Wow I feel so loved! For some reason I don't get the alerts in email all the time and just happened to log on to update everyone and Wow! Thanks ya'll!
So got my stitches out today and asked for the operative report, I have a folder full at this point! Always good to ask for it, there's things in there they don't think to mention to you, the layperson, but I want to know it all!
Here's what they found when they got in there.."Synovitis and abraded partial thickness tear of the psoas tendon at the acetabular cup rim, excessive bursa and adhesions from the IT band to the gluteus medius." So yes, I guess I needed this and yes my psoas was rubbing up against the rim, pretty bad apparently. I love in the report when he says after they released the tendinous portion of the psoas muscle-tendon unit "
The tendon retracted markedly after release" kinda a funny.
I'll be at 2 weeks tomorrow. In PT doing a lot of gentle stretching of the psoas (laying on my stomach and now propping on elbows) and while I'm there i'm stretching glutes (bend leg at knee and can use a towel around ankle for deeper stretch) which feels awesome. Back to the lovely bridges and just started squats to about 90 degrees. I had strengthened my glutes a lot before the surgery but boy do those suckers just turn right off when they get a little stressed! But they are turning on slowly. Still taking it easy, can't walk much too much, can't sit too much. Have good days and bad days, my most recent gold star is being able to walk up and down stairs. I couldn't lift my leg at first but then the other day wasn't thinking and just did it. PT says don't use the stairs all the time but good once or twice a day - oh and a nice 10 minute, no resistance on my spinning bike is good too.
@Erushka Yes, I learned the hard way about pushing it too much following my hip replacement. I was hard headed and if I was feeling good I would, without fail, overdo it and end up miserable and 10 steps backwards. I'm just chilling this time - but the rehab is faster so I probably won't get so impatient either!
@whiteshoecovers and
@Sagefemme Yes! I would get some burning in my lower left ab area. Have you had an ultrasound guided cortisone injection yet? Really helps with figuring it all out. The doctor could see the psoas rubbing on the rim and the first shot helped ALOT for about 2 weeks, 2nd shot not so much. He said some people just need a shot or 2 and their inflammation goes down and the rubbing stops...some people... not me of course. I just looked at your profile, you're still pretty early into your recovery... you had it in March? I was still having funky things going on back then, just be really careful about stressing our hip flexors. I think there's this thing with weakness in the posterior chain (glutes!) which we all have and then it leads to overusing hip flexors when you should be using glutes which then leads to hip flexor overuse issues ie tendonopathy. So focus on getting those glutes strong so you don't over use the hip flexors (psoas TFL etc). Since you're like me you are probably going to need to learn how to use your hips all over again, my PT was amazed at what an awesome squat I could do without really activating my glutes, it was all hipflexors but still looked good. So you may be doing exercises designed to strengthen your glutes but you may not even realize that your predominately using your hip flexors, which could be causing your problems right now. I did a lot of neuromuscular stuff which did get my brain reattached to using my glutes after so many years of dysfunction/compensation/protecting. It helped but obviously didn't help with the rubbing and I don't know if it could have. 4% of THR patients have the psoas rubbing thing, sometimes it's b/c the rim overhang is too much sometimes they just don't know why. I should go buy a lottery ticket since I'm so lucky and part of the 4%!
@Michegon Funny you should mention that! I am almost at a year, 7/1 will be my anniversary. My THR surgeon's office called yesterday to schedule my year appt. I'm kind of thinking I should postpone it..I mean..I'm not exactly doing awesome at this moment. But I'm feeling like I may possibly be on my way to being able to forget about my hip one day b/c it's not hurting -wow what a concept. Knowing my luck that will be the time my right hip starts acting up! No I'm not even going there!! Phew long post!!
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