“Severe Pain After a THR”

Posted , 8 users are following.

I had an anterior THR the 1st of November 2017.  I was up walking in the hallways 6 hours afterwards.  I did quiet well.  It was only painful getting in and out of bed for the most.  The next morning I noticed while in a supine position I didn’t have the strength to raise my right leg.  Not even an inch.  The pain was just too intense.  I was reassured by the nurses and my Dr. that this was normal and only temporary.  I walked the halls alone thereafter many times a day.  In fact, I was up and about so much to the point to where I didn’t even need the pressure stockings that help prevent a DVT, etc.  Two days later I was discharged home.  The coming two weeks, PT came to my home 3 times a week for two weeks.  I did great.  However, I began to notice a different type of pain like none other to the top of my thigh, the buttock, groin and where it wrapped around the thigh and effected the knee.  PT had to alter some of their exercises that irritated the thigh and other areas just described.  After two weeks I would go on to PT on an out patient basis for 2 to 3 weeks.  By that time I was still unable to raise that leg while lying down.  Shortly thereafter I developed a large hematoma to the top of the right thigh.  My Dr. was able to extract 140cc/mls of blood.  I vented my concern of the pain that was still effecting the top of my thigh etc.  He told me to stop going to PT for awhile.  Over the next few weeks, this new pain that made itself known shortly after surgery was worsening.  I kept going back to see the Dr. who performed it, and he would just take a quick X-ray and tell me everything looked good.  During an exam, a tender spot was noted in my lower back.  An MRI showed that I had a protrusion of my L5 and S1 disk.  They felt certain that it was this that was causing me the excruciating pain in my thigh/leg.  Over the coming few months I would go on to have 3 epidurals to the L5 and 1 to the S1.  None of which helped at all.  I was having to use a walker when I awoke in the mornings then as the day progressed, I was either using crutches or a cane to get around.  I was referred to a Neurosurgeon and he ordered an EMG.  The Dr. who performed it told me that he was 100% certain that the L5, S1 or any other disks for that matter was not the cause of this pain.  He said that it was due to something “structural.”  I took this info back to my Orthopedic Dr. for him to review.  He said that it sounded like the Stem of my new device might be slipping in and out.  A CT scan would need to be done to confirm it.  I had one and everything appeared to be normal.  I was praying that it would yield something that needed to be corrected so I would at least have a diagnosis and a solution to resolve this problem.  Even if it meant having to go back in to have it repaired.  But now I’m back at square one.  I have an appointment the 1st of June to see a new Ortho Doc.  I have got to find out what is causing me this pain.  I’m either in bed or laying on the sofa 22/7.  The small and benign activities of daily living that we all take for granted have become major tasks for me to carry out.  I can’t even shower standing up because I can’t bare weight on the effected leg long enough to wash the other.  I can’t even slip on a pair of underwear, and I have to sit on the bed to put on a pair of shorts or pants.  I’m not even able to tie my shoe because it’s too painful to bend the leg and stretch far enough.  All if this has taken a major toll on me with a vengeance.  I’m hoping that some of you may know of additional tests that are available to asses the functioning of a hip device (Zimmer & Fitmore.)  Or, any other conditions that may be causing me the symptoms as I’ve described.  I would love to hear about any similar stories like mine. 

DJ~RN

2 likes, 25 replies

25 Replies

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  • Posted

    So sorry that you are having these issues. i just had emailed my doctor of this same issue. Soon as i hear back ill give any info i get. I wonder if there was a recall on the stem. I have to squeeze my buttocks as I walk. Just to get a small bit of relief when i walk. GOOD LUCK!!
    • Posted

      I appreciate it very much. I’m at a loss. Either the surgeon caused it or the device has. Ty. 

      DJ

  • Posted

    Jodi France-

    Helpful information and link.  I am waiting for surgery and have had ongoing difficulty with my affected side psoas muscle- pain when standing, when climbing stairs and walking in general.  Pain is at top of thigh at the torso junction directly in front, PT confirms it is the illiopsoas- pain is very local/specific.  Wondering if you or anyone else experienced this kind of thing prior to surgery.  Am told by doctor and PT the symptom is a result of degraded hip joint and fixing that is the first priority- worry about any tissue issues after that.  Has anyone had these symptoms prior to surgery and found that replacement surgery fixed the muscular problems as well?

    Thanks in advance,

    Jim

    • Posted

      I know what you are talking about with that psoas muscle pain. I think your doctor is doing a disservice to you by not taking care of that. I wonder if he has you scheduled posterior and thus he doesn't want to look at anything in front? I would push back on my doctor about that. S/he is an orthopedic surgeon, orthopedic surgeons also treat tebdons and ligaments. If you have had this psoas muscle pain for more than 5 months my hunch is it is not going to go away with the new hip surgery in fact it might be worse because of the way they have to manipulate your leg during surgery. If that psoas has permanent damage it's never going to heal on it's own, that's my opinion. As long as he is in there already he should take a look at that. Really stress how long you have had the pain and how much you want him to look at it while he has you on the table.

  • Posted

    OMG DJ-RN: I have had a very similar experience...I was walking and dancing after the surgery them BAM a hematoma that burst and created two open wounds! I was bleeding so much I had to have 3 transfusions. The wounds are slowly closing up but I cannot walk on that new leg; the pain is so intense! I literally have learned how to pee standing up! MRI shows the new hip is 1/4 inch higher and the femur is not set in the joint! I have finally found a new sergeon who will look at me and possibly redo the hip! I just want my life back! I am a very active 70 yr old single woman who wants to be able to lead a normal independent life!
    • Posted

      Wow. I know what you’re feeling. I’m going to have to have mine done over. I have lived pure hell for 7 months now. And I have retained an attorney. 

      DJ

    • Posted

      I know DJ my hip replacement surgery was Oct 2017...and I am in so much pain..I can barely function! I spoke to an attorney already ; in my state he said it is the most difficult case to prove neligence...I just want to be pain free and walk again!
  • Posted

    Thanks to each of you for your kind and informative words. I appreciate it very much. I’m still at a loss but I went to view my CT scan with my PCP today and I noted in one view the possibility of the stem being loose. And the radiologist had noted something regarding the acetabulum but wasn’t sure what he was referring to. My new surgeon that I see Friday will be able to tell if they’re any significant findings that may counside with all of this. My surgeon did not use glue or pins in the new device, and I didn’t see any new bone growth approximating everything together. 

    DJRN

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