BoneSmart® Hip / Knee Replacement Forum
Joint Replacement Patient Advocacy
and Online Community
  1. Announcing BoneSmart's NEW Joint Surgeon Locator tool

    We are pleased to now offer a tool to help you find just the right surgeon for your needs.

    Read more about this in this announcement:

    Dismiss Notice

[REVISION THR] Constant pain continuing 1 year after THR<^

Discussion in 'Hip Replacement Recovery Area' started by Marvy, May 2, 2017.

  1. Ausman

    Ausman junior member

    Member Since:
    Sep 16, 2018
    Age:
    59
    Messages:
    70
    Gender:
    Male
    Country:
    United States United States
    Marvy-

    Wow! I have that exact same painful bulge in the same place on my left THR. I am in a lot of pain at the six-month point. My OS has no idea how to proceed. Like you said, it's soft-tissue pain- apparently "not his department". :headbang:

    Ausman
     
    • Informative Informative x 1
    Last edited: Feb 8, 2019
  2. Ausman

    Ausman junior member

    Member Since:
    Sep 16, 2018
    Age:
    59
    Messages:
    70
    Gender:
    Male
    Country:
    United States United States
    Larry-

    Wow that is amazing! Particularly your theory on internal scar tissue. I have always had a tendency to grow dense, keloid scars. For example, a melanoma I had removed from my abdomen in 1997 took years of treatment before it was pain free. I have no reason to suppose that I don't scar similarly internally.

    I am in a great deal of soft-tissue pain following my lateral left THR in August. Might I ask, what specialty was your sports medicine doctor? My OS seems to have no idea how to proceed and I feel like I am starting from scratch with regard to a doctor to consult.

    Also are you saying Marvy had scar tissue removal- I can't find that in the thread but that sounds very interesting as well.

    Thanks!
     
    Last edited: Feb 6, 2019
  3. ljpviper

    ljpviper junior member

    Member Since:
    May 24, 2014
    Age:
    47
    Messages:
    67
    Gender:
    Male
    Location:
    Florida
    Country:
    United States United States
    Austin,

    The ortho that injected me is a sports medicine Doctor specialized in soft tissue injury. After the injection I had blood work done two weeks later again to rule out any cobalt/chromium issues with the implant. I have a metal on metal hip resurfacing on the right. To my surprise my SED and CRP went way down they are your main inflammation markers in your blood. I guess the nerve irritation was causing constant inflammation in my hip. Makes sence was when I would bare weight in the am my leg/hip would swell from the adductors and quads as my glutes were not working. Also, my chromium and cobalt levels are >5, which is really low.

    I still have some aches in the night but seems very muscle related as they are trying to get back to firing normal. At least I can sleep a full nights sleep with no pain. I suffered for two years. I can't stand the fact all these operating OS's just dismiss the patients that still have pain after surgery. Mine was the same way X-ray looks fine and you can walk, your good. Total BS, I spent thousands in both travel and different pt methods that did nothing.

    Good luck,

    Larry
     
    • Like Like x 1
  4. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

    Member Since:
    Mar 8, 2017
    Age:
    55
    Messages:
    16,103
    Gender:
    Female
    Location:
    GA
    Country:
    United States United States
     
    • Like Like x 1
  5. Ausman

    Ausman junior member

    Member Since:
    Sep 16, 2018
    Age:
    59
    Messages:
    70
    Gender:
    Male
    Country:
    United States United States
    Thank you Mojo for that reference!
     
    • Friendly Friendly x 1
  6. Ausman

    Ausman junior member

    Member Since:
    Sep 16, 2018
    Age:
    59
    Messages:
    70
    Gender:
    Male
    Country:
    United States United States
    Hi Marvy-

    Following your story closely since your symptoms sound familiar to me (though I did not have the LLD). Did that bulge possibly turn out to be an inflamed bursa in that area? I am hoping to convince my OS to explore that or at least refer me to someone who can.

    Wishing you the very best and sending hopeful, healing thoughts.
     
    • Friendly Friendly x 1
  7. Marvy

    Marvy member
    Thread Starter

    Member Since:
    May 2, 2017
    Age:
    62
    Messages:
    195
    Gender:
    Male
    Country:
    United States United States
    I had my first post-op appointment today. He removed the stitches (all 2 of them :loll: ) As a pilot would say on your flight, "you are now free to move about the cabin". My surgeon said I have no restrictions! So I am free to drive, exercise, etc. He actually wants me to move and exercise. The glute medius muscles should be a focus of my exercise as well to get them to wake up and do something. The only stipulation he had at this point is "if it is painful, stop. don't do it". I can live with that! So I came home and the crutches and I went for the longest walk since before surgery, which included 2 hills - one downhill and one uphill. The downhill was actually worse.

    The other statement he made sure that I knew and understood was "YOU WILL NOT LIMP". He was ok with me using crutches for another week or so when out walking. Then transferring to a cane or one crutch when the rest of the swelling goes down and I get stronger. He doesn't really care how long I have to use a cane - as long as I do not limp.

    My next - and probably final - post-op appointment is March 22.

    @Ausman - yes, I definitely had a good case of bursitis and he did remove the bursa. The MRI I had definitely showed the bursitis. Even after 2 cortisone shots, I got no relief whatsoever. Since the IT band runs down the side of the leg, my IT band was extremely tight in that area so he lengthened the IT band as well. Unfortunately, as you are experiencing, I had to search for someone else to help me. I searched Dr. Google for hip/gluteal tendon specialists in my area. There were a couple other surgeons that I would have liked to have gone to, but they were a flight and hotel away and logistics and timing didn't work out. But with what the issue was, I'm not sure if the surgery would have been any different. I am completely satisfied with the surgeon I chose. I do hope you are able to get things figured out.

    @ljpviper - I'm not sure if my surgeon is familiar with an injection to help the scar tissue or not. But in my case having the bursitis and IT band tightness and the stitch knot, I'm not sure if he would have recommended an injection or not. My SED rate and CRP wasn't elevated. I do hope the injection works for you so you don't have to have another surgery

    @SaraK - the stitch knot that he removed was actually the stitch that is done when reattaching the tendon to the GT at the end of the hip replacement (or revision) surgery. They drill a hole through the GT and run the stitch through that and the tendon to hold everything in place. He did say that typically the stitch(es) are done on the side of the GT and mine was more on the top.

    I asked him if the stitch knot could have been the issue or if it was stitched to include something that it shouldn't have. But in typical doctor speak, he talked about it, but never answered the question.

    So, if this is deemed a success to resolve the pain and issues that I was having, I will never really know what the true cause is. I guess it really doesn't matter, but I will always wonder. Just who I am.

    It is supposed to be a cooler weekend, so I am planning on going to the gym and ride the stationary bike. In the gym, I am usually the "go big or go home" type, so I will have to work hard to dial things down a notch. For now.

    He also gave me a prescription of Meloxicam instead of taking Ibuprofen.

    I am feeling a bit better everyday. The worst days were Sunday through Wednesday where I felt so tired and had no energy.

    Thank you everyone for all of your thoughts, prayers and well wishes - and encouragement! It really helps and means so much! Unless you have been through some of the hip issues and having a replacement, it is hard to explain and sometimes people just don't get it. BoneSmart has been a godsend to be able to chronicle, whine, vent, etc. Sometimes I don't know how I would have kept my sanity if it wasn't for everyone here. :thankyou:
     
    • Like Like x 4
    • Friendly Friendly x 2
  8. Ausman

    Ausman junior member

    Member Since:
    Sep 16, 2018
    Age:
    59
    Messages:
    70
    Gender:
    Male
    Country:
    United States United States
    Marvy I am so thrilled to hear all this positive news! I am so glad for you and thanking you for sharing it.

    I have asked my OS about an MRI but clearly I need to insist. I am so certain now that I have a majorly inflamed Bursa like yours. Why and what is irritating it I suppose is the question. I'm afraid your wonderful surgeon would be horrified at my lurching limp- I so want it to be gone too!

    But you have truly helped me to re-focus a new search. Thank you!
     
    • Friendly Friendly x 2
  9. Marvy

    Marvy member
    Thread Starter

    Member Since:
    May 2, 2017
    Age:
    62
    Messages:
    195
    Gender:
    Male
    Country:
    United States United States
    @Ausman - are you walking with a cane - or crutches. From what little my OS has indicated after I asked if the bursitis, scar tissue, etc can come back, he did say "possible". I think that is one reason why he does not want me to limp. From what I understand, the limping can aggravate the bursa (probably the IT band too, I don't know).

    If you aren't walking with a cane or crutches, can you go back to using a walking aid to see if it alleviates the limp at all? I quickly read through your thread and it sounded like the cane was causing shoulder pain? Maybe using one or two crutches may help - especially for longer jaunts.

    I think you mentioned that sitting also caused a flare up? That was my case as well. There were days I would sit at my desk feeling as though someone had jammed a hot nail into the side of my thigh...

    I would start searching for a hip gluteal/tendon specialist in your area and make an appointment. You can always cancel if your OS decides to order the MRI and diagnose your pain....
     
    • Friendly Friendly x 2
    • Agree Agree x 1
    • Useful Useful x 1
  10. Ausman

    Ausman junior member

    Member Since:
    Sep 16, 2018
    Age:
    59
    Messages:
    70
    Gender:
    Male
    Country:
    United States United States
    Marvy it is uncanny how similar our post-op experiences are! I'm feeling that hot nail right now and I am going to get away from the computer right as soon as I send this.

    I'm doing that as we speak, but yes I promise I am stepping away from the computer for now!

    One quick question- was your latest procedure completely arthroscopic? That helps in narrowing the search.

    Thank you again Marvy!
     
    • Friendly Friendly x 3
  11. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

    Member Since:
    Mar 8, 2017
    Age:
    55
    Messages:
    16,103
    Gender:
    Female
    Location:
    GA
    Country:
    United States United States
    :wave:I'm so thrilled for you as you sound to be doing so much better!

    Hope your weekend is wonderful @Marvy :SUNsmile:
     
  12. Marvy

    Marvy member
    Thread Starter

    Member Since:
    May 2, 2017
    Age:
    62
    Messages:
    195
    Gender:
    Male
    Country:
    United States United States
    Went to the gym on Saturday and rode the upright stationary bike for 45 minutes (at the lowest resistance). It felt really good to get the legs moving again! I tried the recumbent bike, but it bothered me from the perspective of where the top incision is and the leg position/movement on that bike. There are still hard lumps under the incisions that the biking motion bothered.

    I have to keep telling myself "slow and steady" as boring as it may be..... I have to :walking: when I want to :fasthorse:
     
    • Like Like x 3
  13. Layla

    Layla FORUM ADVISOR Forum Advisor

    Member Since:
    Jun 26, 2017
    Messages:
    14,116
    Gender:
    Female
    Location:
    Minnesota
    Country:
    United States United States
    :upright:Good for you!
    Do what you're comfortable doing for now, the rest will come.
    I hope you have a great week!
    @Marvy
     
  14. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

    Member Since:
    Mar 8, 2017
    Age:
    55
    Messages:
    16,103
    Gender:
    Female
    Location:
    GA
    Country:
    United States United States
    So glad to read that you sound well and the excruciating pain is gone.:yes!:
    Please do take care during rehab...I know I sound like a broken record..but six weeks out from revision...the 45 minutes sounds like too much even with no resistance. We want to get the most out of a trip to the gym but I think shorter sessions of activity several times per day would be less likely to overtax your still healing soft tissue.
    Build up slowly and just walking is definitely the way to go for now, in my opinion.
    I just worry about that new hip and don't want to see you overdo.:unsure:
    Only you know if what you are doing is too much, so listen to your body carefully.
    I do So want this to be the end of your hip troubles!:yes:
     
  15. Marvy

    Marvy member
    Thread Starter

    Member Since:
    May 2, 2017
    Age:
    62
    Messages:
    195
    Gender:
    Male
    Country:
    United States United States
    :wave: @Mojo333 yes, I am being careful not to over do things. I don't want to become a member of the
    ODIC.... :bignono:

    It's cold and rainy out, so no walking outside. I thought about running up and down the stairs, but... nah.... might trip over the cat....
     
    • Funny Funny x 2
  16. Marvy

    Marvy member
    Thread Starter

    Member Since:
    May 2, 2017
    Age:
    62
    Messages:
    195
    Gender:
    Male
    Country:
    United States United States
    Hi @Layla :hi:
    Thanks for checking in! I opted today at lunch instead of going to the gym to have pizza and a salad. Trying not to over-do the biking....so the gym will be there for tomorrow...

    Hope you are staying warm and not having to shovel or snow blow.... Not sure where you are in MN, but we were there a few years ago on a biking trip. I am jealous of all the trails! We were in the Redwing, Minneapolis (Chain of Lakes) and Minnetonka area. I remember the Minnetonka drive in and their home made rootbeer! :cheers:
     
    • Like Like x 1
    • Friendly Friendly x 1
  17. Layla

    Layla FORUM ADVISOR Forum Advisor

    Member Since:
    Jun 26, 2017
    Messages:
    14,116
    Gender:
    Female
    Location:
    Minnesota
    Country:
    United States United States
    Pizza, salad and a break from the gym sounds like a good day.
    I am staying in today so I'm warm. No shoveling on the agenda.
    I'm from the Twin Cities area so you were close to my neck of the woods when you were in the area.
    You're doing great! Slow and steady and you'll get there. Just think how great you'll be feeling by Summer.
    I'm happy for you! :happydance:
    @Marvy
     
    • Like Like x 1
    • Friendly Friendly x 1
  18. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

    Member Since:
    Mar 8, 2017
    Age:
    55
    Messages:
    16,103
    Gender:
    Female
    Location:
    GA
    Country:
    United States United States
    Hi @Marvy
    Hope Today will be a Good Day.
    Hopefully things will continue to get better and better.
    Lots of good wishes are coming your way!:ok:
     
    • Friendly Friendly x 2
    Last edited: Feb 19, 2019
  19. Marvy

    Marvy member
    Thread Starter

    Member Since:
    May 2, 2017
    Age:
    62
    Messages:
    195
    Gender:
    Male
    Country:
    United States United States
    Yesterday, the hip was a tad sore. Don't really know why, it just was. I think because it is still sore when I lie on my left side and that's how I slept...

    Even though I haven't gotten all of the strength back, I can finally walk upstairs without my hip feeling as though it is going to collapse so I am happy about that.

    I am using the cane around the house as well as any places where I know I'm not going to be doing alot of walking.. Still using crutches for longer walks, even though I don't put much weight on them. I just want to make sure I don't limp - or start to limp.

    Not sure when I will return to work. Right now I am working from home. the surgeon's office put down all 12 weeks for the FMLA time - when it was suspected that I had a tear. I just want to make sure I am not limping or hobbling before going back to my desk.

    All in all, things are slowly progressing. I know that you can't take 2 years of issues and expect to be back 100% after a few weeks.

    Hope everyone has a great day!
     
    • Like Like x 2
  20. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

    Member Since:
    Mar 8, 2017
    Age:
    55
    Messages:
    16,103
    Gender:
    Female
    Location:
    GA
    Country:
    United States United States
    :tada:
    That certainly is good news...and you are so right about the time your body needs to retrain and regroup!
    Hope your day is equally as Great!:SUNsmile:
     
    • Agree Agree x 1

Share This Page

Sponsors
Close X