Groin Pain resolved + Pain Medication

Posted , 8 users are following.

Four weeks + 2 days opst op THR right hip.

I took a different appraoch than most. My first week was very traumatizing with not getting pain medication the day after surgery and then having a bad reaction to morphine, then Tramadol, until I came home on day 7 and my Primary Care doctor prescribed a pill with Codeine (25mg) + paractamol (400mg).  I had issues figuring out the right amount of pills to take, not to much not to little.

Initially I had deep pain deep inside my right butt cheek (I had the surgery from the side) but little by little that has healed. A week ago I woke up and walking from the bedroom to the living room, only about 15 meters left me shaking and sweating and camy. I figured it was either my heart or the codeine, it was really bad. Stopped taking the 2 codeine pills at night and the next day was like a new woman. Okay the codeine is good doens't take you donw as long as you ahve pain, with decreased pain taking the codeine wiped me out.

Having tremedous problems sleeping at night, pain is just enough that the naproxen doesn't quite stop it but the pills with 25mg codeine seems to be to much. I'm only sleeping 3 to 4 hours a day, which obviously is quite fatiguing. Next week I'm going to ask my doctor for a pill with Codeine with only 10 mg of codeine in it, I bet that is going to be the ticket.

GROIN PAIN- that has resolved itself. I realized quite early on that I had, Iliopsoas tendonitis and I stopped doing anything that aggravated that. During surgery the surgeon dislocates your hip and manipulates the leg in unatural positions and this tendon obviously got stretched. With tendonitis the treatment is REST the tendon. It can have micro tears in it, just stay off it and let the tendon heal, exercizing is only going to further tear the tendon and leave scar tissue. That is what I did, I stayed off of it and did not do any execrizes that hurt that tendon.

One exercize was to lay flat on the bed and with using your hip raise your leg off the bed, in other words lift your heel off the bed. That exercize was impossible for me to do, the pain was excruciating. So I dind't do it. I only did exercizes that didn't hurt and honestly I didn't even really do the exercizes very much. My theory was to simply wait and let everything heal up. I did have a physical therapist come 3 times a week and massage my leg and manipulate the leg, but when doing these manipulations he completely supported the leg, I wasn't using my muscles.

I'm happy to say that exactly 4 weeks after my surgery I am walking without any crutches or aids and I am carefully going up and down the stairs. I am 60 years old and only suffered about a year with severe hip pain so maybe I wans't as disformed as people who had suffered longer. I feel fotunate to not have any back pain, that has got to be tough for people who do. Yesterday I took my first shower which went very well. I have a jetted tub with a pretty high wall but had no problems lifting my leg up with my muscles to get into and out of the tub. I was stable in the shower and know my new hip supports me. If 10mg of codeine at night works for me that will resolve my new issue since stopping the full strenth codeine pills, lack of sleep.

I want to offer hope and support to people who are experiencing groin pain. My groin pain presented after I sat in a chair for a while, once I stood up I got the groin pain in my Iliopsoas tendon. Also as stated above when I tried to raise my leg while laying flat. I want to offer you hope and support if you are experiencing groin pain.

Iliopsoas tendon presents as a pain in one small area of the groin, in the crease where your leg joins your torso. It does not shoot up and down your leg of give tingly pain. It hurts, it is sore. Just like if you get punched in the arm and have a bruise, it only hurts right on the bruise, your whole arm isn't sore, it's is only sore where it has been injured.

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  • Posted

    Lynn you wrote, "However I have developed excruciating groin pain which happened after my first bath! "

    I bet you got the iliosoas Tendonitis because you were *sitting* in the bath. That particular sitting position with your legs out probably triggered it.  Sitting, for me anyway, is what really aggrivated my iliosoas Tendonitis. I bet it was the sitting position in the bath that did it. Please throw out my theory if you took a shower, LOL!

    • Posted

      You've got it! I did sit in the bath as I wanted to soak all over. I did awa y with the stool Doh! Timing proves you right as it was that night the pain started! I've also been exercising too much, each time I would think how painful it was when all the time I was overdoing the stretching! I wish the nurses had warned me about this but feel goPod now I know I am not the only one who is suffering and am not bring a n wimp! 
    • Posted

      I feel a lot of people do that. Feel a pain and think, oh boy I really BETTER get ON these excercizes. But if you think about it, that tendon was already over stretched during surgery so why do excercizes to keep on a stretching it?

      I took a completely different approach, I waited first for healing from the surgery before pushing myself. It was in a matter of maybe 5 days I went from using a walker to walking crutch free. Today I even drove the care around the driveway for a little bit. Went up the stairs without a crutch and the nromal way of walking up the stairs.

      I still have some slight pain in the hip socket when I walk or try to go to sleep at night so I know I'm not completely healed yet. I had a LOT of pain in my right butt cheek when I got home form the hospital after a week.  I think because I did to much walking the first 2 days that hip socket was simply not ready. After the frirst 2 days I went down hill. I stopped, and simply laid around and waited to heal. Once the healing took place it ws remarkable how lighting fast I improved. I used the walker because I felt safer with it. Then I think I spent maybe 2 days on 2 crutches then 2 days on one crutch then no crutches.

      Lynn, if you stay off the physical positions and activities that aggrivate the iliosoas tendon it won't be that long until it heals. If it is hurting to walk, maybe go back on at least one crutch for 2 weeks to take some wight off of it. It is really a good thing you read the forum becuse exercizing it could have given you a perment tendonosis in that tendon, just like I have in my legs. This forum is great people are so nice. smile

  • Posted

    You are doing wonderful. At 8wks post op I'm still using a cane in the house but a walker if I go anywhere.  I did not have the pain you experienced, and also had a problem with morphine. At that time they started me on Norco which is just Vicodin. I have 3 ruptured discs and was using walk aids for that purpose before surgery. I knew the surgery would not cure this problem, only back surgery will. I'M ok with the use of aids, whatever it takes. I'm doing P.t. for a few more wks. Then most likely my insurance will stop.  I see a big improvement in lifting my leg. I now can sleep on both sides, but to get into the tub need to use the crook of a cane to leg lift. Also to get into the left side of the car. But thats ok, at least I get in and can drive. Using a plastic bag on the car seat helps one to slide in easier.
  • Posted

    Yeap I are with all UR theories. E all worked well for u.as in two of my past surgeries Lf & rot hip joint replacement went well. The first surgery the pain pump malfunction I had no pain med for 38 minutes ater I woke from surgery. 

    Then the bone necrosis was so bas that bovine bone granaoals was used to fill in a hole the size of a pig pong ball. Additional 4 3" screws were used. I was only 42. 

    The he tendon was full of micro tears and only after 6 months of therapy was I finally able to walk without screaming. I was given pain med for the two weeks after surgery and that was all. 

    My second hip was done at 45. It was the same type of hip bu DuPrey press fir with cups of strong polyurethane.  I did all exercises and was back on my feet in two weeks no help. I did not loose muscle tone like the first one that is was made the difference for me the second time around. I was prepared and did swim mad PT therapy. I hate being on Paine meds they have a lot of miserable side effects. .the third hip joint to replace the one that originally was done almost 13 years ago wore out.mi was young at 42 had a busy life style rode horses skied athletic type bike riding hiking etc. 

    they both served me well. Until the replacement for the hip was a Stryker AGBll press fit with a small stem onto the joint and the femer bone. These are larger in size than the regional joint replacement size. The metal on metal in the stem very different in size than the other hip. My leg was  1 /116 of an inch longer than before.

    my knee stared to give out from the difference in leg length.. Shortly after that I complained to my surgeon that it's extremely painful after 6 months and the other 2 hips replacements did not cause as much pain. I then found out that the manufacturer had a recall on the very same implant I ad done 6 months earlier. Woe some coincidence. I will always know to this day that the dr. Knew. I knew I talked with him asked about MOM later to find out a 2" stem with no protective coating on the stem was used. Hen amazingly the dr. Announced he had already found a home in a new state and was moving. Connected me to another doc who only does revisions. I know that Stryker paid him to use their products. The bottom line $$$$$$. 

    I had read many articles of this happening I other staes never imagined it could happen to me. 

    So here I am 2 1/2 yrs later still waiting until I have enough pain which I am in excruciating pain or heavy metal poisonin or pseudo tumors. 

     Pain & suffering is added in on a class action suit thru the state.it will take years. Yet iamstillwating to be pain free and get my llife back ....

    life the past 18 months has been like a jail, I cannot do the things I like to do. Let alone bend over and pick up something I dropped.

    getting late. Hope I have some positive feed back. I may start a private law suit to spped things up. There is way more here than I have even youth on.  I am angry and I have lost so much due to the self centered surgeon who lied to me then cried to m over the phone apologizing about the joint he put in and the insurance company won't pay for testing because it's a recall. So what's a poor painful hip to doo.

    to spread the word that this can happen to u. It happened to me. No matter how much u do UR homework ther is always a slight chance the system will not perform as expected and worse.

     

  • Posted

    Hi the explanation about the tendon explains a lot because if I go to bring my leg up

    it hurts right in the groin and some times at the side of my hip it aches

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