![normal hip xray with pain and weakness normal hip xray with pain and weakness](https://buyxraysonline.com/wp-content/uploads/2017/12/NORMAL-HIP-XRAYS-1.jpg)
The prudent (though difficult) action is to watch and wait over a period of time to see if the symptoms resolve with conservative management. Sometimes blood tests, and advanced imaging may be helpful but it is difficult to find a cause early on after a surgery because the results can be inconclusive. If it never improves, we have to worry about things like subtle infection (very rare), fracture, possibly loose implants that never allowed the bone to grow into the implant after surgery due to too much micro motion, especially if the patient was highly active too quickly. Rate of improvement will differ patient to patient, but it’s important to observe some improvement. The key for these conditions is improvement. These conditions usually resolve with pain medication, anti-inflammatories, physical therapy, and in some cases, cortisone injections. Tendonitis and bursitis after hip replacement is common especially in the acute healing phase. If it hurts on the side while laying on it, it could be trochanteric bursitis. Immediate pain that never resolved could be the sign of a subtle fracture around the implant that developed during the surgery and was never discovered, or could be a result of acute inflammation of the tendons around the hip–especially if the hip feels weak or painful in the groin with resisted flexion activities like going up the stairs or getting out of a car or chair. If the pain was immediate and never got better, where is it located? Is it groin pain, thigh pain, or both? Onset of pain: Was the pain immediate after surgery and never got better or was there a period of time where it was fine and then suddenly or insidiously did pain develop over time? “I was diagnosed with hip pain from arthritis and I had a hip replacement, and now I have pain or the pain never went away.”
![normal hip xray with pain and weakness normal hip xray with pain and weakness](https://images.squarespace-cdn.com/content/v1/53c1a2cce4b0e88e61f99b70/1569782961160-J20BLPLCO23RXCCJ4C6P/normal-pelvis-and-both-hips.jpg)
4 complaints about pain after hip replacement 1.
![normal hip xray with pain and weakness normal hip xray with pain and weakness](https://prod-images-static.radiopaedia.org/images/3664/8b5a89bf83e080bb8e428d96fc7813_jumbo.jpeg)
Usually after a physical exam and basic x-rays of the hip to rule out hip bone abnormalities or obvious arthritis most physicians can identify the cause of hip pain, but it still can be elusive and will need close follow up. Most of the time, these soft tissue conditions resolve completely over time.Īdvanced imaging can help rule out things like stress fractures, labral tears, cartilage tears, and tendon tears or other conditions causing hip pain like a pinched nerve in the back. These can also usually be addressed with physical therapy, cortisone injections and anti-inflammatories. Sometimes, inflammation around these tendons irritates the local nerves around the hip and can cause radiation or pain in the groin, thigh, and buttock. Tendonitis around the hip muscles or subtle tears.It is very common in patients and usually resolves with a cortisone injection. Point tenderness or pain with laying on the side of the painful hip could be a sign of trochanteric bursitis. Bursitis and inflammation or tendonitis.This can be seen up to 30% of the time and should be evaluated as a possibility by the hip surgeon before surgery. Low back pain from arthritis or sciatica, especially if the pain radiates down past the knee.Common things that cause “hip pain” and can confound a diagnosis: Possibly, some if not all the pain a patient has before surgery is not a result of arthritis of the hip. With more hip replacements being done, we are expecting a rise in revision procedures too, it is predicted to go up 137% in the next two decades, which will have a significant impact on healthcare.īefore I delve into hip pain possibilities after total hip replacement, let’s look at the causes of hip pain prior to surgery. We also have better implants now and are doing them in younger and younger patients because the prostheses are going to last longer. 95% of the time, patient’s have wonderful outcomes, but sometimes, problems arise after a total hip replacement, and that’s where my joint reconstruction experience can help (and why I hear about pain after hip replacement).Ī lot of hip replacements are being done, and they are increasing exponentially as the population ages, especially the baby boomers. It’s not common for me to hear a lot of complaints about pain after hip replacement surgery because a total hip replacement is one of the best surgeries a patient can undergo to get relief from a painful arthritic joint.