I had the MRI Friday night (a week later than I thought, originally.) Got the radiology report and images this morning. The radiologist did not know of my specific pain symptoms & functional deficits, just that my hip was being scanned due to “pain”; I still need a specialist to review the MRI in the context of my symptoms. Still, there were some remarkable findings.
It turns out my iliopsoas tendon is MISSING - like, it is not attached below the acetabulum, at all. Since I woke from the operation with severe groin pain and zero iliopsoas function, the tendon was likely accidentally cut during the operation. I mean…HOW?! But here we are. No tendon visible on MRI connecting my femur to the iliopsoas muscle, and zero ability to lift or abduct my leg - even underwater.
On Friday, my PT confirmed zero improvement in any leg function since he first assessed me in February. I’m at about 7% of normal function, 93% disabled. Me, a runner, lifelong athlete!
It took nearly 3 months post-op for any kind of real diagnosis (severed iliopsoas tendon, among other findings); I’m still waiting on the EMG study. That’s coming up May 7.
I’m just so sad. A tendon that’s been severed for 3 months…I don’t know if that can be fixed. I don’t even know when I can get in to see a hip revision surgeon. I can’t walk, bear full weight…and with the nerve symptoms, inflammation and other tendinitis and muscle wasting visible on MRI there’s more going on in there than just a cleanly cut tendon.
My right-side muscles and tendons look fine, which is kind of a miracle since I’ve been pushing my right side so hard these past 3 months. I cover MILES on my crutches some days. And my arms and core are strong, these days! So, there’s that.