Hip replacement vs trochanteric bursitis
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I love to sleep on my side. I have never been told not to sleep on my side. I have horrible hip pain. Worse pain on the LTHR, but on the right as well. MRI showed possible trochanteric bursitis and AVN with femoral ball crushed. Any suggestion for getting some good night sleep? I'm so sick of tossing and turning. Surgery was 8 months ago and I wish I never had it
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AnnieK lori50016
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lori50016 AnnieK
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lori50016 AnnieK
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AnnieK lori50016
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My situation is similar, in that I had a right THR 8 months ago, although mine was due to osteoarthritis. But I have also never recovered. I have had trendelenberg limp and pain in the surgical leg ever since surgery. After giving my original surgeon ample opportunity to diagnose my problem, he was unable to do so. I now have a new OS (two of them, in fact!) and they diagnosed torn gluteal medius/minimus tendons/muscles. That is what I thought was wrong, but my original surgeon insisted that those tendons couldn't tear that badly, and surgery was never needed to repair them. The new OS's will do an exploratory/repair hip surgery for me that will thoroughly check out the inside of my hip (even popping out the metal ball and replacing it with another one that will compensate for my very small leg length difference - not nearly as big as yours. I've had testing and they don't think I have an infection, but they will check for that when they are inside. I might end up with a revision, probably not, but maybe. They will definitely repair the torn gluteals.
Bottom line, you need an excellent orthopaedist to diagnose and treat your problems. You shouldn't be suffering like this 8 months later.
lori50016 AnnieK
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keith13467 lori50016
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lori50016 keith13467
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renee01952 lori50016
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That is not good that you are in so much pain -
I agree with Annie and would go for another OS -
Just to make sure I understand it correctly, you had trochanteric bursitis before your Total Hip Replacement Surgery? Were you told about it at that time?
I am not sure what I can tell you, Lori ... I just found out that I had trochantric bursitis in my right hip which is 12 months post-op from THR ... Definitely not fun - and there is not really a treatment for it except maybe the cortisone shot - The surgeon I saw does not want to give me one now because of the risk of getting an infection through needle -
I had THR on left hip 6 months after the 1st one - My right leg./hip did not have a change to heal properly due to trying to compensate for pain in left one - That might have caused some of the damage to the Bursa - who knows ?
Take care and please get another Orthopedic Surgeon to get a second, third opinion .
Big warm hug
renee
lori50016 renee01952
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AnnieK renee01952
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However, research suggests that most cases of greater trochanteric pain syndrome are due to minor tears or damage to the nearby muscles, tendons or fascia and an inflamed bursa is an uncommon cause. So, rather than the term trochanteric bursitis the more general term, greater trochanteric pain syndrome, is now preferred."
It also says, "Greater trochanteric pain syndrome is usually self-limiting. That is, it usually goes away on its own in time. However, it commonly takes several weeks for the pain to ease. Symptoms can persist for months, and sometimes longer in a small proportion of cases. However, persistence does not mean that there is a serious underlying condition or that the hip joint is being damaged."
Has your doctor seen an enlarged bursa in an MRI or some other scan? I believe that is the only way he can be sure that bursitis specifically is your problem. You may have some other small muscle tears. Recommendations for treatment include decreasing activity, icing, nsaids, etc, and are listed in the pamphlet. Those injections are not the first line of treatment that is recommended. If you don't heal after giving it a fair amount of time, then perhaps there is something worse going on in there. Maybe, though, your bursa is inflamed, in which case, you might want to ask why, and what really is the best way of treating it.
If it were me, I wouldn't have the cortisone injection. They don't necessarily cure anything, although they do usually mask the pain wonderfully. Then it is easy to overdo things and perhaps hurt the area even more. From what I have read about cortisone injections in any part of the body, the effects are temporary and need to be repeated for further relief.