THR and L4/L5/S1 operations, ongoing pain issues

Had my first THR back in 5/12/12 of my left hip; everything roses.  2016 developed constant pain in right hip and leg.  Advised that I needed my right hip replaced and that I had spinal issues that needed to be addressed.  Had my right hip replaced on 10/12/16 and pain subsided briefly; but returned with vengeance, so on 4/08/17, had spinal surgery concentrating on L4/L5/S1.  Had another MRI.  Had a second spinal surgery on 5/8/17 concentrating on L4/L5/S1. ---Still have pain in the right hip.  Primarily when I sit, or stand following sitting; the pain is so bad that I can barely stand for a few moments.  After a few minutes of testing the leg, it will finally support me and things seem to go back to normal, I can then walk without a cane and feel secure in doing so.  Looking for suggestions, or reports of others having similar problems.  Pain killers don't seem to offer relief and I hate to take them.

William - feel for you, I have solved my probelms for now, but long term probably not as happy a result.

Post left Hip replacement I found i had a lot longer leg than when I started with, after much stress, depression, and finally research which I seemed to have to be the one doing all the work, Dr's denied there was a problem, but I just knew something wasn;t right.  It was found I had a natural 10mm from my knee to the floor, unrecognised as I had grown with it, and then surgeoon added another 12mm during hip replacement surgery adding up to 22mm or close to totalling 3/4 inch.  I got a independant  surgeons opinion in which he agreed I had a problem, still orginal surgeron and team denying I had a problem.  During the time frame of arguements, waiting for appts, I ruptered S1- L5, bulging L5-L4, and bulging L4-L3, not need to explain to you just how painful this was.  Independant surgeon who agreed with me, said leave it alone if you can, and start water borne exercises, non-weight bearing, sit up in a straight kitchen type, chair, NO slouching in a easy chair, I thought he was nuts, but nothing else was working, 2-3 weeks into 3 days a week of treading water for an hours at a time, supported by a water log or noodle, and noticed I could lesson the amounts of morphine I was having to take, and eventually stop. I still go to the pool when I feel by back starting to twinge, that is the reminder, sit up straight, go back to treading water, and get stronger once again.  I also wear a shoe lift under my shorter leg, and have learn;t at home to walk rather than heel first, a rather strange gait on my right foot when I am shoeles, forefoot down first.

Can you lie on the floor straight, get somebody the check you are lying straight, shoulders, through hips, knees and feet first, then draw up your knees, again the distance between butt and heels must be the same, get someone to check, that you are still square, then you can see for yourself if one knee is higher than the other, that is your lower leg, if your other person can see one kneecap further foward than the other, that is your upper leg or femur and you could have a leg length discrepancy post THR, up to 10mm you can adjust too, but more than that is more diffuclut, and I belive will couse back probelms.

 

Lyn1951,

Thanks for your detailed response; and hopefully your solution will continue to work for you.  ---The difficulty relative to doctors is very real; I'm having similar problems.  The hip doctor told me on every visit after the THR. that things were great as he twisted my leg into positions that I'd never encounter and indicated that when I got the spine taken care, then everything would straighten out.  ---Well, I have had 6 MRIs and 2 spinal operations since and I still have such severe pain in the hip upon getting to my feet after a few moments of sitting, that I am basically incapacitated for a few minutes.  Sure that is a lot better than having it 24/7, but nobody wants to take on the task of figuring what is going on.  I submitted all my records to a local spine surgeon basically asking for another opinion and want to transfer my care to him; his response was, that I should go back to the surgeon who did the operation, as he was not interested in treating me.  Now, I'm in a quandary, did he refuse because he saw something in my records, or was he just hurt that I had chosen the Big City Surgeon for the surgery, rather than him. Guess I'll go back to my hip doctor and see if I can get any resolve out of him.  Doctors do tend to protect each other; so it is up to the patient and sites like this to level the playing field.  Again, thanks for your post and hope you find a permanent solution.