Hello.... I have bi-lateral hip replacements, one done with the posterior/lateral approach and the more recent (6 years) with the anterior approach...no muscles/ligaments cut (left side). I have chronic, deep-seated groin/pelvic area pain on that side. Went thru all the "big" tests....aspiration and bone scan and infection/loosening was ruled out. It's almost as though something is being "impinged" in there..with certain movements. The pain will wake me in the middle of the night when I try to straighten my bent leg. No pain when walking...but it does hurt to cough (hernia ruled out) and, often times, I have to lift my leg manually to get into my car. I do have moderate degenerative disk disease and lumbar stenosis and it's been suggested the groin pain could be coming from my back. I really don't feel it is...it definately feels like a "mechanical" issue with the ball part of the prosthesis...or possibly some bursitis? I plan on seeing my OS soon (again) but, when he looks at my x-rays, he assures me that all looks good. What sort of tests should I ask for to test for impingement? I'm at my wit's end with this pain....Thanks so much for reading!View Thread
I had my second hip replaced 6 years ago with the direct anterior approach. Approximately 2 years post-op, I started experiencing pain in the groin and thigh....so much so, that I ended up having an aspiration and bone scan to rule out infection or loosening. My surgeon suggested it "could" be a muscle and wrote me a script for PT. That was 2 years ago and I still have the pain. It doesn't hurt to bear weight, climb steps, get up from a sitting position. However, the pain will wake me in the middle of the night when I try to extend my leg from a bent position....just like it did prior to the replacement. Certain flexion hurts...especially flexing the hip/leg back...not forward. It's also been suggested that the pain could be referred from my back (stenosis, DDD), but I've always felt that something was being "pinched" in there. It most definately feels like a muscle/ligament/tendon pain. What sort of diagnostic test would show an impingement? I understand that an x-ray guided injection into the psoas could provide relief.....but, obviously, need to have a diagnosis first. My OS assures me that my x-rays look fine and, as mentioned, we've ruled out loosening and infection. Should he be the one I see re: checking the psoas? if not, what sort of specialist? Thanks so much for any input!View Thread
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