Hello, I’m checking in as I’ve been going to pelvic floor PT for about three months now. I can lift my leg towards my leg towards my chest with less pain but, I still have significant discomfort when walking, and the pain is bad in my glutes and lower back. Also the pain continues near the scar. My original THR was done in Oct 23’ Anterior method. I was an active 51 year old male.
At first they believe do needed a Psoas release procedure. They did a Psoas injection with no improvement. I have my 12 month follow up with my surgeon in early Dec. I may push for a MRI follow up. The exercises I was given by my Pelvic floor PT seem to light things up for a day or two after. I’m just at a loss and my Suregeon has done a terrible job at explaining the MRI findings from Match of 24’ below are the results. Any and all input would be welcomed: I will include that when I have an increase in Pelvic floor pain everything feels worse. Thank you folks!! I am having trust issues with my medical team and don’t want to do something that could make things worse.
MRI of the left hip in a patient status post anterior approach total hip arthroplasty demonstrates no acute periprosthetic fracture, bulky osteolysis, or frank component loosening. Moderate synovial expansion partially decompresses through a deficient anterior capsule without specific imaging features suggest active infection or aggressive reaction to wear debris. Moderate left iliopsoas tendinosis associated with low-grade intrasubstance tear at the level of the acetabular cup and mild iliopsoas bursitis. The critical portions of the final report are concordant with the preliminary radiology findings. Comparisons: Left hip radiographs 2/12/2024. Indication: pain with hip flexion; assess psoas tendon Technique: Multiplanar, multisequence MRI of the left hip was performed without contrast. Findings: Bones: Postoperative changes of left hip arthroplasty is noted with moderate susceptibility artifact slightly limiting regional evaluation. Osseous structures are normal in alignment. There is no acute fracture or dislocation. Bone marrow signal is normal. No evidence of soft tissue swelling or edema. Symphysis pubis shows no significant degenerative changes. Joints/Cartilage: Non-dedicated imaging of the right hip demonstrates no significant cartilage degeneration, no significant effusion, and small marginal osteophytes. Evaluation for labral tear is limited. Dedicated imaging of the left hip demonstrates nonspecific fluid within the periprosthetic joint capsule, which is contiguous with small cysts extending anteriorly, which is best seen on series 7 images 15 through 22. While somewhat challenging to measure due to obliquity, this measures at least 2.4 x 2.2 x 4.8 cm (AP X TR X CC). A small amount of surrounding inflammatory changes is noted within the anterior margin of the left gluteus medius and minimus musculature. What is seen of the sacroiliac joints are within normal limits.
United States
