Psoas Impingement after THR -research
Posted , 15 users are following.
Hi there folks
I’m trying to gather some information regarding psoas impingement after hip replacements. I would be very grateful if anyone has suffered this problem could post their story. Could they tell me when the symptoms started and how long did it take to diagnose. Also how was it fixed and did it sort the issue. It would be most helpful if you could inform me of what geographical area you are.
Kindest regards
Carolyn
3 likes, 62 replies
Guest carolyn63196
Posted
Having got my MRI results today ,it appears I have no psoasis issue, no tear or swelling but the surgeon thinks it may be refferedpain from a twisted spine caused by my CP. if you can't get to the bottom of your groin pain think about other issues in your body. Pain can be sent to other parts and it feels like it has nothing to do with the main problem and comes as a bit of a shock when you realise it could be something you weren't expecting! Some nerve blocking tablets and hydro therapy for me now. One thing's for sure,you wont get me in an MRI again in a hurry,I'm so short I'd have to go all the way in to check my spine and I just can't bring myself to put my head in, it's too claustrophobic!
penelope60077 carolyn63196
Posted
I see that you posted five months ago, so my reply may not be much help but.... maybe someone can help me.I am eight months post total hip replacement surgery, experiencing severe groin pain. This started about three months after the surgery, until then I had been gradually improving.I self diagnosed this as a Psoas Impingement several months ago. Knowing how surgeons just love it when patients start telling them how to do their job, I didn't mention this directly but dropped heavy hints and ultimately demanded a CT scan. I had this a few weeks ago and guess what? It showed a Psoas Impingement. I then was given an x-ray (?) guided steroid (?) injection into the psoas muscle. I was told that I would probably get immediate relief but it might take up to ten days to completely work or..it might not work at all. For three days I was in fairly extreme pain, it has now simmered down and as long as I stick to my meds. I would say that there has been a VERY slight improvement. Today is day is day ten. I did research diligently and my surgeon is very highly regarded.I wish I could be more helpful, perhaps you have sorted your impingement out by now. I do hope so.
BTW I live in Georgia, had my surgery in Jackonville Fl.
carolyn63196 penelope60077
Posted
Thank you for posting on here and to all the other kind people who have taken the time. I’m glad you finally got a diagnosis and hope the injection works. I’m three years in from my THR and still have no answers. My surgeon decided to get a second opinion and referred me to his senior. This consultant wanted to start from scratch, so alive had to have all the scans again. The last MRI showed no psoas impingement but two bulging discs in my spine. I had been having psoas stretches prior to the scan and had a feeling it wouldn’t show up. Low and behold the groin pain and snapping is now back. I have to see a back specialist now before my consultant makes a decision on my hip. The time it takes for psoas impingement is shocking in the UK and I’m beginning to lose my patience with the hospital :-(
cheers
Carolyn x
carolyn63196
Posted
carolyn63196
Posted
Can I give you a huge hug from across the pond. You have summarised things so well and understand the complex issues of getting a proper diagnosis. Snap, crackle and pop are the words I would use :-) I now have to follow protocol and see spinal chap who I know will say it’s hip Psoas x
penelope60077 carolyn63196
Posted
penelope60077 carolyn63196
Posted
Carolyn you poor thing! I'm not surprised that your brain is frazzled, even if by the late hour. I think that in your position my brain would have given up long ago. Since writing my last post just two days ago things are now much worse. I feel so frustrated and for me it has just been a little over eight months of pain.I know my surgeon is going to try to blame this on my back despite the impingement diagnoses. I had back surgery about 7 years ago for a ruptured disc (worked great) and know that I now have three bulging discs but this pain is familiar to me and though I think it is exacerbated by my hip, it is totally different from the pain in my groin. I do know my body.
The injection may not have helped but it has caused the exciting sensation of small creatures crawling over my foot and leg, something they warned might happen. For once they were right!
?Just took a quick break to phone my surgeon's office, I can see the great man in three weeks!I am just so sorry to hear what you are going through. I understand about the wait in the U.K. I am English too and can tell you that if I wasn't old enough to get Medicare which costs me about $300 a month, I could just chuck myself under a bus. The hip replacement surgery alone, typically costs about $40,000! That is without all the pre and follow up visits etc
If you have a sharp deep pain in the crease that runs from groin to hip when you try to lift your knee, getting in and out of car or climbing stairs etc. any snapping or popping, you definitely have an impingement. You already know all this I'm sure.
I was told that I couldn't have a normal MRI with the prosthetic in place and that a CT scan was the gold standard. Also that it was still pretty hard to see and diagnose and can be missed.
Surgeons hate to admit to any fault, something I think that we have all discovered.
I do hope that you can find the right person to help you. I suggest researching your surgeon and or consultant online. Here n the U.S you can check various medical boards etc.
Wishing you all the luck. Know you need it!
Cheers,
Penelope.