End of stem pain after total hip replacement
I fell down stairs july 2015, fractured femor. Surgeon did a partial hip replacement. Had end of stem pain so they did total hip revision in may of 2016. It It has been 8 months and still having end of stem pain. Does anyone know of a treatment for this. I am still on a cane and walker. Thank you.
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After a fall in November, 2016 I received a full left hip replacement. I attended physiotherapy which commenced in the January, 2017 at which time I started to experience stem tip pain in my left thigh sometimes to an extreme level. I have since had xrays, blood work and CT scan to ensure hip is secure and everything seems to be in place. This past weekend I have had one of the worst ever with the pain and was wondering if there is anything I can do other than of course the heavy duty medication to relieve such pain.
Please keep us updated if you find anything. I have had every scan and every x-ray available, they still don't know what's causing the thigh pain. I have posted above so you can read all about my plight. I cannot take pain meds because they make me sick. I stay on a walker when I'm at home by
myself and a cane when I go out with my husband. I even had the revision surgery because the doctor told me that would cure my thigh pain. It did not help at all and I think it even made it worse. All the best, keep us posted
I also have pain as a result of left hip replacement in 2015. I take gabapentin but is not very good. Hot and cold packs help. Exercises do not help but I can walk with a walking stick not too bad. X-ray show nothing. Cannibus oil under my tungue helps ,tylenal 3 is also good but also hard to get because of opiod rules.
I dont know your age but i am 82. I also
have afib and copd. So they said that it would be risky for revision
Surgery,so he refered me to pain clinic,but I am also on blood thinner.I asked my pcp and he said due to the blood thinner it wouldn't do any good because I couldn't get the nerve block. I am at the point when you reach a certain age the drs dont care anymore
I have had bi-lateral hip replacements. My left hip was replaced in 2015, and my right in 2017. Now I have bursitis in both hips, and the same pain in my thigh bones y'all talk about. I have days when I still need to use my cane because the pain is so bad I can barely stand. I feel very lucky that it's not all the time, yet I'm always afraid of it happening when I'm out somewhere without my cane. It has happened in the grocery store, thank goodness for the grocery cart. My doctor told me it's fairly normal, and can continue for up to 2 years. After reading everyone's comments, I'm not sure it will ever stop.
You had quite a bit of back problems.I have a L2facture bulging disc S1L5 fusion I do have thigh pain Dr.told me lts my nerves that go into legs because of fracture are being pinched I found stretching daily works well for me ,Ice when burny pain in groin When I fractured my back I refused surgery .I have bone spurs on hip joints that hurt when I walk but when I get past the pain I can walk with walker and it does,nt hurt that much I do have a high pain tolerance and take Tamadol when needed.
I was loosing my Health insurance Dec 2013 due to obamacare so I elected to have a total hip replacement in Oct 2013. Three days after surgery, when at home, it felt like my leg was going to explode from the inside out. I was supposed to be at a rehab but the Ortho hospital messed that up but sent out a PT and a prescription for the pain. Finally on the third day I could make it past 5am. The pain didn’t stop as I got stronger. I complained at 6 mo, 1 year and 2 yr visits and he said nothing, and I mean no respose at all. Year 3 comes with exact same complaint “I continue to have severe pain mid thigh and from what I have read it is called end of stem psin.” He immediately said “yes, that is what it is so we need blood work and a nuclear bone scan”, which I did. A MONTH later I had to call him for a diagnosis. He called back in 5 min and said (get ready for this one!!!) … “ YOUR bone is too small for the prosthetic”! I asked what the fix was and he said revision surgery to put in a prosthetic that fits! The first surgery was $28k of which I paid $3600 because I still had good insurance. The fix was also $28k. I know that a surgeon has several sizes to choose from because obviously one size does not fit all but to blame it on my bone being too small is just ludicrous! He never responded to my complaints befor 2 yrs because there is a statute of limitations of 2 years in Indy. The bone scan shows bowing in the mid thigh which is where new bone growth is forming due to the trauma of stem movement of a cementless prosthetic. My guess is they didn’t do cemented prosthetic because I was only 54 and will probably need another surgery. I don’t take maloxicam because I had severe side effect where I thought I was having a heart attack. When I know I will be walking a lot I take a couple of extra strength Tylenol. Staying well hydrated helps the most so I drink a lot of water. I can definitely tell when I am dehydrated. Raw juices are EXCELLENT!! When I do my 10 day raw juice fast I feel no pain because I am drinking a gallon of juice (carrots, celery, spinach, cucumbers, apples, ginger, lemon) a day along with water. Smoothie (spinach, blueberries, almonds, acai, maca, bee pollen, hemp, coconut water or almond milk). I wish there was a better solution but I am going to have to wait for good medical plan or medicare to go through the revision surgery. I am disappointed that so many have had bad success even with revision surgery.
You are describing my end of stem pain. My nuclear bone scan showed slight bowing of the femur, mid thigh, where the end of the prosthetic stem is located. From what he told me, slight movement of the stem against the bone is causing trauma where the bone respones with new bone growth. I am not sure how putting a smaller prosthesis would help and, from the responses here, on revision surgery, it doesn’t help. Staying well hydrated and raw juicing is my only pain medicine since I seem to experience all the rare side effects of prescription drugs.
Dear, these hip replacement stories are so traumatic, considering the extreme pain afterwards, the cost, the misery of no solution? It is cruel that surgeons recommend hip replacement. knowing the path afterwards leaves one no choice, but more surgery! My visits to 3 orthopaedists was maddening, they all stressed hip replacement, which is paid for by medicare, but never mentioned stem cell possibility, as if that did not exist. Have had BMAC at Mayo Clinic, and hoping for success. I pray I will NOT resort to THP, it is a cruel and unusual punishment, in my view.
xrays will not help. you need a bone scan