THR 6 months post op - psoas tendon problems

[SaraK]

Hey, @DogMom826 - I'm glad @Marvy tagged me. I've been on the shoulder forum the last few months so I have been on the look out for new people with psoas issues.

I wouldn't shy away from the injection if it's into the tendon. My primary said the problem with oral prednisone (in addition to being problematic for diabetics) is that it may help alleviate the inflammation but doesn't help you isolate what's causing the inflammation.

I had one doctor that thought it was back problems and did injections into the psoas muscle in the back. They helped some but not all the way. I finally went to a doctor that specializes in hip arthroscopies. He used the injection into the tendon at the wrong both for diagnostic and therapeutic purposes. After a couple of days, I had full relief but it only lasted a couple of weeks. Since I'd already tried rest, PT/stretching and anti-inflammatories, I made the decision to go for a release/lengthening. Not everyone gets this result but, for me, it was heaven. In just a few days, my pain level was lower than before surgery. PT was harder than for hip replacement but definitely made a difference in retraining brain and muscles.

Look for a doctor that does hip arthroscopic - even if they don't treat this often. Mine did about a dozen of these a year - some for younger non-THR patients. Let me know if you have questions!

 

[DogMom826]

Thank you all for your responses! Leejaa, I really appreciate you sharing your doctor's info... I'm also looking into Rochester but they have a number of doctors and its difficult to know who to go to if you aren't from the area. I'll definitely start with him..

Thank you so much!

 

[Grammy57]

I am sorry you are still having problems. I, also have had on and off groin pain. My surgery was just days after yours. In fact, it was groin pain that sent me to the Dr in the first place. My pain seems to be mostly at night or when standing after sitting for more than 45 minutes or so. I hope you get answers soon. I have an appointment on Monday to see my surgeon. To make matters worse, I fell today, straight down on both knees but harder on the left knee, the same leg that had the hip replacement. Ught.

 

[Hip4life]

Forgive the length of this ahead of time. This all brings back memories from my iliopsoas adventure this time last year. @SaraK has laid it out very well. From what I have learned and experienced, many OS start with non surgical options first which usually includes a steroid injection into the IP tendon sheath. If it doesn’t last, then there are more decisions. After 2 weeks post injection, mine were IP release or revision. The first consult for release said he didn’t think he could help me (not very experienced.) I thought I was then looking at revision but the OS and I didn’t give up and found another experienced arthroscopic OS who was able to help me. So a few key points: not all OSs do arthroscopy or even the injection, find an experienced arthroscopic specialist, and don’t give up until you’re comfortable with a decision. Be prepared that this may take some time by the time you jump through any insurance hoops (non surgical options) and find an experienced OS who can help you and you feel comfortable with. Mine was fairly linear because of direct referrals from my OS and it was 4 months before surgery. This is where it can get extremely frustrating especially when you’re dealing with months of pain that you thought was going to be relieved by your THR. Take heart. I’m not trying to discourage you. It will be totally worth the effort. We will pray that the process goes smoothly. Let us know how else we can support you. You’re not alone. Pat

 

[Grammy57]

I am just back from seeing my OS. He says I have inflammation in both the bursa and I can't remember what he called it but it seems like he said a tendon at T4(?) (that reminds me of spines) Anyway, they injected near the bursa and said to keep a close watch on how well it helps. If it doesn't help or not enough the next step is a guided injection in the front where it hurts. It basically hurts from the edge of my hip bone, right in front and extends just into the groin area. Yesterday I had 2 incidences of shifting my weight and it felt like a pop or something. I mentioned this also as it hadn't happened before or since. The PA (I saw both PA and DR) called it hip snap (?) though I can't find any information on that. I go back in 3 1/2 weeks.

 

[CricketHip]

I think the term is snapping hip syndrome and definitely can come from inflamed tendons.. I sure hope that the injection helps you.

I had this years ago when I was running and also doing a lot of aerobics. It took some time for it to calm down, though heat and stretches helped. But then of course, at that point in my life, I had no idea that I had hip dysplasia and of what was to come. ( meaning my THR, of course)

 

[fly22]

@Grammy57 How did your situation end up? I have a similar situation.