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In pain, confusion and uncertainty after 4 months

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I suppose it's worth a try to do as your GP suggests. But I would also pursue the referral to the doc in San Antonio if you can swing it. It never hurts to have TWO people working to get you relief!!!

I hope you're feeling a little better by now, Jim....God bless you.
 
Jamie, I'm going to listen to surgeon #2 and see what/who he comes up with in San Antonio and likley consult if I can. I'm was amazed at the confidence the GP displayed yesterday.

I am doing better. I was able to make the rounds of work and such the last two days. The acute pain, as in the first few months, seems to be in the upper hamstring attachement. So I hurt when I lift or try to shift the leg from the hip. And I can't take much weight on the joint (he's arranged for me so see a pain management specialist in Lubbock in July).

Also-just got a scare:shk:. I couldn't respond to any of the posts and finally realized that I needed to log in (haven't had to do that much on the home computer). At first I thought I broke the rules and got the doors shut on me:sct:. I experienced a pang of desperation, because it has been great to be able to confer with you all out here on the frontier. But I knew that I had given my guns to the sheriff, had only Sarsparilla at the bar and did not cheat at playing Hearts.

So, shucks, I remain ever so greatful, MA'AM, for the opportunity to chew the fat with ya'lll. Jim
 
Jim - I've been following your saga and you are in my thoughts - so I thought I'd let you know! I hope you finally get some answers on this thing.

and that poem - that is really, really good. You ought to get it published somewhere so more people could see it and benefit by realizing they aren't the only ones- it really captures so much!
 
Dear, sweet Jim.....you could never be banned from BoneSmart!!! You are too much of a treasure to lose on this forum. So belly up to the Sarsparilla bar and have a good time!!! This will be your safe haven for as long as you need us!
 
Jim -
They can inject a narcotic called bupivicaine right into your hip space.
If the pain goes away - it is the replacement - if not - it is soft tissue or nerve -
found an article on it today. The Journal of Bone and Joint Surgery Sept 1997.
Also one on the psoas muscle:
Pain after THR can be due to many causes apart from
aseptic loosening or infection. These may be related to the
spine, peripheral nerves (sciatic and obturator), vessels,
herniae, stress fractures, compartment syndromes and neoplasms.​
1,2,3,5-11​
Occasionally, despite investigation, no
cause can be found, and the outcome remains unsatisfactory.
We present another possible cause of persistent
pain which is related to the psoas muscle.
In this condition there is characteristically a constant
pain in the groin which starts in the early postoperative
period. All patients described an exacerbation of symptoms
on activities involving active flexion and external rotation,

in particular lifting the affected limb out of a car.

Pain doesn't mean you or your surgeon did anything wrong - but it does mean they need to keep looking to find the cause! Kathy
 
Kathy - if you're going to copy/paste from an article, we need a link to the site, please.

And 1997 is an awfully old article!
 
I'd forgotten about psoas muscle pain as mine went away after the surgery.. I did tell someone about it in a different thread, though. That was the worst part of the pre-surgery pain, even worse than the joint itself, because it was in constant spasm trying to stabilize the joint.

Jim, I'm glad to hear that the GP hasn't placed the problem between your ears, as often happens when they don't have a solution. Good luck with your new consultations.
 
Buttercup, et. all,
I don't have pain in the groin (anterior pain). All of the pain is posterior in the area of the gluts (or rotators underneath) and as I have indicated, at the junction between the pelvis and hamstrings muscle (which can sometimes drive me crazy).
-no word from Lubbock from Surgeon #2 on a 3rd, "superstar" referral.
-do have an appt. with a pain Dr. in Lubbock on the 28th of July.
I'm going to do some calling around here locally to make sure there's no one avialable before then.
I am having a better week this week than last when I over did it in the yard . I have been sitting on ice, and I'm am trying to take my cues from Pete :dogkiss: who calls it quits when the temperature gets above 83.5 and knows, at any time of the day, where the coolest places on the property are to rest.
My bicycle riding buddies are so eager for me to rejoin them (I'm their unofficial tour director) that they have suggested my getting a 3-wheel motorcycle or scooter so to be able to cruise with them (-got to be able to go at at least 30-40mph). I found a machine on Ebay loaded with a 350 Chevy engine, but I'm afraid it may leave the ground if I try to drive it, and I really don't want to consider anything other than revision surgery, if necessary, at this point in time.
-Still hoping to find reasonable solutions :sct:. Jim
 
Sitting on ice, huh.....that puts a whole new meaning in "cooling your jets!" I'm glad you are feeling a little better and you are ALWAYS in my prayers, Jim.
 
Hey Jim,
You are so funny...:hehe: It's wonderful through all this that you have such a good sense of humor! Summer heat has me thinking about ice!!!
Take care and stay on the ground....:D
 
I have been hitting-that is,sitting on the ice the last couple of days when I can. I have really been aching. I'm trying not to go nuts with it.
I have been trying to find information on the net about muscle condition-tendinitus and such. The primary doctor mentioned a disorder with the word "basket" in it (I think). I may have to call him and have him repeat his rapid, verbal "tour de hip".
Jim
 
Tendonitis is a common inflammatory condition that can afflict any muscle or ligament, Jim. In certain places it can also result in the formation of painful bursae which are cyst-like pockets of fluid mostly caused by the inflammation. Usually they are assigned to the specific muscles or ligament involved so you get iliopsoas T, iliotibial band T and so on. I think I did offer that as a possible explanation in one of my first replies to you.
 
Josephine, I'm going to try to post again. For some unknown reason I haven't been able to post lately (I did log in). -wanted to say that I recall your having addressed tendonitis, and I read your library article on the bursas. My brain has been working like a centrafuge, spining around with different information with each change of focus, and I think the info is getting stuck to the insides of it (my brain)
-have no word on a potential referral to a physician #3
-do have an appt. with a pain management Dr. in Lubbock in late July
-have been riding an exercise bike with low resistance this week for about 15 minutes. In fact I rode an adult tricycle belinging to a friend breifly over the weekend, but my brain (again) is so used to riding a two wheel bike that it was struggling with the difference in spite of the greater safety. My friend ties his Labrador to the rear axle, and the dog pulls him through the neighborhood in a kind of Panhandle Ididarod (the dog loves it).
Jo, do please remind me of the things that are important (I may forget them) and don't hesitate to tell me when you think I am getting off track.
Jim
p.s. I grew up in railroad family.
 
Hello, my good friend! I was noticing your absence and wondering why we'd not seen you on the forum. Might I suggest that you don't ever log out of the forum. That way you won't have problems on your return!

:dogkiss:
 
Josephine,
Boy, I have been out of site for a while, haven't I? I've been getting along waiting for events to take shape. I have an appointment with a pain management specialist in Lubbock on 07/28. Surgeon #2 in Lubbock #2 called yesterday and offered a referral to surgeion #3 in Houston, TX. I'm inclined to see what the pain doctor can offer before getting a 3rd opinion. All the surgeons seem reluctant to do anything if they can't see anything to do.
In the mean time I have been working and getting along. Sometimes I get achy from sitting, and I still can't put weight on the joint-or the hip in general. I have been doing short rides on an exercise bicycle in my den (15 min.) and I seem to feel immediately better after riding though not much better over all. I'm still using the walker at home and crutches out in the world. But at least my moods do change, and I haven't been stuck for long periods of time in discouragement. Pete :dogkiss:is decidely determined to stay cool.
Jim
 
Jim, I've been reading/following your whole thread over the last few days. First, you are a GEM, Jim! I hope you are on the mend soon. But don't jump into another surgery unless one of these guys can give you a definative answer. You make me smile when you are in so much pain yourself. :pray:I will keep you in my prayers. Best to you:cch:
 
Jim, Jo is on a vacation from the forum for a few days, so it may take her a while to respond to you. I'm sure she will.

I'm glad to hear you are doing okay at this point. I'll be interested to hear what these guys have to say. In the end, you must make a decision that is right for you. No one can tell you the "best" thing to do. More surgery vs trying to manage pain....each decision has risks and trade-offs. Life is just NEVER as black and while as we'd like, is it!!!

(((HUGS))) to you! You have an inspiring spirit.
 
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