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Chronic pain years after hip replacement

Joint Replacements | Last Active: Dec 30, 2025 | Replies (37)

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Profile picture for heavyphil @heavyphil

@bekifft yes, that’s always a problem when the best diagnostic tool you have is an XRay.
As long as the implant is inside the femur, and the socket is located favorably in the pelvis, what can they say except ‘looks good!’
Perhaps other scans (MRI) could point to soft tissue issues which are extremely painful as well. You may have to get out of the orthopedic realm entirely and seek out a neurologist or pain management specialist who may be able to pinpoint where your real pain is coming from - remember, it could be coming from your spine or it could be muscular as a result of all the trauma you’ve been through. Just my opinion as to what I would do in your situation. Best,
Phil

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Replies to "@bekifft yes, that’s always a problem when the best diagnostic tool you have is an XRay...."

@heavyphil
I saw a hip revision surgeon yesterday as 15 months out without relief from THR. He said my xrays were "good" and my loss of mobility was likely from lumbar issues like Stenosis but that he isn't knowledgeable about spines. He stated no nickel was used with the screws used even though I know stainless steel contains it and that testing for metals was never done. He felt I needed an MRI of my lumbar spine. I left feeling, my age of 71 wasn't worth the trouble. I do not have back pain and had anal cancer which included many scans. So as I continue my decline into a wheelchair, I'm dealing with excruciating pain along with legs that do not work. Does anyone have a suggestion? Help!

@heavyphil I have done MRI and EMG/Nerve conduction studies and they were normal. My quad is really stiff and my abductors are really weak. I'm trying to get botox to see if that will help loosen up my quad, which has been responding to dry needling. I've been to a few pain management doctors but they haven't been able to pinpoint the cause of the pain.

I'm seeing a physiatrist who is supposed to be one of the best around so we'll see what he says.