Left hip pain and groin 3 years after posterior total hip replacement

Posted by scottjeffe @scottjeffe, Feb 20 10:09am

2016 I had total hip replacement via posterior approach. 2017 I had total hip replacement anterior approach. The posterior approach side constantly hurts, but I get intense pain under load (walking, stair climbing, uneven ground), and the intense pain also makes it impossible to sleep at night. Is anyone else having my symptoms after total hip replacement? I now use a cane for stability, and an electric scooter for long distance travel after my fifth fall. I feel alone with issue, but I can’t imagine others don’t experience my symptoms? Am I all alone? I’m at my wits end, depressed, and now suffer with anxiety as a result of last hip pain. Help.

Liked by scottjeffe

I had posterior TJR in 2018. I have the same symptoms as you. I just completed a battery of tests to determine the cause of my pain. I no longer really exert myself to avoid the intense pain. But just doing regular housekeeping activities triggers the pain for me. I am still steady on my feet but long walks, periods of standing or sitting trigger the pain. The doctors could find nothing wrong with me. They have sent me to PT for core, hip and glut strengthening. I just am in my second week of that. It is very frustrating. Especially getting people to believe me.

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@nancybb

I had posterior TJR in 2018. I have the same symptoms as you. I just completed a battery of tests to determine the cause of my pain. I no longer really exert myself to avoid the intense pain. But just doing regular housekeeping activities triggers the pain for me. I am still steady on my feet but long walks, periods of standing or sitting trigger the pain. The doctors could find nothing wrong with me. They have sent me to PT for core, hip and glut strengthening. I just am in my second week of that. It is very frustrating. Especially getting people to believe me.

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There’s something about the posterior approach to total hip replacement that that I did not experience with anterior approach. No complications with anterior, but nothing but problems, pain, unsteady on feet, fall due to pain with posterior

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Hoping someone else has some answers for us!!

Liked by scottjeffe

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@scottjeffe I'm sorry to hear that each of you is experiencing this pain issue – I had 2 total hip & 3 revision surgeries – all posterior, and the nerve pain resolved after about a year, but after the original implants, there was numbness along my femur, clicking in the joint and other issues – all of which the original ortho told me were "Normal". But I wish I had been more assertive when I felt like the hips weren't "right" because it was a sign that they implants were shedding metal into my body, causing tissue breakdown & essentially poisoning me – it took years to recover from that after the implants were replaced.
My friend had pain such as you describe that was dismissed by the surgeon as unavoidable – she finally saw a neurologist who found there was scarring that needed to be corrected – I don't remember the details, only her frustration. She finally got relief after years of suffering.
If I have learned anything over the years as a patient, both for joint surgery & other issues, it is that you must be your own assertive advocate and insist on having your complaints taken seriously, and your situation explored.
What diagnostics has your surgeon done to identify the problem? Or have you been referred to someone else for help? Please don't give up hope for a solution.
Sue

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@scottjeffe

There’s something about the posterior approach to total hip replacement that that I did not experience with anterior approach. No complications with anterior, but nothing but problems, pain, unsteady on feet, fall due to pain with posterior

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Thank you for sharing. Are you still suffering, or did you resolve? If resolved please do tell. Thanks again.

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@sueinmn

@scottjeffe I'm sorry to hear that each of you is experiencing this pain issue – I had 2 total hip & 3 revision surgeries – all posterior, and the nerve pain resolved after about a year, but after the original implants, there was numbness along my femur, clicking in the joint and other issues – all of which the original ortho told me were "Normal". But I wish I had been more assertive when I felt like the hips weren't "right" because it was a sign that they implants were shedding metal into my body, causing tissue breakdown & essentially poisoning me – it took years to recover from that after the implants were replaced.
My friend had pain such as you describe that was dismissed by the surgeon as unavoidable – she finally saw a neurologist who found there was scarring that needed to be corrected – I don't remember the details, only her frustration. She finally got relief after years of suffering.
If I have learned anything over the years as a patient, both for joint surgery & other issues, it is that you must be your own assertive advocate and insist on having your complaints taken seriously, and your situation explored.
What diagnostics has your surgeon done to identify the problem? Or have you been referred to someone else for help? Please don't give up hope for a solution.
Sue

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Every bit of information helps me, and I thank you. It’s actually a very depressing situation.

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@sueinmn

@scottjeffe I'm sorry to hear that each of you is experiencing this pain issue – I had 2 total hip & 3 revision surgeries – all posterior, and the nerve pain resolved after about a year, but after the original implants, there was numbness along my femur, clicking in the joint and other issues – all of which the original ortho told me were "Normal". But I wish I had been more assertive when I felt like the hips weren't "right" because it was a sign that they implants were shedding metal into my body, causing tissue breakdown & essentially poisoning me – it took years to recover from that after the implants were replaced.
My friend had pain such as you describe that was dismissed by the surgeon as unavoidable – she finally saw a neurologist who found there was scarring that needed to be corrected – I don't remember the details, only her frustration. She finally got relief after years of suffering.
If I have learned anything over the years as a patient, both for joint surgery & other issues, it is that you must be your own assertive advocate and insist on having your complaints taken seriously, and your situation explored.
What diagnostics has your surgeon done to identify the problem? Or have you been referred to someone else for help? Please don't give up hope for a solution.
Sue

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Hi Sue and thank you again for your response and sharing your experiences. You’ve suffered quite a bit longer than myself, so I’m glad you finally found relief. May I ask how your medical providers determined you required revision surgery? My medical providers send me for X-ray and simply say everything looks as it should with no signs of loosening of prosthetic and send me on my way with anti inflammatory meds which do absolutely nothing for my pain.

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@scottjeffe

Hi Sue and thank you again for your response and sharing your experiences. You’ve suffered quite a bit longer than myself, so I’m glad you finally found relief. May I ask how your medical providers determined you required revision surgery? My medical providers send me for X-ray and simply say everything looks as it should with no signs of loosening of prosthetic and send me on my way with anti inflammatory meds which do absolutely nothing for my pain.

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@scottjeffe In addition to pain, the xray showed tissue abnormality along the femur, elevated chromium and cobalt levels in my blood, and other indications of metal poisoning,
all pointing to a failing metal-on-metal implant.
This past autumn, 7 years post-revision, I had substantial hip and groin pain again. After confirmation by the ortho that the implant is solid, I was diagnosed with bursitis. For the past 2 months, I have been walking multiple times a day on level ground and doing stretches twice a day. Now the hip aches, but is tolerable. Due to digestive issues from other health issues, I am a no-NSAID person, so I use ice and topical pain rub to ease things. I may eventually have to consider steroid injections, but saving it for now.
Sue

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@sueinmn

@scottjeffe In addition to pain, the xray showed tissue abnormality along the femur, elevated chromium and cobalt levels in my blood, and other indications of metal poisoning,
all pointing to a failing metal-on-metal implant.
This past autumn, 7 years post-revision, I had substantial hip and groin pain again. After confirmation by the ortho that the implant is solid, I was diagnosed with bursitis. For the past 2 months, I have been walking multiple times a day on level ground and doing stretches twice a day. Now the hip aches, but is tolerable. Due to digestive issues from other health issues, I am a no-NSAID person, so I use ice and topical pain rub to ease things. I may eventually have to consider steroid injections, but saving it for now.
Sue

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@sueinmn I have been living with bursitis for 8 – 10 years now, sometimes getting cortisone shots. The shots do not always help. When they don’t it is most often due to it not hitting the spot exactly, it’s sort of a “hit or miss” type of thing. There are doctors who do guided shots and those are generally successful. From what I have found, physiatrists do guided shots, maybe some orthopedists do also. I have not have a guided injection myself, but if I do choose to have one again I will.
https://academic.oup.com/bja/article/94/1/100/379382
The only times I have recovered completely have been when I was inactive due to being ill, or on vacation without access to exercise equipment. I have recently realized that my recumbent bike definitely seems to be a trigger.
JK

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