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[HIP ARTHROSCOPY] 14 months on

Discussion in 'Hip Replacement Recovery Area' started by chemflex, Sep 4, 2015.

  1. chemflex

    chemflex Junior Member

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    I've been for an mri scan this morning of my pelvis and lumbar region, I get the results on 9th October. I fell asleep in the scanner and woke myself up snoring, thankfully they didn't hear me!

    Waiting for a telephone consultation from my gp so I can ask him for a prescription of Naproxen for my breakthrough pain between doses of pregabalin.
     
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  2. Cynthia777

    Cynthia777 Forum Advisor

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    @chemflex
    It must be so discouraging having continued pain! I'm so very sorry and am praying the MRI will discover the problem and you can get proper treatment for it. Prayers just sent up for you.
     
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  3. Kim22

    Kim22 Supremo

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    @chemflex I second that in that I hope you get some answers soon and a solution.Some people get very stressed about having an MRI scan but I also feel very chilled by the experience and look on it as a chance to relax.Ihave never yet fallen asleep but if I did I would be snoring too.If ever I fall asleep in public for example on coach journeys I alway wake myself up by snoring.Anyway all those banging and hammering sounds would have drowned you out.
     
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  4. Josephine

    Josephine NURSE DIRECTOR, BONESMART Administrator

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    Sorry to discomfort you but they have a mike in the scanner so they can hear if you call out, call for help or start making any strange noises that might indicate something amiss!
    You'll not find any relief from naproxen. What you need is to have the pregablin dose increased.
     
  5. chemflex

    chemflex Junior Member

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    I said that to them but the nurse said Naproxen helps with neuropathic pain and guess what....it doesn't!

    When the pain in my shin goes it does make me realise how much pain I'm getting from my tendon alone, and it's a lot.
     
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  6. Legin

    Legin Don

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    Naproxen is a biggy ibrufen I have them for quads if needed. I'm on top dose of pregabalin 600 a day its for nerve pain tho I'm dropping dose as I learn to control/ignore pain
     
  7. chemflex

    chemflex Junior Member

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    Hi everyone.

    I went for my MRI results today. The MRI of my hip was fine which means surgery was a success but the MRI of my lumbar region shown a paracentral disc bulge at L5-S1. My consultant told me that this is what was causing the pain I've been getting and has now passed me to a neurosurgeon who I'm seeing on Monday.

    The bulge is in the left and the pain is the whole of my right left so I'm not convinced but I've been discharged from orthopedic.
     
  8. Josephine

    Josephine NURSE DIRECTOR, BONESMART Administrator

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    Studies have shown that about 60% of the population have bulging discs are one time or another and if the MRI was repeated tomorrow, it would very like show something different! You see, discs are designed to deform, just like squidgy balls! And the pain in your back is much more likely to be due to muscle spasm. For my part, I wouldn't ever see any kind of spinal surgeon and would certainly never allow one within a million miles of my back with a scalpel!

    I suggest you take yourself to a chiropractor . It's what I did and I've been great ever since!
    (but not an osteopath please note - different kind of chap altogether!)
     
  9. chemflex

    chemflex Junior Member

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    If I didn't have constant pain across my thigh and pain all down my shin bone and into my foot I would try a chiropractor but I think a neurosurgeon is the correct route
     
  10. chemflex

    chemflex Junior Member

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    Warning long post...

    I have had an awful weekend starting last Friday. I would like your opinions on what I should do next. It will take me too long to type so I apologise but I have copied the email which I have sent to one of the medical secretaries:

    od afternoon Pam,

    Thank you very much for listening to me grumble on on the phone earlier. I would like to express that I am not making a complaint but only expressing a concern.

    I first started to attend Fairfield hospital in April last year where I saw Mr Emms and was referred onto Mr Gudena. Mr Gudena carried out a labral repair and osteochondroplasty on 10th July last year. I went to post-op physio sessions but was still in a lot of pain so was referred back to Mr Gudnea earlier than I should have been, He said my adductor tendon was inflamed so would give me a steroid injection. When he came to see me upstairs on the ward before giving me my steroid injection I told him that I was having really bad pain in my knee to which he said he didn't know what it was it was nothing to do with the hip and he would look when I went down. He examined my knee in anaesthetics and said it was fine (I have no tenderness to touch in it). That steroid injection lasted for 5 months and I was pain free. When the paid returned he gave me a further steroid injection. Again before he saw me to give me the injection I spoke to him in the ward first. I told him I had really bad pain now spreading to halfway down my shin bone, he shrugged. That steroid injection took 2 weeks to work and lasted for 3 weeks although did not get rid of the knee or shin pain only dulled them. On giving me the 2nd steroid injection he felt the tendon and said it was really tight and needed to be cut.

    After the 2nd steroid injection wore off I was still suffering from really bad pain he sent me for an MRI scan of my pelvis and lumbar region, he also prescribed me pregabalin and amitriptyline. On 9th October I came in to see him for the results of my MRI scan. He seemed rather pleased that the MRI scan of the hip was completely clear but said that I had a paracentral disc bulge in my L5/S1 area and discharged me (never even mentioned releasing me tendon which is still hurting). He referred me to see Dr Dawson (Rheumatology) and Mr Buxton (Neurosurgeon). I came to Fairfield following a car accident so I asked if the bulge could have been caused by the car accident and did the scan show and signs of wear and tear and degeneration. He said the car accident could have possibly caused it and that I had no signs of wear and tear or degeneration. I spent over and hour on the phone to my solicitor arguing as my case is due to settle (I have now found out this was unneeded - see below). I saw Dr Dawson the same afternoon she had no idea why I needed to be seen and had to speak to Mr Gudena on the phone to find out why. He had referred me to her as I have a family history of arthritis. The only thing to come out of this quick appointment was a prescription for a higher dose of pregabalin and some amitriptyline because I was still in a lot of pain. Mr Gudena could and should have given me this prescription.

    I saw Mr Buxton this afternoon. I went in 35 minutes late, the lateness does not bother me as I work in both NHS and private healthcare and understand. However when I sit for a long period of time the pain becomes worse. When I went in he told me straight away that the bulge was on the left side and would not affect the right leg leg. Mr Gudena must have know this as the written report says left. Mr Buxton showed me the MRI scan and it was perfectly clear that the bulge is nowhere near the nerve. The MRI scan also showed ovarian cysts (near the nerve), this was also written on the report and Mr Gudena never told me this.

    Dr Dawson wrote a prescription for me and Mr Buxton just said there was nothing he could do other than refer me to pain management and send a letter to my GP telling them to refer me to a gynaecologist. AXA PPP will be paying £240 for these appts which is completely unfair to them and to me as it comes off my allowance.

    The bottom line is I feel like I have a constant 'Chinese burn' across my thigh and really deep constant pain through my knee, shin bone and now into my foot. I am taking 300mg pregabalin and 25mg amitriptyline daily because of the pain and most of the time they only dull it. The deep pain in my knee, shin and foot only started after the hip arthroscopy although since the car accident my right leg has not felt like my own and still doesn't.

    I have been referred to pain management however as this clinic only runs on an Thursday (our busiest private practice clinic day in work) I may not be able to attend. I have been receiving various pain medications and injections since November last year and the pain has just gotten worse. I don't want the pain to be managed, I want the cause to be found and fixed.

    As I explained at the beginning of this email this is not a complaint. I am just in a lot of pain, more than I was when this course of treatment started back in April last year and I am coming up to paying my 3rd amount of excess on my policy in January and I feel as though I am no further along and in an awful lot of pain which as stated only started after surgery.

    I am not totally in limbo, suffering with an awful lot of pain and do not know what to do.
     
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  11. Legin

    Legin Don

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    Poor you. I had to fight to get into the chronic pain clinic and after a fourty min Assessment was diagnosed. They pull together a pain plan for me. I am on same doses as you. For pregabalin 300 is max dose. I also can take tramadol which helps with soft tissue pain and nerve. I was also referred to specialist physio. She is great and look at how pain affects me and gibe concrete solutions. Are there any other symptoms such as physical or nerve..

    Legin THR Sep 14
     
  12. Josephine

    Josephine NURSE DIRECTOR, BONESMART Administrator

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    I'm only curious as to why you sent this to a medical secretary. She would not be the appropriate person. It would have been better to send it direct to one of the doctors - or all of them!
    I would suggest that this is quite a small dose of pregablin - some get prescribed that much three times a day and sometimes even more. And are you not seeing your GP for management of this pain? I would have thought that to be a better place than all these consultants!
     
  13. Legin

    Legin Don

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    I have been told by pain management consultant and go that 600 pregabalin is max dose, hence why they also put me back on tramadol as it also helps with nerve pain.

    Legin THR Sep 14
     
  14. chemflex

    chemflex Junior Member

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    I sent the email to the medical secretary as nobody would advise me of how I could contact my consultant so this was the only pathway available. Medical secretary --> ceo secretary --> my consultant. It worked anyway as they rang me yesterday asking me to come in at 8am this morning. I'm now booked in to have an adductor tenotomy and a steroid injection into my right knee patella tendon under sedation.
     
  15. chemflex

    chemflex Junior Member

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    Slightly worried as it gets closer. I'm booked in on Friday to have an adductor tenotomy and a steroid injection into my right patella tendon. I'm concerned because we are designed to have tendons that attach bone to muscle so if my tendon is cut away from the bone what after effects will I be left with?
     
  16. Jaycey

    Jaycey Moderator

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  17. Josephine

    Josephine NURSE DIRECTOR, BONESMART Administrator

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    People often worry about this and I think surgeons generally do a poor job of explain it. In regards to the adductor muscles, there is a large group of them that do the job as you can see here

    adductor muscles.JPG

    What your surgeon will do is to figure out which muscle fibres are tight which will most likely be only a few fibres in one muscle. He will do this by palpating with his fingertips in the area of your pain, then insert this tiny scalpel - called a tenotome or tenotomy knife - into the skin and just divide the tightest fibres until it's soft and pliable.

    tenotome.jpg

    And that's it! No leg left swinging freely in the wind!
     
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  18. chemflex

    chemflex Junior Member

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    If it is so simple why is he giving me general anaesthetic for the procedure?
     
  19. Josephine

    Josephine NURSE DIRECTOR, BONESMART Administrator

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    Because he needs you and your leg to be totally relaxed so he can probe with his fingers to find the tight fibres. If he did it under a local, your leg would be tight as a drum and he'd get nowhere!

    He could also give you a spinal instead but that takes several hours to wear off while with a GA, they will likely use a short acting anaesthetic so not only do you fully wake up within about 5-10 minutes, an hour after that you'll be ready to go home.
     
  20. chemflex

    chemflex Junior Member

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    Well, it's been a while since I last posted...sorry.

    I had my adductor tendon released on 27th November last year and also had a steroid injection into my patella tendon.

    I noticed a difference straight away with regards to the adductor tendon release. My leg no longer felt twisted and my range of movement vastly increased. However the pain which was radiating down from my patella tendon, straight through my shin bone and into my foot did not improve at all and to be honest got worse. It has reached the point my where my leg is giving way frequently and I am having to use crutches which often. I went back to wee my consultant last Friday (29th January) he sent me for an urgent MRI scan of my lower leg and knee which I had on the same day. The results came back to same my knee is fine but I have periostitis of my tiba probably due to over use. Both myself, my physio and my consultant thought this was laughable as I haven't been able to exercise since March 2014, even physio had to stopped as it became too painful and nothing helped. They strapped me up with kinesiology tape yesterday (this acutally felt good, especially around my knee) and will be starting shockwave therapy on Monday. Just hoping after nearly 2 years of continual and progressively worse pain the end is near.

    Has anybody got any experience of shockwave therapy because the physio department have warned me that it's not nice and will probably hurt?
     

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