10yrs on - Still groin pain. Advice needed

[l50mph]

*Firstly - noob apologies if this first post is wrongly placed, forum etiquette incorrect, etc. - sorry.


I'm looking for some advice on how to advance my frustrating situation.


History/Treatment:
I had BHR in L.Hip Dec. 2006 through NHS - I was 28 and had hip problems since 2001.


Post op I had physio sessions once per week and exercises at home - again pretty standard.


I always noticed that my left side was weaker and I struggled playing sports particularly anything I would have to lunge to my left side.  The power was just not there.


Also I noticed I could not sprint.  It felt like I had to lug this bad leg behind me.


In 2011 I ran a 10k and completed in a couple of 10k mud runs up until 2013.


Since then the pain in the groin has become so great that any running is hard - again the feeling of no strength to bring the left leg forward.


Those who have treated me have said that other muscle groups have countered the lack of power in the groin area and this is how I managed to complete the running events.  But today, those muscle groups are fatigued after doing the wrong job for so long.


Since my operation I have seen 2 consultants, several physios, sports massage therapists.


I have had an MRI last year which showed no impingement and X-rays show everything looks ok.


Treatment has included core strengthening (which is know is weak) but this has not helped the pain. I had a steroid injection into the psoas in 2014 but no positive result.  I had a botox injection into the same tendon in summer 2015 but also no positive result.


If I was to explain how this pain restricts me: Once I walked across the road on my right leg and tripped. My left leg is so weak I could not bring it forward quick enough to stop face-planting the tarmac!


So my problem is that no one can answer what is wrong and provide the best treatment.


I am willing to travel to see someone who is not only a good hip surgeon but has extensive experience with groin pain (AXA covered)


My end goal is to keep up with my kids and get them active as they group up (boys 1 and 4yrs - growing fast) but also I'd love to compete in a triathlon.  I still cycle and swim as the groin is not affected on the bike and legs are not really used in my swim, however I really miss running.


I have had a look around the forum but cannot see anything relating to groin pain this far post op - if I have missed anything I'd welcome any pointers.


Please can anyone recommend anyone or give me some advice?  Any suggestions are gratefully received and I will explore all options.


Thanks for your patience reading this far 
As a thank you, tonight's lottery numbers may be 12, 14, 22, 36, 37, 46

[Kingrob]

I know that when your muscles compensate over a long period of time for a joint or different muscle weakness, that it can cause other problems. That's what was starting to happen to me and is why I got the surgery when I did instead of trying to continue to wait.

Did you have your metal allergies tested?

I would start with a top HR surgeon. Need to eliminate it being the BHR.

[bestbob]

150mph, et All, I am 3 yrs post RBHR, and all was great up until yesterday. Short history, over the past 3 weeks I started having groin pain off and on, and was hoping it was due to getting ready for the summer. Cutting grass, biking, and etc. Well, yesterday the groin pain got really bad, almost to the point that I couldn't walk. I took Tramadol to sleep, and now this morning the pain is still there, can't raise my knee past hip height, and placed a call into my surgeon.

Similar to 150mph, input is appreciated. My 1st thought is to request x-rays to see if everything is aligned correctly and/r no impingement, maybe a metalology test, and etc.

So frustrating as I am looking forward to the summer and enjoying it.

Oh well, hope others are well, and I see a lot of the senior members still around and providing invaluable support/feedback.

Bob

[jd]

So, primarily hip flexor weakness?

Can you do a lunge with that leg forward? If so, how different is it from the non-op leg?

[karlos.bell]

  Hi 150 MPH.......   Bugger...

Ok you sort of say your flexion is weak from my understanding the PSOAS. Lots of tests lots of nothing....
Been there done that what it can be is actually a short Psoas muscle --- Yes short due to hip changes, compensation, wear, Injury. Ok look up U Tube Per Holmich and find the Psoas test. Watch it.

It is a supine test, leg fully rasied 90 deg and resistance test apposed against the 90 deg .
If you are strong in the PSOAS the test is no movement if you are weak the tester can move it. This totally Isolates the Psoas.
If you have this there is irritation in the Psoas but why???
Cause it has changed as above.
If suspect find a specialist that does the Per Holmich test and an specialist that does  what is called Fractional lengthening of the PSOAS. They will then know how to test you for Psoas test properly as well as you know what it should be like.
If it is found that there is no impingement good by radiology. If it is found a weak Psoas and you go through all the strengthening - stretching and still crap they may offer you this lengthening.

This is the best I can do as I have a similar case. Fractional Lengthening for mine next month due to similar stuff.
Cheers K