Anyone have experience with tendon release surgery after THR?

Posted by longhorn1 @longhorn1, Jun 3, 2025

I have hip, thigh, and groin pain four years after my hip replacement. My doctor thinks I have tendinitis of the psoas. He is suggesting a tendon release procedure, likely done via arthroscopy. Has anyone had this procedure and if so, what Was the outcome?

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Profile picture for mimiroy @mimiroy

I had it done about 6 months after my hip surgery. It helped a lot. The pain I had was so bad I could barely step down without recoiling. I have the pain occasionally now but less intense. I hope it helps you.

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@mimiroy It's great that it reduced your pain so much. How has your mobility changed? Can you walk up stairs and get up out of a chair easily? Those are my issues and a psoas release has been recommended to treat. I am interested to know how mobile you are without a psoas. I would also know how your recover was, any restrictions, etc. Thank you so much in advance.

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Psoas tendon release has been recommended for me too. I have had THR and a revision for Cobalt, lots of tests and injections, PT, trigger point injections and none of it touches the intense burning pain that makes climbing stairs, getting out of a chair or walking very far truly daunting. Please share your experience to help me and others make this irreversible decision.

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Profile picture for chadessa @chadessa

@mimiroy It's great that it reduced your pain so much. How has your mobility changed? Can you walk up stairs and get up out of a chair easily? Those are my issues and a psoas release has been recommended to treat. I am interested to know how mobile you are without a psoas. I would also know how your recover was, any restrictions, etc. Thank you so much in advance.

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@chadessa I have a little more weakness in that leg and the quad muscles get 'angry' every now and again. I do best when I stretch them routinely. I can walk up stairs and go for decent walks and most of the time I have no difficulty getting up from a chair. I was told that the muscle is released, not completely severed. Also, told that the leg may be a little weaker because of this. I can say it isn't perfect but much better. PT and steroid shots didn't work so I had the posts release done. I do simple exercises and include sit to stand type squats. Wishing you the best. It's tough making a decision for surgery. I need the other hip replaced and am apprenhesive because I don't want to go through the same complication.

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Profile picture for mimiroy @mimiroy

@chadessa I have a little more weakness in that leg and the quad muscles get 'angry' every now and again. I do best when I stretch them routinely. I can walk up stairs and go for decent walks and most of the time I have no difficulty getting up from a chair. I was told that the muscle is released, not completely severed. Also, told that the leg may be a little weaker because of this. I can say it isn't perfect but much better. PT and steroid shots didn't work so I had the posts release done. I do simple exercises and include sit to stand type squats. Wishing you the best. It's tough making a decision for surgery. I need the other hip replaced and am apprenhesive because I don't want to go through the same complication.

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@mimiroy Thanks for this. This is my bad hip, the other one was done and it was perfect from the get go, no PT or anything. So hopefully you'll get a good one when you decide to go ahead.
The surgeon I was referred to said the psoas is completely cut but my situation may be different to cause that. My psoas is in constant distress because it is rubbing on the exterior of my implant that has been exposed since my first THR. The exterior is very rough metal designed to grow into bone, not to have muscle constantly rubbing on it. Please tell me about your surgery and recovery even so. Did you have pain from surgery or down time afterward?

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Profile picture for chadessa @chadessa

@mimiroy Thanks for this. This is my bad hip, the other one was done and it was perfect from the get go, no PT or anything. So hopefully you'll get a good one when you decide to go ahead.
The surgeon I was referred to said the psoas is completely cut but my situation may be different to cause that. My psoas is in constant distress because it is rubbing on the exterior of my implant that has been exposed since my first THR. The exterior is very rough metal designed to grow into bone, not to have muscle constantly rubbing on it. Please tell me about your surgery and recovery even so. Did you have pain from surgery or down time afterward?

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@chadessa Our anatomy is complicated and I always hope for the best outcome. I'm pretty sure my situation is different. My doctor discussed both snipping the muscle and severing it. I plan to have the second hip replacement after April. I probably should have it sooner. I'm visiting my brother in April to help his wife care for him. He has Alzheimers and recent treatment for neck and throat cancer. And his children will be out of town for a week. Hoping you find a successful treatment.

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