Sevete groin pain

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I am 7 months post hip replacrment. I was very committed to my physical therapy. At 2 1/2 months I developed severe and debilitating groin pain and was back on a cane. To confirm the diagnosus of iliopsoas tendinitis as the cause of psin, my tendin was injected with lidocaine. The pain completely went away., but only for a few hours as Lidocane only lasts that long. My pt was completely changed and lying down is the omly comfortable position so I have rested the tenfon slot. Now at 7 months the pain has not let up. Got a second opinion, bone scan, mri. It is that tendinitis. Geeting a steroid shot into the tendon and was tolf if thst did not help the next strp is a tendon release surgery. Wondering if anyone has had thst done and whether it redolbed the groin pain. I am a 67 yr old gemsle, 6 feet tslk snd thin and athletic. At leadt i was very athletic up until my total hip replacement. Thank you.

1 like, 16 replies

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  • Posted

    I am sorry to hear that had happened to you. THR gives us so much hope for a better life and less pain. When we end of with complications and I have had my share of debilitating pain with THR it just knocks the wind out of our sails. Knowing that more surgery could be down the road is stressful. 

    I had the injection for groin pain it only worked for a short time . I hope & pray it marks the end of your pain.

    I wish you the best.

    Hope

    • Posted

      Since you only had short term relief from the steroid injection, are you considereing a tendon release?
    • Posted

      No not yet. My story is a bit more complicated. I did therapy far awhile after a few months it was slightly better.Then a few months later the new Hip was recalled by the manufacturer due to MoM components and revision is next. Just my luck.

      Here I am waiting for revision after the Holidays.

      Your right about the wind being knocked out of our sails. Do it and get thru it. It's so painful no need to be miserable. It happens in THR more than you think. Talk with your doc get another opinion do what it takes to get back on the road & pain free. You will get thru this too! Your strong and determined to improve your quality of life. 

      I KNOW YOU will be better soon.Don't compare you situation to others everyone is different.

      keep posting.

      HOPE

  • Posted

    Sometimes the shot works for a while and sometimes it has little or know effect. Go for the long term solution. Best of luck.
    • Posted

      i agree. This is one of those unfortunate issues. Decisions is hard to make to go back into surgery. I don't even know why they offer injections they know it's short term, if it doesn't make it worse in some cases.

       

    • Posted

         My only hesitation with the tendon release is that the surgeon says it does not always take the pain away and that a complication is residual flexor weakness in the leg. He is making me try the steroid injection first.

      Hoping to hear from some folks who had success 

    • Posted

      Tracy,

      usually it because the insurance requires it first in the US. I pray the injection  gives you some peace from the pain. Are you taking other pain meds for now?

  • Posted

    Hi

    I understand how you diagnosis was determined. And I am empathetic to your impatience.

    Tendon inflammation is a symptom...something is causing the inflammation. Yes, steroid injections are great at reducing inflammation. But if the source of the inflammation is not treated, the inflammation will re-occur.

    So, if the cause is tendon entrapment, then tendon release surgery would be a reasonable solution. Yea, I have had entrapments surgically released...with delightful results.

    • Posted

      I have seen 2 other hip surgeons for 2nd opinions and they both agree the implant is fine and the cup edges are not protruding. So no cause of irritation found. I am getting a steroid injection in a few days and hoping for the best. My original surgeon says is steroids help but do not comp;etely resolve the pain he will do a tendon release. Did you have any weakness after the tendon release? I am concerned about that. I am a very active person.
    • Posted

      I have never been athlete, not even close. That said I had no weakness, but after the immobilization, it was tight.
    • Posted

      immediately after surgery I was splinted into a fixed position for six weeks before I was allowed to begin flexing again.

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