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End of stem pain after total hip replacement

Joint Replacements | Last Active: Jan 31, 2023 | Replies (96)

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@steddygirl

Hi and thank you for any help/direction. I had a right THR done 12/28/2020 due to vascular necrosis. This forum was so helpful so I’m hoping it can help me again. Starting September of 2021 I began to experience severe mid thigh pain if I stood for very long. I had been standing long bouts since I am a baker, but something changed and the pain became unbearable after long hours and even short ones. It feels as if my thigh bone is twisting and the pain is sharp knife like. I can not move my leg or even my toes without developing that intense sharp pain. I had a triple phase bone scan which suggested aseptic loosening, but I am still in the healing process so my doctor attributed it to that. He thought perhaps a stress fracture so I was non weight bearing for eight weeks with no pain during that time, but my first shift back the pain started again. An mri showed bone marrow edema which led to his suspicion of a stress fracture. I experienced the worst bout of pain last week after a six hour standing shift. I literally screamed in pain with any movement of my right thigh. This went on the entire night. The pain resolved by the next morning, but the sharp knife feeling hits anytime I stand and then take my weight off that leg. I’m scheduled for revision surgery May 9th, but am uncertain. The pain is only while coming off a standing position (not while walking). I do carry my weight on the surgical side as I have CRPS on my left side. I’m wondering if it’s possible that the stem might be hitting a nerve? Is it possible that due to my gait the stem is just in a bad position for me? Has anyone had this type of end of stem pain months out after a relatively normal recovery? Thank you for any direction. I see my doctor on the 26th of April for my pre op and like I said I’m hesitant to have an additional surgery, but the pain in unbearable after a shift. Heck it hurts just standing at the kitchen sink. Thank you so much

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Replies to "Hi and thank you for any help/direction. I had a right THR done 12/28/2020 due to..."

Hi @steddygirl and welcome to Mayo Clinic Connect. You will see that I moved your post to a conversation of the exact same topic. There are lots of people on here that have experienced what you have.
Also, you can find that discussion here https://connect.mayoclinic.org/discussion/end-of-stem-pain-after-total-hip-replacement/
It sounds quite painful. Is surgery the only option they were able to offer?