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After hip replacement i have Trendelenburg Gait.

Posted , 8 users are following.

pamela81726
pamela81726

I must have the other hip done and i am worried that that too will develope the same complication.  Has anyone heard of double Trendelenburg ?

1 like, 36 replies

36 Replies

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  • AnnieK
    AnnieK pamela81726

    Posted

    I have Trendelenburg Gait after right THR. I have had it since my surgery 8 months ago. In my case, it is because my right gluteus medius and gluteus minimus tendons/muscles (which are necessary to hold the hips steady when walking or balancing on one leg) either never healed after dissection during my anterolateral surgery or tore again post-surgery. I have to have tendon repair surgery.

    There may be other causes for TG, I don't know.

    When did you have your THR? If you are still limping, then I would suggest that your orthopedist figure out what is wrong and recommend treatment to fix it. In my opinion, it would not be good to go into a second THR when you have fixable problems with your gait. Not being able to hold your hips steady is a real disability. I am still using walking aids 8 months later, and having significant pain. If your current orthopedist can't diagnose the problem, then you need a second opinion from someone in a different practice. That's what I had to do. My original surgeon seems blithely unaware of the possibility that gluteus medius/minimus tendons can tear so badly or that surgery can be done to fix them. I needed hip MRI for diagnosis.

    Good luck with this, Pamela!

    • annie.conway
      annie.conway AnnieK

      Posted

      I'm hoping the fact that my OS is a Fellow of the Institute of OS will make him a bit more knowledgeable than your guy AnnieK !!??
    • AnnieK
      AnnieK annie.conway

      Posted

      I hope so, too, Annie! It's been amazing for me to discover the holes in orthopedists' knowledge. Many orthopedists don't know about gluteus medius and minimus tearing issues. A study was done, and 45% of the orthos in France are completely unaware that they can even tear, much less be aware that surgery can be done to repair them. I'm guessing it's similar here in the US, considering how many posts I have read from anguished patients on different forums who never get the diagnoses and treatment that they need. They just keep on limping, hurting and suffering. It's just so unnecessary! Some do find appropriate treatment, but it often takes years and many doctors first. I feel fortunate that it is only a 5 month journey for me so far, and I have an end in sight.
    • annie.conway
      annie.conway AnnieK

      Posted

      I think it's shocking!? Surely they study the area around the bone and not only the bone? The body is way too complex for a simplistic approach?
    • AnnieK
      AnnieK annie.conway

      Posted

      I agree that it is shocking. I can't explain the ignorance of some orthopedists, I only know it exists. I am resigned to it. After my problems get taken care of, I will be providing my original surgeon with the information about what was wrong with me and how it got diagnosed and  fixed, so that maybe he will learn something and other patients of his won't have to go through what I did.
    • suep67
      suep67 AnnieK

      Posted

      Thank you for this post it helps me alot to know this as i have had pain and limping since my TLHR 2-1/2yrs ago and doctors thought it was my back giving me all the problems but my therapist keeps saying i have so many issues now with all my muscles and tendons. I have so much muscle wastage and my tendons are a mess he can feel separation, scare tissue and basically when i sit down because of the muscle wastage I'm sitting on bone, i don't even have balance anymore my 2 therapist can't believe the surgeons aren't doing more to help me so they are writing a letter to my surgeon for when i see him on the 20th April with thrir findings to try and help me. I'm honestly in so much pain i wanted to end my life as i feel I've gotten no where I'm so over this nerve pain from waist down it doesn't let up and to walk a step the pain in my thigh, knee, calf, foot is driving me insane and the longer i walk the worse the pain until it gets to the point i can't walk another step and this is with using my crutches...
    • suep67
      suep67 annie.conway

      Posted

      Thanks for your reply honestly it really is but i thankful i found this forum as i no longer feel alone and hopefully i can get through to my surgeon and doctors with some of the info i found here in this forum xox
    • AnnieK
      AnnieK suep67

      Posted

      Sue, my heart is heavy for you, with your loss of function and pain. I'm very glad your therapists are going to approach the surgeon, that is brave of them to confront him. May you finally get some real help. I've heard that nerve pain is very difficult, and you have that in addition to the muscle problems. Keep on fighting, Sue!
  • Rocketman_SG6UK
    Rocketman_SG6UK pamela81726

    Posted

    I gave put ina new section on gaits in my website - and links to various videos of them.  Very interesting subject, I now know I have an intermittent Antalgic Gait.

    Graham - 🚀💃

    • suep67
      suep67 Rocketman_SG6UK

      Posted

      Hi Graham can you please message me the website so i can have a look into it

      Thanks Sue

    • Rocketman_SG6UK
      Rocketman_SG6UK suep67

      Posted

      Sue, see the graphic below for the address.

      It is amazing how little the medical profession truly know about the recovery from what they view as a 'simple' operation.  

      I have just been to have some blood taken, and the nurse said how 'easy' the operation was, so I tried to enlighten her that the recovery isn't the 'walk in the park' she thinks it is.  However I think she was a little deaf this morning. sad

      Graham - 🚀💃

    • annie.conway
      annie.conway Rocketman_SG6UK

      Posted

      Today is day 1 of my 3rd week and I feel no stronger than I did last week. I would have been very tempted to tell that nurse she can have my pain and discomfort for a couple of days. Could do with a break to feel 'normal' again ..
    • Rocketman_SG6UK
      Rocketman_SG6UK annie.conway

      Posted

      Annie,

      It'll come - never fear, you will be back to normal soon.  Funny how you suddenly feel stronger isn't it - After five months of this I still cannot get used to the highs and lows of the rollercoaster.

      Day 1 of week 3 - that's a new way of looking at 2 weeks post-op.

      I was told by my work physio that I 'will feel crap for about 3 weeks' when I return to work, she says it's incredibly hard to start back, especially with my long commute into London which is usually 90 to 120 minutes long depending on my luck on the trains.

      Graham - 🚀💃

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