Hip Arthroscopy CD recovery pain time


new member
Sep 26, 2023
United States United States
Hello, I was wondering if I should still be having the pain in my hips 3 months out of surgery, sometimes it’s awful.

Hi! Welcome to BoneSmart! Someone will have an answer for you soon! I am not as far along as you are.
@Hudge Welcome to BoneSmart! What was the date of your surgery and which hip did you have replaced? I am sorry you are still having significant pain in your hip! Does this pain go on all the time or just some times? Is there a particular activity or movement that seems to trigger the pain? And where on your leg does the pain seem to center?

Have you increased your activities recently or did you start some rigorous exercise? Do you find that the pain eases if you apply ice or cold packs?

It is hard to know what is causing your pain from the little who wrote here. It is not atypical for some folks to experience muscle pains or even nerve pain for quite a while after a hip replacement - the whole leg and all its parts and pieces gets traumatized when hip replacement is done.

Here is our list of post op articles and suggestions - there may be something here that can clarify what is going on for you.
Hip Recovery: The Guidelines
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 these
BoneSmart philosophy for sensible post op therapy
5. At week 4 and after you should follow this
Activity progression for THRs
6. Access these pages on the website
Oral And Intravenous Pain Medications
Wound Care In Hospital

The Recovery articles:
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.
I’m sorry, I didn’t say I had the hip core decompression July 12th. I’m still having to rely on a cane because if I didn’t I fall the pain gets so bad and so suddenly. I’m wondering if I should go ahead and have it replaced?

I avoid a lot of activities because it just hurts so much but I’m also a BBKA with AVN in both hips but the left one is the worse
@Hudge I am sorry I misunderstood you! Alas I do think at this point you will need a hip replacement as it sounds like the surgery you had did not do enough to ease your painful problem. Unfortunately this is not unusual for folks who have had the core decompression surgery. I would urge you to get in touch with your surgeon to discuss the hip replacement options. Implants used these days are expected last for 30+ years and hip replacement is one of the most frequently performed surgeries in the world these days. Most folks are able to get back to their favorite activities with pain free hip(s) with in 4-6 months.
@Hudge So sorry you are having this pain. Unfortunately recovery from this procedure is more painful and often takes longer than from THR. As Deb suggested, please go back to your surgeon and discuss THR. AVN will not get better and can go from tolerable to horrid very quickly.
That’s what I was thinking. Thank you for answering.

I will and thank you!
Hip pain from surgery will continue until the soft tissue has healed. Bone grows on the implants to secure them in place. Body and mind adapting to severe changes takes time. Surgery is a traumatic injury to the body.
even though the surgery is to repair and restore the joint.

Most surgeons don’t take the time to explain the stages of repair and healing process involved with THR SURGERY. Causing the patients inexplicable pain and worry even though the surgery is designed to restore the joint and improve mobility . All the many stages of healing are very normal and it‘s nice to have a site like this to relate to.

It’s major surgery and bones are removed and new implants issued all takes time for the body to adjust and heal. Short term healing 6-8 months. Long term healing 12 months to 16. Strengthening recovery is a long term recovery process and usually involves rest and patience. Walking is all that is needed during this healing process.

Sending healing blessings your way.
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So far I’ve just had a core decompression on my left hip about 3 months, I’m still having pain with sometimes sharp pain. Is this normal or should I go for the replacement?
Core decompression is a surgical procedure that involves surgical drilling into the area of dead bone near the joint. This reduces pressure, allows for increased blood flow, and slows or stops bone and/or joint destruction.
Core decompression is commonly performed to treat osteonecrosis.

if you are still in a lot of pain then it my be time to discuss with your surgeon THR. It’s always important not to wait to long as the surgeon needs good quality bone and good blood flow.
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@Hudge One question I had to consider was what my quality of life was like. That question really helped me.
That’s what I’m fighting with. I’ve been in pain for a long time and I’m sick of it. I’m scheduled for HP on October 4th but the hardest thing I’m a BBKA and I hope that doesn’t make it that much harder.
Wondering how you were doing? @Hudge

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