hip misalignment

@daisy22 Hello, I am curious about exactly what you mean by "hip misalignment." When you describe the pain in your lower back and other hip, it sounds similar to what I experienced after my last hip revision.

Is the femur head actually moving out of place in the socket? If so, you need to see the surgeon, because if the muscles and tendons are not holding it in place, you are at risk for dislocation - very painful!

Or, are the muscles in the area so weak that they are not supporting you correctly? In that case, you need a referral to rehabilitative physical therapy (not just the list of exercises you were given after surgery.) The PT should evaluate your gait and balance and give you specific exercises to correct how you are walking. I had to do this after one of my hip revisions because I had exactly the pain syndrome you describe. I had a combination of exercises, including land and water therapy, to strengthen both legs and my back and correct the way I was walking. It took a couple of months to get "back to normal" but I was glad I did it - the other docs were talking about injections, MRI's and all sorts of treatment, but it turned out I just needed to work harder!

Have you talked to the surgeon about what is going on? What did they say? Can you get a referral for PT?
Sue
PS Nerve damage with hip replacement is quite common, and almost always eventually heals. The problem is that nerves heal VERY SLOWLY - thing 1/2 to 1 inch per month - after one knee surgery, it took almost 2 years for the nerve between my knee and my foot to heal completely. I have had so many hip surgeries, I forget how long each took, but it was at least a year. Not only the "damaged" spot needs to heal, but the entire length of the nerve needs to regenerate its signal-sending capacity.

Maybe using the wrong word. The chiro says the hip joint is going forward and when she pushes on the area, I can feel it click into place and the pain is better. When the hip is out of place, my shoulder is higher on that side and my husband comments on that. I've done 3 rounds of PT and this is new. I will see how it goes. I see the chiro again in 2 weeks or sooner. She did ask me if I have anymore PT appointments, which I don't, but can talk to my doc to refer me again or ask if she wants to refer me to orthopedics for a consult. I have L5-S1 spondylolysis and no surgeon will fix it. Tired of living in pain and no doctor wants to help me. Thanks for the information.

Well, I have good news for you - something like 75-80% of the population has a hip that goes forward or backward out of alignment, so you are in good company. And there are dozens, if not hundreds, of stretches and exercises that can encourage it to stay where it belongs - the chiro adjustment is only temporary unless you do those.

The other thing to know is that surgeons seldom will operate for spondylolysis, so your docs are in good company (https://my.clevelandclinic.org/health/diseases/10303-spondylolysis). But there are conservative measures that work. And as many as half of spinal surgery patients still have back pain afterward, so it is not necessarily a cure-all. (For the record, I have spinal arthritis and stenosis instead of spondylolysis, but the pain is the same.)

I stand with my earlier recommendation - rehabilitative PT - the kind done one-on-one for complex, traumatic or difficult to resolve issues. The good news is, it will work to reduce or eliminate pain. The "bad news" is, there is no magic involved just some hard work by you - every day until you are better, then several times a week of maintenance exercise and stretching for the rest of your life.

Are you ready to take control?
Sue

Thanks!! I will call my doc for a referral to PT for exercises to do. I know that chiro can help with things, but I need to know safe exercises I can do with anterior THA so I don't do something wrong.

I have rip in my left side hip you could have a rip in the the hip my right leg 🦵 bone is 2 inches high then my left leg 🦵.my hip Bone Bigg like a c and left hi bone is much small the joint don't find in it rubb.you need to see a orthopedic doctor to get MRI and X-ray done ✅ and to see the .that was could causes my hip misalignment and low back pain.yes I see a chiropractor too

I try a shoe 👠 lift for eight weeks two see if if help so if far it helps a all with my Left hip and leg 🦵 pain I got my my shoe 👠 lift for my orthopedic doctor.plus a injection in my left hip.plus go to the chiropractor and do pelvic floor exercises therapy.too hope things this helps you.pray.🤞👍😇🙏🙏

daisy, I may have the same thing without the THA. The hip joint is the ball joint where the femur head rotates. Another joint the SI joint is often called the hip joint. With the SI joint adjustment you are lying on one side and the chiropractor pressures the ilium at the bottom of the the buttox. The hip adjustment is usually a leg pull.
When the SI is misaligned, my whole right side goes. One shoulder is higher. It makes my right leg slightly shorter. I usually see the chiropractor a couple of times a week. I'm in the office for about seven minutes.
There are movements that incite the rotation. Unfortunately, one is sitting. Another more fortunate is bending over. There are exercises to strengthen the muscles, but I haven't had success with them. And some people can adjust their own hip, not me. https://www.youtube.com/@PositiveMotionChiro

Oh my goodness!! It's the SI. My husband always says your shoulder is high. I found a few exercises I do and I've gone 1-1/2 weeks and see chiro on Friday. Thanks for the info.