@RPDX24 Eric, as you know, and have experienced, there are no guarantees, nor can there be, in the medical world. Having worked in that world, I completely understand it from both sides. It’s hard not to get too caught up in the minutiae of analysis when we’re trying to make a decision that we want to be certain of. Sometimes it comes down to "all else being equal, the simplest solution is most likely the best" (Occam's Razor) and a leap of faith. You've done your due diligence although it concerns me that you are having trouble trusting your surgeon v chatbot. I'm not a physician but from just scanning your report, it does seem to point to an ongoing issue with your psoas. There is other stuff there, too, but as one doc told me about my MRI, we need to concentrate on this main problem causing your worst symptoms and then work our way from there, as needed. BTW: that MRI was for a different issue, in a different hip. I only had an xray and my symptoms for a diagnosis of my THR op side tendon impingement, confirmed by steroid/anesthetic injection.
I did NOT have to do PT. As the tendon was completely released off of and at the location of the lesser trochanter, there was nothing to "rehab." I can't speak to a partial release except for what I was told with a different consultant who did that procedure. He told me I would be on crutches for 6 weeks to allow the tendon to heal and then do PT. In that procedure, the tendon, up by the hip capsule, has some of its fibers cut to allow it to lengthen so it is no longer impinging the cup. Releasing the tension, as it were. He was very clear it was more complicated and wasn't too keen on doing it at the stage of recovery I was at (less than a year out.) In that light, I decided I needed to look for another answer.
I have not had any imbalances that I can point to as a result. I also do not fear any future complications. My arthroscopic OS for the tendon release is a well-respected surgeon here in the area and was very confident that it would be a rarity to have any deficit due to the release. I have found that to be true 5+ years later. I have back/neck arthritis but those issues haven't seemed to be affected by having had my tendon released with the exception that my lower back pain at the time improved right after. I maintain my physical activity and fitness to maximize my over-all health. I also try not to go down the rabbit hole of "what ifs."
I chose to have the release because I was in pain and very limited in some of my physical activities. That wasn't acceptable. There are always risks but the promise of getting on with my life, out weighed those risks. The procedure was fairly "simple" and straightforward, also minimizing the risks. None of us can predict the future but I chose a less pain-filled present. That's what it comes down to for you, Eric. What is the quality of life that you want and what will help get you there? You've done the research. Choose a skilled surgeon you have confidence in. Choose what will work for you now. You're the only one who can decide that for yourself. Except, now you know of others who have made the same decision and come out on the other side okay. Keep us posted. Pat.
United States
Keep us posted.
