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DiscussionCannot lift my leg after hip replacement
Bones, Joints & Muscles | Last Active: Aug 18 10:06pm | Replies (25)Comment receiving replies
Replies to "I see my surgon next month for the second time since surgery. And next month will..."
@kdbee
I see some good suggestions from others. If I was in your situation, this is what I would do (I haven't had hip surgery but had cervical and lumbar surgery, lumbar just 8/2/2024, and lots of hip/buttock/leg pain due to neurogenic claudication):
1. Meet with your surgeon as planned with a prepared list of questions to ask/symptoms still dealing with during your next appointment. Bring someone with you if it would help capture responses/ensure you get what you need.
2. Make sure you get an updated X-ray and MRI to see how everything looks in your hips/pelvis/buttocks. Pain can also radiate from lumbar spine so you may want to see if you can get a MRI. When I was dealing with pain in my hips/buttocks/legs, I had a hip/pelvis MRI (both sides) and it revealed I had bilateral gluteal tendinopathy and bilateral hamstring partial tears. I had no idea when this happened and what caused it. It certainly made my spine problems worse because I was already dealing with pain/weakness/numbness. I also have a hard time lifting legs to put on pants and moving in/out of bed. Do you think you may have injured muscles/tendons due to weakness following hip surgery? I know I am having extra challenges moving post lumbar surgery due to the weakness in my buttocks/hamstrings. I was told steroid/lidocaine injections could help manage pain and PT to strengthen muscles.
3. It might be good for you to see a neurologist to get a lower EMGs/nerve conduction studies to test the nerve health in your legs. It should be able to detect if there is any disruption to nerve signaling tied to certain leg movements.
Switch surgeons. Get a proper orthopod who checks on you regularly. What kind of doctor sees you once and then a second time a year later? A fantasizer.
I had my left TKR anterior at the end of Feb this year. I have seen both doctors several times who operated on me and I am continuing PT since for scar and mobilization. My leg is still problematic with some of the things you describe but I tell my PT and I tell my doctors so that we can together figure out what to do next.
I was lucky to find an article and a blog on anterior THR muscle weakness and pain and glad to see I am not alone.
Each person is different and doctors who think everyone fits a formula should be avoided no matter how good they tell you they are.
It’s all about how good YOU will be. You are the patient, the customer, the client. The surgeon probably has never had a joint replacement in his or her lifetime. So all their info is anecdotal and not from personal experience.
Good luck. Go to a PT and orthopedic surgeon for PT and surgery who cares. Not who tells you why you should be doing this or that.
Please let the surgeon know in advance that you still have concerns. And if there is no apparent cause shown by CT or MRI (not just an x-ray) you ought to insist on a referral for PT for a full evaluation. Surgeons who resist sending struggling patients to PT mystify me - who wouldn't want them to have the best possible outcome.
If the surgeon refuses to do further evaluation, it is time to look for a doc who will - try starting with your primary for suggestions.