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THR Almost five years ongoing problems

Vanna

new member
Joined
Mar 9, 2024
Messages
9
Age
75
Country
United Kingdom United Kingdom
Gender
Female
Hi every one out there.
It’s great to hear a success story! However I’m presuming some are still suffering post- op like myself ?
So I’m adding my experience and possible help to any one in a similar circumstances?

Following THR 2019 October. I was unable to move my leg and still can’t to this day without sharp pain in groin and muscle spasm in upper thigh. Occasional locking , and unable to walk or weight bare and lasting up to 24 hours. I am also Still unable to do the slightest straight leg raise . I attended many “after care clinics”with surgeon and second opinion, to no avail to date.
During the three years I was attending repeat appointments with surgeon I had x-rays, bone scan and blood tests all negative.However surgeon repeatedly avoided referring me for mri stating that it was not cost affective in my interests!

During this time my surgeon displayed no real interest with ongoing disability and didn’t seem to want to examine me regarding hip score or leg raises . I also have found many anomalies in his notes sent to my GP which I shall be following up.
After a second opinion I finally had an mri MARS (metal artefact reduction sequence ) June 2023 ( and I might add at my absolute insistence ) this has revealed no obvious cause for my symptoms apart from damage to Quadratus femoris muscle , ( hip abductor which connects to the femur). Well actually oedema in the muscle belly.
My clinical presentation suggests to me from my research ,that I may have a psoas tendon problem catching over the new prosthesis, causing my pain, however mri not confirmed. I might add there was leg lengthening although surgeon refuted this.
I am soon to have a third opinion with a surgeon who specialises in hip arthroscopy and I’m hoping he will be able to help me. I do wonder if a contrast dye mri could shed more light on my issues .Any one on here had this? ….

If any one on here has a similar experience I should appreciate any comments.

One reason this has gone on so long is that I had my other hip joint replaced in 2019, and so was unable to ambulate much anyway on the first hip . So it was a double whammy for me for quite some time regarding mobility of either hip.

My experience has taught me that we all know our own bodies better than a surgeon and that when problems arise we need to be persistent and stand our ground for any relevant investigations.
Above all, regarding problems, do always follow up on consultant surgeons notes to your GP and make sure he has recorded your concerns in case of an element of subterfuge. I found many anomalies in my surgeons notes to my GP. You will have to ask for those notes as they are not routinely sent to you following your clinic appointment . I must stress this is important as recording problems at the time could be crucial if you take things to litigation .

So this is part one of my story, and clinical history to date of my first hip replacement (Hardinge)
Lateral. I also need to post the problem regarding my second THR! … another calamity ?
You may or may not, look forward to that one!
 
After being able to walk well after 2-1-24 anterior hip replacement surgery, I now too, have regressed.
Now, unable to walk without cane, can't navigate stairs, can't lift my leg, hard to lift foot from accelerator, need to use my arms to help turn to my side while sleeping.
Clueless what went wrong
 
Hello @Vanna and Welcome to BoneSmart. Wow. That's a lot to unpack and even more to have experienced. I am so sorry for your ongoing issues. I had my THR in 2019 and am trying to imagine what life would be like to be still experiencing pain and mobility problems

First, let's start with some housekeeping: please leave us the date and which hip for each of your THR's and we will create a signature for you. This will help us and other members advise you appropriately going forward.

As you so accurately point out, it takes a lot of patience and persistence to sort out these after surgery problems. It is difficult because the surgeons seem to not know what to do with those of us that fall outside the norm in our recovery. They're surgeons. When they fix something, it's done, right? I was fortunate that my surgeon was also a hip revision specialist in a practice known for fixing other surgeons' less than perfect results. Although he did want to allow for enough time to properly heal, there came a time that he realized that something else was going on and needed to be investigated. Which he did. Mine was an IP tendonitis issue. So, my first recommendation is that you make sure that one of those opinions you are seeking comes from a revision specialist, preferably not related to your original surgeon's practice. I know, this is easier said than done. Perhaps your GP could help you with this.

I have found, with recent experience, that MRI results can be a mixed bag depending on who is reading them and their interpretation. What sounded ominous from the radiologist's interpretation, was read much less urgently and straightforwardly by the surgeons who had experience fixing those findings if surgery was necessary. Then it was up to me to make sure I conveyed to them to what extent the findings corroborated my symptoms and my daily limitations.

I would also like to ask what PT you have had, any referral to pain specialists, or any injections done and if so, what your results were. There can be some good information garnered from those interventions. Just know you are not alone in facing this. You have hung in there this long. A little more persistence might just pay off. Let us know how we can help. Blessings.
 
Many thanks for reaching out Hip4life!
1st THR August 30th 2019….left
2nd THR 25th October 2021…right

Whoopee! I received my referral form today to book appointment to see the specialist I mentioned at a private hospital curtesy of the UK nhs .
By all accounts and from my research he is among the very few in my district of a radius of about 70 miles that does hip arthroscopy and revisions.

I am wondering if he will use arthroscopy to explore the problem with my first THR?
Did u say that your surgeon actually diagnosed your IP tendonitis from your MRI results along with your symptoms.?
My MRI results came back unremarkable for the IP insertion but as you mention I too am very sceptic of radiologists reports!

I endeavoured to do the PT exercises at home as at that particular time my local hospital was not offering PT. However there came a point that it was just too painful to continue with the advanced ones and consultant advised against them in the end.
Early 2021 did ask about injection, (cortisone) consultant wasn’t keen for the hip area in case of infection, and instead he suggested an SI joint injection as I also have pain in that area. I did have one in SI joint prior to hip surgery 2019 as I was having terrible pain there and needed one to be able to lie on my back following the hip surgery for recovery.
I was happy for that as I was shortly to have my 2nd THR 2021 and was hoping the injection would see me through the recovery again. And it did thank goodness!

However as yet I haven’t been offered an injection in the groin area.
I have been offered an injection In the quadratus femoris muscle as the radiologist suggested I may have Ischiofemoral impingement? My Ischiofemoral space was reported to be 12mm on left side and 10 mm on right side and I do have buttock pain, ironically on the left side which is a wider space .
My 2nd specialist agreed that he doubted an injection might not help the hip but the radiologist said he could do it. I was and still am reluctant to have that as last year 2023 I had in total 6 cortisone injections , 4 in facet joints which did nothing for buttock pain and one in SI joint again . I also had one in soft tissue buttock area
Still not sure what happened as it was done fluoroscopy and it seems that’s not the best for soft tissue , but good for joints. The soft tissue injection left me in acute and chronic pain for about 3-4 months, so based on that and not wishing to repeat that situation again I declined the suggestion of Quadratus femoris injection .

Oh dear this post is a marathon isn’t it! So sorry !!,
And I have yet to post the problem with my right THR?
I wonder too, should I give details dates of my previous medical history including surgeries and diseases in order to create a signature for me

Good health and fond regards to all.
 
Oh sorry Hip4life , did I notice that’s your signature details underneath your last post to me? If so do I put my details after my post or pre-fix them? Please advise so I can get it right. Most interesting , your tendon repair . Will explain when I post details of my 2nd RTHR.
I hope to hear you are all up and running now ?
Thank you so much .
 
Thank you for valuable information
 

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