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THR Tendinitis after THR

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@Kim22, I must say that your situation sounds exactly like mine. I really stretched last night, the Iliops muscle is connected to the spine as well, and since I have lumbar issues I focused on my back. I have more mobility this morning, but it could also be because I didn't work yesterday. I intend to keep at it. I'm going to continue walking, considering challenging myself to a hike up Angel Island in SF bay this week-end. I know it'll be hard, but I want to try. I feel somewhat liberated activity-wise based upon what my OS says...but you should get a definite diagnosis. My OS does agree that this is a bad result...he is very sorry. It's so tricky, I work with this guy, have even assisted him in the OR for a wound debridement. It's not like I can throw a huge fit...ha! The PT he recommended does not take my insurance...so now what? Well, I'm researching my options. It's best that I move beyond my husband for this issue...in his humble opinion...ha! Yes, my son is an awesome young man, thanks! I hope you can get a CT scan soon! Oh, I should tell you that according to my OS told me there is a small, but real risk of tendon rupture with an injection, though he is willing to do one...but again, he said it would be a temporary improvement.
T
 
@tiona Oh dear the injection doesn't sound too hopeful does it ? The Radiologist warned me about the risk of tendon rupture but said it was very rare and a good result was very much dependant on the skill and experience of the practitioner.I googled risks of iliopsoas injection and I only found tendon rupture as a complication in one study.Even so it is something to think about so thank you for highlighting this issue.
You must looking forward to your hike this weekend especially if the weather is still good.I know what you mean when you say that you feel totally liberated regarding activity following your surgeons advice.I felt like that when I was given the go ahead to walk on the beach and to do inclines.I was so happy walking on the beach for the first time that I had tears in my eyes.
My husband and I spent five nights in San Francisco about ten years ago and we had a fantastic time.Its such a vibrant and cosmopolitan city and more laid back than New York.Enjoy your hike and I know that you will be very glad to be able to do it.

Kim
 
@Kim22..I just learned that the Ferry to Angel Island does not run in January or February as those are typically wet months in CA. We are in the middle of a major record setting drought in CA and SF has had crystal clear, warm sunny days for weeks. Here in the Sierra Foothills where I live it has been sunny and 75'....beautiful if one puts aside the fear of water shortage. So, my girlfriend and I will hike down by the American river instead (which is just a trickle). San Francisco is indeed a fun city to visit! I've never been to NYC, but its on my "to do" list. My husband (a PT) is doing a ton of research and I will start an aggressive PT/stretching program with his assist for now. He does think he feels adhesions when he manipulates the area, maybe breaking those up will help. I will continue to keep you posted.
 
Hi @tiona and @Kim22 you guys sure know what your talking about!!!

I haven't mentioned this too much to the OS as we have been focusing on the Infection. When I tagged Jo about it while on hols she sent the chart and first suggested it could be tendinitis. I know getting up off the floor, bilk riding, walking up hills and stairs have definitely aggregated it.

Do you find this too?

I am better off with my THR but am stil waiting for my life to get back to normal. It's been a year of challenges and losing my job due to complications has been hard as well as the lack of energy to do much

I envy your activities

Talk soon xxx

Oh and your son is amazing!!!
 
@Vetgirl Getting off the floor can be a challenge, I can ride a stationary bike, but haven't attempted a real one..ha! I can walk up hills with minimal pain, but fatigue sets in. I can do stairs, but it's somewhat painful and slow. I can't do a straight leg lift, lift my leg into my truck, cross my operative right leg over the left...things like that. It seems that if your OS thinks infection is the issue, it would be relatively easy to find out, not to mention extremely important as infection needs treatment FAST! I see you are only 44 years old. People who are 80 don't really ride bikes or do steps, so this tendinitis is a bigger deal for younger patients (relatively speaking). I hope this helps.
 
Thanks @tiona...it seems our symptoms are varied a little

I do I fact have a deep pocket of infection which landed me in hospital and I'm now playing the waiting game to see if the ABX rid me of the infection or are suppressing it. If its the later it's a 2 stage revision for me
 
@Vetgirl I will keep you in my thoughts, and hope that you won't need a revision. I hope that the treatment for your infection is successful and that you don't have tendinitis on top of it! I'll go back and look at your previous posts in order to understand your situation better.
 
@Vetgirl did you have any loosening of components as a result of infection?
 
Hi @tiona all the details of my infection are under Infection? Very scared!!!!

I am not aware of any lessening but my surgery was only in Sept 2013. I am aware that this can be an issue. I haven't had a wash out or debridement because the OS felt that statistically/ in his experience this is done in the early stages and as it had gone to far and I was facing even more surgery it was best to leave it.

I'm really confident in the care I'm receiving even if the waiting is hard.

Thanks for your well wishes
 
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@tiona
Did you enjoy your walk yesterday by the American river ?
Interesting that your husband has discovered adhesions as we are bound to have them after having the tendinitis for so long I think I could do with some manipulation in my physio programme to help break them down.I am looking forward to hearing about the exercises that your husband gives you.Do you take any pain meds ? I take paracetamol (Tylenol ) 1 gram 3-4 times a day and I find the groin is more sore when I don't take them.

@Vetgirl
You have had a tough year and it's such a shame that you lost your job because of your situation.I really hope that you can avoid a revision.I am also hoping to avoid further surgery on this side but if that's the only thing that will give me my life back then bring it on ! I agree with you that I am much better than I was before the THR but like you I just wished that My recovery had been straight forward.

I also find it challenging getting down and up from the floor.I must stress that this I could do this effortlessly a few months after the surgery but since the autumn my ROMs have gone in reverse.I find it difficult to put shoes and socks on again when it had got so much better.I am fine going down stairs but going up is a challenge. What I do now is go up normally until about just over half way when the pain kicks in and then I do the rest toddler style.I dread getting out of the car and now lift the leg manually.I can walk inclines to a degree but have been advised against it.I no longer ride a stationary bike as the movement seemed to aggravate the tendinitis.This is a big shame as before I packed it in I was doing 17 and a half minutes and it was the first real cardio work I had been able to do for ages.I must say that I am concerned about the effects of not being able to do sustained exercise is having on my general health.I built up the bike work so slowly starting with just 3 minutes to avoid problems to no avail !

When do you see your OS again and are you going to ask him about the possibility of iliopsoas tendinitis ? Enjoy your Sunday or it may be Monday by now.Is the weather still lovely down under ?
 
@Kim22 Yes I did some walking and super stretches after hot tub with the assistance of my husband, who also did deep massage. I'm sore this morning, but that's not surprising. The stretches involve elevating my sacrum on a bolster and letting my right leg hang while bringing the left into my chest. I'm concerned that you are taking up to 4 grams of Tylenol daily as that could be very hard on your liver. There are recent studies out there that suggest Tylenol (acetaminophen) can be toxic even at low doses. I wonder if an anti-inflammatory would be safer and or provide greater relief?
 
@Vetgirl, I will seek out your earlier posts...I surely can understand your fear!
 
@Vetgirl, Hey I did catch up with some of your early posts. I believe now that my hip issue is in fact congenital. For 5 years my OS blamed lumbar disc narrowing for my lateral hip pain, epidurals provided some relief but I realize now it was just incidental relief due to the steroid. Finally the pain started affecting my gait, and my OS could see that clearly when we ran across each other at work. A follow up X-ray showed a destroyed joint and finally a diagnosis of femoral-acetabular impingement. My husband was a pediatric PT for many years and he always told me that I likely had shallow acetabulum because I was a late walker (I was visually impaired as a tot, which delayed walking). It turns out he was correct. Now my left hip is going fast. Looking back I realize that I had Iliopsoas syndrome for years as I had "snapping hip" especially noticeable at the gym, though annoying it produced little pain. I too was shocked to need a THR at 52! I hope that your recovery goes well and that you don't need further surgery!!
 
Hi Tiona I am glad you enjoyed your walk yesterday.Do you know how far you walked and did you do any
inclines ? I managed a 30 min walk this afternoon on totally level ground and could have gone further but was mindful of my physio's advice to keep walks short.It was a lovely day, cold but sunny.

I was advised by my GP to stop taking Naproxen after one of my liver enzymes was raised and it was the doctor who advised regular paracetamol as an alternative.She reassured me that it is a very effective analgesic and perfectly safe as long as the maximum dose of 1 g 4 times in 24 hours with at least 4 hours between doses is not exceeded.The general advice for use of paracetamol is to take it on a regular basis rather than the odd dose as it is much more effective taken like this. I have had a repeat liver function test and it was normal after stopping the anti inflammatories and taking regular paracetamol for a few weeks.There have been studies done which question it's safety but from what I read the concern was that many OTC medicines ( ie.cold remedies ) also contain paracetamol and some people were taking both thus exceeding the recommended dose.There is an article in the library on this site titled "Medications: NSAIDS, acetaminophen ( paracetamol/Tylenol ) differences and dangers " The article stresses the risks involved with anti inflammatories which include kidney problems and stomach problems on top of liver issues. Of course the safest course of action is to avoid both of them but being in pain is hard to bear and not conducive to healing. I did try a very short course of anti inflammatories for a few days when I was first diagnosed with iliopsoas tendinitis to see if they helped but they didn't so I stopped taking them.

I really hope that your exercise programme helps you and hopefully you won't need surgery.Its interesting that you had a "snapping hip " before your hip replacement as I have noticed that my left (unoperated hip ) also makes a snapping sensation which is slightly uncomfortable but not painful.
 
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I'm glad @Kim22 that you are aware of the Tylenol issue. I'm not taking any type of pain med right now. Motrin helped somewhat, but raised my BP, I have left over Vicodin and Percocet but opiates just make me not care so much that I'm painful...ha! No medication is without potential side effects. I walked about 3 miles, with inclines, just mild discomfort. Walking uphill is easier than climbing steps. I'm happy to be able to be active, it's just so disconcerting that those specific activities are impossible for me to do. I rode my stationary bike for 30 minutes today and did another 30 minutes of arm weights and other floor work such as sit-ups, side lying leg raises and isometric quad work. I want to keep the rest of me as fit as possible...I've gained weight and that in itself is a strain on my body. It does sound as if your tendinitis is a bit worse than mine. As a nurse I know that one can seek advice from 10 different physicians or physical therapists and each can offer a different opinion, which can be very frustrating! I am going to be on an every-other-day stretch/deep tissue massage schedule.
 
Oh @tiona and @Kim22 I'm envious of all your activity....:boohoo:but in a good way
Sorry you a going backwards kim....and tiona ...a massage ....lovely especially since your husband can do it

I had gone back to walking but alas my infection plus pneumonia have taken all my strength even though it was 6 was ago. If may be the after effects of dual infection, still fighting the infection, the antibiotics or a combination of all but I'm too tired to do much except some household duties, small bits of shopping etc.

I have gained a little weight in the last yr which is annoying too....arghhhh:gaah::gaah::gaah:

Oh and yes I'm going to talk to my OS about the tendinitis.....we just had too much to cover and I was in shock (again) last time

Stay strong....
 
tiona said:
My self diagnosis has been confirmed. The cup is too large, my tendon is scraping against it.
Click to expand...

Tiona I am so sorry. :( And Kudos to your son for his perseverance. <3
 
@Vetgirl..Oh dear, pneumonia too! I'm not sure that oral antibiotics will solve your problem. Our usual protocol for total joint replacement infection is the "wash out"..aka incision/drainage and irrigation and then some mighty IV antibiotics such as Vancomycin for several weeks. Our medical system is a challenge world wide. We are now experiencing major change in the USA, as I'm sure you've heard. I'm not against "Obama Care"..people, ALL people need access to medical care, but it is proving to be a complicated process. I have employer based medical insurance (covered well if I utilize my own hospital providers). I was in the hospital less than 24 hours for my hip replacement, my bill was almost $200K. The implant itself was billed at $63,000!!! Outrageous, but my insurance paid the entire cost. I work in a small community hospital, the real specialized specialists are "down the hill" as we say...that's where the going gets rough and the out of pocket cost goes crazy. Are you able to be a "squeaky wheel"...and demand better care, immediate appointments, second opinions and the like? Hang in there! Be your own advocate if at all possible! I have an outside PT eval tomorrow after work, I'll keep you posted.
T
 
Tiona you are a wealth of information.

@Kim22 I am sorry that your symptoms are getting worse.
 
tiona said:
The stretches involve elevating my sacrum on a bolster and letting my right leg hang while bringing the left into my chest.
Click to expand...

I have been doing a similar stretch.

Tiona I am curious as to the size of your cup? I can feel something rubbing across the front of my hip flexor area when I turn my leg out. I have pain when I lift my right leg to get into the car ect. or rotate my hip out to roll over in bed. It feels like something is kind of snapping over a bone???like a rubber band. I don't know how to quite explain it, but afterwards the pain radiates down my leg. It feels almost like the cup was put in to far forward. Does that make sense? My leg just feels off...out of alignment. I would be lost without NSAIDS. I absolutely could not function without them because of pain. I have to take daily doses of ultracet too.
 
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