Post Op Impingement?

[HipToTry]

Hi all
I'm currently at 7.5 months post BHR resurfacing of my right hip which was performed on 10/26/18 at NYU Langone.  Unfortunately the last day I had no pain was 10/25/18.  It has been a horrendous recovery which has been getting worse not better.  Most of the continuous pain has been around my glute deep into the joint and bones. 3 month MRI showed tears to gluteus medius and minimus which were attributed to surgical trauma.  6 month MRI did not show those tears but did indicate some fluid coming off the bursa. I feel like I have constant pulling on the back of that butt muscle with every step and it's sore when i sit.

The bigger issue is the sharp pains I've been getting from certain movements which are unfortunately increasing in frequency.  These occur when I make lateral turns or when I bend down to pick things up. It is a bad enough pain that my leg buckles and it usually takes a minute or so of me moving around lightly to fade away.  It feels like impingement all over again except worse.

I've given up on dealing with my surgeon at NYU due to his lackadaisical attitude toward my symptoms and started seeing the doctor at HSS who did my Dad's THR replacements (couldn't get a response from SU's office as I would have preferred a resurfacing surgeon but this is one of the senior hip surgeon's at HSS). It's a slow process as we are methodically ruling out what it might be. Shot in the bursar had very little effect.  We just tested my blood again to see if there is any change in the chromium or cobalt levels which might indicate issues with metal/metal impingement.  Chromium came back with a small uptick from December test and still waiting for Cobalt. We are also having HSS specialist look at the MRI's to see if he comes up with a different diagnosis.  I'm seeing an ART specialist tonight to see if he can do anything that might help with soft tissue pain.

This has been an extremely frustrating experience compounded by the fact that I did the surgery to be proactive while I was still in fairly good shape. I hoped to have a good summer 7-8 months post surgery and now I can't walk much without pain, let alone jog anywhere.

Has anyone had impingement post BHR surgery and is there anything that helps ex a THR revision?
Thanks
-Scott

[catfriend]

I am really sorry to hear of your problems. I can't help with your situation. I didn't have that problem, and it sounds like you're doing the right thing: seeking out another opinion. I hope it works out well for you.

Everybody assumes that things will work out, that they won't be the statistic where something went wrong. But it doesn't always go that way. Sometimes someone has difficulty. I'm sorry it's you (or anybody). Again, best wishes and good luck.

[frigator]

I was told by Dr Gross that I have an impingement because my cup is too high. So cant bring my leg much past 90 degrees without the femoral neck slamming into the cup. There was a study done that showed about 10% of resurfacing patients have some impingement based on notching in the femoral neck.

I too have had a rough recovery due to nerve damage. I am 18 months out. They think I have pudendal and the posterior femoral cutaneous nerve damage. I cannot sit and either stand or lay down and have lost 25lbs in the last 6 months from all this standing. Dr Gross has no answer to this pain, so am looking for nerve doctors to help me. So far been going to Baltimore, Johns Hopkins,  and have  had two nerve block. So I am having a rough time and am home bound now and riding in a car hurts so travel is tough.

I guess I took a chance with this operation and thought I would recover like most people do but somehow my nerves in there got stretched or damaged or entrapped. Either way am now in much worse pain than before the surgery with no clear path out of this mess.

[HipToTry]

I was told by Dr Gross that I have an impingement because my cup is too high. So cant bring my leg much past 90 degrees without the femoral neck slamming into the cup. There was a study done that showed about 10% of resurfacing patients have some impingement based on notching in the femoral neck.

I too have had a rough recovery due to nerve damage. I am 18 months out. They think I have pudendal and the posterior femoral cutaneous nerve damage. I cannot sit and either stand or lay down and have lost 25lbs in the last 6 months from all this standing. Dr Gross has no answer to this pain, so am looking for nerve doctors to help me. So far been going to Baltimore, Johns Hopkins,  and have  had two nerve block. So I am having a rough time and am home bound now and riding in a car hurts so travel is tough.

I guess I took a chance with this operation and thought I would recover like most people do but somehow my nerves in there got stretched or damaged or entrapped. Either way am now in much worse pain than before the surgery with no clear path out of this mess.

Did you get any opinion on whether a THR revision would help?

[frigator]

NO, a revision would not help me. My implant is fine(according to Gross) it just he damaged some nerves during the procedure. I wish I could just get a revision. But I will probably need two operations to correct these two nerves and the stats are not good for surgery on pelvic nerves. There are so few doctors who do this, mostly gynecologists, as this malady occurs mostly in women from childbirth. There is a great guy out in Phoenix, dr Hibner, who specializes in this but only treats women.

I was hoping to try this new treatment for damaged nerves, cryoabalation, where they freeze the nerve. However they have to use MRI guidance to correctly place the ice ball and this big hunk of metal in my hip wont allow the mri to work, so no cyro for me on that nerve, the pfcn. But I think I can get it on the pudendal by a guy who uses ct guidance at Emory in Atlanta.

I would get films of your joint, mri records and send them to two really good resurfacing doctors for their opinion...see that they say. I think Dr Gross and Dr Pritchard will give you their opinion. Perhaps you just need one part replaced or none at all.



 

[hernanu]

Hoping that the nerve treatments work out for you.  Too bad the guy in Phoenix only treats women. Did he know of someone good who could work with you?