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THR Question - One year after thr

Celle

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@HelenaM - you will see that I have moved your posts and Sashimu's response to it from Nyc1961's thread to your own thread.

By putting the above post in her recovery thread, you were taking her thread off track. Her thread should be about her own recovery.
Forum etiquette: being polite when posting

Please post any updates or questions about your recovery in your own thread. We will see them there, as someone checks all the new posts every day.
If you need an urgent response to a question, just tag a member of staff.
Tagging other members and answering tags

If you prefer a different thread title, just post what you want and we'll get it changed for you.

Just in case you couldn't find your thread, here are the instructions on finding your thread,
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A helpful hint - Many members have found it useful to bookmark their thread so they don't lose it.

Best wishes,
Celle
 

Mojo333

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This is not a reply but a new question. Has anyone had any luck with steroid phonophoresis for scar tissue and sore muscles lingering
Hi @HelenaM
Phonophoresis is ultrasound therapy using topical analgesics (usually anti-inflammatory or cortisone-type medications) within the ultrasound gel. It is thought the ultrasonic waves can drive these medications across the skin enabling penetration to the site of pain or injury. Topical analgesics are generally thought to have better side effect profiles compared to taking medications orally.

Haven't heard of many members that have been prescribed this protocol.
Topical analgesics applied could certainly help with muscle soreness but at less than one month out, tenderness and tightness are normal.
These symptoms actually can be helpful in my opinion as they can remind us to restrict our movements while we heal. My quads were super sore for many months.

Regarding the scar tissue, we need scar tissue (combo of skin cells and collagen) to repair our wound. Internal adhesions in the hip would be extremely rare and are unlikely to be a potential problem.

I am a fan of my anterior replacements as my surgeon was trained in this approach and I am doing great with my new hips.
But the process of recovery, regardless of the approach, just takes time and these are early days, my friend.

Keep that patience muscle toned up...all temporary unless you push too hard and end up with self induced tendonitis or other issues that can take months to resolve.
 
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HelenaM

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@Mojo333
Thank you for the reply. Actually I am approaching the 13 mo. mark and still experiencing some soreness, although my routine is getting back to normal. I may have aggravated some muscles early on with physical therapy or on my own, since I was told by some sources that I would be better in 6 weeks or 3 months. My surgeon indicated pt should be mainly walking and should not irritate the hip flexors, but I don't think the pt I used was clear about this.

I have had enough confusion pertaining to the recovery timeline that I went to see a second surgeon, thinking that something was really wrong. Probably not. As the first surgeon, he stated that I had some soft tissue issues but added names such as it band, bursitis, etc. (I don't think it is anything specific since it moves around the scar tissue). He is a youngish surgeon, and was trained (medical school and residency) at a major orthopedic university/hospital fairly recently. So, his view is that now some specific therapy and modalities like this ultrasound might help me strengthen and gain flexibility. I can walk miles, but have some weakness on the operated side that he observed. I am also walking and moving in the pool, and trying not to aggravate my hip flexors, since I had some tendonitis type pain or nerve pain in that region that has improved. I am relatively short, so I think that the stairs in my home have been an extra challenge for me. They are full size standard, but I find slightly shorter stairs much easier.

I had some numbness, and still have a little, but consider that insignifcant.

So, I think I will give the ultrasound a try since I am now into my second year of recovery. I will be cautious about any repetitive pt actions that could aggravate muscles.
 

Mojo333

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Thank you for the reply. Actually I am approaching the 13 mo. mark and still experiencing some soreness, although my routine is getting back to normal.
Well, duh.... Could've read your thread title but I was off by only a year:doh:
I certainly understand why you are getting frustrated...
I was still able to aggravate things with certain activities well up to 2 years post-op and still can, I think...
Hard to tell what is due to BTHR, and what muscles might be complaining anyway when I do repetitious labor intensive tasks.
 
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HelenaM

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In the case where three surgeons all state that the X-ray looks really good after a year, but have some different explanations of what is causing soft tissue pain (hip flexor tendonitis, it syndrome, nerve Issues, scar tissue), does anyone know if there might be a reliable imaging method (such as ultrasound?) to find a more specific answer @Pumpkin @Sashimu@Hip4life
 
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Sashimu

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I'm planning to ask my surgeon that exact question, @HelenaM. I could be wrong but I think the main options are an MRI or ultrasound. Not sure if a bone scan is an option. I've heard the MRI is complicated by the presence of the metal implant, but there is a technique that can be used to counter that.
 
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HelenaM

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Thank you @Sashimu. It seems complicated to pinpoint the Issue or issues and also whether it may have been triggered by pt that aggravated things or by something else. I hope you are seeing a little improvement at least. I think I am, but it is so subtle that I am not totally sure.
 
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HelenaM

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Fourteen months after my thr, I still have some hip pain. After climbing some stairs I developed right knee pain in addition to the right thigh or hip pain. I went to see a knee os who tried some rom tests, etc. and said that he thought it was referred from my hip. I also went to see an orthopedist who is a pain specialist and sports medicine person. He did X-rays and ultrasound and thought my knees looked good. Since several doctors seem to believe I have meralgia parenthetica, which I have mentioned earlier, my next step is to begin pt to strengthen my quads on Thursday. I also have an option to have an ultrasound guided injection which might calm everything down until it settles down naturally. It Is interesting but confusing how pain can be referred.
 

Mojo333

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I am sorry you have still be dealing with pain.
Don't know if you saw this article in our library

Glad your Knees look good, and referred pain can certainly be hard to diagnose.:unsure:
It caused over a year delay for my hips....

:fingersx: the injection brings relief!
 
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HelenaM

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Thank you, Mojo. Hope the pt and/or the injection and/or time will help!! @Mojo333
 

Nyc1961

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Helena,
I just finished reading all the posts on your thread and I must say, enlightening is an understatement! I can relate to almost all of these posts, particularly the posts from elf1 and one talking about winding up in the ER after his prednisone injection. I can certainly relate to that! All these posts are so reassuring and really brought my stress level down this morning.
Best wishes for a very good and hopefully, pain free day!
 

Eman85

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You can see it's been a while since my first and my second THR. I can do most anything I can think of, some I shouldn't do. But I have some weakness in my right and soreness and stiffness with both. My right was always my stronger hip as my left had the pins and always hurt more. After over 3 years on my left I've come to attribute a lot of it to the severe strain that is put on all of the soft tissue in order to disassemble us and then reassemble us. It's not a pleasant thing to watch but if you watch the actual surgery or even the animation you'll come to realize just how much trauma our bodies go through. Try taking a chicken leg off and putting it back on! Through the years I've had my fair share of injuries between sports and work. In all of those my bones stayed inside my body and yet some of them still give me pains and stiffness after decades. For me getting rid of the deep bone ache was a win and the nagging soreness and stiffness is just part of the price. I don't think it will all ever go away.
 
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HelenaM

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Does anyone know anything about the mini-hip anterior approach? I have read that it is less widely used, but the recovery is easier. It is possible that the recovery issues with this approach might be a little different.
 

Elf1

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Can't tell you about that, I had the lateral-anterior or whatever it's called. I know some folks claim that one approach is easier than the other, but from reading on here for the last 2 1/2 years it kind of sounds like its mostly hype. Maybe someone else will have some knowledge of this approach.
 

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