Hip replacement 11 months on.....

I am only nearly seven weeks on but have had groin pain from day one I was hoping that this would ease with time. Have you always had pain in the groin. I am seeing the specialist on Monday.

Sometimes the hip flexor muscle gets tight and feels like a really bad Charlie horse. I had it and found icing it for 20 minutes every 4 hours and resting it elevated. It's usually temporary until the muscle heals from being over stretched during surgery.

I also have groin tightness radiation round the buttock of THR leg - this tightness started after 3 and a half months - physio. told Consultant who decided to wait until 5 months, and if no better, fr me to go back. Had an MRI which showed nothing wrong - hip replacement joint excellant - I saw this for myself - symptoms indicated it could be illiopsas tendinopathy -was sent for an image guided steriod injection in my ground and told to go back after 5 weeks . No change after this and he asked me if I was prepared to have a consultation with one of his colleagues who specialises in groin and hip displasia, which I did. He went through all the MRI picture scans with me and to an untrained eye like myself, it was evident that nothing showed up. He also was puzzled and sent me to a sports physio at Hampden Football sports clinic.

I have had one consultation there, and after many examinations and telling him what excercises I was doing each day - I had had 10 physio treatents after THR - he said it was evident that I had been doing too many each day - and instead of gaining strength in my leg, I had done the exact opposite. Have been given two excercises to do and have to go back to using the stick to take the strain of operated leg. Go back on Monday. My body has suffered 18 major operations - a lot of trauma - and the THR was the 19th operation. My Consultant said at the time it would take a bit longer for me to recover because of all the operation traumas I had previous sufferred. However, onwards and upwards - I shall now do what I am told and not try to 'push the boat' out too fast. It is evident that too much is as bad as too little.

Whereas I do agree it is probably you tendon, I don't believe it is what we would think of classically "inflamed." During surgery they have to dislocate you hip, which means manipulating your leg in angles it is not used to. It is during surgery that leg manipulation that caused an injury to your tendon. Think of your tendon being injured. It got stretched during the surgery causing little tears in the tendon. That never healed so now your tendon has scar tissue on it. If it isn't healed after 11 months you will probably need an iliopsoas tendon release (another small surgery).

The ultrasound guided cortisone injectionwill probably work for around 3 weeks, then the pain will come back. To this pain coming back is confirmation of the injured tendon.

Hi Mary

I am also 11months in post opp can I ask you if when you cough or snezze it really pulls in your grion unfourtunately the earliest appointment I have been able to get to have an X Ray done is in 3weeks time