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Referred for psoas release, complicated history, seek similar/advice
I had a THR in 2009 on my right hip, I was 59. There were issues from the day of surgery, some resolved but others did not and new ones developed over time. The original surgeon took no responsibility for this. I consulted a number of other surgeons and was told there might be offset or other issues. Two surgeons first offered to redo my right hip but then declined citing too many risks. In 2018 I had my left hip replaced and it was an easy surgery and recovery. By 2020 I was tested and found to have Cobalt poisoning which required right hip revision in 2023 to replace the ball only. I was born with hip dysplasia and have learned that added to my complications. Currently I need to pull myself up stairs, push myself up from a chair and have difficulty on any incline, all getting worse over time. I am told the exterior of my implant is exposed outside the bone and my psoas is rubbing on it causing my psoas to be in spasm. It is painful causing loss of sleep for which I take antispasmodic drugs. I have seen a number of top specialists in my area and have been referred for psoas release after injections that were very short term help. I am trying to learn about this procedure, what it entails, what is recovery like and how it affects quality of life. Also, what risks are there especially given the exposed implant. I have seen one specialist in this procedure who was not able to fully answer my questions nor was he able to provide names of patients he has performed this procedure on for me to talk to. He said they started using a new computer program and he is not able to access his old records. Does anyone know of anyone with a history like mine, have any relevant advice or know of a specialist in psoas release in the San Francisco Bay area?
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I was unable to lift my leg after a THR left leg. I did PT as recommended but problem did not resolve. I could not get in and out of the car. Finally met a doc at Rush medical he did the injection with intervensial radiology and I was able to get into the car followed by psoas surgery they cut the tendon the surgeon told me I won't be climbing my. Everest. Great recovery back to work in 4 weeks I'm a nurse. Good luck
This is helpful. Did they cut the iliopsoas or just psoas? Can you walk up stairs without a railing and stand up from a chair without pushing with your arms?
My situation is not as bad as yours but in the same area. For 2 years I tried to resolve groin pain and constant tendonitis in illiopsoas, and it band. Finally I am trying the injection. The injection is into the tendon which in my case is constantly rubbing against the implant. If it eases the pain and I can build strength in my leg and then it comes back, a second injection will be tried. If there are the same results then the tendon is cut. I did speak to the nurse and she said she had patients coming for up to 10 yrs for the injections. the steroid weakens the tendon but I think what's the difference if he is going to cut it anyway. She said you just don't want it to snap.
The walking upstairs, etc. in my case is because my leg strength has not returned regardless of PT, and will not until the tendon is resolved. Sorry long winded jane redbeets
@redbeets is the exterior of your implant exposed as mine is, so that your psoas rubs on the raw metal rim? Before my revision to replace the ball made of Cobalt I was much more functional. I’m not sure why it is so much worse now. I’ve had injections and had short lived relief. All cases are different of course. It does help to know of others situations. I hope yours goes well. I’m hoping to find people who’ve had psoas release surgery if anyone reads this please let me know your experience.
Someone did respond that they had the surgery and after healing was fine. What the nurse and Dr. told me was that after 2 cortisone shots--each that offer relief and then it returns --the solution is the tendon cut. I have read abut it(illiopsoas tendonitis) and the articles say that surgery appears to be the only permanent solution and it is 85% effective. Mine is just the tendon rubbing on the implant--not ball or cup per se--just where it hits when your body readjusts.
I read the articles and reviewed it with my Dr. if you have had several injections with relief then it sems you fit the criteria they gave me--question them about cutting the tendon. I did speak to the nurse at the time and she told me she had patients coming for over 5yrs for the injection which they can do every 4 mon. it does destroy the tendon but so does cutting--they just don't want it snap