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Extracorporeal shockwave therapy following Hip Replacement

Posted , 5 users are following.

nick81619
nick81619

I had a THR 10 months ago and am still having pain. My physio has told me that I have Gluteus Tendinopathy and as I haven't responded to massage, strengthening exercises or steroid injections that Shockwave Therapy may help.

Has anyone tried this and if so did it help.

Thanks

0 likes, 7 replies

7 Replies

  • kimberley38758
    kimberley38758 nick81619

    Posted

    Hi Nick,

    Sorry to hear that you are suffering with pain in your hip.  I'm not familiar with shockwave therapy, so I did a little digging around.  I came accross an article from  an Orthopedic website.  See below.

    Shock Wave Therapy

    "The jury is still out on whether or not shock wave therapy is an effective treatment for these orthopedic conditions. Current recommendations for this treatment are that it is a safe treatment for patients who have failed conservative measures and may require more invasive treatment."

    "It is important that patients try more traditional treatments for a period of at least 6 months to a year before considering shock wave therapy. For patients suffering with Tendonitis, conservative treatment measures consisting of medications, ice application, exercises and stretches, and shoe inserts are often effective treatments. Furthermore, it is also known that a period of time of 6 months to one year is required to effectively treat these problems."

    "Patients who have no success with these traditional treatments may benefit from shock wave therapy. It is a reasonable option to consider ESWT prior to surgical intervention. Potential side-effects of ESWT are minimal. Therefore, in patients who have chronic Tendonitis, and who have failed a minimum six month trial of standard treatments, shock wave therapy is a safe treatment alternative to surgery."

     

    • nick81619
      nick81619 kimberley38758

      Posted

      Thanks for this. Very interesying. I've tried all other means of treatment and as surgery was longer than 6 mths ago it looks like this is an option. My physio is going to speak to my Consultant and see if he feels this may be a good course of action.

    • kimberley38758
      kimberley38758 nick81619

      Posted

      I really wish you the best.  Having to live with pain is horrible.  I'm now 9 months post op.  Most days I feel great, but days like today I'm very achey.  My pain is due to Arthritis.  It seems to hurt more on cloudy rainy days. 

      Keep us postedsmile

  • maree32074
    maree32074 nick81619

    Posted

    Hello Nick

    I have not heard of this before and thought Kimberley did some great research to help you understand this.

    Has hydrotherapy been suggested to you?  This worked for me with a twisted psoas tendon that caused excrutiating pain.

    I hope all goes well for you.

     

    • nick81619
      nick81619 maree32074

      Posted

      Hi

      I thought about Hydrotherapy but not tried it. My physio suggested I try a zero gravity treadmill which I did to strengthen my glutes. They are stronger but stoll getting problems

  • renee01952
    renee01952 nick81619

    Posted

    hi nick, 

    so sorry to hear this ... I was diagnosed with Trochanteric Bursitis which is sort of the same - it is at the same location ... I was told to stop the exercises (overusing the muscle or doing it incorrectly) except for walking .. My OS didn't feel ike giving me a steriod injection yet as I was about 8  months post-op ... With more rest and icing the location, pain got less ... 

    is it also tender to the touch?  

    Thank you Kimberley, for looking it up ...

    Please let us know how you are getting on, okay and what your decision will be,

    Big warm hug

    renee

    • nick81619
      nick81619 renee01952

      Posted

      Hi

      It is tender around where the incision was but otherwise not too tender although sometimes is tender along the IT band. Having said that it is sometimes also tender at the top of the hip where glute joins hip

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