THR Advice please for groin spasms


junior member
Aug 14, 2022
United Kingdom United Kingdom
Hi new to the site. Nice to meet you all. I had right hip replacement 3rd August. The day after op I started getting spasms in groin and top of thigh. Excruciating. When I lay down to sleep. It's been ongoing ever since.
Doc and physio says it's actually my back causing the problem. I have had back trouble for years. Taking loads of pain meds including diazepam. Feel taking too much, but anything to ease. I can't get comfortable. Also constant muscle ache under both shoulder blades, presumably from using crutches and pulling myself up and down.
Maybe knotted? My hip is actually doing well. Can anyone give me advice, please?
@Janiebee1 Welcome to BoneSmart! Those of us who suffer from spinal issues may notice some complaining from that area post THR. You are carrying yourself differently post op so the body needs to adjust.

Can you request a referral to a physio who specialises in spinal? I did this post both my THRs due to pre-existing spine issues.

Or find an osteopath who can assess your needs and adjust the spine if needed.

Here are your recovery guidelines

Hip Recovery: The Guidelines
We are all different, as are the approaches to this recovery and rehab. The key is, “Find what works for YOU.“ Your doctor(s), physiotherapist(s) and BoneSmart are here to help. But you have the final decision as to what approach you use.

1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
2. Control discomfort:
take your pain meds by prescription schedule (not when pain starts!)​
3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you​
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​
4. PT or exercise can be useful BUT take note of this BoneSmart philosophy for sensible post op therapy
5. Here is a week-by-week guide for Activity progression for THRs
6. Access these pages on the website

Pain management and the pain chart
Healing: how long does it take?
Chart representation of THR recovery

Dislocation risk and 90 degree rule
Energy drain for THRs
Pain and swelling control: elevation is the key
Post op blues is a reality - be prepared for it
Myth busting: on getting addicted to pain meds
Sleep deprivation is pretty much inevitable - but what causes it?

BIG TIP: Hips actually don't need any exercise to get better. They do a pretty good job of it all on their own if given half a chance. Trouble is, people don't give them a chance and end up with all sorts of aches and pains and sore spots. All they need is the best therapy which is walking and even then not to excess.

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in a majority of BoneSmart's forums, we ask that each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice.
Thank you. I actually spoke to my doctor and he has recommended deep tissue massage or sporty therapy massage. Booked in for Monday. I didn't think about back problems before, but you are right. Spent a few years relying on it to get relief from hip pain. So bound to be misaligned. Very grateful for your advice.
he has recommended deep tissue massage
This is what the spinal physio did for me post my first THR. It takes a few sessions and can be painful until the areas release (usually within a matter of seconds). But it really did help me.

Let us know how it goes!
I can put up with a bit of pain if it sorts my back out and gets rid of these awful spasms at night. Will keep you
Couldn't have deep tissue massage. Too invasive so soon after op. Had reflexology instead. Gentler way of realigning. Felt weird lots of little tingles and twitches, but therapist says that things shifting. Have booked weekly sessions.
I will do. Felt a bit light headed after treatment. Very calm though. Still had spasms at bedtime, but not so intense. Then I actually managed to get 6 hours sleep!!
@Janiebee1 It is totally OK to sleep in a recliner. In fact many of our members spend the first month or so in sleeping in a recliner. Glad you got some rest!
I slept in a recliner for first two weeks.

That was the only way I could sleep on my back — wedged in a chair where rolling over was not an option.

Plus, easier to get out of than my (low) bed
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Is it ok to wear an upper back brace? My muscles under shoulder blade are aching.
Happy One Month Anniversary!
I hope you're doing well, making steady progress and enjoying your new hip.
Take good care and enjoy the weekend!
Thank you. Not quite the weekend I had in mind. Felt so poorly yesterday. Paramedic came out today. Have urine infection and a chest infection. Antibiotics and steroids now. Grrr. Quite common after surgery apparently.
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@Janiebee1 So sorry about your infections. Yes, surgery does sometimes impact the immune system. Good that you got the antibiotics and are already getting the treatment you need. Hope this eases quickly for you!
I just wanted to say that I had some pretty bad groin pain after my hip replacement, it started one day and kept up (about 3 weeks) until I made a doctor's appointment, and then disappeared. Then I got a pain in my upper thigh which did the same thing. Now I have got a lot of pain in my shoulder, I am pretty sure from using the cane. So I am using the cane less. I just wanted to tell you that so you might know that some things do just magically disappear.
I have been taking fybogel for a few weeks. Realised that I shouldn't take with codeine. I have still not got much appetite. Do you think mixing these has caused my loss of appetite? Going to talk to doc on Monday. But am not going to take Fybogel today. Did anyone else have problems with appetite because of meds?
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realised that shouldn't take with codeine
Who told you that you could not take this with codeine? I would talk to your pharmacist today.
did anyone else have probs with appetite because of meds?
This is a very common complaint. The trick is to find a food you particularly like and eat several small meals per day. More like snacking throughout the day.

You will notice that I merged your newest post with your original recovery thread. For several reasons, we prefer that you only have one recovery thread:
  • That way, we have all your information in one place. This makes it easier to go back and review your history before providing advice.
  • If you keep starting new threads, you miss the posts and advice others have left for you in the old threads, and some information may be unnecessarily repeated
  • Having only one thread will act as a diary of your progress that you can look back on.
Please post any updates, questions or concerns about your recovery here. If you prefer a different thread title, just post what you want and we will get it changed for you.

If you need an urgent response to a question, just tag a member of staff.

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