Chronic Pain 2 years Post op- Hip Replacement

Posted by vkent @vkent, May 18, 2025

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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Profile picture for vkent @vkent

@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.

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@who is the DC surgeon?
Thanks for his information. vkent

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Profile picture for catsmom1 @catsmom1

I had a total hip replacement on my left side hip in March of 2025. I went through 6 weeks of physical therapy, 3 days a week, and I finished at the end of April, 2025. Lately, I’ve been having much pain where the implant fits to my hip, and I don’t know what to do. I’ve had X-rays done that showed no issues. Any suggestions for where to go from here?

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@catsmom1
Sorry you're experiencing pain. How bad is the pain? You didn't have this pain while doing PT?

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Profile picture for bellatheball @bellatheball

@who is the DC surgeon?
Thanks for his information. vkent

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@bellatheball
The DC surgeon is Dr. Siram

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@dannyandebbie
We've seen over 7 surgeons, for second opinions! We've had every diagnostic test done to find out the cause of his pain, nothing definitively shows up! We've found two surgeons who are willing to do a revision but given there's no clear cut explanation for the pain, everything will need to be revised. He's already had a psoas lengthening, which did nothing for the pain! So he's very reluctant to do a revision

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@vkent
Unfortunately, it does appear that a complete replacement by a superb revision surgeon may be the only answer.

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