Surface Hippy® - Guide To Hip Resurfacing

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Psoas tendon issue and psoas release

Updated 1/14/2012

My physician for hip resurfacing was Dr. xxxxx. My email today is about my experience almost 4 years after my surgery. Before surgery I was a distance runner. I fell on my left hip in 2004, it wasn't treated, I continued running, I got arthritis, I needed surgery. I had my surgery in 2008. I had nothing but problems after my surgery.

Something stuck in my mind that Dr xxxxx told me after surgery. Dr xxxxx told me he put in an oversized cup to ensure that I wouldn't dislocate. From post surgery forward, I've had nothing but groin pain. Groin pain that never, and I mean never, went away. Nothing helped. Went back to Dr xxxxx on numerous occasions and every time he would x-ray, look at me and say everything was where it was supposed to be and told me it would eventually go away. Dr xxxxx prescribed different NSAIDS that did not help. Finally after over 2 years of returned visits I wanted to get help. The more I move my legs, the more my groin hurt. I tried physical therapy 3 times. I tried every stretch known to man for the groin and psoas but nothing worked.

Finally I saw a different, more experienced hip resurfacing doctor. He suggested getting a cortisone (steroid) shot in my groin. I wasn't thrilled with that idea but after dealing with the pain for a few more months I went for it. Well the shot took the pain away for 1 day. After the day of the shot, the tightness and pain was right back. In the time since my surgery, I have looked at and accumulated a large library of medical articles about groin pain after hip resurfacing. There are a lot of articles out there. I found that persistent groin pain is caused by mainly 2 things. One is loose components, the other is oversized actebular cup. Back I went to my doctor and he showed me on my x-ray where the cup was hanging out (oversized) and he told me I had 2 options: Get the cup placed correctly (not an option he would suggest first) or have the psoas tendon released. I was sent to another surgeon who had experience in this procedure as it pertains to hip replacement. I saw the doctor and he had only performed 3 psoas tendon release surgeries as it pertained to hip replacement. I would be the 1st that had had hip resurfacing to have this procedure.

The surgery was Dec 12th 2011. My doctor said that the psoas was rubbing on the implant and that he felt this surgery would correct my problem. I am almost a month removed from the surgery and although I am still sore, my flexibility has vastly improved. Feels like a huge weight was taken off my groin.

I'm in physical therapy now and the recovery will take 6 to 9 months. I feel like I'm seeing a light at the end of this tunnel. What did I learn from all this? Go to a surgeon with vast experience. You want something done, go to the best or most experienced doctor. The other thing, if your pain doesn't go away, get another opinion. Pain is no fun and groin pain in an adult male is really no fun!!

Thanks for listening

Mitch

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