Tenotomy of the iliopsoas ( tendon release )

Any alternative to surgery is worth a go. All the very best with this. Keep us posted.

Hi There, wondered which doctors you went to , my doctor who did my THR was with Northwell Health, certainly not really happy . I have to say that although I had great relief from the active release therapy and the second shot , I am now back to feeling pain in the psoas muscle. I am gonna try yoga to keep it stretched will keep you posted, I am located in Sayville .

Hi!

Thank you for getting back to me! 

Dr. Germano and Dr. Sileo. I am actaully growing more concerned with hip arthoscopy though...it seems like it leads to THR down the line.   

I've been poking around the BoneSmart forums for more information, and it's mixed on this procedure. 

https://bonesmart.org/forum/threads/hip-arthroscopy-labral-tear-and.32674/#post-830880

I realize a lot of us tend to more readily take to forums with concerns and disappointments, but I am worried by the number of people who have such lengthy recoveries only to need THR. That's what makes me wonder if I just hold off and risk eventually needing THR or I try the arthroscopy (long recovery) and perhaps still need it. 

The PT who specialized in Active Release near me didn't work out. I'm in Commack, but I'm going to make the trek to Holbrook for Max Effort PT http://maxeffortpt.com/. My medical massage therapist also struggled with a tear and she has had great success working with them. Worth a try... 

Good luck with the yoga!!! I hope it helps you... 

I just happened upon this forum.  It's incredible to know that I'm not the only person experiencing side effects from THR.  It's almost comforting to know I'm not alone (though I don't wish this on anyone!!). I'm in Wisconsin, but from the threads I'm reading, maybe I need to move to Florida to have surgery [smile]

1.5 years our from THR. Initial recovery in first 3 months was amazingly well, then all hell broke out.  My original surgeon "released" me from care and told me activities as tolerated. That was a mistake on his part. No restrictions?  Nope!. Well, I love boot camp style workouts, so I returned to working out.  Initially it was ok but then there were less and less activities I could do, and now I can't do anything with the hips/legs. Original surgeon could not wait to wash his hands of me, sent me to pain management. All PM wanted to do was give injections, which were not helpful. Sought out another surgeon who specializes in THR, and he took an x-ray Dec 2017; radiologist says it normal.  Tests for infection, allergic reaction all normal.  ANOTHER round of PT.  I've had so much PT in the last year!! That surgeon told me he does not do scopes and I need to find someone who will do a iliopsoas release. I found another doctor, his first question to me was if anyone told me that the x-ray from the last surgeon I saw was not normal.  WHAT?? I looked at the x-ray with this new doc and on one of the x-ray views, the femur stem is in a flexed position however this new doc doesn't think that's the problem if it is not loose. Now I had a nuclear bone scan and there is increased uptake at the ball/socket but not around the stem. He offered another steroid injection and/or iliopsoas release surgery. I am just so confused and leary about all of these doctors. Why are none of them confident about what the problem is. I have anterior hip and groin pain - constantly.  Literally cannot bend normal, have to stick my leg out to the side, and then coming back up is so much pain, cannot squat, cannot walk up steps normal, walking in general over 1.5 mph causes pain. I never used to say "can't" and the only time I would stop doing physical activity is out of pure exhaustion, but now all I'm saying is I can't do this or can't do that. (Sorry this is taking longer than I thought it would but I guess I really needed to vent). EVERY doctor told me to work on strengthening glute muscles and core. I really want to knock them up side the head. My glutes are not weak, and I have a fairly strong core, considering the exercises I'm able to do without pain.

Hi Bkoz, I'm so sorry you've landed here, but glad you've landed here with the dialogue. It is indeed so frustrating and needing to vent is totally how I think we all feel. You raise a great point that probably all of us should keep in mind, that is the THR surgeon doing X-rays and saying his work is "fine" then sending to pain management, is a juncture at which we should all take those X-rays to a different surgeon for review. As I learned, that includes going to a surgeon who is not affiliated with the same hospital. I too have been in and out of PT, but now I'm going into year 5 since surgery with no definitive solution. I'm glad I didn't do psoas release (full cut) and I'm looking into what may be solution: psoas release by fractional lengthening. In the meantime, I'm looking for surgeon who takes my insurance, doesn't have any affiliation to Hospital for Special Surgery in NYC where all this has been bounced around for years (they seem happy to take my money, particularly with their oh-so-special surgeons who don't take any insurance other than blue cross/blue shied). 

I'm wishing you the best, and only tidbit of advice to offer that i have is the need for all of us to get our tests reviewed by other doctors as well, and I believe, avoid full psoas release in favor of lengthening. 

Around here, I don't think it matters who reads the x-rays.  Original surgeon (#1) read his own x-ray and MRI, and I have never viewed either.  Pain Management (#2) operating at the same clinic as #1 confirmed x-rays look normal.  #3 surgeon is with a completely different clinic than #1 and #2, and he never reviewed #1's x-rays. #3 took the x-ray December 2017 and said it was normal and referred me for arthroscopic iliopsoas release.  I am now at surgeon #4, who is not in the same clinic as #1, #2, #3, and who said he would do the iliopsoas release.  #4 told me that the x-ray #3 took showed the flexed stem.  When I questioned #4 about why #3 told me the x-ray was normal, #4 says that "surgeon's don't like to contradict each other".  I also asked #4 to review the x-rays taken by #1 but he refused, saying it's not as accurate as a nuclear bone scan.  Now, I'm not a doctor, but I've hung around them for a while, and to me it makes no sense for a doctor not to review x-rays taken a year earlier to see if there is any change.  So, I just called surgeon #5 who is about 2 hours away, and hopefully will review everyone's x-rays and explain to me WTH is going on.

I should specify, the latest x-ray shows the rod sitting in a flexed position (the rod itself does not flex), or varus position, where the top of the rod leans against the bone, and then rather than the rod going straight down, it angles so the bottom of the (short) rod is resting against the opposite side of the femur.

So many of us all around the world! Our lives impacted so massively. Some very young too. 

My thoughts are that too many surgeons are doing THR without the skills to do these well and without the ability to know what to look for when a patient presents. Or maybe they choose not to. 

I feel we need to go public somehow. Gather as much data as we can & present this in an international public forum. 

Here in Australia I have reported surgeon who stuffed up my hip to a medical board, but they are as slow as all get out & I believe there will be a closing of ranks when it comes to their findings.

I for one, think the anterior hip replacement is not the way to go. from what I've seen on all these forums is that there are so many problems after the fact, that are lifelong problems. I know myself I was much better off before they hip replacement. I think the anterior hip replacement sets good marketing for the orthopedic surgeons and at least in the US it has a good insurance payment and is fast and easy for the doctor to do. I think that soon we'll be seeing massive lawsuits for the anterior hip replacement and the Hana table.

It's an interesting idea, bringing this topic to the public somehow. One thing I'd really like is if it was possible to get data on settlements. Here in the US I can't even known if my surgeon had a medical settlement with another patient. If a patient brought some sort of legal action, the doctor would offer a settlement to make the patient and law suit go away. That effectively also silences patients. I just wish there was some official scorecard on how many settlements a surgeon has. 

I totally agree with you on the reviewing old x-rays! It makes me crazy that some of the doctors I talked to didn't even want to see them, saying it only matters what is going on right now. To me that's crazy, if you can get some evidence of what has changed, you can figure out what may be happening. I do feel like a surgeon who evaluates his own work is always going to be less likely to see his errors. 

go do a search on American Medical Association and do a search there...that is where you will find out if there have been settlements...at least on record..and that's major leverage for an attorney...Also i had posted a site where payoff to doctors are listed...you can check there to see how much your dr is making on the side....Bribes to put it nicely....That's available for U.S.....don't forget implant manufacturers pay drs side money to use their implants but they also have to report it and of course its a tax deduction to manufacturers such as Stryker.

Thank you Patientzero007! I missed that you'd posted this 10 days ago. I think I'd only really figured out how to search on malpractice and a doctor being reported in some ways. Settlements I assume have non-disclosure language, but maybe not all of them Thank you.

I have had 5 THR  2 dislocations and 2 tendon releases here in Syd Australia . And am still in so much pain and loss of strength now, I have lost quality of life over the last 3 years. It’s all so crazy . When does the pain ever go away.