Groin Pain, Iliopsoas Tendonitis or Impingement After Hip Replacement
Posted , 43 users are following.
Chronic groin pain 8 months after Anterior right hip replacement has brought me to this board where I am finding what doctors say is very rare that it is indeed not rare but very common.
In reading posts I am finding some commonalities. It seems the anterior approach or super path hip replacement. I don't see a lot of posts about groin pain from posterior approach.
I need your help in gathering feedback. If you have groin pain after hip replacement, please let me know and who the manufacturer is of your implant..Yes the manufacturer of their implant everyone should know..You just don't get an implant without knowing what it is...
For example: I had anterior right hip replacement in FEB 2017, and had Stryker ceramic implants. The hip implant manufacturers changed their diameters of the femoral head several years ago and I feel that is the cause of alot of groin problems.
IF U.S. I would like to recommend everyone check their doctor out here. This website is part of the Medicare/government site. unch. It was even more surprising to find all that money came from Stryker...Put your doctors name in search tool, $$ will come up in one tab, the other tab tells you what company paid it.. THis was part of medical transparency act , which is part of Obamacare...Needless to say Stryker ceramic implant was not the best choice for me personally as i have already been told by independent dr. (Sorry i dont know what the sites are for other countries)
Please let me know if you are having groin pain and type of surgery you had.So many people are having this, its shocking!
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1 like, 74 replies
mike11000 Patientzero007
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colleen39064 Patientzero007
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skoosey Patientzero007
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tammy85895 skoosey
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Hi, I just found out yesterday after suffering after thr lady November that my pain is the IT Band, I have snapping hip syndrome & it can be repaired with a simple surgery to release the IT Band! I’ve had to go they 7 surgeons to finally find one that told he the truth & dudbt covers fid their colleague! Demand a sonogram of the IT Band & demand injections into the band under fluoroscope, the pain will ge excruciating for about 7-10 afterwards but it’s onky a diagnostic test & it will show you’re surgeon that it is definitely the IT Band!
jeanette32624 Patientzero007
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Hi
I had an emergency left anteriorTHR 15 weeks ago after a fall in my garden. I seemed to be making good progress until about 3 weeks ago I noticed a pain in my groin and round the top of my operated leg. it felt like my leg was being cut off at the top. I am having physiology therapy weekly, and this Monday, my physic noticed I was limping badly without my stick. He manipulated and massaged at the top of the hip area, and told me i have a rare condition of tendinitis of the psoas muscle. He told me to stall all exercise for the week that were weight bearing on the left leg, but said I could still cycle on my exercise bike. What do other feel about this?
Also, my GP and I had agreed that I would try to reduce my painkillers as things were going so well, but now this pain round the top of my leg only makes me want to lie down all the time to get relief. I'm reluctant to go back onto heavy pain relief, however, I can't function properly with this pain. Any advice ? ps Im 59 years old. I was told in the hospital I would revere very quickly due to me young age. But now Im extremely disappointed I feel like Im back to post op days/weeks.
tammy85895 jeanette32624
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Hi, the issue you’re having is identical to my issue & it is the IT Band! The more I walk Irvin any physical activity makes it excruciating & I can’t walk without my cane still! Finally found a great surgeon who performed a diagnostic test using a sonogram & a few injections & bam there it is, the band it very inflamed & swollen, supple surgery to release it & short recovery will put he on the road to mend again, plz locate a surgeon that will listen to you! My new surgeon told me to do less physical activities since it only irritates it more & PT will put you over the edge! Good luck, keep us posted plz
jeanette32624 Patientzero007
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lynette0796 Patientzero007
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I had a THR by Dr. Andrew Cooper at Morton Plant hospital in Clearwater, FL in March, 2014. Anterior approach, DuPuy implant with ceramic ball and plastic cup. I've had groin pain ever since. Unable to do leg lifts, trouble getting into a car, difficulty with steps. I was 62 when I had the surgery, thin and very active. At my 3 mo and 1 yr visits my dr had no answers. In 2016 I moved to SC near Charlotte. I tried yoga and Pilates but my hip hurt so much that I finally decided to look for answers. I found a dr who took xrays and told me I had an impingement--that the cup was protruding from the socket and digging into my tendon. He told me the only way to fix it would be to replace the cup--major surgery. He didn't recommend it. I can play pickleball but have had to give up Pilates and yoga. I can't believe so many others have the same problem! Please send me the link!
SaltyWahine Patientzero007
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I had hip replacement four weeks ago this Thursday. my leg was red and burning and i threw up most of the time i was in there so i didn't get much therapy in the hospital.
I have terrible burning and my leg with extremely red and bad groin pain.
my doctor told me I could not be having that type of pain , told me that i wasn't going to mess up his three hundred patient hip replacement success rate and discharged me out of the hospital after four days with terrible burning and groin pain.
I suffered for 2 weeks with this burning pain and ended up going to the hospital since he said i was not experiencing this. The hospital doctor gave me gabapentin. It stopped the burning as long as i keep taking it. but still have groin pain. my doctor then told me i couldn't be having groin pain because he removed everything.
please let me know what there is i can do about this ,
tammy85895 SaltyWahine
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i would find a new surgeon asap! i had a similar issue & it took almost a year to find a surgeon who would listen to me, come to find out i have two infections in my hip replacement.
SaltyWahine tammy85895
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I tried going to two different doctors, neither one would see me.
Thats why i ended up going to the emergency room and i got some relief from the gabenptin.
still nothing is being done about the groin.
tammy85895 SaltyWahine
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if you have a teaching hospital university, i would try them now! i gad the same issue & Ut Southwestern was the only ones that helped me. i know have to see a reconstruction surgeon, since the infections are back & in ny pelvis. I'm dealing with a limp & excruciating pain still. keep us posted plz.
jeanette32624 Patientzero007
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I often feel that my post op pain isnt taken seriously by the medics. it feels like all they are interested in is the hip replacement surgery site in itself. they dont seem interested in any other pain or side effects that have been brought on by the trauma of my accident or by the hip replacement surgery. it seems my only course of action is to continue taking the tramadol and hope that eventually the pains will subside enough for me to function normally in every day activities without painkillers
pj64657 Patientzero007
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My hip replacement was in May 2018. My leg was shortened as well. I did six weeks of physical therapy that did help but nothing was a cure all. My chiropractor son says it takes a year to heal and I think he is right. At one year, I can walk two miles using walking poles. I usually take an Aleve too, and also do stretches before I walk. I still have pain around the bottom of the stem, as does my husband from his third hip replacement (all same leg) ~ horse accident. The pain is also on either side of my knee too, and my knee was fine before surgery. The arthritic pain is gone from my hip but now my knee is a problem. I walk kinda weird and I gained weight in the last year. I wouldn't say I am a success story as my neighbor is who is doing very well after his second hip replacement. I'm in no hurry to get the other arthritic hip replaced!!
susay Patientzero007
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well the last post seems a while ago..so i hope this will still get feedback. I am 7 years post hip replacement, have had every test from nuclear bone scan, mri, trochanter injection for bursitis, and the usual infection test, and because i have public insurance in this part of the world..its a wait of 6 months for each test..till it has become a series of side shows at a funfair. the same symptoms as previous blogs...unable to lift leg, without excruciating pain...now im due an illiopsoas ultrasound guided injection in two weeks and my physio has raised concerns...my sister says, just let the word negligence drop in you next conversation with the consultant and see what happens...im 67 and had my hip replacement done when i was 60...no...no new lease of life...just the pain, i wonder does anyone out there have anything positive to say about illopsoas injection...?
lynette0796 susay
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Susay, I had a THR in Clearwater, FL in March 2014. I was 62 and in good health. (My original problem resulted from dysplasia.) Ever since my surgery, I have experienced pain when lifting my leg--especially when getting into a car or trying to do a leg lift. (I posted my story here 5 months ago.) I had to give up on Pilates and yoga classes, though I still manage to play pickle ball.
I found a doctor here in SC who diagnosed my problem as an iliiopsoas impingement after examining my x-ray. He told me the cup of my implant is digging into the tendon. I tried an iliopsoas injection, but it did nothing. After that, the doctor told me the only thing that would work was another total hip replacement surgery, which he did not recommend. Apparently, they can't just shave down the protruding cup.)
A year later I read about iliopsoas tendon release surgery, so I went back to the surgeon in SC and inquired about it. Contrary to what I'd read, he said the success rate wasn't that great, and since all surgery has risks, he didn't recommend it. He said I should live with the pain. I swear, once you're 65, they write you off, no matter what kind of shape you're in!
I would love to know if anyone here has had iliopsoas tendon release surgery, and if so, any thoughts?
mike11000 lynette0796
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same issue 2 years post THR and 5 docs with many injections later; including the guided injection. It did not help. but I would recommend trying. one doc also recommended releasing the muscle; I talked to one person that had it done. she was off balance for awhile. I choose not to. my leg muscles post surgery are not so good.
susay lynette0796
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Hi Lynette, its a big choice to get a revision..and they can be successful..if you find a doctor who does revisions...i wouldnt go near a doctor who wasnt at least positive about the outcome...find a second opinon ..it cant do any harm....perhaps this guy just doesnt want to be shown up.. i cant even run or play ball. My recent physio has worked wonders with leg hip and back strengthening exercise..which help a lot..i have to decide before 10th Sept to get the illopsoas injection,...and my physio has reservations...not sure what to do. I think if the iliopsoas injection didnt work they feel the tendon is not the problem...but maybe they got the injection in the wrong place...i have heard of a second injection working. I hope you get some answers soon...and no...living with the pain shouldnt be an option.
susay mike11000
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hi Mike...sounds like we have similar problems. if i could turn back the clock..i would have demanded the muscle release so that now at least working on the muscles would not be a waste of time. I am 7 years post op..and for the last five ive had the run around waiting for injections...mri ..bone scans...to no avail...A friend told me its the squeaky gate that gets the oil...im too polite and trusting.
jeanne84373 lynette0796
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You may want to ask your doctor if the capsule is malpositioned. I had the same symptoms, two years after my LTHR, and I also had dysplasia. I saw an OS in Los Angeles who is specialized in hip revision and he recommended a revision to correct the angle of the acetabular capsule (it was retroverted) and also reposition a new capsule deeper. It is scary and I'm disappointed the original replacement was not put in correctly. But I feel like I have no other option, because an arthroscopic tendon release would not solve the problem in the long run.
lynette0796 jeanne84373
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Thanks for your comment. Yes, I believe the capsule is malpositioned. But the new surgeon I saw here in SC doesn't think a revision would be worth it--since it's major surgery. I know I should get a second opinion from someone who specializes in revisions, but I don't really want to face another surgery, and frankly, I doubt medicare would cover it! Are you going to have a revision? If so, please keep me posted and best of luck!
lynette0796 jeanne84373
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Jeanne, Did you ever have the surgery? If so, how did it go? I am still dealing with the pain. It's virtually impossible for me to lift my right leg--I have to "pick it up" to get into a car.
It hurts after a long walk or hike, and I can't do a leg lift or stand for long periods, but other than that, I can do most daily activities.
Needless to say, it's a big disappointment. You have hip surgery expecting to end the pain. And it's even more of a disappointment that my surgeon, who most have known what was wrong, refused to admit there was a problem.
jeanne84373 lynette0796
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I had the revision surgery done on Sept. 26, 2019. I used a hip surgery revision specialist in Los Angeles who uses computer navigation to make sure the new implant is correctly placed. It was confirmed that the acetabular component was malpositioned from the original surgery which was shredding my illopsoas tendon. I can now do leg lifts, get in and out of my car without pain, and even do squats without pain. So the surgery was necessary and one of the best medical decisions Ive ever made. Get another opinion and have them check the angles of the acetabular component. If they are out of acceptable medical range, you definitely need a revision.