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Hip Injection for Diagnosis - need advice

Posted , 9 users are following.

2young
2young

My surgeon has me scheduled to do this next week. I'm 1 year post hemi replacement and still having pains in my groin area and upper hip. MRI (MARS) showed nothing of any importance, so this was the next thing to address.  X-rays all look good but show a small area of thinning on the socket. The Dr did not do my original surgery - I had to find a new competent Dr to help me get through all the issues I'm having.  He seems to think that because the OS put in a partial that it needs to be redone to a full hip replacement. I can't quite understand how having this injection is going to make any difference in his opinion of me needing to redo the hip. He seems to think no matter what, in time it will need to be replaced. My issue with the injection is what I will feel like coming out of the procedure and will it set me back in my recovery.  Everytime I try something to help myself I have a setback in my recovery. My Posas is inflamed right now due to me trying

to gain strength in my glute muscles. If anyone has had this, how was it? Pain, aches?  I am just now starting to get my walking gait better and I'd hate to mess that progress up with a dang injection :-)  I do know the injection will tell the Dr more about the pain and where it is coming from but at this point does it really matter?

4 likes, 10 replies

10 Replies

  • susan1993
    susan1993 2young

    Posted

    What type of an injection is it?
    • 2young
      2young susan1993

      Posted

      To be honest, I'm not 100% sure. I know part of it is lidocaine. I'm assuming it's done with X-ray and this is being done in the OR. I don't know if there dye injected or not.  I'm scared because it seems everything I try to do to make my long recovery better ends up setting me back.

  • erela
    erela 2young

    Posted

    oh I so feel for you, but don't know what to say........ I am old and broken and do my exercising in a pool...... in the water we are weightless....... gentle exercises until you can do laps........ that is what I did.......and I vote for the NO to the shot...... those shots hurt me more then they helped........... cool

    • 2young
      2young erela

      Posted

      How were you shots administered? Were you under anesthesia and in an operating room?   And what did your Dr tell you the shot was for and what it was supposed to do? 
    • erela
      erela 2young

      Posted

      How come everyone here had anesthesia..??..... I am jealous!!  they had me awake and it hurt like hell even though they gave me Lidocaine!!! .... I will never have an injection into a joint or anywhere ever again!! ... and it didn't even help which really p****d me off! lol.....  it has been 3 years and it is still sore to the touch........  hope you have a GOOD experience.... not like mine.......

      I'll be praying for you!

      cool
  • loribikes
    loribikes 2young

    Posted

    I had a shot in my psoas bursa that sounds similar to what you are talking about. They can't see the bursa so they use dye. If they hit the bursa the dye stays contained within it. The s**t helped my pain immensely but it also told them my pain was from the psoas. I had surgery and they removed a large bone fragment that had been left behind. Unfortunately the damage to my psoas and IT band may be permanent but the horrible pain is gone. If you want answers this is one step to getting them. The shot was uncomfortable but not painful.

    • 2young
      2young loribikes

      Posted

      You had a bone fragment in your Posas - OMG! Was that left behind during surgery?  I've read some people experience hot flashes and swelling from the hip injections and their pain got worse. I just don't want to go through that at this point, I've been through so much in the past year.

  • 2young
    2young

    Posted

    I've about talked myself out of this injection. Here's my reasoning - xrays show everything in place and ok. MRI had nothing of importance. There is "some thinning" on both sockets but not enough to cause a problem - yet. So I think my groin pain is not coming from the hip joint. I think it is coming from an inflamed Posas and maybe other ligaments/tendons/muscles that have been strained. The injection won't be of any help with that. I've been in PT for 2 months. Dr said I had Posas Tendonitis. So the PT guy (the best I've ever had) started me out on slow stretches and some hip strengthening using bands - all very light. Prior to this PT I was exercising in a gym and I think that is how I overworked the Posas but I can't be positive of that. It is some better but still grabs and spasms (hurts!!) when I do certain things. In the last few days I felt better after stopping all Posas exercises for the last 2 weeks. But now I'm getting very sharp shooting pains on the inside of my upper thigh. Wondering if that is because I'm trying to start again on clam shell exercise. I'll lay off that and see what happens. It's been exactly 1 year from the emergency hip replacement - I'm tired and frustrated. Beyond the the surgeon that did the surgery, I  saw 2 others. Both are highly respected. The last one is the one who ordered the PT and now this injection. But I think I want to take it easy and just heal.

    • debhip7.6.17
      debhip7.6.17 2young

      Posted

       I have my first anterior total hip replacement July 2017. I’m going this month to have the whole procedure  “re-done” (different surgeon) due to what we (he) assumes is my psoas muscle impingement... the “cup” piece in my pelvis sticks out beyond my bone and he “thinks” that the constant rubbing of that muscle is my ongoing problem.

      I can’t do clams either- stopped trying, it just exacerbated the pain. My most pain is lifting my leg- even sliding up the bed from my back losing down. Also, bending down (& getting back up) to put on pants etc. 

      This surgery on 4/26 is going to be posterior instead- I was bummed out to hear that due to the precautions. But he explain a “better view, less trauma to that muscle group again and less scar tissue to contend with...” I am putting a lot of fait in this. I’m 48 and never really got better following my surgery in July. 

      #fingerscrossed

    • 2young
      2young debhip7.6.17

      Posted

      I agree with your Dr's point about the posterior approach. I would want that too. My Dr is an expert in anterior but if I end up having a revision I want the posterior. In fact I'm not sure if you can do revisions  through the anterior approach. I'm 63 - active, no health issues til this fall and hip replacement. It has ruined my life. I'm still on a cane at 12 mos. I still limp and have phantom pains that come out of nowhere.   I hope this upcoming surgery really fixes your posas issue. But if the posas is inflamed now does your Dr think it will calm down after the surgery?  I'm really worried I have messed mine up for good

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