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Author Topic: Psoas Tendonitis for 4 years...now what?  (Read 10220 times)

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scotchfan

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Psoas Tendonitis for 4 years...now what?
« on: July 09, 2009, 07:28:48 PM »
Hi!

I've had significant psoas tendonitis since my surgery (Gross,2004).  I've been through physical therapy, stretching, and even had it injected with steroids 1 month ago.  The injection relieved the pain for 2 weeks but now it's back with a vengence.

What's next and where can I go for advice?  I live in Denver and hope to find someone locally who can help.

Steve

katielinco

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Re: Psoas Tendonitis for 4 years...now what?
« Reply #1 on: July 10, 2009, 02:30:43 AM »
I have had chronic tendonitis of my hamstring for years and finally found some relief with a technique called ASTYM that sounds a bit flaky but works (http://www.performancedynamics.com/). 

Colorado Physical Therapy Specialists 
210 West Magnolia Street, Suite 210 
Fort Collins , CO 80521 
Phone: 970-221-1201   
www.colpts.com 

I have seen Teresa Schuemann and she's great but I know there are others there who also are trained in it.

It's worth the drive, at least a couple of times.  It's non-invasive, usually covered by insurance and I actually felt some relief within 24 hours of my first visit.   :D

Katie


Pat Walter

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Re: Psoas Tendonitis for 4 years...now what?
« Reply #2 on: July 10, 2009, 03:01:31 AM »
Hi Steve

Out of curoisity, what does Dr. Gross say about your tendonitis?  Does he think it has something to do with your surgery or was it caused by previous activities before or after resurfacing? 

I wish I had some knowledge about it, but just don't. 

If it has something to do with the resurfacing, I think you could send your x-rays to several of the other experienced surgeons to get some input.  You have several expeirnced surgeons in CA like Dr. Ure, a few in CO and Dr. Rogerson in WI.  There usually never seems to be any close to most people.

I hope you can find a solution for your problem.

Pat
Webmaster/Owner of Surface Hippy
3/15/06 LBHR De Smet

scotchfan

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Re: Psoas Tendonitis for 4 years...now what?
« Reply #3 on: July 14, 2009, 04:10:29 AM »
Hi Pat,

The pain started 5 weeks after the procedure and has never improved.  Dr. Gross thought it was probably due to the surgery.  He suggested a variety of things,  exercise, physical therapy, injections.  But did not know where to go if nothing helped.

Steve

fedup

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Re: Psoas Tendonitis for 4 years...now what?
« Reply #4 on: July 24, 2009, 05:01:56 AM »
I had psoas tendinitis after a Durom resurfacing which did not respond to steroid injections, physio, NSAIDS, rest or stretching. U/S, MRI were not helpful. My inflammatory markers (ESR,CRP) were normal as was my xray. After 1 1/2 years I had exploratory surgery and the resurfacing was said to be fine. They cut the psoas tendon. This makes hip flexion very weak and reduces the stability of the hipjoint. It took a year to get strength back. The pain just moved more laterally on my thigh. After 3 years I had a revision to a THR at which time the acetabular cup was found to be loose. It had never integrated with bone. I would avoid the tenotomy if at all possible. I think I had impingement (rubbing) of the prosthesis/acetabulum on my hip flexor tendons. I never did find out if anything else could have treated this. (even after seeig 4 different surgeons. There are many articles about psoas tendinitis after hip resurfacing. Sometimes it requires revision, but avoid the tenotomy if possible. Good luck.

bothdone

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Re: Psoas Tendonitis for 4 years...now what?
« Reply #5 on: July 25, 2009, 08:32:01 AM »
Hi Scotchfan and Fedup

Sorry to hear about your pain.  As I am in no way an expert could you explain where you feel the pain and what it feels like?   It might prompt some more responses.

Very best wishes to you.

Ed
LBHR 25 May 2004
RBHR 19 March 2008

fedup

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Re: Psoas Tendonitis for 4 years...now what?
« Reply #6 on: July 25, 2009, 10:48:54 PM »
The pain from psoas tendonitis is in the groin. The psoas tendon is the hip flexor closest to the inside of the thigh...it is right around the femoral pulse which you can feel there. The pain is maximal with flexion, adduction and internal rotation. Think about going to put a sock on when sitting and moving the  top leg over the bottom one ...OUCH. (but you can only if you're no longer on hip precautions).

bothdone

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Re: Psoas Tendonitis for 4 years...now what?
« Reply #7 on: July 26, 2009, 08:36:20 PM »
Thanks for the description.  Its not a pain I've had so I have no experience to offer you.  I can only hope you find an improvement.

On a side issue I can't remember a time when putting socks on was easy for me.   It must have been easy some time but my hips started going in the late 1990s and all I can remember is working on ways to get close enough to my feet to get socks on!   I suppose now, with two BHRs, it is the easiest I can remember but I still put them on with my legs in a straight line and not crossed over my other leg.   I might start experimenting with the one leg across the other....

Best wishes to you.

Ed
LBHR 25 May 2004
RBHR 19 March 2008

 

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