I am a 75 y/o male who had a THR in the USA 10 months ago. Since the initial post operative recovery period there has been persistent pain over the greater trochanter with any weight bearing. The pain resolves with sitting and reclining. The pain is focal, the more I ambulate the more severe it becomes. I now need to use a cane to take weight off the affected leg and cannot walk 40-50 yards before needing to sit for pain relief.
As I now live in retirement in SE Asia I have contacted the operating orthopedist by e-mail and he had no suggestions or solutions beyond those offered by local orthopedists. Interventions have included x-ray (no evidence of prosthesis instability), local corticosteroid injections into the trochanteric bursa times 2 (no relief), an MRI of the lumbar spine to rule out nerve impringement (disc space narrowing L2-L3 but no nerve entrapment), lab tests for possible subacute infection (all normal).
The pain is a major nuisance for quality of life (I'm relegated to stay at home). I cannot take NSAIDs (renal limitations) and altho other analgesia takes the edge off it is short lived and I have concern about its use for long term.
My post and inquiry is two fold:
1. whether any others have had similar experience with this syndrome (greater trochanteric pain syndrome) post THR and what they did about it
2. whether anyone might recommend an orthopedist who has experience with this entity.
At this point I am ready to travel (climb mountains) to find a knowledgeable guru (solution)......
Thank you
As I now live in retirement in SE Asia I have contacted the operating orthopedist by e-mail and he had no suggestions or solutions beyond those offered by local orthopedists. Interventions have included x-ray (no evidence of prosthesis instability), local corticosteroid injections into the trochanteric bursa times 2 (no relief), an MRI of the lumbar spine to rule out nerve impringement (disc space narrowing L2-L3 but no nerve entrapment), lab tests for possible subacute infection (all normal).
The pain is a major nuisance for quality of life (I'm relegated to stay at home). I cannot take NSAIDs (renal limitations) and altho other analgesia takes the edge off it is short lived and I have concern about its use for long term.
My post and inquiry is two fold:
1. whether any others have had similar experience with this syndrome (greater trochanteric pain syndrome) post THR and what they did about it
2. whether anyone might recommend an orthopedist who has experience with this entity.
At this point I am ready to travel (climb mountains) to find a knowledgeable guru (solution)......
Thank you