Psoas Syndrome and THR

Hi everyone. I had a THR in November of 17, and did great. The pain that I had been living with for over 15 years was gone. I was up walking 6 hours after surgery and the nurses couldn’t keep me from walking as much as I was in the halls. I went home the 2nd day without incident. Physical Therapy came to my house a 3 times per week for 2 weeks. Afterwards, I decided to do 2 to 3 more weeks on an out patient basis. The first week went well. However, going into the 2nd one my PT tied a rubber band around the top of my thigh then he wrapped the other end around his waist. He would slowly back up and pull my femur bone out of socket a bit to relieve pressure so he said. After he did that a few times on 2 different occasions I developed a hematoma the size of a large orange. My ortho doc was able to extract 140cc of blood off of it. He asked me if I had done something to cause it, I told him no. But, I went on to tell him about the procedure the PT had done on me. He was furious. He said, “don’t tell me he did that to you...don’t tell me that!” He turned to his physician’s assistant and told her to get down there and straighten that out immediately. I don’t know the name of the procedure he did, but it’s some type of joint reduction. If any of you know I would appreciate hearing from you. A few days after he removed the fluid from my hematoma I began to experience severe excruciating pain deep within the groin, buttock and top of the thigh that radiated to my knee. It continued to worsen and within a week I was forced to stop PT altogether. Now, some 8 months later I have either been in bed or on the sofa due to pain.  When I awake in the morning and attempt to stand, the pain is so sinister where words cannot accurately depict the severity of it. After I do make it up I have to use a walker in the mornings and progress to either crutches or a cane later in the day. I can’t even shower or dress standing up. I can’t bare weight on the leg long enough to lift the other. This has taken a major toll on me both physically and psychologically. I don’t know how much longer I can handle this pain. Upon a routine exam my Dr. hit a tender spot on my lower back. I had an MRI and it showed that I had a protrusion of the L5 and S1 disk. I would go on to have 4 epidurals over a 5 to 6 month period. None of which helped. I told my Dr. that I just didn’t feel as though this was a back related issue. I had no back pain or numbness or tingling in my leg. He sent me to another Dr. who did an EMG on me. That Dr. said that he was 100% certain that my pain was not a result from my L5, S1 or any other disk for that matter. He said that it was something “structural.” He went on to say had they done an EMG on me at the beginning and not the end, I wouldn’t have had to endure 4 unnecessary epidurals. I took his findings back to my Orthopedist and he thought that the stem on my Zimmer and Fitmore device might be slipping. But, a CT scan didn’t support his suspicions. I went on to see a vascular surgeon and had an US to the leg, but it too was normal. No one can seem to figure out what is going on with me and what’s causing me this pain. I saw a Neurologist yesterday and she said that it might indeed be my device/hardware that is slipping, but she also thought it might be Psoas Syndrome. They are scheduling a CT scan to the pelvis to rule it out. I would appreciate any feedback you can give me regarding the Psoas Muscle and anything you may know about possible slipping and a Zimmer and Fitmore device used in my THR. 

Thank You,

DJ~RN

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