beth2509 golf4_58

    Posted

    Obviously this is one for the doctors to really look into. On the positive side, congratulations on doing so well after a hairy start. The fact that you have had such a good start recently would hopefully suggest that things are not as bad as they feel. If all the tests come back ok then they'll probably suggest a physiotherapist assessment. It is possible that after such a long period of relative inactivity you have a locked muscle, or even, given the description of the area of the pain, a nerve trapped in the lower spine. In both cases, alternating warm and cold  packs can help, and for now won't risk any further damage until your doctor's can identify exactly what has happened. Which hopefully won't take too long. Good luck. Don't forget to let us know how you get on, because we'll be wondering!

    • beth2509
      beth2509

      Posted

      Meant to also say, yes I agree that in the absence of knowing what is happening, avoid p/t if it gives you pain. Wait until they tell you it's ok to get back to it.

  • golf4_58
    golf4_58

    Posted

    Well i saw the surgeon and i do not have another infection which is a BIG releif but i have Trochanteric bursitis

    So he gave me 2 anathetic shots and a steroid shot into the bursa...

    Its taken a few days but there is great relief and although there is still significant pain and i'm still on 200mg of Tramadol / day...i'm able to get around with a cane and will start light specific stretching tomorrow...

    my advise is to NOT do any  PT for at least 3 -4 months post....just walk and do the stretching exercises the surgeon may give you especially after 2 operations within a month...

    I am going to a PT specialist in mid February who is a couple hours away...for more specific stretches and training and hope to see her once a month after that...

    thanx

     

    • beth2509
      beth2509 golf4_58

      Posted

      My commiserations - I had repeated attacks of this in my left hip before the op, and had the injections twice. In the end I learned a massage technique from my physiotherapist which helped to disperse the knots and give relief from the pain.

      ​In fact one of the most common causes is the actual surgery. Avoiding PT is counterproductive as PT and hip strengthening exercises is one of the treatments.

  • AnnieK
    AnnieK golf4_58

    Posted

    It's terrific that you got a diagnosis and some treatment. There is an excellent article on this condition right here in Patient that you might want to check out. Hope your recovery goes well!

    https://patient.info/health/greater-trochanteric-pain-syndrome

    • golf4_58
      golf4_58 AnnieK

      Posted

      thanks very much...yup after having 2 replacements within a month and an infection and then not a great PT...the injections helped...but this syndrome is no fun !!!
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