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DiscussionHi, just wondering if anyone has been able to resolve stem tip pain su
Joint Replacements | Last Active: Apr 9 9:00am | Replies (19)Comment receiving replies
Replies to "@leghurts54 Im curious if you have had any success with easing the stem tip pain? I..."
@emaries Hi, so my problem is intermittent. My surgery was in Oct of 2022, posterior approach, apparently with the older style, longer stem prosthesis. Pain when I experience it is mid thigh sometimes radiating up towards my groin. I do not have pain in my hip. Although hard to describe I sometimes have a feeling of weakness in the leg when I'm turning while bent over working and a weird inability to pick up my leg while bent over to pick something up. My concern is that I have more discomfort now than a year ago. But the pain up to now has never been bad enough to stop me from my normal daily routine. I'm self employed with two businesses working 6 or 7 days a week at 71. I joke with people that I can do everything I have to do but nothing that I want to do. Until I had the hip replaced I was a runner for 50 years. If I attempt to jog even 10 steps that's when I get sharp, deep pain in my thigh.
I'm actually going back (next week) to the person I saw post surgery for PT. Curious to get her opinion on what might be going on. I resumed working a month after surgery and because I'm so active stopped doing PT exercises. I have wondered if I simply didn't do the necessary work to build up my leg post surgery.
I certainly don't want another replacement when it seems the recovery time is quite a bit longer. But I also don't want to wait until I'm older and complications could be much worse.
It's frustrating because I have four friends who raved about their hip replacements and said I'd be so happy I did it and I've been less than thrilled.
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@emaries Not @leghurts54, but the long-time owner of double hip implants, plus 3 revisions (not for stem pain.)
My first question is always - Have you discussed the issue with your surgeon? If not, I suggest you do so at once, so they can evaluate the implant and whether is is still healing properly.
Here is something they fail to stress enough when you are considering surgery - this is a "big deal" surgery, where they cut bone, disturb (even if the don't cut) tendons, muscles and nerves, hammer an alien material into your body and sew you together. That means healing takes time - sometimes as long as a year - before everything fits and feels normal. So even if you are up and walking, doing PT and going about daily life, your body is working hard to heal.
Some things to consider -
First, sometimes the process (cemented vs no cement), stem shape and length, and stem placement can cause the pain. That is why careful evaluation by the surgeon is needed.
Being very active after surgery has been cited as one possible cause for the pain. Try treating yourself as someone "in recovery" and rest your (elevated) leg whenever the opportunity presents, icing a couple times a day to reduce any inflammation that is present. Also, at 3 months post-op, ask your doctor if it is OK to use ibuprofen to relieve the pain, and try to stay ahead of it.
Finally, nerves may have been damaged or irritated during surgery. These take a LONG time to heal, and patience is the only treatment.
Have you tried rest, ice and less activity to ease the ache? In early days after my 2 hip replacements six weeks apart, I was determined to "get going" as quickly as possible - after all, I was a healthy 54 year old who had things to do! I really believe I hampered my own recovery with that approach. Twenty years and many other surgeries later, I know better, and I give myself time to heal.