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THR Can't do a straight leg lift, groin pain

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sharonslp said:
Hi Stacey. It is my understanding that nerve issues can take a long time to resolve. I'm tagging Josephine for you.

Sharon
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Hi, Sharon,

Yes, this is where the pain is centered. In addition to where the pain is, I continue to be unable to lift my leg when flat on bed or floor. I never had this pain (or in ability to lift my leg from flat position) before the THR with femoral nerve block. Is this a typical symptom from femoral nerve block? Is it permanent? I'm never having one of these again!
 
Typical, no. A complication, yes. Permanent, can be. I think that after all this time you need to see a neurologist.
 
Let us know how you go Stacey.. I am interested in the groin pain you have mentioned!
 
I will keep you updated. I am waiting for a date for my arthroscopic osteochondroplasty of right hip any day. Regarding the groin pain, I will have more information when I see surgeon then. I haven't walked, apart from in the house, without crutches for nearly 1 year now. I tried to walk with my crutches for a longer than my daily routine this weekend, and ended up in excrutiating pain in my hip that is already replaced. As soon as I sat down, it went away. I am now getting very worried indeed that the pain in my groin when I try to lift leg from straight position (or turn in bed) is going to be permanent and affect my walking ability. I won't know about the total effect on my walking until I have my right leg fixed. At present, I am on crutches due to inability to walk on right leg, but very concerned about my left THR leg. I will keep you posted on this thread, so watch if you are interested. Thanks to all for your help/comments.
 
I can only imagine your frustration and fear now, Stacey. I will be following along, hoping for a good outcome as all this plays out.

Sharon
 
StaceyA, how are you? Please come and tell us how you are doing?
 
Hi, folks! I apologise in advance for moaning. Yesterday and today have been difficult days. I had my FAI surgery on my right hip. Surgeon thinks it went well. That was 4 weeks ago. He said I could weight bear after 2 weeks, but I am finding it difficult to do so, even in the house! My left shoulder is KILLING me because of the single crutch business! Grrr. Regarding my left leg. I still have pain in the groin and still cannot do a straight leg lift. I have read that ultrasound is not the best way to determine impingement of the iliopsoas tendon. I am CONVINCED that is what I have. My surgeon thinks definitely not nerve block error because the pain is gone at rest. Nerve pain he says is very different and never goes away. Originally, he said let's deal with the right leg FAI first, then talk about the left leg groin pain. He said that he hoped it would normalise on balance when I could walk normally. But I want a CT scan of the hip to look for impingement, as I heard that this is the gold standard. Is it? Anyone on here able to say why the iliopsoas tendon is more easily seen on the CT scan than the ultrasound? I'm seeing him next Wednesday, 12th June, and will discuss as I feel I have waited a long time and am certain that it is something mechanical that was caused by the hip replacement operation (done by another surgeon) as I have never been able to do a straight leg lift since 12th July, 2012. And despite the constant pain and difficulties walking, I am going back to work tomorrow to teach children under age 12. How will I manage? Knowing that there are only 19 more working days till 6 weeks summer vacation!
 
StaceyA i just stumbled across your thread here, and was captured by the symptoms. I haven't a clue, and you are certainly having alot of pathology, as Jo said. I never even heard of most of it!
I offer all my sympathy and support for your appt next week. Keep us posted :)
Re the symptoms, they are precisely what I was having last summer and fall, which I assumed was from the OA (GP said so...) I couldn't raise my either leg to save my life it hurt so badly! And getting up from a chair was an adventure in pain avoidance.
It was treated by PT with laser therapy autumn of last year, and totally went away. My op leg still weighs a ton, so of course i can't lift it yet, but the other is still pain free, since November. I don't know if that will do you any good, but I was just really impressed with this simple little laser treatment being so effective.
 
Thanks for your reply. That sounds interesting. What is OA? Is this osteoarthritis? Thanks :-)
 
StaceyA said:
What is OA? Is this osteoarthritis?
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Yes, OA usually stands for osteoarthritis. All the best on 12 June Stacey! Sending you positive (((((((((((vibes)))))))))))!
 
Hi StaceyA I have just come across your thread this morning and would like to say how sorry I am that you are having such a lot of groin pain so long after your surgery.I hope you get some answers and a solution on 12th June.Please let us know how you get on. Thinking about you. Regards Kim
 
Hi, everyone! Sorry it has taken me so long since my appointment on the 12th to update this thread. Regarding not being able to do a straight leg lift after total hip replacement, I seem to be making some progress. I can now do a few "difficult" straight leg lifts. So this is good! I still have groin pain, but perhaps this too will settle down. The physio doesn't want me to do too many of these straight leg lifts. We don't want to force something to go wrong again if indeed, it was an injury. If the groin pain doesn't settle down, the surgeon would like to order an isotope scan. I don't know what he is looking for, but this is what he said next steps would be after seeing him in my review appointment in middle September. Regarding my FAI arthroscopic surgery on my right hip, unfortunately at my follow up visit, he said that the x-rays show that he wasn't able to remove the entire ridge of bone causing the impingement on femoral head. Sadly my pain continues to be as bad as before. He said that he would have expected improvement already and, would like to wait until December 2013 before talking next steps. I am glad he is willing to talk next steps, and I think that it is fair to wait to see if things settle down, especially since my femoral head has been reshaped, etc. Next steps? Who knows. But I gotta be honest and say that I'm sick and tired of not being able to walk more than 25 metres without extreme pain, resulting in using the crutches in such situations. I just want the hip replacement. Fed up :-/
 
Hi, Stacy. I just came across your thread and was immediately interested because, 12 months after my second THR surgery (posterior), I still have pain in the groin whenever I lift the leg.

Whether it's doing knee lifts, getting in and out of the car or bed, or (the worst) trying to do a straight leg lift while lying down, there is pain in the groin. I also have pain in my thigh when walking. This is my second THR; with the first THR, after a few months I was running around like a teenager and ecstatic about the results. This 2nd one has been totally different, and it's so frustrating. I will be really interested to hear how your docs resolve the problem.
 
StaceyA, I teach, too, and can relate to some of the things you said. If you can teach sitting in a chair (or on a stool) at the front of the room, why not have the children come to you with their questions (instead of you going to them)? I was forced to do this for much of the past year because my pain was so overwhelming and my ability to circulate around the room was limited. The kids actually like it -- they like being able to get up and walk around a little bit. I also let them help each other (partners, or small groups) if they were able to handle that. Sometimes we need to make these accommodations, even if they aren't ideal.
 
BeckyR said:
StaceyA, I teach, too, and can relate to some of the things you said. If you can teach sitting in a chair (or on a stool) at the front of the room, why not have the children come to you with their questions (instead of you going to them)? I was forced to do this for much of the past year because my pain was so overwhelming and my ability to circulate around the room was limited. The kids actually like it -- they like being able to get up and walk around a little bit. I also let them help each other (partners, or small groups) if they were able to handle that. Sometimes we need to make these accommodations, even if they aren't ideal.
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Hi, Becky! Thanks for your positive message! I have tried that, but I find it most difficult when we have so many differentiated learning objectives going on while our classrooms are so small. Allowing pupils to get up is ideal for me, but not so much for the health and safety. I am setting up a new classroom this year, so hopefully I will be able to tailor it to my needs :-)
 
StaceyA, I understand. I have a lot of differentiated learners, too. My money is on you, Stacey. Teachers always find a way to solve a problem. Are you feeling better? Do you have a sense of progress/forward motion? I hope things are going well, teacher buddy!
 
Hi, Becky,
Still stuck in neutral. My history is quite complex. I have FAI secondary to SCFE as a child. Left hip replaced and failed FAI hip arthroscopy for right hip, but "waiting" to see if improvements. Next decision on right hip December. Left hip groin pain (THR already) will be looked at in September. Thanks for your vote of confidence! I've got to keep going as my age has always stopped doctors from going straight to hip replacement. I had to wait until my left hip was Grade 4 arthritis and couldn't actually bear any weight through it. I refuse to get that far with my right side. So, yes, Becky, I will win! Place your bets :-) lol! xxx
 
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