Medical Questions > Conditions and Diseases > Orthopedics Forum

Post hip replacement thigh/groin pain

Must Read
Think you might be experiencing bone loss? Check out this Intro to Osteoporosis and evaluate your risk for developing bone weakness. ...
Although bone mass loss is normal as we age, some people are more at risk of developing osteoporosis than others. Are you at risk? More here....
Do you have severe back pain? Do your bones break frequently or with little pressure? You might be experiencing osteoporosis. Found out more here....
Had a total hip replacement two years ago and now I am experiencing extreme pain at night in my groin area and it radiates down my thigh. I have had xrays and everything appears normal. Anyone else experience this?
Did you find this post helpful?
First Helper harrybomb
|

replied September 27th, 2011
groin pain following hip replacement
Yes, I had a right total hip replacement following a fall in Oct 2009 - and recently have been having right groin pain. Not when lying down, just when sitting or lifting right leg up higher than 90 degrees. Wondered what it was... Otherwise no probs. Should I take it further and consult surgeon again?
Eileen
|
Did you find this post helpful?

replied June 29th, 2012
I have the same problem. Right hip replaced in 2009 and one year later groin pain when I try to lift the right leg up (like putting on my jeans)--plus am not able to lift it. Have had xrays and scans which show nothing wrong, but they suspect a tendon.
I am waiting to get another scan, then will see the surgeon again, and this time I think I'll ask for a second opinion. Was hoping to find something online.
|
Did you find this post helpful?

replied September 27th, 2011
Yes, I had a right total hip replacement following a fall in Oct 2009 - and recently have been having right groin pain. Not when lying down, just when sitting or lifting right leg up higher than 90 degrees. Wondered what it was... Otherwise no probs. Should I take it further and consult surgeon again?
Eileen
|
Did you find this post helpful?

replied November 7th, 2011
pain after metal on metal hip replacement
Hi
I had my left hip done in 2006. I saw my surgeon last monday after I have been experiencing too much pain in my groin the very small of my back left side, a feeling of 'looseness' in my hip and it just simply doesn't feel right. I now know that I had a metal on metal hip fitted...not good. Check back with your Consultant. I am now waiting for dates for an MRI and an Isotope bone scan followed by admittance as a day case for my joint to be aspirated and at the very least the 'metal caps' removed from my replacement and replaced with polyethelyne (??) caps. I'm still in shock. Hope this all helps Jen
|
Did you find this post helpful?

replied December 12th, 2011
I have recently undergone hip arthroscopy, due to initially what started as thigh pain which then got worse and resulted in groin pain, stiffness especially when i sat down or when bent down to do my shoes i also got a ratchet sound from my hip. I had X-rays but they came back clear, I also had an injection of anaesthetic and steroid into the hip which only worked for three weeks so was sent to a specialist in this amazing technique as requested from a second opinion. He relooked at my X-rays and reported that I had uncovering of the acetabular cup. For information I had the depuy pinnacle cup with biolox ceramic on ceramic inserts. He felt that there was some impingement there and wanted to go in and release the iliopsoas tendon which was catching and rubbing against the protruding cup. I had it done on 17th november 2011. He also found a lot of scar tissue in there which he removed. I am so far recovering okay but still have some lack of rotation that I had before in my hip and some pain still. He has told me that if this doesn't work I may well have to go and have a cup revision as the arthroscopy showed that the fixation beads where uncovered and separation of them had occurred. I can not find anyone else so far who has had this problem though and my surgeon seems to be reluctant in telling me whether he thinks this is going to reduce the life span of my hip replacement. As I am only 31 now and this replacement was done in November 2009 due to perthes causing development dysplasia and oesteoarthritis. I'm wondering whether he is holding off the major uptake of the revision but problem is I haven't worked now for three months I am on statutory sick pay which is awful. I'm feeling a lot less stiff after the op but still can't work with this pain and end up feeling tired most of the time. Has anyone else had this problem or maybe let me know how long it takes for the pain to subside from this op, as I'm now questioning the original surgeons work.? Is it right to have uncovering of the fixation beads on the acetabular cup ? Is it a fault of the surgeon ? Or a problem with the implant itself or just the way that my body has taken to it? Please help to put my mind at rest
|
Did you find this post helpful?

User Profile
replied December 12th, 2011
Especially eHealthy
Horsetalk,

As to the placement of the acetabular cup, there is a range in the arc of which the cup can be placed. It also depends somewhat on the system used, as to whether or not it is a constrained cup or not, as to how far vertically or hortizontally it can be placed.

Also, you had a dysplastic hip joint. So, the acetabulum was not normal. Many times, in dysplastic hips, there is less bone in the acetabular dome and the patient starts off the procedure with the femoral heal not completely covered. So, the surgeon has to work with what you have. Your hip was not normal, so your replacement was not a standard one.

This is not to say that the cup was not placed in an incorrect position, but that is not really possible to say without seeing the pre and post op x-rays. The above mentioned points also have to be taken into consideration. If you are concerned about the placement, you can ask your current surgeon. If you are not satisfied with his/her answer, you can obtain copies of all of your studies, and have an independent evaluation of the joint, by an outside surgeon (not involved in your care).


As I'm sure you know, you are extremely young to be having a total hip replacement (in your late twenties). As such, you are looking at having probably at least a couple of revisions in your lifetime. The prosthesis will usually last around 15 years, give or take a few years, if taken care of properly. Every revision is harder to do and has higher risks and complications. Also, every time a revision is done, you lose some bone stock and create more scar tissue. There eventually can come a point at which no further revisions at able to be done. You do not want to get to that point.


So, the surgeon is probably trying to avoid having to do any major revision of components, until there is absolutely no other choice.


As to the cup position causing the prosthesis to fail, that's one of those maybe, maybe not answers. It does depend a lot on how your body has produced ingrowth of bone into the beads that it can grow into and how the stresses go through the cup when you weight bear. If the stresses cause the cup to tip (micromotion wise), it will eventually be levered out of place and fail. If the stresses go through the center of the cup, then it is probably okay.


You are not very far out from your surgery and are still healing. The iliopsoas muscle is an internal rotator of the hip, besides being a hip flexor. So, until it heals completely you may have some decreased hip rotation.


Hopefully, the 'scope will decrease your discomfort enough. If a component revision has to be done, then it has to be done, but the surgeon is going to try to avoid that if at all possible.

Again, you are going to really have to protect this joint, you are so young to have a total joint.


Hope you do well. Good luck.
|
Did you find this post helpful?

replied December 13th, 2011
Hi all, further to my earlier post. I have now had my MRI , bone scan and today a white cell scan. Bone scan showed some anomalies as has the white cell scan but worse than all that last week I suffered a total dislocation of my replaced hip. I have never known pain like it. Has anybody else had problems from this Pinnacle metal on metal hip replacement. Mine has been getting worse over the last 2 years and now the pain is so unbearable, even just sitting is becoming an issue. My hip first displaced in July of this year (2011) but my automatic reaction on the strange feeling was to straighten my leg which fortunately replaced my hip but this time I was hospitalised and had to have it manually replaced under sedation ( and a huge amount of morphine). I'm also on morphine daily and have been for quite some length of time but I also have other joint problems.
|
Did you find this post helpful?

replied January 3rd, 2014
Total Hip Replacement x2
J have had both hips completely repaired in this past 13 months. I continue to suffer from Groin Pain constantly. It is unbearable. Surgeon says x-rays look fine and he just sends me on my way. The pain I suffer at night is on a scale of 1==10 is about a 13. I cry constantly, I can't do any housework or actually anything at all. I just do not know what to do.
|
Did you find this post helpful?

replied February 5th, 2014
Going through similar Kooloff. Both hips replaced. Left in 2007 and right in 2012 due to Osteoarthritis. Have had xrays, an MRI, pain injections, physical therapy. Xrays show no problem, MRI shows extreme muscle atrophy in hip/buttocks muscles on left side. Only 1600ML or more Ibuprofen allows me to walk at all. Issue mostly on left side, but right side has intermittent issues with groin pain. Difficult putting weight on left without extreme stabbing. Have to walk with a cane using both hands mostly and limp always. Feels like a nerve being pinched when I walk. Can sit and lay down comfortably usually, but standing up and then trying to walk is unbearable. After I get going, not so bad, but initially very painful. Little range of motion raising leg or letting my knee fall sideways when laying down. I can only get it to go halfway. Have had too many pain shots, that didn't work and now advised dangerous to get any more. Still a mystery. Sad Seeing another doctor next week and go from there.

Read more: Post hip replacement thigh/groin pain - Orthopedics Forum - eHealthForum http://ehealthforum.com/health/post-hip-re placement-thigh-groin-pain-t302299.html#qu ick_reply_input#ixzz2sUsm0I8C
Follow us: @ehealthforums on Twitter
|
Did you find this post helpful?

replied February 5th, 2014
Going through similar Kooloff. Both hips replaced. Left in 2007 and right in 2012 due to Osteoarthritis. Have had xrays, an MRI, pain injections, physical therapy. Xrays show no problem, MRI shows extreme muscle atrophy in hip/buttocks muscles on left side. Only 1600ML or more Ibuprofen allows me to walk at all. Issue mostly on left side, but right side has intermittent issues with groin pain. Difficult putting weight on left without extreme stabbing. Have to walk with a cane using both hands mostly and limp always. Feels like a nerve being pinched when I walk. Can sit and lay down comfortably usually, but standing up and then trying to walk is unbearable. After I get going, not so bad, but initially very painful. Little range of motion raising leg or letting my knee fall sideways when laying down. I can only get it to go halfway. Have had too many pain shots, that didn't work and now advised dangerous to get any more. Still a mystery. Sad Seeing another doctor next week and go from there.
|
Did you find this post helpful?

replied September 10th, 2014
I'm 7 months into my recovery for my right hip replacement. 47 years old and very active. Right groin and leg still in a lot of pain. Like many here have said, have gone back to the surgeon and they X-Ray and say it looks great. Back for another round of PT starting next week. Very frustrating.
|
Did you find this post helpful?
Quick Reply