TKR Hip or Knee?

[GottaDoIt]

At first the surgeon thought my right side groin/hip, and SI joint pain was coming from my hip, then after some physical therapy the thought is that I have adductor tendinitis from my bone on bone right knee, some residual pain/stiffness in my left knee, and a longer leg from a Left TKR done in 2017 which is causing the pain, e.g., not walking properly. I am now scheduled for a Right TKR in 3 weeks which hopefully will reduce the bowleggedness, the groin/hip/adductor pain, and get me walking properly again. Though, I am still having a hard time believing the incredible pain I am having in the groin and outside edge of hip, buttocks and SI issues will be resolved by replacing my knee. There is no doubt I am also feeling the bone on bone pain when walking and most likely I am unconsciously favoring the joint to reduce the pain, but really?, replacing a knee will fix a hip area pain? Anyone have a similar situation? Comments would be appreciated.

 

[Jamie]

When you list off all the things you have going on, it makes sense to me that a knee replacement could improve your gait and pain levels. When you have bowed legs, straightening just one is going to impact how you walk. I’m honestly surprised you’ve managed this long, especially since you are bone on bone in the right knee.

All the best to you….you’ll soon be on your way to getting better!

 

[EalingGran]

but really?, replacing a knee will fix a hip area pain? Anyone have a similar situation? Comments would be appreciated.

This was definitely true for me.
I had similar issues with much more hip pain and also sciatica than knee pain.
My right leg was very crooked ( valgus/ knock kneed) due to increasing collapse of the lateral compartment due to arthritis there. Although my knee was quite swollen it wasn't that painful but I had excruciating pain in the right hip and sciatica on that side. What was confusing was that I had moderately severe arthritis in the hip on MRI and also lumbar arthritis and spinal stenosis.
My surgeon reckoned thar the knee was the main issue although the right hip would eventually need doing.
Following my partial knee replacement the right hip is now painless and the sciatica has pretty much gone.
Strangely I dud have pain in the other hip for a while- probably due to putting too much weight on that side in recovery.
I now walk straight. Gait definitely affects pain.

 

[kneeper]

It can be hard to determine sometimes. I was having knee pain last year and my doc said it was probably referred from my hip. I had PT for my hip (which improved) and my knee pain improved. So vice versa makes sense.

 

[Jaycey]

Have you had an x-ray of the hip? It might just ease you mind and confirm you are headed in the right direction.

 

[GottaDoIt]

Have you had an x-ray of the hip? It might just ease you mind and confirm you are headed in the right direction.

Yes, the hip has had a couple x-rays and even an injection which did not abate the pain. There is arthritis in the hip but the surgeon thought it was not bad enough to cause the pain I was experiencing so he sent me to PT. After a few sessions the therapist was the one who felt my hip and groin pain were knee/gait related. It's just hard to wrap my mind around the reason for not sleeping and pain in the hip at night is caused by my knee. I agree, everything is connected and it does make sense; I'm just worried that the hip pain will still be there after a TKR. "Worrying for nothing" my husband would say.