Why continuing pain three years after a successful hip replacement?

Posted by weigeldale @weigeldale, Apr 14, 2025

My wife had a hip replacement three years ago. The surgery was, by all measures, successful. Yet it became painful starting after three months and the pain has gotten worse. All kinds of treatments have been tried, including physical therapy, steroid injections. The implant has been examined by the surgeon and by other orthopedists. No one can find the cause of the pain. A Mayo post by Liza Torborg has suggested three possible causes: infection; a loose ball in the socket;; and psao tendinitis . The first two have been ruled out. What specialist at Mayo Clinic can diagnose the third possibility?

Interested in more discussions like this? Go to the Joint Replacements Support Group.

Profile picture for Sue, Volunteer Mentor @sueinmn

I believe you need to look for an appointment in orthopedics. If conservative measures to address psoas (iliopsoas) tendinitis have failed, further imaging and diagnosis may be required. There is a surgical procedure to release an overly tight tendon, but I think other causes must be ruled out first.

Jump to this post

I will see Dr. Hevesi on May 5 for what I believe is iliopsoas tendinitis/tendinopathy. What is the surgical treatment? I have done physical therapy and injection along with trying exercises and swimming. Nothing has helped and most increase the pain.

REPLY

I found this site when Googling: 'hip pain after hip replacement,' I had the surgery two and a half years ago and all was well until three nights ago. I deliberately tried to sleep only on my right side, because I have a painful frozen shoulder on the left side. I did put weight on my tight hip when asleep. When I woke up, I could hardly walk , because my entire right leg hurt so much. It is better now but walking is painful and I limp badly, as a result. I am terrified I will have to have another surgery due to a loose ball in the socket. I'm 83, so any surgery is risky. Christmas is ruined and I don't know how soon I can get an appointment. Thank you.

REPLY
Profile picture for carolcompton @carolcompton

I found this site when Googling: 'hip pain after hip replacement,' I had the surgery two and a half years ago and all was well until three nights ago. I deliberately tried to sleep only on my right side, because I have a painful frozen shoulder on the left side. I did put weight on my tight hip when asleep. When I woke up, I could hardly walk , because my entire right leg hurt so much. It is better now but walking is painful and I limp badly, as a result. I am terrified I will have to have another surgery due to a loose ball in the socket. I'm 83, so any surgery is risky. Christmas is ruined and I don't know how soon I can get an appointment. Thank you.

Jump to this post

@carolcomptonIt turned It to be Piriformis Syndrome, so crisis averted!!

REPLY
Profile picture for frankcat @frankcat

I had the exact same pain years following my hip replacement in 2021, I had several steroid injections and another MRI to make sure the components where all in the proper place and they were, it turns out I have iliopsoas bursitis and it’s very tight , I had the release procedure done in December 2024 at Mayo by Dr Mario Hevisi , I think I spelled the last name wrong but so far it feels a little better I am doing PT three times per week to try and strengthen my hip/ legs and stretch the muscles I’m hoping in a few more months I will get more positive results .

Jump to this post

@frankcat How are you doing? I may have the same condition as you. Thank you for your comments!

REPLY

Hello, i am doing better some days better than others. I do believe as well as my doctor and physical therapist goes I'm probably at the best i will get. i know how to mange my hip pain through meds exercise and stretching. The cortisone injections in my hip do not do much at all. My only regret is not going to Mayo clinic from day one.
Thank you Frank

REPLY
Please sign in or register to post a reply.