Well we think this is the cause of my increased pain, better it be soft tissue than anything mechanical.
So what it Tendonpathy or Tendonitis? Chronic irritation of the iliopsoas tendon is a rare (i don’t think it’s that rare) cause of persistent pain after total joint replacement of the hip. In the majority of cases, pain results from a mechanical conflict (I bloody hope not) between the iliopsoas tendon and the anterior edge of the acetabular cup after total hip arthroplasty. I’m hoping it’s me overloading the joint, and the gluteal muscles being so weak.
Depending on the severity of the injury, it can take 1 to 8 weeks for a hip flexor injury to heal. Minor injuries typically require 1 to 3 weeks of recovery time, while more severe muscle tears can take 4 to 8 weeks. So for me it’s a proper set back, so less is more for me at this time. Keeping movements slow, and minute, but still working.
Greater Trochanteric pain syndrome that is seen in both native hips and patients after hip replacement. Clinical features include pain and tenderness at the lateral aspect of the hip that often is exacerbated by lying on the affected side. Although the cause of greater trochanteric pain has commonly been attributed to trochanteric bursitis, other diagnoses such as gluteus minimus and medius tendinosis and/or tears have emerged as more likely causes. This describes my pain perfectly, though I’ve never laid down on this side. When I see the surgeon at the end of this month I will ask him about this.
Certain surgical approaches in total hip replacement, such as the lateral approach (I had direct superior approach – part posterior part lateral), involve release of the hip abductors, the gluteus minimus and medius tendons, to gain access to the joint without osteotomy. This approach is preferred over the transtrochanteric approach to avoid complications of nonunion of the greater trochanter. After total hip arthroplasty, the hip abductors are re attached to the greater trochanter. Avulsion of the repaired abductors or spontaneous rupture of the hip abductors in patients who have undergone hip arthroplasty is not uncommon and can cause lateral hip pain. (Rupture sounds painful, hopefully mine is barely annoyed and inflamed) rest will determine it I presume.
Thankfully my hydrotherapy starts in 2 weeks time, so I will be supported in the water, and less likely to cause a flare up link land physio does. I guess I just need to have patience.
Last time we spoke my lovelies, all was going reasonably well, few hiccups and bumps in the road, but on the whole smoothly!!
Not anymore, I’ve pulled my back and I can barely move. It’s such a huge setback fitness wise and couch to 5k wise. I can’t do physio, weights or walking unaided. In fact I’m back on crutches as I can’t walk. I’ve never had a muscle pull like this before, and I have no idea how long it will take to recover from either.
Not what I wanted for my birthday week. 😥
Friday we had the wedding which was glorious, romantic and just beautiful.
Saturday was hangover and travel home from mother in law’s, so the day went pretty fast. All were exhausted but I felt ok, hip was angry was my biggest concern.
Sunday I was trying to pick my handbag up off the floor, when twang went my back. I couldn’t get up, couldn’t walk, only crawl to sofa. And oh my god did I cry and cry and cry….that was seriously painful.
And it’s still so sore now, all I’m doing is icing and ibuprofen, paracetamol. But I’m missing my routine of exercise and I’m frustrated already. Any advice??
I have a hip confession to make, I’m STRUGGLING… It’s not an easy road to be painfree. Or even to any degree of flexibility either.
I have had an incident, it slipped out again!! Twice now in 10 days, first time I thought and presumed it was my own fault, I’d stepped fast and twisted. But this time I know, I KNOW I did nothing wrong. I simply walked forwards, the back of the hip felt insanely odd, something moved forward, and next thing I knew I was slowly going to the floor to correct myself and ease the pain.
So I have a dilemma, is it time to replace? Is it slipping because I’m doing something wrong? Is it muscle weakness causing the instability? Or simply it’s the no labrum I have, causing slippage as nothing is there p hold it in? Or just hip dysplasia and Arthroscopy surgery don’t mix?? So many questions, no answers. So I’ve contacted the surgeon and I’m off for some advice on the 20th March.
After this fall, I ended up on 1 crutch for a few days, the pain was intense, white hot groin pain,and shooting nerve pain down the back of my leg. I was scared and frustrated to say the least. It’s took complete rest, medication and hot water bottles to finally settle it down. It also swelled up from its usual 27inches (big I know) to a whooping 30inches on the day of the fall. Thankfully it’s gone down to 28inches now 3 days later. But it’s still tender to touch over the illiac crest area, and smarts in the groin. I even felt posterior pain where my old scar is, when sitting at 90degrees. I’m keen to get some answers, put my mind at rest.
Sorry it’s not a positive post, but it’s an honest one, a realistic one and maybe it helps someone on this journey too.