Why continuing pain three years after a successful hip replacement?

Posted by weigeldale @weigeldale, Apr 14 11:50am

My wife had a hip replacement three years ago. The surgery was, by all measures, successful. Yet it became painful starting after three months and the pain has gotten worse. All kinds of treatments have been tried, including physical therapy, steroid injections. The implant has been examined by the surgeon and by other orthopedists. No one can find the cause of the pain. A Mayo post by Liza Torborg has suggested three possible causes: infection; a loose ball in the socket;; and psao tendinitis . The first two have been ruled out. What specialist at Mayo Clinic can diagnose the third possibility?

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@sueinmn

I believe you need to look for an appointment in orthopedics. If conservative measures to address psoas (iliopsoas) tendinitis have failed, further imaging and diagnosis may be required. There is a surgical procedure to release an overly tight tendon, but I think other causes must be ruled out first.

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I will see Dr. Hevesi on May 5 for what I believe is iliopsoas tendinitis/tendinopathy. What is the surgical treatment? I have done physical therapy and injection along with trying exercises and swimming. Nothing has helped and most increase the pain.

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