@TDennison My surgeon didn't officially rule out the psoas, but, he likes to have raw, factual data to look at. However, since he adjusted my operated leg length to be shorter, he "thinks" it may need to be re-lengthened some, but he is waiting on the x-rays and MRI. He also mentioned the possibility about adjust the "cup" (?) He also said that since I'm not quite 8 weeks out, that it is still early in the healing process. But even with that, he still doesn't think it is the psoas, even though I have sent him articles about it and talked with him in depth. (I guess I am not going to win the debate...)
Anyway, the groin pain I have (and had before surgery) feels as if there is a knife in the bend/crease/fold of my operated leg. Before surgery, any time that I would do any type of exercise that required what I call a rotational movement (biking, rowing machine, elliptical), it would feel OK while I was exercising, but then an hour or two later, wham! the groin pain returned worse. It got to the point that I couldn't find a comfortable position to be in and pain pills didn't work. This is one of the reasons I had hip replacement. After surgery, my doctor asked me a number of times if the groin pain was gone. And it was. About 3 1/2 weeks after surgery, I got on the stationary bike at the gym (my OS said I could get back on at 2 weeks, but I waited). again, while I was biking (at level 1 resistance), it felt good. Unfortunately, a couple hours later, wham! The groin pain has returned. And just like pre-surgery, it never really goes away. It is always this nagging feeling that someone is pressing into the crease/fold of my leg. So after exercise, it is the worst, then subsides somewhat, but never goes away.
I found a website that talked about
Symptoms of an inflamed iliopsoas muscle which describes my symptoms exactly:
"Iliopsoas inflammation causes pain in the groin, particularly when the knee is lifted up towards the chest against resistance. There may be a sensation of tightness and swelling in the groin, especially if the bursa is involved. The athlete may enter a cycle of pain where the pain disappears during training only to recur worse after exercise stops." Another website also talked about this and mentioned that biking and rowing were not good for this - which unfortunately, I agree with, but only after having experienced it.
Time will tell what the issue is and the direction of what, if anything needs to be done.
I had only 1 hip done, the week before your surgery. You had both hips done - double everything...Hang in there. You too are still very early in the healing process - especially with already being back to work. Rest or take breaks as much as you can. Keep us posted..