@okiediver ,
@SaraK @Hip4life ...Ok ...it's late and I'm up AGAIN because of groin pain...but I will give you a lot of good info on psoas release and hopefully you will have a great result as sarak...
First of all, my issues with the PR for me were twofold..1. Worried about dislocating 2. worried about weakness.
Saw at least 5 surgeons before choosing, as I knew what I wanted. my gait was screwed up 6 months post RTHR and all the classic symptoms ,groin pain, ROM, couldn't get in car, etc.
I have a very detailed post somewhere back before 8/23/2019 (psoas release), but here are the cliff notes. Saw two surgeons , one said he had just had done a patient for PR and he dislocated, I asked why and he gave me some detailed "thing" about body composition, etc (don't believe it)...second one I saw said it was his second PR and he dislocated patient because he cut too much (idiot)...so began my fear of instability with this surgery...here is the cliff notes on it...If you are having a release by the LESSER TROCANTER you won't have to worry about dislocations, (the problem of having the PR by LT is that they cut all the tendon(maybe more weakness post op) and because its farther away
from groin and implant it may not relieve the groin pain ..
Generally now they all "lengthen" (slight cut in tendon) more up by the groin (by the implant ) as that is where you are having the pain so they figure they are "loosening " closer to the pain and that will resolve it better higher up...My doc was out of HSS and had a "new " procedure where he would raise my operative leg during surgery and never go into the prothesises to get at the psoas and no risk of instability.SO I WAS THRILLED...one problem gone.
BTW...in regards to instability...in all my reviews ...IT GENERALLY IS NOT AN ISSUE...don't let my post frighten you....It was only an issue with the two surgeons I consulted with.
Regarding weakness in the leg...NEVER HAD IT (same as sara). First day out of surgery could not lift leg AT ALL...second day lifted like normal...absolutely no problem.Never looked back!.Second problem gone.
So here are the real issues. Most surgeons don't like doing this surgery because it is only 60-70% successful in all areas... My gait is much better, can get in cars easy now, ROM much better, HOWEVER STILL HAVE GROIN PAIN and that's disconcerting...((the one thing they can't tell you because they have no visibility is if the ball and liner in your implant is impinging too much (too big) and may not be able to be corrected. (they can make an educated guess and see if it's "anteverted" but in actuality that's the shot ...and then you still may need a revision...
Look the surgery as sara will tell you is quick 45 minutes, it is not full of complications ...relatively straightforward..if it works like for sara...you will be "OVER THE MOON"...I would do it all over again given what I know about weakness in leg (don't let them scare you with this one)..and instability not an issue...
If it works you saved yourself a revision.... CHOOSE YOUR DOC CAREFULLY....I would make sure he has done a number of these releases as most orthos dont do them. IMPORTANT!!
feel free to email me or reply if you have any further questions ,...i had researched the hell out of this one ..so ask..good luck...you will be out dancing the same night like sk. BTW, the second day out of surgery I walked up and down manhattan for about 5 hours..with no pain whatsoever (some bandage pain) but all my other gait stuff was GONE. (groin pain came back 3 months later).
Afterthought for you and others...if you have an impingement PT will not help your gait, and other symptoms, it only gets worse...I am not happy about the groin pain...but I am happy my gait is much better..normal..best JWS