Nerve damage after hip replacement surgeries

Posted by Frankie @holybible, Feb 11, 2019

Good afternoon. Was wondering if anyone has had what’s called meralgia paresthetica after hip replacement surgery. I had my first replacement July 2016. Three weeks later I find out I dislocated it and had to have a total hip revision. My first surgery was anterior the second was done on side of hip. Was six weeks non weight bearing and no hip flexion past 80 degrees. Worst time of my life. About 5/6 months later I started noticing sensitivity in my thigh. The upper part down front of thigh to side of thigh to knee. Have been on lyrica and now gabapentin. Have had numerous injections in the nerve. Pain dr wants me to try ablation of nerve but I’m scared. Cause the med use, phenol, can cause me not to be able to use my leg for 6 months if this solution got any where else in thigh. Dr says nerve is hard to trace to see where it maybe pinched or compressed. Any suggestions? Anyone have this? I’m going on 2 1/2 years since surgeries and a little over a year with nerve issues. Thanks.

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Hi @holybible, Welcome to Connect! i'm sorry to hear about your nerve issues. It definitely sounds frustrating after several years of dealing with surgeries and injections. I haven't had a hip replacement (my knees are my issue). But I know that there are a number of people here who have had them. I'm going to tag some of our Connect members to see if they can share their insights @mariemotte, @laura1956 @scottb32 and @jdsugg. Also, there are others who may have more direct experience. And, here are a couple of threads that may be helpful
https://www.mayoclinic.org/diseases-conditions/meralgia-paresthetica/symptoms-causes/syc-20355635?_ga=2.215572183.1373315308.1549892580-1531702906.1512411564
https://www.mayoclinic.org/tests-procedures/ablation-therapy/about/pac-20385072
I'm curious, did they diagnose the meralgia paresthetica immediately after the hip replacement or was it later in your recovery? I'm wishing you the best.

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@debbraw

Hi @holybible, Welcome to Connect! i'm sorry to hear about your nerve issues. It definitely sounds frustrating after several years of dealing with surgeries and injections. I haven't had a hip replacement (my knees are my issue). But I know that there are a number of people here who have had them. I'm going to tag some of our Connect members to see if they can share their insights @mariemotte, @laura1956 @scottb32 and @jdsugg. Also, there are others who may have more direct experience. And, here are a couple of threads that may be helpful
https://www.mayoclinic.org/diseases-conditions/meralgia-paresthetica/symptoms-causes/syc-20355635?_ga=2.215572183.1373315308.1549892580-1531702906.1512411564
https://www.mayoclinic.org/tests-procedures/ablation-therapy/about/pac-20385072
I'm curious, did they diagnose the meralgia paresthetica immediately after the hip replacement or was it later in your recovery? I'm wishing you the best.

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No I was diagnosed about 7 months later. Thanks for the info. I just want to feel better already!! 🙁

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I've had similar situation. total hip replacement, then hip replacement revision. Pain in mid-thigh area rates from 5-7 while I stand, walk, or do lateral movements with my left leg.
Anybody have similar situation?

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I’m following this with interest. I also suffered nerve damage after a dislocation and fractured pelvis within 1 week of having a posterior hip replacement. My nerve damage manifested 2-3 weeks after the open reduction/ fracture repair with footdrop, numbness/tingling, burning , electric shocks- a whole litany of complaints . I had a neurological work up at Mayo to be told I have nerve damage :/ The treatment to date has been limited to Gabapentin, which seems to have eliminated the burning and electric shocks. I take a muscle relaxer as needed for cramping/ spamming but that seems to have pretty much abated. I’ve improved from pretty severe footdrop to a milder form but my foot is still quite weak. I’ve had various steroid injections without success. Overall I have had improvement since onset in 2017 but still have a ways to go. Doctors tell me nerves heal, or they don’t.🤷🏻‍♀️

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@riverlover

I’m following this with interest. I also suffered nerve damage after a dislocation and fractured pelvis within 1 week of having a posterior hip replacement. My nerve damage manifested 2-3 weeks after the open reduction/ fracture repair with footdrop, numbness/tingling, burning , electric shocks- a whole litany of complaints . I had a neurological work up at Mayo to be told I have nerve damage :/ The treatment to date has been limited to Gabapentin, which seems to have eliminated the burning and electric shocks. I take a muscle relaxer as needed for cramping/ spamming but that seems to have pretty much abated. I’ve improved from pretty severe footdrop to a milder form but my foot is still quite weak. I’ve had various steroid injections without success. Overall I have had improvement since onset in 2017 but still have a ways to go. Doctors tell me nerves heal, or they don’t.🤷🏻‍♀️

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Are you telling my story? In 2008, I had my left hip replaced and woke up to gross sciatic pain with a dropped foot. I did get my foot back after intensive water therapy for 1 /1 and one half years. My condition came from back DDD and every other diagnosis you can think of. The problem is I don't make the decision – the pain does when you reach the point of despair. My right hip was done in 2019, and guess what no dropped foot, but the femoral nerve was damaged and felt like fire crackers in my leg. I walk fine, but getting up and down was horrific.
It gradually abated 18 months later. Wish you good luck on this
journey. When I finally could get into bed I'd put on YouTube and turn on meditions it helped greatly.

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@morkat

Are you telling my story? In 2008, I had my left hip replaced and woke up to gross sciatic pain with a dropped foot. I did get my foot back after intensive water therapy for 1 /1 and one half years. My condition came from back DDD and every other diagnosis you can think of. The problem is I don't make the decision – the pain does when you reach the point of despair. My right hip was done in 2019, and guess what no dropped foot, but the femoral nerve was damaged and felt like fire crackers in my leg. I walk fine, but getting up and down was horrific.
It gradually abated 18 months later. Wish you good luck on this
journey. When I finally could get into bed I'd put on YouTube and turn on meditions it helped greatly.

Jump to this post

Can I ask what type of water therapy you did? I began riding my bike and I found that my hip/leg/foot always felt better afterwards. It is almost like riding fires up the muscles so they begin to work more efficiently. The less I do, the worse I feel, but I’d sure like to reach a point where there is a baseline consistency, if any of that makes sense .

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