THR Illiopsoas tendonitis and bursitis

[Lupyhippie]

@Butterfly77 any updates on your healing ? It’s been over 6 months now. Curious. Thanks.

 

[Butterfly77]

Good morning. So I had my surgery in July 2022, and 1 year on I’m still struggling. Following two trips back to the consultant he has confirmed I have bursitis and a tight IT band from the surgery. I get this ache in the hip area when walking or sitting for long periods, and can’t fully stand straight due to the tight IT band. I have been referred for physio and for an injection into the bursa. Anyone else suffered with either of these issues and how did you get on with recovery from them.

 

[Jaycey]

@Butterfly77 In reading through your recovery thread I note that you were already in PT and strength building very early in your recovery. Unfortunately bursitis and IT band issues are very common post THR - especially in patients who push through activity too early.

I'm very sorry that you have been referred for more PT. More activity will only aggravate the area. The injection may bring relief. Here are a couple of articles from our Library you may find useful:
ITB (ilio-tibial band) issues and treatments
Trochanteric bursitis with THR

You will notice that I merged your newest post with your original recovery thread. For several reasons, we prefer that you only have one recovery thread:

• That way, we have all your information in one place. This makes it easier to go back and review your history before providing advice.
• If you keep starting new threads, you miss the posts and advice others have left for you in the old threads, and some information may be unnecessarily repeated
• Having only one thread will act as a diary of your progress that you can look back on.

Please post any updates, questions or concerns about your recovery here. If you prefer a different thread title, just post what you want and we will get it changed for you.

If you need an urgent response to a question, just tag a member of staff.

Many members bookmark their thread in their computer browser, so they can find it when they log on.

 

[Butterfly77]

A year since my surgery and a frustrating time with horrendous sharp pains down my leg it appears I have illiopsoas tendonitis along with the bursitis I knew I had and am awaiting an injection for. Saw an nhs physio yesterday who has given me some stretching exercises for the illiopsoas (apologies if spelt wrong lol). Broke down in tears in there as I’m just exhausted from this uphill struggle to recover to a level where I can walk round a supermarket without this awful sharp pain, to be able to walk my dogs and enjoy life like I hoped the operation would have given me. I’m only 45 and feel so very much older. Anyone else suffered with these post op and how did you respond to treatments.

 

[Sammy-Am]

@Butterfly77 Sorry you’re struggling so much post-surgery. I don’t have exactly the same situation as you, but have been dealing with awful hip flexor tendinitis post FAI surgery. It stinks.

Have the stretching exercises helped you at all? For myself personally, I’ve found that stretching makes my hip worse. Walking and hip flexion are the most painful. I’m also quite young (32) and follow up with my surgeon tomorrow.

Hang in there

 

[myglasshalffull]

I had bursitis in both hips post surgery. So painful. PA mentioned having shots if it didn't improve but never got to that point.
So sorry you are going through this.

 

[sfield27]

I have read your story and experienced exactly the same as you post-recovery. I am eight months in. I tried everything PT and the surgeon told me, but nothing worked. Rested, injected, MRI to rule out other issues, and finally diagnosed with Psoas Impingement, a miserable condition. You start to think you are insane; all you hear are good recovery stories.

The x-rays all looked normal, and I have a Mako robotic hip. My surgeon fixed Psoas Impingement as a specialty and was sure he had not given me the condition. I am small, five foot tall and have hip dysplasia and a labral tear rather than arthritis. I am the only patient he has done this to, and I have a 10mm overhang on the jagged edge of the cup right where the tendon is. My cup is 48cm and should have had only a 46cm cup.

I have noticed you are young, making it more difficult as you are still trying to work and look after others, etc. I have worked out during this ordeal who my true and trusted friends are and those who have no idea. I am a University Lecturer in Disability and have always treated people respectfully and with dignity. I am not yet fixed, but I will continue until I have some semblance of my old life back with walking, pilates and without some pain.

 

[Butterfly77]

Goodness me you have been through it too. It is difficult to stay positive when you hear of so many success stories from the surgery. This forum is great for hearing from people who may have taken the scenic route to recovery like us (in our case still on route). I had hip dysplasia before surgery too, I wonder if this requires a more invasive procedure when replacing the hip joint. I had a surprise call from the hospital yesterday to go in for the injection under ultrasound guided injection. Lovely man did it, and said there was a substantial amount of inflammation in the bursa. I’m taking it easy for a few days and hoping the see some improvement, even if it only last a while as I’m about to move house, see my eldest son off to university and get married in the next 6 weeks. Busy time and could sure do with not being so incapacitated. I hope you manage to get some improvement, it is very frustrating being like this. Best of luck.

 

[Butterfly77]

@Butterfly77 Sorry you’re struggling so much post-surgery. I don’t have exactly the same situation as you, but have been dealing with awful hip flexor tendinitis post FAI surgery. It stinks.

Have the stretching exercises helped you at all? For myself personally, I’ve found that stretching makes my hip worse. Walking and hip flexion are the most painful. I’m also quite young (32) and follow up with my surgeon tomorrow.

Hang in there

Too early to say on the stretches helping as this problem has only just been diagnosed. The after care has been pretty shoddy, been a battle to get seen since surgery. Walking is the most painful for me too. I’m fine sitting, sleeping and cycling seems to be pain free too. But walking is a real challenge for me.

 

[Mr.fun]

@Butterfly77 Just wanted to check in and see how your injection went Sept 8. Have you noticed an improvement? I am In some what of a simular situation. Difficult to stand up straight and that front hip impingmemt is no joke. So dam tight and painful in that area. I Still can't get a shoe or sock on. We are around the same age. I thought being young would have made this easier. Nooooot! I can sympathize with your struggle.

 

[Spongebob]

I have read your story and experienced exactly the same as you post-recovery. I am eight months in. I tried everything PT and the surgeon told me, but nothing worked. Rested, injected, MRI to rule out other issues, and finally diagnosed with Psoas Impingement, a miserable condition. You start to think you are insane; all you hear are good recovery stories.

The x-rays all looked normal, and I have a Mako robotic hip. My surgeon fixed Psoas Impingement as a specialty and was sure he had not given me the condition. I am small, five foot tall and have hip dysplasia and a labral tear rather than arthritis. I am the only patient he has done this to, and I have a 10mm overhang on the jagged edge of the cup right where the tendon is. My cup is 48cm and should have had only a 46cm cup.

I have noticed you are young, making it more difficult as you are still trying to work and look after others, etc. I have worked out during this ordeal who my true and trusted friends are and those who have no idea. I am a University Lecturer in Disability and have always treated people respectfully and with dignity. I am not yet fixed, but I will continue until I have some semblance of my old life back with walking, pilates and without some pain.

Hi after reading your post what does psoas tendinitis feel like day to day

 

[Mojo333]

@Butterfly77
Wondering how you were and how you fared with all the busy life events?

I had hip dysplasia before surgery too, I wonder if this requires a more invasive procedure when replacing the hip joint.I

THR can certainly be more complicated and technically challenging if hip dysplasia is in play....

Hip dysplasia occurs when the hip joint has not developed properly and the socket (acetabulum) is too shallow which can allow the ball (femoral head) to slip partially or completely out of the joint. Hip dysplasia ranges from a mild abnormality to a complete dislocation of the hip.
Sometimes bone grafts can be involved and I would imagine alot more "retro-fitting" is involved.

It makes sense that all the soft tissue that is not only disturbed, but is having to adjust to "the new normal" will take extra time in healing also.
I hope you are continuing to baby your still healing hip.

 

[Butterfly77]

@Butterfly77 Just wanted to check in and see how your injection went Sept 8. Have you noticed an improvement? I am In some what of a simular situation. Difficult to stand up straight and that front hip impingmemt is no joke. So dam tight and painful in that area. I Still can't get a shoe or sock on. We are around the same age. I thought being young would have made this easier. Nooooot! I can sympathize with your struggle.

It made not a jot of difference tbh. I’m up and down, have a week or two where I feel normal and no pain then it comes back and I can’t straighten properly and get this awful sharp pain down the front of my leg travelling from groin all the way to the knee. Must admit I thought the same, being young I thought I’d fly along and get my life back. Not at all. Last week could barely walk and this week I’m fine.

 

[Mr.fun]

@Butterfly77 I'm sorry to hear. It seems like there is such a large spectrum of outcomes with this owe so common procedure. Us being on the lower end and people who get back to running, skating and most recently met a double hippie who was playing soccer again. I made the conclusion before the procedure that I did not want to run for longevity of implant. But would have still been nice to know that If I wanted to I would be able to. I always feel like I'm about to turn the corner but just never do. Putting on socks and shoes are not possible for me. Please post if at some point you feel like you have turned the corner for good. take care and thank you for taking time to respond.

 

[Hippielife]

You will turn a corner soon ..Mr.fun
The healing journey goes thru many phases thruout 12-14 month recovery period. You will find a good place and recovery is different than expected as it is for everyone. In time you will be back to your new “Normal”.

I still do everything I did before three hip joint surgery implants . Just a bit differently , some not as well by finding new appropriate techniques that work for me while practicing “Mindfulness” in order to preserve all my shinny new implants, because I want them to last for years.

It’s all a matter of time as adjustments to the new implants by our atomically designed joints need gentle care, and patience to fully recover from a traumatic surgery to heal. Next summer will be a whole new story for you because you will be finding a better mobile life , less pain and play more enjoyable.