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Psoas Muscle and Injections

Posted , 12 users are following.

Hip_Horray
Hip_Horray

Hi all, I had my six month THR post op consultation with the Surgeon this morning. I have been suffering severe groin pain since my operation last November and at my six week consultation the Surgeon said this pain would  likely dissapear "over time".....but I suspected it wouldn't but gave it six months anyway. The pain and discomfort is worse then before surgery (((

The Surgeon is now saying it's likely "inflammation of the Psoas  muscle" and is recommending cortisone injections. 

Can any fellow hippies with similar prolonged post op groin pain offer any advice or have had these type injections?....and if so has it eased or fixed the problem?

regards

Philip  (OZ) 

 

0 likes, 21 replies

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  • annie.conway
    annie.conway Hip_Horray

    Posted

    Was it cemented or uncemented Philip? I ask because I have 1 uncemented hip which is also painful - albeit not 6 months, but still. The other hip is cemented and I have no problem with that one.
    • Hip_Horray
      Hip_Horray annie.conway

      Posted

      hi Annie, it's uncemented....before I have any injection i will also have an ultrasound to see what that reveals..
  • renee01952
    renee01952 Hip_Horray

    Posted

    Hi Hip Horray,  Good to see you back here - well,not so good of course that you're in pain -I am curious to responses as well - I was diagnosed with trochanteric bursitis and my surgeon wanted me to wait as well as he thought that giving the injection might cause an infection - I have heard good and not so good things about these injections - my own experience is not good - I had one for tendonitis (elbow) and thought the injection itself was freaking painful and did not help at all -  are you doing any exercises ?  big warm hugrenee
    • Hip_Horray
      Hip_Horray renee01952

      Posted

      Hi Renee...I recall it was you who originally got me thinking that my groin pain is a problem thet won't go on its own!....and it hasn't!

      I have also read that such injections work for some and not others. Have you got the bursitis successfully treated yet?....it's such a journey isent it!....I wonder what percentage of hip replacements are fully successful and what percentage result in on-going treatments?....by this stage I'm well fed up with the whole saga....but have to keep positive and hoping it will come good eventually....

    • Hip_Horray
      Hip_Horray

      Posted

      I have stopped all physio, aqua therapy and light exercises about two months ago...I honestly did not know whether it was doing me good or just adding to the problem!...I have been resting and carefully moving since then but stil no improvement (((....difficult to find any medical professional who can advise on exercise with 100% confidence it's what's actually needed!
    • annie.conway
      annie.conway Hip_Horray

      Posted

      You're so right! Everyone more interested in covering their own backsides than in really doing what they can to help you ... In the 'come and have your hip replacement HERE' videos, they show you folk literally walking out of theatre (ok, so I exaggerate!). No-one tells you that you may have months of pain, discomfort, a limp you never had before, etc.
    • renee01952
      renee01952 Hip_Horray

      Posted

      I did too - stopped going to physical therapy, the dry-needling etc.

      but this morning I felt kind of lost without any guidance - so I might call PT again - she told me that i should go back to surgeon s the dry-needling made it worse - surgeon wants to wait it out until end of May, possibly June -

      I am right there with you Hip ... carefully moving, not going to senior citizen center to volunteer last 4 weeks ... not much difference - 

      I do light exercises though - the bridge, clam and leg raises and some squats - 

      arghhhh - 

      but, I think that most of theTHR surgeries are very succesfull and ours are too ..... just takes a bit longer than we thought ... 

       

  • elizabeth_76546
    elizabeth_76546 Hip_Horray

    Posted

    Hi Philip,

    I had my left hip replaced 20 months ago. I suffered groin pain, which was quite severe at time for most of the first year. It is completely gone now, unless I lift something very heavy up stairs, for example. I walk about 3 miles everyday, do yoga, Pilates and country dancing without any pain.

     I didn't have the cortisone injections but took ibroprofen when the pain was bad. It went in phases and steadily got better over time. Good luck for the future.

    Elizabeth

    • Hip_Horray
      Hip_Horray elizabeth_76546

      Posted

      Hi Elizabeth, thanks for your feedback and encouraging words. I am taking anti inflammatories which gives some relief. I'm glad to hear you eventually got through your groin pain and are dancing no problem!...I am  also looking forward to a bit of jiving when I get better 😀
  • Schenckk1
    Schenckk1 Hip_Horray

    Posted

    Hello,

    Can you give an update on your situation? Did you get the injection or did the pain stop on its own?

    Thank you.

    • Hip_Horray
      Hip_Horray Schenckk1

      Posted

      Hi, after several unsuccessful injections and trying other pain relief methods i still have the dibilatating groin pain which has basically ruined my enjoyment of life. Its over two years since i made the worst health decision of my life by having this hip surgery! My last hope is Psoas tendon release surgery planned for February..heres hoping and praying!
  • christine0711
    christine0711 Hip_Horray

    Posted

    How did the Psoas Release surgery go?  I was offered that too last year and I refused.  Has anyone had relief non-surgically?

    So my psoas pain started 10 years ago when I was diagnosed with FAI.  I torn my labrum and they said my psoas was hurting due to the limping before I had surgery. The surgeon stated I would feel better after the surgery as the surgical dislocation had been known to stretch the psoas and provide relief.  It did for a while, and then I torn my labrum again.  A second surgery to clean out the tear, but this time my psoas felt worse after the surgery.  Almost 2 years later, I tore so much labrum I was bone on bone and ended up with a hip resurfacing.  It took a while to make the decision to have the third surgery that was limping so much by that time, everything hurt.  A year after the surgery, I still had psoas pain.  The surgeon who did my resurfacing suggested a cortisone injection.  Since 2012, I basically received a cortisone injection every year.  I just stopped last year as I heard repeated cortisone injections aren't good for you (I had 6 over the years).  I'm running now, but it's painful.  But not running is painful too, so whatever.  But over the years, I've had downtime, PT, Active Release... nothing is a permanent solution. 

    Has anyone tried PRP?  I had success with an ankle sprain and wondering if it would help.

    Anything else?  I don't want surgery as I've had soooo many of them. 

    • Hip_Horray
      Hip_Horray christine0711

      Posted

      Hi Christine

      Unfortunately my worst fear came true!...The Psoas release surgery not only didn't fix the problem but has actually made my pain and discomfort worse.

      This time I had a competent (and pleasant) Surgeon and my symptoms (pain climbing stairs, getting up from sitting and in and out of the car etc) all pointed to the Psoas tendon being the cause. Obviously it's something else but it remains a mystery (((

      I am am totally fed up with all this and am just living with the discomfort and restricted movement and activity...I hate that I can't even walk without discomfort but don't know what to do next?...

      I fully understand your reluctance to have more cortisone injections and surgery....it gets to a stage when enough is enough! 

    • christine0711
      christine0711 Hip_Horray

      Posted

      I feel your frustration too!  I have learned the hard way that hips are way too complicated.   Wherr pain is may or may not be the root cause. I feel like I’m chasing symptoms around but never dealing with the source. 

      I think I’m going to give PRP a try.  There are no side effects other than your wallet is lighter. But it either works or doesn’t work. It won’t make it worse. I’ll let you know how that goes. 

      Good luck!!

    • sandra62522
      sandra62522 christine0711

      Posted

      Hi Christine, I was wondering if you could share the location your psoas was hurting. Do/did you have groin pain. I have been trying for over a year, going to doctor to doctor, trying to find the cause of my groin pain, low right back pain & a tightening under my right rib cage. Nothing shows up on scans. I also have a tightening under my rib cage that back in Jan went into full spasm causing severe back pain sending me to the ER. I have seen over 20 doctors with no answers.

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