Psoas Muscle and Injections

Hi all, I had my six month THR post op consultation with the Surgeon this morning. I have been suffering severe groin pain since my operation last November and at my six week consultation the Surgeon said this pain would  likely dissapear "over time".....but I suspected it wouldn't but gave it six months anyway. The pain and discomfort is worse then before surgery (((

The Surgeon is now saying it's likely "inflammation of the Psoas  muscle" and is recommending cortisone injections. 

Can any fellow hippies with similar prolonged post op groin pain offer any advice or have had these type injections?....and if so has it eased or fixed the problem?

regards

Philip  (OZ) 

 

Was it cemented or uncemented Philip? I ask because I have 1 uncemented hip which is also painful - albeit not 6 months, but still. The other hip is cemented and I have no problem with that one.

hi Annie, it's uncemented....before I have any injection i will also have an ultrasound to see what that reveals..

Uncemented hips take much longer to heal, I suppose?

Hi Hip Horray,  Good to see you back here - well,not so good of course that you're in pain -I am curious to responses as well - I was diagnosed with trochanteric bursitis and my surgeon wanted me to wait as well as he thought that giving the injection might cause an infection - I have heard good and not so good things about these injections - my own experience is not good - I had one for tendonitis (elbow) and thought the injection itself was freaking painful and did not help at all -  are you doing any exercises ?  big warm hugrenee

Hi Renee...I recall it was you who originally got me thinking that my groin pain is a problem thet won't go on its own!....and it hasn't!

I have also read that such injections work for some and not others. Have you got the bursitis successfully treated yet?....it's such a journey isent it!....I wonder what percentage of hip replacements are fully successful and what percentage result in on-going treatments?....by this stage I'm well fed up with the whole saga....but have to keep positive and hoping it will come good eventually....

I have stopped all physio, aqua therapy and light exercises about two months ago...I honestly did not know whether it was doing me good or just adding to the problem!...I have been resting and carefully moving since then but stil no improvement (((....difficult to find any medical professional who can advise on exercise with 100% confidence it's what's actually needed!

You're so right! Everyone more interested in covering their own backsides than in really doing what they can to help you ... In the 'come and have your hip replacement HERE' videos, they show you folk literally walking out of theatre (ok, so I exaggerate!). No-one tells you that you may have months of pain, discomfort, a limp you never had before, etc.

I did too - stopped going to physical therapy, the dry-needling etc.

but this morning I felt kind of lost without any guidance - so I might call PT again - she told me that i should go back to surgeon s the dry-needling made it worse - surgeon wants to wait it out until end of May, possibly June -

I am right there with you Hip ... carefully moving, not going to senior citizen center to volunteer last 4 weeks ... not much difference - 

I do light exercises though - the bridge, clam and leg raises and some squats - 

arghhhh - 

but, I think that most of theTHR surgeries are very succesfull and ours are too ..... just takes a bit longer than we thought ... 

 

Hi Philip,

I had my left hip replaced 20 months ago. I suffered groin pain, which was quite severe at time for most of the first year. It is completely gone now, unless I lift something very heavy up stairs, for example. I walk about 3 miles everyday, do yoga, Pilates and country dancing without any pain.

 I didn't have the cortisone injections but took ibroprofen when the pain was bad. It went in phases and steadily got better over time. Good luck for the future.

Elizabeth

Hi Elizabeth, thanks for your feedback and encouraging words. I am taking anti inflammatories which gives some relief. I'm glad to hear you eventually got through your groin pain and are dancing no problem!...I am  also looking forward to a bit of jiving when I get better 😀

Glad to help. Stay positive and look forward to the jiving.

Elizabeth

Hello,

Can you give an update on your situation? Did you get the injection or did the pain stop on its own?

Thank you.

Hi, after several unsuccessful injections and trying other pain relief methods i still have the dibilatating groin pain which has basically ruined my enjoyment of life. Its over two years since i made the worst health decision of my life by having this hip surgery! My last hope is Psoas tendon release surgery planned for February..heres hoping and praying!

How did the Psoas Release surgery go?  I was offered that too last year and I refused.  Has anyone had relief non-surgically?

So my psoas pain started 10 years ago when I was diagnosed with FAI.  I torn my labrum and they said my psoas was hurting due to the limping before I had surgery. The surgeon stated I would feel better after the surgery as the surgical dislocation had been known to stretch the psoas and provide relief.  It did for a while, and then I torn my labrum again.  A second surgery to clean out the tear, but this time my psoas felt worse after the surgery.  Almost 2 years later, I tore so much labrum I was bone on bone and ended up with a hip resurfacing.  It took a while to make the decision to have the third surgery that was limping so much by that time, everything hurt.  A year after the surgery, I still had psoas pain.  The surgeon who did my resurfacing suggested a cortisone injection.  Since 2012, I basically received a cortisone injection every year.  I just stopped last year as I heard repeated cortisone injections aren't good for you (I had 6 over the years).  I'm running now, but it's painful.  But not running is painful too, so whatever.  But over the years, I've had downtime, PT, Active Release... nothing is a permanent solution. 

Has anyone tried PRP?  I had success with an ankle sprain and wondering if it would help.

Anything else?  I don't want surgery as I've had soooo many of them. 

Hi Christine

Unfortunately my worst fear came true!...The Psoas release surgery not only didn't fix the problem but has actually made my pain and discomfort worse.

This time I had a competent (and pleasant) Surgeon and my symptoms (pain climbing stairs, getting up from sitting and in and out of the car etc) all pointed to the Psoas tendon being the cause. Obviously it's something else but it remains a mystery (((

I am am totally fed up with all this and am just living with the discomfort and restricted movement and activity...I hate that I can't even walk without discomfort but don't know what to do next?...

I fully understand your reluctance to have more cortisone injections and surgery....it gets to a stage when enough is enough! 

I feel your frustration too!  I have learned the hard way that hips are way too complicated.   Wherr pain is may or may not be the root cause. I feel like I’m chasing symptoms around but never dealing with the source. 

I think I’m going to give PRP a try.  There are no side effects other than your wallet is lighter. But it either works or doesn’t work. It won’t make it worse. I’ll let you know how that goes. 

Good luck!!

I had THP 3 months ago.  I had the anterior procedure on my left hip.  My left leg is now longer than the left leg. I am limping.  The doctor and pt are still saying that both legs are exactly the same length.  They are saying my pelvic area is higher on the right non surgical side and that is why I am limping.  My right side is now starting to hurt. The area around the incision feels numb and have a burning sensation.  The surgeon does not seem to see anything wrong and also does not seem to believe me. He does not want to acknowledge that I have a bad limp.  I can feel it with every step. After calling many doctors no one wants to see a 3 month post op patient. I am going for PT several times a week and feel it is not helping.  Any advice?

When I hear burning sensation I think inflammation. Whenever I’m really inflamed, it burns.  The important thing is to get inflammation down by rest, ice and NSAIDs.  In addition, I found muscles to be very weak after the surgery which caused a pelvic tilt, put pressure on my hamstring and then I had hamstring problems. Continue to work on strengthening.  But go beyond leg lifts. I found different kind of lunges really helped me. But I’m not a specialist. Just someone who’s lived through it so I would continue what your PT recommends. 

Thank you for your answer.  Yes I believe I must have the pelvic tilt and that must be why I am limping so badly. Were you iimpling too.  I will speak to the pt person when I go for my next visit.  Will mention lunges to her. The limping is really causing a lot of pain and is difficult to walk after a few steps. Everything is hurting and never thought I would be in such discomfort after the surgery.