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Chronic Pain 2 years Post op- Hip Replacement
My husband has had bad hips his whole life. The Doctors speculate his growth plates slipped in early adolescent, causing deformed hips. Fast forward, at 60 he had his right hip replaced. No pain until the 4th week post-op during PT and surgical site infection. He was put on antibiotics for over 15 weeks, surgery site was never washed out. The pain has never gone away! He's had 4 hip aspirations, all of which have shown no infection. After 20 weeks of PT, 3X week, pain never improved. Physical Therapist told him to go back to the surgeon because he was not progressing. The Surgeon recommended iliposoas tendon release surgery. He had iliposoas tendon release surgery, and 8 more weeks of PT, 3X week. The pain never improved. He has tried acupuncture, electroacupuncture, stretch Lab, Cortisone injections. For diagnostics, he's had MRI's of hip, pelvis. and lower back, the results are all normal. He's had a three phase bone scan, which shows no infection or loosening. He has severe startup pain going from the sitting to the standing position, in the groin/socket area. We've seen so many doctors, with no answers. Please help us, any advice?
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We think we found the issue with my husband's pain. We saw a doctor in Utah (we live in San Diego), and he said the offset is too wide, causing soft tissue issues. He's recommending a hip revision surgery.
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2 ReactionsHi - many of the issues described by your husband are similar to some of the issues I have been dealing with post total hip replacement. I was wondering what test did they did to determine the offset was to wide?
Can I ask who did your surgeries in San Diego? I always keep track of the good surgeons and the bad ones and the good medical practices and the bad medical practices since I am in San Diego.
@vkent
I am suffering very similarly to your husband. My case is almost identical. could you please tell me what test the doctor used (to determine that the "offset is too wide, causing soft tissue issues". And what has been done to rectify this. How is your husband now? thanks
I had THR & then revision 8 months later. I have constant pain by the incision & a fist size scar tissue that formed right after surgery. Dr said surgery & replacement was intact, but that scar tissue was common & said nothing could be done.
@cfoster4 Time to consult a revision specialist - Scar tissue can be removed.
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2 Reactions@ccbretvick
Hi there! My husband's offset was diagnosed by using an xray. We've seen a total of 7 surgeons, none of which wanted to even touch my husband's case. How are you doing now? My husband has not had a revision surgery yet, he's so afraid of doing surgery.
@loriesco
We did not have the hip replacement done here in San Diego. We flew to Chicago and had Dr. Berger do the THR. As far as surgeons in San Diego, we haven't been able to find one we like. We saw Dr. Bugbee at Scripps La Jolla and didn't like him at all. There is a doctor at Keck USC that we liked very much, but he wouldn't do a revision, his name is Dr Oakes. Have you found a surgeon in San Diego you like? We've seen a total of 7 surgeons, the only surgeons that are willing to do a revision are located in Utah and in DC, both we liked very much. The surgeon in DC, has done tons of successful revisons.
@smiffy
Hi There! My husband has not done anything yet. We've seen a total of 7 surgeons, and only 2 are3 willing to do a revision. One surgeon is located in Utah, the second is located in DC. My husband is very afraid of the outcome. My husband is suffering with daily pain and is debilitated. How are you doing?
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1 Reaction@vkent
Dr. Berger has an incredible reputation. I would not hesitate to go to him.
I have an incredible surgeon who replaced my left hip four years ago and my right knee six months ago and I had zero post surgery pain each time. My guy, Jimmy Chow, is in Phoenix, not San Diego, but it is only 45 minutes away by air and 5 hours by car.
Dr. Chow is the primary inventor of the Superpath method of hip replacement. Whether he would be a good choice for you I can't say. Also, he doesn't take insurance nor does he participate in Medicare. About 20% of his surgical practice is doing revisions.