THR Psoas Tendinitis 9 months after THR

[TeeEm]

@Kim22 I'd have it done Liz. Even if you are only having intermittent problems now, it might be enough to totally clear up any residual inflammation that is left, so it's sorted once and for all. Plus, I expect your OS will want to see you to evaluate the results, which will give you the opportunity to discuss how much your other hip has deteriorated, especially if you can now only walk 0.2 miles before it starts playing up. I expect you are starting to get discomfort at rest now as well.

 

[Kim22]

@zauberflöte and @TeeEm Thanks for your advice and I know that you are both right about me having the injection but for 1) I am a bit of a coward and don't relish the idea of having a needle put into my groin area and 2) I am concerned about the very real risk of tendon rupture

 

[Poppet]

I know it is easy for us to say go ahead Kim, I was a coward and backed away from an injection for my greater trochanter bursitis and decided to let it settle.. It has taken a year and still not 100% - go with what your heart is telling you (and the pain) - let us know honey, I am very interested - tag me xxx @Kim22

 

[zauberflöte]

@Kim22 when you put it in those terms, and @Poppet adds her experience, I am not nearly so "adamant" that I myself would go ahead with it! So I hereby stop advising you to do it I agree with Poppet.

@Poppet I love your "fairy forest" avatar-- I want my back yard to look like that!!

 

[alexthecat]

I'll admit that I decided not to bother with an injection for my psoas tendinitis. I opted to rest it, which was easy since this happened in the run-up to my THR and I couldn't really walk. When the acute pain had settled, I felt like Pilates helped stretch and tone the psoas, as well as other muscles in my core. I did lots of psoas stretches for a long time.

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[dede62]

@Kim22, I just stopped in to see if anyone of our crowd was still around and I found your thread. I'm so sorry for the ongoing issue with your psoas. Ugh, I know that feeling all too well as I had that issue in between my arthroscopy and the replacement. My OS said that the psoas and the hip flexor can be very stubborn to resolve. Luckily my psoas kind of resolved itself after some extremely intense deep tissue massage and then just giving it all a chance to calm down. The RTHR and getting "evened" out probably all helped as well. I've been dealing with some trochanteric bursitis myself (left side, but bothers me when I lay on either side), and just got an injection today so I can hopefully get a good night's sleep soon.

@Poppet, I so miss you! I'll have to catch up on how you're getting along. A little over 3 months (total time) to go until the big R, right???

 

[calikat]

Hi Kim. I had a psoas injection under CT guidance back in early April? I think. I will have to go back and look to see exactly when. It was not really a big deal at all. It took the doctor about 3 or 4 times to get the placement right, but it was not painful except for the little prick from the numbing shot. Don't look at the needle however, because it is really long!!!!! But really it was less painful then the dentist shot LOL! It did not provide me that much relief however. However, my problem turned out not to be so much tendinitis, but a misaligned cup causing other issues. It was also my understanding that it would take several cortisone injections into the tendon to risk rupture, but I could be wrong. That is just how it has been explained to me. I am a fan of injections because they have provided me incredible relief in various parts of my body over the past 20 years...shoulder, elbow, both hands, low back, hip, and foot. I kind of consider it a miracle medicine. ;).

 

[Poppet]

Chris, @zauberflöte my new avatar is called 'the promise of Spring' - pretty cool hey! xx

 

[Poppet]

Oh my inner follow warrior, @dede62 I miss you too... Ugh! Trochanter bursitis... It stopped me Nordic Walking but I decided to rest it for over a year now apart from general living and it is much better... Sorry you haven't been too well... It seems that a few of us, seem to get issues as time passes... For me it is sitting at a desk too long..

 

[zauberflöte]

@alexthecat I liked your post-- I am trying to find when to do those stretches!! I also have to greatly modify-- I don't think I could do the stretch as it is shown in the pic in the library here even when I was 25 and taking ballet classes almost daily LOL!
@calikat The only injection I ever had, in the shoulder, was also a miracle for me-- and after the rush season was over I followed it up with weight lifting, which I could tell made everything more stable and less prone to re-injury.
@Poppet "promise of spring", yes, you have given me all your daylight, haven't you? I will give it back starting in just a few days!! I want my backyard to look like that when we do our "wedding rehearsal cookout" for our son and bride next month. If I had an unlimited budget, I could really do it, too-- but I will have to make do with dreaming over your avatar

 

[Kim22]

I know it is easy for us to say go ahead Kim, I was a coward and backed away from an injection for my greater trochanter bursitis and decided to let it settle.. It has taken a year and still not 100% - go with what your heart is telling you (and the pain) - let us know honey, I am very interested - tag me xxx @Kim22

Hi @Poppet I am still undecided about the injection as it seems to be improving.I think the most sensible plan would be to keep the appointment and explain my situation to the Radiologist and go along with his advice.I can understand why you decided to decline the jab but one year seems like a long time for you to wait for some improvement I admire your patience and hope you get are fully recovered very soon.

I love your avatar too and as @zauberflöte said we are fast approaching our longest day which means you will start to see a little more light each day very soon.It is 21 35 hr here and it is still very light.

 

[Kim22]

I'll admit that I decided not to bother with an injection for my psoas tendinitis. I opted to rest it, which was easy since this happened in the run-up to my THR and I couldn't really walk. When the acute pain had settled, I felt like Pilates helped stretch and tone the psoas, as well as other muscles in my core. I did lots of psoas stretches for a long time.

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Thanks for your advice @alexthecat I would love to do Pilates or yoga and wondering which one you would be more beneficial.I am waiting to see my physio in 2 weeks to get the go ahead as last time I saw her she thought it would have been too early.I am still doing psoas stretches and I do think they have helped a lot.

 

[Kim22]

@Kim22, I just stopped in to see if anyone of our crowd was still around and I found your thread. I'm so sorry for the ongoing issue with your psoas. Ugh, I know that feeling all too well as I had that issue in between my arthroscopy and the replacement. My OS said that the psoas and the hip flexor can be very stubborn to resolve. Luckily my psoas kind of resolved itself after some extremely intense deep tissue massage and then just giving it all a chance to calm down. The RTHR and getting "evened" out probably all helped as well. I've been dealing with some trochanteric bursitis myself (left side, but bothers me when I lay on either side), and just got an injection today so I can hopefully get a good night's sleep soon.

@Poppet, I so miss you! I'll have to catch up on how you're getting along. A little over 3 months (total time) to go until the big R, right???

Hi @dede62 lovely to see you again.Thank you for visiting my thread.I am sorry that you are dealing with trochanteric bursitis and I hope that the injection does the trick and allows you to get some sleep.May I ask you what type of practitioner did the massage and how they massaged your psoas.? Oh and how is your foot now ? I hope it is fully recovered.

 

[Kim22]

Hi Kim. I had a psoas injection under CT guidance back in early April? I think. I will have to go back and look to see exactly when. It was not really a big deal at all. It took the doctor about 3 or 4 times to get the placement right, but it was not painful except for the little prick from the numbing shot. Don't look at the needle however, because it is really long!!!!! But really it was less painful then the dentist shot LOL! It did not provide me that much relief however. However, my problem turned out not to be so much tendinitis, but a misaligned cup causing other issues. It was also my understanding that it would take several cortisone injections into the tendon to risk rupture, but I could be wrong. That is just how it has been explained to me. I am a fan of injections because they have provided me incredible relief in various parts of my body over the past 20 years...shoulder, elbow, both hands, low back, hip, and foot. I kind of consider it a miracle medicine. ;).

Hi @calikat I was very sorry to read that you have a misaligned cup.What do they propose to do about it.Thank you for the reassurance regarding the injection and I promise not to look at the big needle.Take care and keep us posted.

 

[alexthecat]

I think that Pilates would be more beneficial for you right now. It would help correct any muscular imbalances in your core muscles (including the psoas) and improve your posture, which would hopefully help you avoid future injury to your psoas.

Yoga is really good too though. Once you have your psoas settled, I think either yoga or Pilates would benefit you. It's really a matter of personal preference.

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[dede62]

@Kim22, I went to a massage therapist that has gone through some extensive training with regard to the deep tissue massage (but, I'm getting old, so I can't remember what he said the training was exactly). I know a while back I talked about it in somebody's thread (again, sorry, can't specifically remember who that was - not much help, I know). But it was a lot of active release type of massage (dig in and hold right in the front of the hip bone and almost curled underneath it, hold for like what seemed a millenium, then slowly let up on the pressure) - definitely not a pleasant experience, particularly in the beginning. You'll know when you hit the right spot. Until that thing finally decided to release (quite a few weekly sessions) and stop the constant spasm, it actually got a little easier as time went on. You can feel where it is if you lie on your back with knees bent and feet flat, stretch out the bad leg straight, find the hip bone and press in (gently) just inside. If you raise your head like you are starting to do a sit-up, you can actually feel the tendon. Of course I know you know where it is, but this way you know exactly where they will be intently working...

He actually showed me a good, gentle stretch once we got it under control, to help if it feels a little tight. If you lie on the bed with the bad side on the edge (almost like you will fall off), let that bad side leg slowly fall down along side the bed (let gravity do the work) and you will feel it stretch out. Once you can tolerate it, you can gently try and move that leg down further towards the floor. I will sometimes do both sides before getting out of bed in the morning (I have to swap ends of the bed to do both sides...)

Take care friend!

 

[zauberflöte]

@dede62 Your description of the massage is very good! My PT gave me, gratis, a release on the non-op hip, which made me scream it was so tight. The funny part is, nobody came in the little room to see what was the matterThis woman has fingers of steel and she knows how to deploy them. When she let up on that particular one, I felt a hot rush down my leg as though someone had poured very hot oil in a little stream very fast down the front of my leg. She said this was the circulation restoring itself! Too cool... But she had spent most of her time "up in my business", as she so delicately put it not on the inside of the hip bone.

 

[calikat]

Hi Kim. The treatment would be to revise the cup which one OS has recommended. Another OS suggested I try to see if I could live with the irritation it is causing in my hip.

 

[zauberflöte]

@calikat really?? "Try and live with it"????? What was the point of the replacement then? Silly OS!! Wait till he has to have THR and something is not quite right afterwards. He will be talking out of the other side of his face then, eh?

 

[calikat]

@zauberflöte I was surprised at the "live with it" comment too. But my hip pain is better than before the replacement. By the time I had the surgery I could not really walk very well. I could not even make it in to work at a desk job the last two weeks because of the constant pain. It was a very humbling experience.