THR not what I expected

@Hippielife - Good post.
Luckily I found this site very early on. If only it was more generally recommended to people. I had no idea what the recovery would entail and this site has given me so much reassurance. I keep mentioning it to the various physios that I see but none of them seem that interested sadly.
Yes, I tell others about this site all the time. On my recent vacation the manager of the property asked me about my hip replacement surgery because he is facing it soon. We talked about it and I told him given the fact that mine was an emergency surgery and had no time to plan it, probably best to educate himself now about what he's signing on for. I told him about pre-op and post-op sites here and to please visit and read cause we've all had the surgery and can give the best possible information.
We are recover differently but we all have similarities as well.
bone scan results==poissible mechanical loosening or infection. Nothing about the HO. interesting I know.
OS says they r unreliable at this stage. OS did not book this bone scan and was not concerned. Frankly I am of the same opinion as OS. I have read they r unreliable early on and only should be used after a yr post up. This impingement I am feeling was right from surgery. After surgery I was unable to sit because of the pinching in the front crease area of hip. Hip flexor is still tiiiiiiight. KNEE to chest still pinch pinch pinch. Im stuck at about 90 degrees flexion. I cant put on right shoe or sock. Im waiting for second opinion Nov 23 and also waiting for MRI appointment. OS says to wait until second opinion so that we can have a better plan moving forward and I agree with his statement. OS says he has done 100 replacements this yr and he has three guys struggling right now and I am one of them. In general I feel he is sympathetic towards me OS feels its the Herterotopic Ossifacation causing me all this discomfort. I told him I am not on board with HO. Just so people are aware HO happens 90% of the time from the trauma of hip replacentment. shows up on xrays. Most people would not even know they have it. I am patient because its takes a year for full recovery. I am not pushing for revision just yet. Front of my hip still feels very inflamed. BONE scan said there is still remodeling and healing going on. I feel Last thing you want to do is get into a cycle of surgery after surgery because of slow healing. I have read a few posts on here where they had a tendon release or cup revision only to have the same outcome with IMPINGEMENT. OS said not to be afraid to stretch the hip. I responded the more i try and stretch the hip the more inflammation I get and regress in ROM. Good news is that I will keep posting so other people can learn from my horrible experience. 2nd good news is that this will all be in the past someday. Even if it takes a couple years. Mentally Im doing well. Most people that see me walk would never know I have a hip issue. Unless I was just rising from seated. For people struggling I know how you feel. Rumor is that it gets better lol. I will be going back to work in sept. It is my choice to do so.
I am in Law Enforcement and will now be confined to a desk (BARF). That will be the hardest part of this experience mentally. Ecspecially because alot of my peers are not overly sympathetic. I will be teased for sure. I believe the saying is "what doesnt kill you only makes you stronger".....chin up fellow hippies. keep fighting. I will give updates around the 8th of every month and who knows it could all turn around. If not I will be prepared either way.
bye for now and thanks listening..
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Good news after 6 months since surgery your Bone Scan reports - remodeling means healing is going on…all healing in general takes its own sweet time, which really is a good thing. It’s one day at a time …..take it slow and easy the first year and your half way there. Not to sound like a broken record …No running ,use sock aide and reachers while limiting low bending, no lifting heavy objects , no fast jerking or sitting positions too low or too long. Is your bed up high enough? It takes time to work out all the kinks. Rest rest rest….Just walk and work on body position, good posture and heel to toe walking gate. You’re now training your brain and body all over again since pre surgery body was walking differently and needs time to rebuild. Important to purchase new shoes to facilitate new walking gate. Slip-on tennis shoes are easiest for many months. The best way to improve is to work on a good balanced walking gate. Never sit to low, keep a higher setting for all seating until pain and pressure resolves.

The use of lots of ice is a huge relief, ice machines are helpful. I prefer to sit in a recliner , still cannot sit in low chairs or in sitting position for long periods.
Also pressure sleeves filled with air that slip on over thigh and calve helps ‘TREMENDOUSLY‘ with swelling, pressure, pain, improves blood flow and oxygen . -Available on Amazon. The pressure sleeves are battery operated which squeeze and release over the thigh and calve and easy to use and helps to improve ROM . Most of us want to improve after THR surgery to fast and over do and have set backs. Even at 6 months the body is still healing. Sitting too low can be painful when rising from sitting position. Keep seating at a higher level will lesson the repeated practice of pain and pressure as a result of sitting too low . Or also use walker to lean on to rise from sitting position by placing op leg out straighter will avoid injury.

I also had Heterotopic ossification which is a relatively common complication of hip arthroplasty procedures. The frequency varies depending on the age and other factors. There are treatments , ask your surgeon.
Also after 3 THR surgeries irritation of the iliopsoas tendon was another common symptom form each surgery. It was the cause of persistent pain, which was the result of a mechanical conflict between the iliopsoas tendon and the anterior edge of the acetabular cup. Each time it was resolved with stretches, exercises , walking and time.
Never exercise if it is painful, slow at first and work up as needed.

Oh yes absolutely ….I have a great deal of compassion and sympathy for you and THR surgery is always complicated and everyone has their own recovery period , experiences and struggles. No two are alike. We all interpret the experience differently . Yet we all have the ability to share the impact and interact with others for various purposes.

I had a revision done a few years after primary THR surgery. Sharing my experience - you could also ask about a cat scan in a few more weeks with tracer. I will caution that not all complications show up on cat scans or other testing. Sometimes surgeons do not know what we are suffering even if we explain all the issues and complications to the last detail until revision surgery . Thankfully there are many networks available to chat and console our hearts and wellness journey’s. The UK has a Joint Journal Registry of every joint replacement surgery with all stats all in one area. You can check out THR surgeries in your category all online at your fingertips. In the US the joint journal is only voluntary therefore not every joint surgery and or stats are listed.

Sending blessings your way.
Hello all
Attached is my bone scan results from aug 9th. For the ones who have been followung my thread. As you can see there is no mention of the HO in this bone scan report. It completely slipped my mind to intiate that part of the conversation with the OS. The OS has said that HO has been confirmed on a may 9th xray. I looked at the may 9th xray and it had 3 of the tiniest little dots. At my Aug 16th appointment OS said that I had grade 4 HO. I told the OS that he was incorrect that you just dont go from No HO to grade 4 over night. I asked why Are you not taking an x ray today Aug 16 (6 month follow up). OS said hip is fine Bone scan is inconclusive at this stage of healing and we should wait to see what his colleage says. LOL Not Biased at all. In the mean time I am searching for another surgeon unrelated to him. As we know CO workers in any field have a tendancey to side with each other. Perhaps someone on here knows a good surgeon in the area Niagara falls Canada. I would have to leave the area to get proper diagnoses. Im willing to travel from Hamilton to Toronto. @Layla any resources in my area that you know of would be fantastic. I cant believe that the bone scan has no mention of HO. Never mind that it says that there is a possible mechanical looseness/infection that the OS is down playing. The diagnoses of HO by the surgeon is not mentioned in this report. Even though the bone scan technician compared may 9 xray to bone scan Aug 9th. In canada we would say something fishy is going in here.


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Hello Mr. fun,
I am sympathetic to all you’re going through with testing and the uncertainty it’s bringing. I am not sure if we have resources as far as Orthopeidc Surgeons to recommend in Canada. I will tag @Jamie from Admin to check.
I hope someone Is able to pinpoint the origin of your issues soon and work on a plan that brings you relief and perfect healing.
Stay in touch, we’re here for support. Unfortunately, I don't have a lot of information about surgeons in Canada as there isn't much available from your healthcare system. These are the only suggestions I have and hopefully it will help you in your search:

Toronto, Canada

Revision surgeons for hips and knees:

Dr. Jeffrey Gollish
Sunnybrook Health Sciences Centre - Holland Orthopaedic & Arthritic Centre
43 Wellesley St. E., Suite 315. Toronto, ON M4Y 1H1
(416) 967-8730

Dr. Markku Nousiainen
Sunnybrook Health Sciences Centre - Holland Orthopaedic & Arthritic Centre
43 Wellesley St. E., Suite 315. Toronto, ON M4Y 1H1
(416) 967-8730
Recommended by Catirrusia (THR)
Phone: 519-661-2111 x34477

Ontario, Canada
Dr. Richard W. McCalden
London Health Sciences Centre
Western University
London, Ontario, Canada
Speaker at 2018 ICJR workshop on problem hips and knees
Recommended by Randi who had a knee revision.

Vancouver, British Columbia

Dr. Hooman Sadr
St. Paul's Hospital
Footbridge Clinic
221 - 181 Keefer Place
Vancouver, BC V6B 6C1
Phone: 778-945-6756
Recommended by Chrismcd
7 months tomorrow. No change.
3mnths today. still cant tie (R)shoe or get my right sock on.
I feel like I progressed to 6 weeks with my range of motion(ROM) and it has stopped. I notice when I take a shower I can only wash down to the same spot on my right leg since the 6th week mark. no matter how hard I try to lift my leg.. on its own or with my arms. it just wont get passed that jam in the front crease. it is almost like the hip isnt tracking properly. same with going up the stairs. it has this pinch when my knee comes up. sitting in a car has pinch in crease. Any knee to chest is painful. it just won't stretch. it gets to 70degrees and hits a block. Bàm jammed .....Range of motion worse know then pre surgery. same with pain.
Appointment is tomorrow which im sure surgeon will take an xray and say looks good be patient. I will keep posting on here right up until I can hopefully say its true we all need to be patient.
I find it frustrating when reading people's post that they are incomplete. I reàd their story for 15 pages and then they ghost the forum. leavings us to guess the outcome. I will keep my page informed so when It does get better I can give guidance on what has helped me in recovery. A lot of us on here have similar issues. would be nice to hear more final outcomes.
I am 14 months post surgery. I do have issues with bursitis and illiopsoas tendonitis post surgery, the second of which has only just been diagnosed thanks to struggling to access after care. I have had an injection (done yesterday) in the hope to relieve the bursitis and received physio for stretches for the other problem. I wanted to jump on and reassure you on the flexibility thing. Despite my issues, my flexibility has greatly improved. I couldn’t put socks on until about 8 weeks ago, so a year since the surgery. It was a very very slow process for me to get better range of motion in the hip. At 3 months I was still on crutches and I’m now back with a walking stick because of the ongoing pain from the issues I have. I’m 45 and like you feel more disabled now than I did pre op. The sharp pain I get in my leg nearly floors me sometimes, and I didn’t have that before the operation. Yes I was sore walking before, but I could walk through the discomfort. Hang in there, I know how tough it is. Best of luck.
@Butterfly77 thank you for replying and adding some light into the tunnel I am stuck in. How do you feel after your injection? Was it a guided injection?
Yes it was a guided injection. Not a great of improvement as yet. Not getting the sharp intense pain now but I stead a constant ache when I walk. Hoping to see some improvement over the next week. If not I’ve no idea what to do next tbh
I can only imagine how frustrated and worried you must feel. Chronic pain in general just wears a person out, and then not knowing exactly the cause or the solution just adds to the stress. I may have not read carefully enough, but did they do a complete lab work up on you? (One that included more than just a CBC?)

Prior to a back surgery I had about 15 years ago, and my hip replacement 5 years ago, my doctors each said that they wanted me to try cortisone injections because even if they ended up not relieving the pain, my response to them might provide additional information. In your case with the many different ideas that have been offered as possible causes, perhaps they aren't even a viable option, but it might be worth talking to your doctor about if you haven't already. I know some people also experience pain relief with therapeutic massage or even acupuncture.

Here's hoping you experience a turn around soon. Sometimes it happens so gradually you aren't even aware of it, and other times it seems that something that was causing horrific pain or worry just seems to dissipate overnight.
10 days away from 8 months.

I spent $1000 this month on physio and message therapy. No change. I have 103 degrees of AROM knee to chest.. My internal and external rotation are around 3-5 degrees. A lot worse then pre surgery. The impingement in the front of the hip is the same. Does not allow me to put shoes or socks on.

So here goes my opinion when it comes to hip flexor tendinitis vs illiosoas impingement. Hip flexor tendinitis would be a pulling pain in the front of hip. A tightness so to speak. I don't know maybe burning and pulling. Walking would be difficult because you are so tight. It's a sensation of your skin being pulled a part. Your active range of motion (AROM) causes pain. However, you would have more passive range of motion (PROM). That would still cause discomfort but not a jam. PROM would still be painful, but you would have more ROM than AROM. You would have pain, but not be entirely restricted and jammed.

The impingment that I feel is rather different. Yes, my hip flexor is tight and painful. Painful to do stairs, walking is tight, difficult to get in and out of a car.. same as tendinitis. My hip replacement was on the right. Swinging the leg in from the passenger side is difficult. Driver is on the left. Stepping in the car is ok to drive. Swinging the leg in the car and reaching to the right to close the door on the passenger side is difficult. My active AROM is the exact same as PROM. I do not feel like I get a stretch. I feel I stretch to a jam. My mother had a hip replacement 10 yrs ago. Her AROM is less than mine, but her PROM is that of a normal hip. It allows her to bend over and tie her shoes up and put socks on without an impingement. I dont know. It makes sense to me.

What I have noticed that the people on here that have had there iliosoas snipped will say that they can not actively lift their leg as high, but passively they can lift their leg higher with zero impingement. That is becasue it is no longer being restricted. Stretches are to feel like a stretch. Not a stretch to a blockage. That is impingement! The sensation would be the same as using a door stopper for a door. Not at the bottom of the door, but where the hinges are. The door would move freely until the door stopper restricts it. Impingement!! Pushing the door as hard as u can A.K.A stretching will not help unless the blockage is removed.

I'm not a doctor, just a guy who is living a really difficult ground hog day and dealing with an arrogant profession that has zero social skills. Talking to surgeons reminds me of a deer in head lights. They just sit there and stare. Dummies!! We can diagnose our hip issues in 5 mins, but their arrogance does not allow them to think they could ever mess things up.
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Hi Mr. Fun,
I'm so sorry you have this trouble and that your surgery was not satisfying. I sympathize with you. If you can't put socks and shoes on, what do you do? Are you dependent on help by others to assist with putting socks and shoes on? Are you working again now? Do you drive?
As far as I'm concerned, I was lucky with my surgery (left hip replacement). I can do everything. It looks as if you can't take that for granted so I must be grateful.

But: Concerning the arrogance among surgeons - I can assure you, this is real. I'm in Germany, and there are also arrogant surgeons, there. I had that experience with two surgeons during the preliminary talks for the hip replacement. Against the advice from my relatives, I did not have the surgery with them and finally found one I was satisfied with, and who communicated well with me. So I chose to have the surgery done by him. Of course it meant the surgery was delayed for about 9 months and I got worse meanwhile. But it was worth waiting. My surgery was successful.
I am sorry you are going through this. I went to a therapeutic message therapist for knee pain that was probably related to the osteoarthritis I didn’t know I had. Her practice is very slanted towards healing and it really helped me. If nothing else works out maybe try a different practitioner.
In my experience getting in and out of cars was a real issue . Especially if long leg. I found getting in and out of the truck and I could push the seat back farther was a big improvment. Sitting to low is a constant reminder that this is a stage of healing. Lifting , bending and turning movements have to be consciously focused to eliminate the tweaks and changes to the hip joint …. as the long term healing begins. Another 6-8 months I found improved strength and a better quality of life.
@Constanze I do have help with shoes and socks. Not always, but I manage to find away.

I am supposed to go back to work, just finalizing paperwork. I'm now 5 days away from 8 months. Pain is the same. Mostly to front of hip burning, pulling and a fullness feeling that impinges. It hurts to press on the area. My ROM is the same as 5 weeks post op. It's impingment at the front of the hip that is the issue. The more I deal with this the more I start to feel like it is Iliosoas impingment. I can also tell that my leg is exiting my hip socket differently on the OP side when standing in a mirror. Leg feels shorter.

Honestly think cup placement is not correct for my pelvis structure. When I walk it feels like my lower back is being forced to curve more. When rising from a seated position I have to wait to extend up or I feel the hip putting pressure on my back. I have to wait for the hip to settle into position.

Everyone says give it a year, but I feel deep down it's not improving. It's challenging enough to have to deal with this if you are retired. However, I have a wife and two young girls 13 and 11. It's hard for them to see their father limping around. We have a traditional home. My wife and I are old souls. Right now the person who is supposed to keep our family happy, healthy and financially stable is struggling. I feel embarrassed to pick up my girls from school because of my limp. Kids are mean and I would be heart broken if someone said something to one of my children about my current disability. I got this surgery so that my children would not see big strong daddy look fragile. I was not limping prior to surgery. I could still run when I needed to. My wife is supportive, but I can see she is ready to move past this and get back to our families routine.
I am an elementary teacher. Our students can be feisty at times, but this is quickly put away when health issues are present. I had a fall in the cafeteria one day where I stepped on an invisible spill and my feet flew out from under me. My sister asked if the students laughed and I told her not one. They have empathy that many of us did not grow up with in school. Don’t stress when you pick up your girls. One of the best marriage analogies I have ever heard compares the two partners as columns of a building (marriage). You are both working to hold it up side by side. I am sure you gave your wife grace during pregnancies and she is giving you grace as you recover. Your girls are seeing how a family works together. Try not to stress. I am only a month out, but I am learning that recovery is truly going to take time.

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