Muscle not repairing after hip operation

Posted , 14 users are following.

Hi, Can anyone explain what the procedue is after a hip operation when the muscle does not repair itself? Does anyone know of an expert in this field? I limp to one side badly and this is causing pain in the hip area and lower back.

I do a lot of physio anyway, such as exercises, aqua fit, rehab swimming, I assume this all helps or is it a waste of time?

Jean

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  • Posted

    Hi Jean,

    What type of surgery did they do on you to have to cut the muscles?  The posterior approach cuts a section of the muscle near the tendons, but the recovery rates is between 4-6 weeks.  The Anterior approach splits the muscles instead of cutting.  Did you have a more invasive procedure?

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    • Posted

      The above is not entirely correct.  This is what I found:

      The Posterior Approach -

      • The gluteus maximus muscle is split and does not require repair as the whole tendon is not removed.

      • The piriformis and superior gemeli muscles (2 of 4 external rotators of the hip) are detached and later reattached to bone and will heal over 4–6 weeks.

      The Anterior Approach -

      • Current advocates claim this approach is entirely muscle sparing, which is not exactly the case. Because of the higher risk of damage to a specific nerve in the thigh, the incision may be moved more to the side, forcing an incision through the muscle bellies of the tensor fascia latae and sartorius muscles, rather than in between.

      • The piriformis muscle (1 of 4 muscles that allow for external rotation of the hip) is also cut to allow implantation of the new femoral implant. It cannot be reattached from this approach.

      What type did you have?

       

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    • Posted

      I had a total hip replacement in July 2016, my left hip. I have had my right my replaced in Nov 2010 and no problems with that.

      My surgeon said he would refer to his operatioal notes to see whether the muscles was stetched or cut. I'm pretty good at following instructions after an op and do my exercises. I dont think I did anything untoward which would have caused it to not repair.

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    • Posted

      Hi Kimberely

      You are well versed in the manes of muscles! I had atoal hip replacment in July 2016 and the surgeon thinks the muscle has nto repaired. He was going to refer to his operatioal notes to see whther the muscle was stretched or cut. I have no idea yet of the procedure or how like  yit is for me to get stronger.

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    • Posted

      wow that is soooo interesting! I had posterior and loads of muscle and groin pain adn wehn I asked surgeon could it be the muscles he said I doubt it without even looking at my leg!
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    • Posted

      I also had my FRHR in July 2016 and have done very well.  The healing process over the first few months seemed slow, but I could feel the progress with each week that passed.

      I started physical therapy at approximately 10 days post op.  I went 3 times a week for about 8 weeks.  I continued those exercises on days that I didn't go.  After each session (or when I'd start to feel pain at home) I elevated my leg and applied ice packs.  This reduces inflamation, which reduces any pain or discomfort.

      As you have continued with the PT and still having issues, I'd go back to your specialist to have further tests done.  An MRI will be able to detect if there are other issues to be concerned about.

       

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    • Posted

      hi hazel, 

      A great deal of the recovery takes place in the first two months, but complete return to normal takes longer. Bone around the metal parts keeps changing and remodeling for 1 to 2 years after surgery, which is why you can feel deep aches and, in my case, can tell when the weather changes.  

      I am many moons post-op (2 THR surgeries) and my thighs and hips are still tender to the touch -

      Is it really pain or perhaps sore and stiff ? 

      Unfortunately surgeons are sort of "done" after they performed the surgery - they are only interested in their work and if that looks perfect on x-ray etc. their job is done ..

      so your physical therapist will be able to give you more information and advice - 

      Be kind to yourself - you are doing great 

      big warm hug

      renee

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    • Posted

      one more thing ...

      Have you seen the video of this surgery on Youtube?

      Not for the meek and squeemish tough - after I watched, I was in awe of my body and surgeons' skill ...

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  • Posted

    Morning Jean! I too am limping after 7 months. Had very weak muscles before surgery. I had anterior with first surgery, had a dislocation after 3 weeks had total hip revision then 6 weeks non weight bearing , no exercises to hip and no hip flexion past 80 degrees. Second surgery had to remove butt muscle. I'm not limping as bad as when I first started weight bearing had 6 months physical therapy. Exercises do help. But I'm still wondering how long it's going to be. I'm using a cane. Wondering if my muscle is going to heal correctly. But dr said it will take a year, 😞 Weakness is a major problem for me. Muscles were not being fired up properly prior to surgery. I hope things get better as I know this can be very frustrating and discouraging. Hugs 🤗. LD

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    • Posted

      Hello Linda

      I sympathise and the plot thickens with what I have learnt this morning. I assume each case is different and treated according to severity and likely recovery. Why did they remove the butt muscle? What does this do exactly? Where are you and have you sought a second opinion?

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    • Posted

      I'm in the US. To lift/remove muscle was to get to hip better. The posterior approach. I wasn't expecting that. Also muscles are being retrained and even your brain is too to an extent. It's amazing how our bodies work and what takes place with different situations!! I was born with hip dysplasia. 1st year of my like was in a body cast with rid to keep legs apart. I have been short most my life and just kept getting shorter as time went on. So muscles were short ant atrophied by the time I got surgery. So now I same length as my left so you can imagine the muscles, tendons, nerves and tissue ate being pulled and are working differently. They still want to do the same thing as before surgery. It's a process that will take time. No no second opinion yet. Want to give it a year.

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    • Posted

      Oh I also had tendonitis and bursitis which has been a real pain!! Groin pain too. Now trying to overcome all this and hope all will get. Best of luck to you. LD
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