One Year Later: Pain in the psoas tendon.

Posted , 9 users are following.

Cannot lift the leg into the car, put on pants, cross leg over the other without pain. Doc says no cure. Xray good. No improvement since surgery. Suggests shot into the tendon. Cortisone and I are not compatible. Says I may have to live with it. Isn't there any help for this? The left side was a breeze. I am baffled.

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5 Replies

  • Posted

    If I were you, I would go to an orthopedic surgeon in a different practice for another opinion. I googled around and surgery is an option if none of the typical therapies work for psoas tendon problems. You have been suffering for a year now, and that is just not necessary!

    I have a similar situation in that my gluteus medius and minimum tendons either didn't heal properly after my THR or were torn shortly afterwards, since I have had a bad limp and pain ever since surgery 8 months ago. My THR surgeon kept telling me to do more PT and take steroids to strengthen them, and didn't see the tear on an MRI, so I found second surgeon in a different practice who DID see the tears on a new hip MRI and is going to do surgery to repair them. There is no reason we should suffer permanent disability and pain just because some orthopedists don't seem to know the how to deal with these kinds of injuries.

    I agree about not having the cortisone shots. Sure, they may make you feel better for awhile, but if your injury is severe enough (like yours and mine that are lasting such a long time), then all they do is make it feel better, and then you overdo it and injure it more. And the effects of the shots always wear off anyway, and then you need another. I don't want to be on that merry-go-round. I've read that repeated cortisone shots can eventually injure the tissues. 

    You must be persistent with these doctors, keep telling them your level of disability and pain, and insist on proper physical exam and scans/tests to diagnose your problem. Try to find one who may even specialize in psoas issues. Good luck!

  • Posted

    Hi there, I'm sorry to hear that i feel your pain as i also have problems with the Psoas tendon. They tried Cortisone injections into mine first with no relief so the next step was to have the Psoas and adductor tendons release or cut in other words but my surgeon cut it higher so i still would have function of my foot and not dragging it. It was fantastic the first 6 weeks no pain and had back full range of movement until i got an infection at about 8wks and couldn't go to rehab. Now I'm in worse pain and have less function and movement than before. Tho honestly i think if i didn't get sick with an infection i think it would of been a success, i think I've just been one of the unlucky people that with every surgery or procedures I've had done I've had some kind of infection or complacations.

    So in your case i would look into it because they should be able to do something for you. I was told what usually causes the pain is the Psoas tendon rubbing over the front of the hip replacement and sometimes it takes about 12mths for it rubbing over the replacement to wear the tendon thinner and the pain usually will go tho that's not the case for everyone i hope this information helps you.

    Cheers Sue xox

  • Posted

    I'd get a second opinion on that. To my mind that doesn't sound at all right

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