Pain down leg and groin

Thank you for this information.   I can indeed do test #1  but struggle to do test #2.    When you say 'rest' the tendon, can you define 'rest ' for me please?   I swim every day, take 3/4 flights of stairs during the day.   I have also started mild, limited yoga.      Help!

You do have Iliopsoas Tendonitis howeer you got it quite differently than the rest of us. The rest of us got it because of the Total hip Replaement Surgery. When they dislocate your hip during surgery they are manipulating your leg around and streching tendons that are not used to be stretched that way. My guess is that you can through the surgery okay with getting your Iliopsoas Tendon stretched but no injury. Now however with your rigerous execize regime, now you have injured it. It's injsured, it's got tears in it, little rips in the tendon.

To "rest it" basically you figure out what you do that causes the tendon to hurt and then stop doing that. For me, I know when I sit and then stand up, that aggraates the tednon, the sitting position. Therefore to rest the tendon I laid down on the couch rather than sitting. It takes about 3 weeks or so to let that tendon heal.

Can you please tell me about the pain on the outside of your leg. Is it on both legs or jsut one? Can you describe that pain? Is it a localized pain that runs in more or less a line down your leg? And where exactly on your leg is the pain? Is it from the hip half way down to the knee, all the way to the knee, past the knee and down to the foot?

When I was writing my comment to you yeterday I did the leg/heel lift myself. Kept my knee unbent and lifted my leg and I lifted it real high. After my surgery I could not lift my heel at all off the bed so I was pretty happy yesterday. However 12 hours later now I am feeling that tendon again. I realize that what I though was healed, was home free, I really wasn't. Now I have to rest it again. I htink I will stay away from those stiff straight up leg lifts from now on. I am also going back to the doctor. I can get a steroid shot in it. 

If resting after 3 or 4 weeks or so doesn't heal it, you really must see your doctor. You could have an inflamed bursa underneath the Iliopsoas tendon as Brenda51 describes. For me walking doesn't aggravate my tendon as my injury was done during the surgery (I wasn't walking then) but for you, I suspect it WAS the walking that injured the the tendon. Please do take this very seriously because it is serious, and if you do not take care of yourself now, this can turn from tendonitis to tendonsis which is a perment condition. In other words you will always have that pain. I was basically debilitated by tendonosis, 3 years laying around hardly walking much, until I had my THR. In fact my tendonosis was MORE debilitation that my hip. It was like a huge MIRACLE to me that my THR cured the tendonosis in my worst leg. 

Please do write back and be very detailed about the pain on the outside of your leg.

Also yoou need to take anti inflamatory pain meds. Paracetamol (Tylenol) is not an anti inflmatory drug. I take napraxon and when I had such really bad tendonosis in my legs I have a prescription for Diclofenac sold under the name Voltaren. I also have the Voltaren gel which is used topically on the skin. I HIGHLY recomend the Voltaren Gel on your tendonitis. It is very effective. Typically I would be tossing and turning well after I took my anit infamatory pain pills unable to sleep because of pain, I would get up, rub some Voltaren gel on my legs and it would reduce the pain just enough to allow me to fall asleep. The gel doens't last long though. But it is great at giving you some really effective relief for a couple of hours. Just google Voltaren and diclofenac.

Hi there.

forgive me I have intruded in your conversation with someone else!  I don't have pain on the outside of my leg thankfully.   My THR took place almost six months ago and for the last several weeks have had this groin pain.   I think that I have probably had it longer but thought that it was a stiffness caused by lack of stretching so have been swimming more and doing gentle stretching.  However, it's got worse!!

I don't think your comment is an interruption Jan00794, the discussion is after all about groin pain after Hip Surgery. Did you read all the comments above and try Test 1 and Test 2 above?

What is your age and have you been doing a lot of physical activity? Is it worse when you stand up after having been sitting?

I first got the tensonitis in my legs (which then turned into tendonosis) by at age 57 and being a little overweight but not obease, I own a business that has a high season where we are very busy. During this busy period I got up and down all day off of a foot stool. The foot stool is low to the ground, obviously, and of course no arms on it like a chair with arms, and I got up and sat down on that foot stool basically dozens of times a day. Therefore I was only propelling myself up by my legs and only my legs. As we age are tendons are not what they are when we were younger, and especially as we age so many of us put on weight, 3 years ago I reached that tipping point where it was to much and I injured my tendons in my leg. AND because it was our busy season I just took pain pills and kept on working. I had no idea it was tendonitis, I never had tendonitis before. So I kept working and about 6 weeks later (after I kept on injuring my tendons) I went to the doctor. By then it was to late and I permently damaged my leg tendons. Nothing brought them back, not steroid shots which worked for about a month, nothing worked. That is why my THR is such a Miracle to me, at least it took away the tendonitis in my worst leg.

Unless we are sports fanatics pushing our bodies, we become susceptable to tendonitis because of our age and our weight. I did this same job the year before on the same foot stool and never got tendonitis. Aging, what a joy huh? I think it is helpful when people state their age just for comparison purposes.

Thank you.  I am 62, pretty average weight and prior to my hip being goosed I was doing a minimum of three yoga classes each week and one pilates class.   The consultant advised that I avoid yoga for six months but that I could do pilates about three months after surgery.  Unfortunately, three months in I slipped and fractured my wrist in two places and so that has put an end to thoughts

of yoga and piltates.   So, living in Sri Lanka I have access to a pool and have been swimming every day and recently been doing gentle stretches in the hope that the pain was a stiffness and would go away if I stretched it ! 

However, it's getting worse!   My consultant is in Scotland and I have little faith in the medics here.   I won't be home till September!!  So any advice you can offer would be great fully received.   Getting in and out of the car and in and out of bed is seriously unpleasant!!!

That is what a lot of people do. They thnk they should strech it, that by stretching it it will then become more elastic. Worst thing you can do.

I pray you have sought help early enough that you didn't keep pushing that tendon and tearing it beyoond it's ability to heal. As my other comments indicate, don't do anything that aggravates it, rest it and take anti inflamatory pain meds.  As oon as you are doing something that brings on the pain, stop doing it. Healing takes time. Exactly how long have you had these symptoms now?

If getting into and out of the car aggravates it, try sitting on the other side of the car, you will be goin into and out of the car on a different side. Aren't you glad you found this forum and found a simole test? I know I have Iliopsoas Tendonitis this was absoltely confirmed by my physical therapist who knows every bone, muscle and tendon in the body.

You have to appreciate at age 62 your health may be good but your tendons are still aged 62, LOL! Gentle stretching will keep them elastic however as we age we have to learn when to cut back. If you simply stop aggravating it between now and September when you get back your doctor can order an injection done under moving X-Ray to hit just the right spot. That is what I am going to have done. I had that done in my hip once and it worked great for a month. However an injured tendon can come back and heal after an anti steroid shot whereas a hip deterioted by osteo arthritis never will. It sure would be a bummer to be a Yoga enthusiast and have Iliopsoas Tendonitis. AFTRER the tendon heals then you gently stretch it back with exercize, but it has to heal first, which makes sense.

This is really helpful thank you.   I think that I know when I tore the tendon!   Getting out of a boat, had to stretch my leg more than I normally would I think and it has been a problem since then.   That was around the beginning of April.   But today it's particularly painful because of the angle I was sitting having a pedicure!!  Anyway, resting I can do and hopefully that will help.   I very much appreciate your advice and support.   Thank you.

It is really odd to me that just sitting aggravates it. And sitting for me will aggravate mine also. There was another topic on this not to long ago and a woman who had been doing great, I can't remember for how long, maybe a couple of months, she decided she wanted a nice soaking bath and sitting in the bath brought it on. I agree with you about sitting in a certain angle can aggravate it.

You are always going to have to be careful now not to re-injur that tendon after it heals. You'll figure it out, we all have to become informed and then pay attention to our bodies.

Hi Folks, I'm so glad I came across this feed.   With surgery Jun 20th,  I'm at 8 weeks out.  After my 1st week out of surgery I was doing great.  I assume I over did it because I woke up and my thigh and groin were hurting kept walking and had to the crutches out but to bring my leg forward was so painful..  On one step coming up to the house on crutches as I pulled my leg forward I had the worst sharp pain. I cried so hard, it was excrutiating!   Well, ever since then I have been in terrible pain.  Still can't lift my leg flat off the bed.  It feels like I have a ball in my fold of my joint.  I'm stretching the psoas as much as I can and walking is decent.  Have to grab under my left leg to get in the car.