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necrosis of hip from

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gloria15237
gloria15237

after having both hips replaced in sept and nov 2012, i still have soreness, pain in hip area; but the question i had if anyone out there had this experience... the dr's said i  had avascular necrosis; i thought i had pulled a groin muscle from pulling out a heavy dresser; before that was getting steroid shots in my bursa both hips and remember the dr. (who no longer is with my medical institution) who first gave me the shots, because of constant pain in the bursas, after injecting me  put all his weight on his hands and pushed down on my hips one at a time; at the time i thought 'WHAT ON EARTH IS HE DOING"...but kept my mouth shut because i didn't want to anger him and figured he knew what he was doing; but i wonder to this day if he didn't start the fracture on both hips from doing this because the doctors do not know what caused both my hip bones to develop necrosis

0 likes, 9 replies

9 Replies

  • ros007
    ros007 gloria15237

    Posted

    Gloria, where are the fractures.  It is strange to get avascular necrosis of the shaft of the femur, are they right at the top of the femur or in the pelvis.

    I used to work on the science side of implants but read quite a bit of the medical literature and I can't remember a post-op avascular necrosis although quite a few replacements because of avascular necrosis in the head of the femur, usually due to a fracture in the neck of the femur some months or even years before.

    • gloria15237
      gloria15237 ros007

      Posted

      where the ball fits into the socket part of femur; because that area was eroding the ball wouldn't fit into it correctly anymore;that was causing the horrible pain; they also noticed the other hip was compromised as well the same way, but not as advanced but i chose to have both hips done in same year, 3 months apart so i would only have come up with $3000 and not $6000
  • Jodi-France
    Jodi-France gloria15237

    Posted

    I wonder if he was not trying to burst the bursa sac so that it would quit filling up which is what cases the pain? Just a wild assed guess on my part.
  • brian86878
    brian86878 gloria15237

    Posted

    Have you checked on the internet the causes of avascular necrosis. It seems that corticosteroids can lead to this deterioration of the femur.

    I had my first hip replaced March 2012 and it has taken nearly 2 years to reach some normality The scar/side of the thigh is still tender but the hip is functional. I await replacement of the other hip but will change the surgeon and surgery technique to try and shorten recovery time. Recovery time seems to vary according length and nature of incision, the age of the recipient etc. Initial recovery is more rapid and then slows down leaving one to wonder whether normality will ever be achieved.

    Brian

    • gloria15237
      gloria15237 brian86878

      Posted

      yes Brian, i was worried after a year of  getting the steroid shots that maybe that had caused the degeneration; of course my new rhuematologist said that normally getting the shots in the bursa sacs don't cause it; it is usually if taken pills by mouth; and of course i didn't question him..oh well, what is done is done; i just wish i had known more and not so intimidated to ask doctors questions or question what they are doing or consequences
  • rose43746
    rose43746 gloria15237

    Posted

    Avascular necrosis is a blockage or damage to the artery that supplies the head of the femur (the ball of the ball and socket joint).  It is a lack of blood supply that eventually kills the bone and causes massive deterioration of the femoral head and neck.  This can eventually also cause degeneration all throughout the hip socket and lots of joint pain.  I think when he was pushing down on your hips he was testing just how deteriorated they were or if they were starting to dislocate.  This is a valid test and he should have explained why and what he was doing.  

    Very unusual to have this in both hips simultaneously, as it is usually a footballers injury (so usually one sided).  I suspect with you it may have been just they way you were born and took this long for it to show up.  I'm assuming that you had been suffering for some time pre surgery with hip pain.  As with many things your body has had to adjust both to the degeneration pre surgery and to the anatomical changes post surgery.  The muscles around your hips must be exhausted!!!  constantly trying to accomodate.  My suggestion at this point would be to try some hands on therapies like massge therapy and deep tissue massage.  I'll bet over the years you have lots of scar tissue in and around those hips.  Deep tissue massage breaks that up (a liitle painful but worth it) and lets the blood circulate throughout.  If tolerable, you might want to try some pilates or yoga to try to strenghten your weakened muslces around the hips.  Do you have water aerobics where you live?  That would also be beneficial for strenghthening, but not irritating those hips.  Good Luck!!

    • gloria15237
      gloria15237 rose43746

      Posted

      thank you for your input; i just couldn't understand why he was pushing so hard and wondered if he had inadvertently caused the blood from getting to the bone or caused the fracture;so thanks for letting me know it is a valid test;  i probably had the degeneration going on for a long time before than; maybe because a few years before i had fibroids and they had to do an artery block in that area...i remember after having to have an emergency blood transfusion and they did the artery block that is was harder to walk and i would get groin pain but figured it would go away;maybe that was it; or maybe i was born with the genetics of avascular necrosis; i may never know exactly but YES, i need to have massage therapy definitely and do the yoga more...
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