muscles or implant pain??

Hi,

First time posting to this site, and other stories have been inspirational, so here goes, hopefully someone may have experienced something similar to me.

I have a THR 11 months ago, and because of wear and tear (& genetics) Ill likely need my other hip replaced in future also. I’m 43 years old. Athletic background in field sports and enjoyed triathlon (to middle distance , 1/2 ironman) standard.

Operation was really straightforward, I was walking with sticks 3 hours post op, and was discharged that evening, and was walking unaided within three days. My initial progress was super, and my surgeon told me that I didn’t need specific physiotherapy other than the prescribed exercises (which I completed). I decided not to start running until at least 6 months post op, but was back cycling in 6 weeks, and regained almost all power over a few months.

My challenge is that I continued to get pain in my operated leg which refers from the operation site down my IT band and sometimes down the side of my calf. I am unable to place a lot of weight on my operated leg when bending forward, and would fall backwards if I attempted a single leg squat on that leg. The surgeon (after 6 months) said that I should go see a physiotherapist, which I’ve done, and while the exercises that they are perscribing are helping, the progress is really really slow… I’ve tried running and while initially running is quite painful (and my form is terrible as can be expected), I’m beginning to think that I just need to push through this pain to regain flexibility. The surgeon says that the joint and implant x-rays are ok, so it must be a muscular / nerve problem. While he came highly recommended, he has a vested interest here and I’m a little dubious that he’s laying blame elsewhere. This procedure was supposed to put an end to pain but its not working out that way…. at least as quickly as I thought it would….

Sorry for the long winded post, but would love to hear if others have similar experiences at this stage post surgery.

Thanks a million,

Sean

 

 

Home Forums muscles or implant pain??

This topic contains 12 replies, has 9 voices, and was last updated by  Far from Fast 2 weeks, 3 days ago.

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  • #16501

    Far from Fast
    Participant

    Hi, First time posting to this site, and other stories have been inspirational, so here goes, hopefully someone may have experienced something similar
    [See the full post at: muscles or implant pain??]

  • #16504

    Rhys
    Participant

    My advice would be to see a strength and conditioning coach who is experienced with rehab. For the first 18 months I was seeing mine 2x per week. I was amazed how he would isolate particular muscle groups, developing strength and mobility. Have got to a point stronger than before deadlifting 145kg and working explosively and sprinting. Couldn’t have done it without James. Still see him once a week, although that should be for hip upkeep it tends to be for the next bit that’s gone:-) Achilles, hamstring etc. I can tell when I’ve not kept up with my maintenance exercises even 2 years on. (Clamshells, band walks, hip thrusters etc)

    • This reply was modified 2 weeks, 5 days ago by  Rhys.
  • #16506

    jimmyc
    Participant

    I may have the same issue, both sides. As I understand it, new prosthetics are porous, so your body can literally grow into them. I was running 10k races after six months, and felt great. So great I decided to ski moguls. I overdid it, and now get very gentle soreness from walking up two flights of stairs, and calf cramping at night (even after no exercise). I no longer run, but can at least ski intermediate slopes, with some advil. In a nut shell, I think I broke the initial bond between the prosthetic and my leg, and it was replaced by permanent scar tissue. My surgeon warned me… Good luck.

  • #16507

    Hip Brother Tom
    Keymaster

    Getting back to running will be awkward when you first start. I agree that strength training and physical therapy will be helpful. My advice has always been to do as much as the hip will let you. When it barks at you (and you will know when this is) take a break for a day or two and try again. Each attempt should see an improvement. Stay optimistic and be consistent with your plan. Hopefully you will see improvement!

  • #16508

    Hip Brother Tom
    Keymaster

    Getting back to running will be awkward when you first start. I agree that strength training and physical therapy will be helpful. My advice has always been to do as much as the hip will let you. When it barks at you (and you will know when this is) take a break for a day or two and try again. Each attempt should see an improvement. Stay optimistic and be consistent with your plan. Hopefully you will see improvement!

  • #16509

    Hip Brother Tom
    Keymaster

    Getting back to running will be awkward when you first start. I agree that strength training and physical therapy will be helpful. My advice has always been to do as much as the hip will let you. When it barks at you (and you will know when this is) take a break for a day or two and try again. Each attempt should see an improvement. Stay optimistic and be consistent with your plan. Hopefully you will see improvement!

  • #16510

    Shannon
    Participant

    My THR was in 2015 I was a very active 39. I suffered hip flexor and IT Band pain for over a year before I found a place that could help with the pain, normal physical therapy was not helping, massage was not helping, nothing helped. What I found was a postural restoration therapy center (it is physical therapy). I HIGHLY RECOMMEND. I went in for my initial evaluation at like a level 7 for pain and after only a couple exercises during that eval left at a level 2 in pain. I was so relieved. It took some time and work to get to zero pain in my hip flexor (that was my major concern) but so worth it, I now have zero trouble and if I do tweak it I know immediately what I can do to help myself out. My IT band is a slightly different matter, it almost always stays tight but I have exercises there that help relieve some of the tightness so that is still a work in progress but doesn’t prevent me from doing anything. I suggest looking at postural restoration for anyone who hasn’t had success with normal physical therapy or if you relapse into pain.

  • #16511

    torey
    Participant

    Hi sean how great it is to hear from someone suffering from the same issues as me!
    I had a anterior thr on jan 3rd this year after findimg out i had dysplasia.
    Im 48 now and have suffered with hip pain for many years.
    Previous to the operation i had been running for 18 years with the final six years doing ultras up to 100 milers or 24hr races.
    Anyhow, after 6 months of extensive rehab sean i was still suffering with pain in my knee, shin and sides of shin.
    I decided to get my gait analysed and go with orthotics which i initially got my knee better but set off my peroneal muscle. I had my orthotics tweaked which has now also reproduced the knee and shin pain. I’m trying toget back running by doing ginger very short runs up to 2.5 miles depending on how the leg feels. I am at a loss where to go with this. I desperately want to be pain free after so many years and running again

  • #16512

    slsweigart
    Participant

    Hi! I had a THR on May 6th at 49 yrs old. Prior to developing hip issues I was a very enthusiastic runner competing in races of all distances and ran at least 1-2 marathons a year. I had bilateral FAI surgery 3 years ago to try to preserve my hips but it did not work on the right hip. After struggling to run with continued pain, I lost the battle and had to have a conversion to THR. My initial recovery was rough. I had a lot of pain in my buttocks when bearing weight. I could not walk normal until I started physical therapy at 5 weeks post-op. I’m now approaching 6 months post-op and I still see my PT every other week. I am running 2x a week but on an anti-gravity treadmill at 85-95% body weight for a total of 3 miles. I’m still walking for a minute here and there too. I get pretty sore from running and ice afterwards. The first time I ran, I had terrible pain in my thigh over top of the implant. My surgeon said it was my bone flexing over top of the implant. He said it will go away in time and to take anti-inflammatories. He was right. I’m slowly working up to running at 100% body weight. It’s definitely been a slow process that I can’t force. Perhaps with more time and strengthening you will make some progress. Good luck to you.

  • #16513

    Far from Fast
    Participant

    Thanks for the advice Folks…. its heartening to hear that others have / are faring similarly. I will definitely keep with the physiotherapy and hopefully the small improvements will become more significant in time….The gait analysis interests me and I’ll look into it. I do think that I had a lifelong imbalance with one leg being longer than the other prior to the surgery, and the surgeon evened the legs up during the procedure, so adjusting to this new normal may be playing a role….. Best wishes to all others….. while there is pain following THR, it’s definitely better than the sleepless nights I had for months before the operation. Hope to be posting here about a return to a 5 or 10km run soon.

  • #16524

    DeepSeaGoddess
    Participant

    I was beginning to think there’s something wrong with mine until I read this.

    I had thr Feb 18th this year. I’m 55 and marathon runner but the arthritis in my left hip was too hard to run thru. I Went thru a bunch of pt for about 12 weeks. Started cycling in spin class a lot. Started back to running. I had even worked up to 5 miles but the. Started having pain in the back of my hip which now has almost gone away but the latest now is my thigh is very very sore…. Especially after I’ve been sitting for a while. It doesn’t feel deep so I was assuming it is just muscular with muscles protecting the bone growing into the implant or perhaps nerve pain. No idea but I haven’t run in over 3 weeks but am continuing to go to spin classes although I’m usually sore afterwards.

    Anyway I am assuming what you are experiencing is normal part of healing….. As is what I think I’m experiencing.

    My running friends keep encouraging me and reminding me that everyone heals differently.

    Guess we just have to remain positive and patient (very hard for me).

  • #16538

    NancyN
    Participant

    Hi Sean. 63YO on second THR. This time left. Sounds like you may have done too much to fast. Get evaluated by a PT and work on muscle strength, IT Band, and all of the muscles hip related. It took me 6 months to return to running in 2014 after 1st hip. I tried too soon, and caused muscle damage.
    With this latest left hip (4weeks ago) I’m focusing on total muscle strengthening and do not plan on running until at least January.
    Whether you went posterior or anterior, it’s still major surgery that requires internal healing. I did posterior to avoid nerve damage. It will take a while, but I will run again!
    Good luck and listen to your pain!!

  • #16591

    Far from Fast
    Participant

    Thanks again Folks.some great advice.

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