Scar tissue post hip replacement

Posted by bah1959 @bah1959, Dec 18, 2020

Hello, I've had two THR on my right side and one on my left. I feel like someone mentioned something about scar tissue being a possible cause but can't find the post. Does anyone have any information on pain from scar tissue? It seems like since I had two incisions it's a possibility. I've gone down so many rabbit holes trying to figure this out and am hoping maybe I've found a cause? I am seeing there's no imaging that can be done to see scar tissue so I'm curious how it was diagnosed? HELP!

Interested in more discussions like this? Go to the Joint Replacements Support Group.

@bah1959, I think the post you were looking for was in the Chronic Pain members - Welcome, please introduce yourself discussion when @jenniferhunter shared some possible suggestions for you. Here is a link to the post - https://connect.mayoclinic.org/discussion/welcome-please-introduce-yourself-welcome-to-the-new-chronic-pain-group-im/?pg=340#comment-448594. Hopefully other members who have experienced scar tissue after hip replacement surgery can share some suggestions.

Here's an article that may give a better explanation on pain caused by scar tissue and how it's diagnosed - Why Scar Tissue Pain Occurs and What You Can Do About It: https://www.healthline.com/health/scar-tissue-pain

Have you talked with your surgeon or doctor about the scar tissue?

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THANK YOU! I did ask my primary and the PA at an ortho surgeon's office. They don't seem to think that is the cause. I'm bummed. I thought maybe I'd figured it out. I'll keep looking!

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Hello, I realize this is an older post, but your situation is so similar to mine, that I could have written it!
I had an anterior first and then a posterior revision which made it worse. I've been told there's a thick band of scar tissue deep into the bone and there's no solution! Have you had any luck finding a solution?

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@lafromli

Hello, I realize this is an older post, but your situation is so similar to mine, that I could have written it!
I had an anterior first and then a posterior revision which made it worse. I've been told there's a thick band of scar tissue deep into the bone and there's no solution! Have you had any luck finding a solution?

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Hello @lafromli, Welcome to Connect. I'm not sure anyone is following this discussion but you might want to read through the following discussion and see if it helpful.
--- Scar tissue removal - is it the right thing to do?: https://connect.mayoclinic.org/discussion/scar-tissue-removal-is-it-the-right-thing-to-do/.

I'm not sure if you saw my post above but thought I would repeat a link just in case it might help. Here's an article that may give a better explanation on pain caused by scar tissue and how it's diagnosed – Why Scar Tissue Pain Occurs and What You Can Do About It: https://www.healthline.com/health/scar-tissue-pain.

Also, @jenniferhunter started a discussion on Myofascial Release Therapy (MFR) that you might find helpful here - https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/.

Have you heard of or tried MFR therapy?

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Thank you so much for the reply. I'm actually reading those posts now.
Yes, I have heard of MFR and am now working with a massage therapist. It's extremely painful and Im not sure I can tolerate it.
I'm in NY and can't find a surgeon that does scar tissue removal! I've been to many and if the replacement hasn't failed they're not interested.

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@lafromli

Thank you so much for the reply. I'm actually reading those posts now.
Yes, I have heard of MFR and am now working with a massage therapist. It's extremely painful and Im not sure I can tolerate it.
I'm in NY and can't find a surgeon that does scar tissue removal! I've been to many and if the replacement hasn't failed they're not interested.

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You are right, orthopedic surgeons are typically not very interested in the secondary effects like scar tissue. They feel like the job is done when the implant heals. I would suggest talking to your massage therapist or a physical therapist for a referral to a laparascopic or plastic surgeon if MFR, ultrasound and other conservative treatments fail. Typically the scarring is not in/on the bone itself, but on muscle and other connective tissue. It becomes a real problem when it is inflexible, or when it entraps nerves.
Sue

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Yes. This has been my experience. The surgeon looks at the X-ray. Implant looks good so that is it. He did recommend a total hip replacement to my partial. But wouldn’t that result in scar tissue as well? Looking into alternate treatments so following here.

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I went through the same thing! I found a surgeon that was interested and he said he wanted 'to go in and clean it up '. It was an anterior approach and developed a very deep divet from the tugging. He said he would go in from the back, posterior. When I woke up he said he really couldn't find anything, so he did a revision. Worst ever! I still have the original problem and this new implant has caused back problems.
Also, FYI, I did go to a Plastic Surgeon who went in as deep as he could. He removed surface scar tissue but said my scar tissue is way further down than he could go.
After reading replies and posts on this site I made an appointment with a Therapist that does Myofascial Release.

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Let’s keep in touch here so we can compare results. I am next trying OMT from a DO. I also have been using Voltarin topical which is not recommended for hip but does give me some relief. NSAIDS work but don’t want to take everyday. I’ll keep following.

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Let me know your progress please, and yes, let's keep in touch!

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