THR Muscle Problems?

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HipGal2021

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Too much to type out each exercises.
Quad sets. Heel slides. Straight leg lift. Long arc quads. 6 standing exercises. 3 times a week, 10-20 reps.
 

Layla

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Okay, I understand if you don’t want to type it out.
The best we can advise is OTC pain relievers, rest, elevate and ice as often as you’re able. Abstain from any exercises, aside from walking, but not to excess, for a few weeks at least and see if the pain eases.
Here is a link to some of the exercises we recommend you avoid and the reasons why -
http://bonesmart.org/forum/threads/bonesmart-philosophy-for-post-op-therapy.37103/
All the best to you in your recovery, HipGal! :)
 

Eman85

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Are you still doing exercises? Are you icing like the guidelines recommend?
 
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HipGal2021

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UPDATE: I saw the PA this week. They did an X-ray on left hip it was fine.

Radiology did some kind of scan to measure the leg length. It’s longer than the other leg by 1/4”.
I was told to use a heel lift or get orthotics. I’ve tried the heel lift but it pushes my foot to the front of the shoe and causes pain. I really don’t have the money for orthotics.
Any suggestions? TY!
 

subie2021

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Try some drugstore or discount store insoles, and use only in the 'short leg' shoe.
I don't know if this applies, but when my pcp was trying to figure out how to help my hiked hip, he advised to only use insoles or lifts in 1/8 inch increments a couple of weeks at a time, to give things a chance to get used to the adjustment.
Good luck, I hope it works out well for you.
 
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HipGal2021

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Female 67.
First posterior hip replacement 2009 (right hip)
2nd anterior hip replacement Jan 2022 (left leg)


I’ve had 2 hip replacements. One 12 years ago. The newer one in Jan. 2022. My older one (rt leg) was a tiny bit off, I told my surgeon that before my 2nd hip replacement, now my left leg is longer than my right leg.
It’s giving me problems, back ache, limping, swelling (left leg). I’ve tried several heel lifts, the whole insole lifts. But I can not get it corrected. My legs both hurt when I walk, muscles, etc, is hurting.
What can I do to get my legs leveled out? Any suggestions? How can I tell if my legs are even?
TY
 

sistersinhim

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Hello @HipGal2021
You'll notice that I have merged your two threads together as it's best if members in recovery only have one thread. We find it much easier for everyone.
This is because:
  • That way, you have all your information in one place. This makes it easier for others to go back and review your history before providing advice.
  • If you start 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 keep all your questions and updates on this thread. We won't miss your new question as, between us, the staff read all new posts each day.
If you need an urgent response to a question, tag a member of staff.
Tagging other members and answering tags

If you prefer a different thread title, just post what you want and we'll get it changed for you.

Here are the instructions on finding your thread, How can I find my threads and posts?

A helpful hint - Many members have found it useful to bookmark their thread so they don't lose it.
 

Elf1

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@HipGal2021 are you only using the lifts/inserts in the short leg shoe and using the thinnest one to start? You need to give the muscles time to adjust. Also, have you replaced your shoes that you were wearing prior to the last hip replacement? The wear prior to the THR can affect your gait which in turn affects your back, legs, hips, etc.

Have you tried any physical therapy? A good physical therapist might be able to see something in your gait that could be causing you issues.
 

Layla

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Hello there, nice to hear from you, sorry you’re struggling.
You could try visiting a reputable podiatrist or PT for a measurement, which it sounds like you haven’t done to this point? Wondering who recommended the insole and heel lifts?

Here is an article from our Library Leg length differential - LLD.
@HipGal2021
 
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HipGal2021

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I had some kind of X-ray scan to measure my legs. The PA recommended the heel lifts.
 
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HipGal2021

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@HipGal2021 are you only using the lifts/inserts in the short leg shoe and using the thinnest one to start? You need to give the muscles time to adjust. Also, have you replaced your shoes that you were wearing prior to the last hip replacement? The wear prior to the THR can affect your gait which in turn affects your back, legs, hips, etc.

Have you tried any physical therapy? A good physical therapist might be able to see something in your gait that could be causing you issues.
Yes only in the short leg. My shoes are not wore out.
 
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HipGal2021

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Hip replacement problems? Muscle problems or something else?
I’m almost 7 months post op from a posterior hip replacement. Hip has healed nicely on the outside. But it’s still swollen.
I’m having pain in the hip and surrounding area. It feels like muscles moving over the hip area.
When walking there is a clicking feeling in the hip, after walking a while it feels like the muscles have moved and there’s pain under the hip?!?
Any ideas what to do?
I have an appointment with my ortho surgeon next week. TY.
 

Mojo333

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Hi @HipGal2021
I'm sorry you are struggling....
Many people who have knee or hip replacements ask about noises that come from their new joint. They describe a clicking or popping sound and possibly even a definite clunk when they walk. The soft tissues around the new implant must settle in with each other and adjust themselves to work smoothly together.

However, as you are 7 months post-op and the sensations are accompanied by swelling, I am glad you are scheduled to see your OS soon as this needs to be addressed.
If it is only muscular, it may be proper to have someone ascertain if your gait, shoe lift, or weak muscles etc...is aggravating your new hip.
I hope you are icing the swollen hip when resting.

Please notice that I have merged your two threads together as it's best if members in recovery only have one thread. We find it much easier for everyone.

This is because:

It is better to have all your information in one place and it is easier for others to go back and review your history before providing advice.

If you start 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.

I edited your thread title to reflect your current concerns.
 
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Hip4life

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It's good you have that appointment and you can get some answers. Hopefully, yours is just your muscles "settling in" as your gait becomes restored. It can take up to a year for things to heal. That being said, I had issues similar to what you're describing and it turned out that my iliopsoas tendon was sliding over the edge of the prosthetic cup. Listen to what your surgeon has to say but follow your instincts on whether it fits what you're experiencing. I followed the "wait and see" approach my OS recommended but followed up quickly when the issues didn't resolve. Keeping our fingers crossed. :fingersx:
 
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HipGal2021

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Thank you for responding. What did you do to help with the iliopsoas tendon slipping over the prosthetic cup?
I’m still experiencing it. It moves to different places depending on how I move, sit, walk.
It sounds weird to say that it moves but it does!
 

Layla

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Hi @HipGal2021
I'm sorry you're struggling with pain and uncertainty. I hope the appointment with your surgeon next week brings answers. Please let us know how it goes.

I will tag @Hip4life for you to be certain she answers your question next time she's on the forum.
Take good care and stay in touch! :)
 

Hip4life

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Sorry. I've been a bit under weather and just catching up. Did you have your appointment yet? I didn't really find much that helped IP impingement or kept it from happening until I had the tendon released. I tried prescription anti-inflammatories and PT but nothing helped or they just aggravated it. I would have to apply ice to the groin area after I would feel it slide over the cup because it would get really sore. If that's what's happening, there's not much else that I'm aware of to help except to get an opinion from a hip revision specialist or an arthroscopic orthopedic surgeon. It's a frustrating road but you just need to be persistent. Keep us informed.
 
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HipGal2021

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I had an MRI today and from what I can tell on the report it says:
There is atrophic change of the left psoas muscle, new compared to
previous study.
I also had a CT scan of my hip but the report is not back yet.
It feels like something is rubbing over my hip.
Thank you for reaching out! I will keep you
updated!
 

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Just dropping into this thread, and am so sorry for your struggles. You have been given excellent suggestions, I hope you are applying them.
 

Hip4life

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It will be interesting to hear what your doctor says about your results in conjunction with your symptoms. We’ll be looking forward to your next update.
 

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