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Author Topic: Scar tissue in the hip  (Read 2896 times)

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joshb7_

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Scar tissue in the hip
« on: March 13, 2020, 02:09:02 PM »
Has anyone suffered from scar tissue causing impingement in the hip post-op?

I am 2 years out and struggling with impingement and range of movement, despite scans showing as normal for both cup placement and psoas tendon. There is a suggestion that the impingement is from scar tissue in the hip and possibly I may get re-opened up by the surgeon to have a poke around to see what is causing my problem.

Anyone with any experience on this?

Ljpviper

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Re: Scar tissue in the hip
« Reply #1 on: March 13, 2020, 04:15:53 PM »
Got the same answer from an ortho at HSS yesterday. Best to have a scope surgeon do that. He can look for scar tissue and any issue with a tendon or muscle in the hip area. Also, u might look into psoas release as well.

Where are you located?

Thanks,

larry

joshb7_

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Re: Scar tissue in the hip
« Reply #2 on: March 13, 2020, 07:21:45 PM »
Have scans showed this on you or are they exploring?

Im in Birmingham, Uk.

Sander

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Re: Scar tissue in the hip
« Reply #3 on: April 09, 2020, 04:48:43 PM »
I'm 2 months post-op and recovery couldn't be farthest from a normal average recovery.

hip flexor or psoas is going crazy. I have to limit my daily steps for the bare minimum to avoid a flare up.
I tried taking it gradually 300 step up to 2000 step ( 2000 in all day is just bed to bath to patio a few times ) then it flares up and back to 300 steps again.
still on one crutch after two months !! is it a total failure ?!
Already had this cycle three times ,, each cycle about 4 weeks.

I have no idea what could be wrong.
I try to convince myself that everything is ok by the psoas tendon is acting up and preventing any progress .. hoping for it to magically settle. fighting desperation
« Last Edit: April 09, 2020, 04:59:53 PM by Sander »

BKB41

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Re: Scar tissue in the hip
« Reply #4 on: April 09, 2020, 05:19:59 PM »
what kind of symptoms are you having with your hip flexors/iliopsoas??

jimbone

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Re: Scar tissue in the hip
« Reply #5 on: April 09, 2020, 09:49:11 PM »
Sander-

While not as severe as your symptoms, my second HR produced some unnerving setbacks with concerns of potential psoas impingement.  It was a good 2 months before I could handle any leg raising exercise [laying on back lift straight leg, straight up].  Along with probably a good 4-5 months of recovery on the glute muscles.  This really only occurred with the 2nd operation, the 1st was 8 weeks earlier and recovery was easier.  I had many moments of profound concern the damage was severe and quite a few discouraging afternoons.  Best advice is probably consult with your surgeon and try to get some imaging to rule out orthopedic problems, see if PT will help advance your cause and keep in mind this is a very intrusive surgery that some people take a longer time to recover from but that the body will want to conform to good health in its own time.  Best wishes.

Sander

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Re: Scar tissue in the hip
« Reply #6 on: April 13, 2020, 10:05:39 AM »
BKB41 and jimbone

My symptoms.
painful walk and focal and strong pain in night in upper thigh/groin. still on a crutch after 2 months (other wise limp to avoid pain)
straight leg raise is out of question.

My next attempt is to keep walking below 1000 step a day for a weak to give psoas any chance for recovering.
Despite my post-op experience I still hope I need no further intervention because it so dam demoralising.

after this surgery, my hip cannot be the source of the pain. right ?  so it must be something else
I'll give it another month (3rd month) to see if there is any progress ( stop needing a crutch, being able to walk 500m-1km in a single walk etc )
if not, I'll go to the imaging and consulting again :(


BKB41

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Re: Scar tissue in the hip
« Reply #7 on: April 13, 2020, 12:58:27 PM »
Did you have any problems with the hip "snapping" or a sharp shooting pain to the groin with any rotation? I had these symptoms with external rotation of the hip

Sander

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Re: Scar tissue in the hip
« Reply #8 on: April 14, 2020, 08:37:40 AM »
I have groin pain that radiates along the thigh bone sometimes.

one particular move that extremely painful is:
lay on stomach ben knees 90 degrees in the air. try to squees them or an object between them,
I think this is a rotational move.

what is your condition what you learned so far ?
I have no idea , is it bone issue, small muscles, scars etc ...

Sander

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Re: Scar tissue in the hip
« Reply #9 on: April 14, 2020, 08:53:45 AM »
continuing my reply: the painful move is called " prone heel squeeze or prone ball squeeze"

according to medical literature groin pain after hip surgery are caused by one of these:

acetabular loosening, stress fracture, and iliopsoas tendonitis and impingement.

the first two can be eliminated by imaging (will do)

the other two need trial and error approach that I'm afraid of.

jimbone

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Re: Scar tissue in the hip
« Reply #10 on: April 15, 2020, 12:48:20 AM »
Those are hard prospects to face, sorry to hear it.  If it were me I'd probably want to know where I stood as early on as possible to get it addressed and move onward, but that's just me.  Best of luck.

BKB41

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Re: Scar tissue in the hip
« Reply #11 on: April 15, 2020, 02:30:44 PM »
So with the sharp shooting pain that's I was having in my groin AFTER labrum repair and then labrum reconstruction... my physician thought it was related to iliopsoas. So this past christmas eve 2019, he did a iliopsoas tendon release/lengthening via arthroscopic approach.  Unfortunately, this was my 3rd hip scope in 14 months. I started up therapy a few weeks later after surgery, and I would say around February my symptoms progressed and replicated. He attributed my issues to OA of the right hip and "extra articular scar tissue" due to having 3 scopes.  The only way to remove it would be a more severe surgery of removing scar tissue, which would RISK me for conditions like avascular necrosis of hip.  Because of my age (33 at the time), he wanted me to see Dr Peter Brooks at the Cleveland clinic for an evaluation of hip resurfacing.  That way if/when that scar tissue is removed, then doing the resurfacing wouldn't be a problem nor a risk for avascular necrosis.  I am scheduled for surgery begin on June.  Would have got it sooner but was getting weekly injections of hyaluronic acid to hopefully provide relief for OA.

Sander

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Re: Scar tissue in the hip
« Reply #12 on: April 16, 2020, 08:38:16 AM »
Those are hard prospects to face, sorry to hear it.  If it were me I'd probably want to know where I stood as early on as possible to get it addressed and move onward, but that's just me.  Best of luck.

Yes but still some hope: I really think that fracture and loosening are very unlikely, because young age, excellent surgeon and type of pain.
My best guess is it's the psoas either its very weak or something is bothering it ( rubbing cup or scar tissue ... )
In best case scenario, psoas needs more than 2.5 months to adjust and I just wait.
Second best: injections
Worst: intervention.

hardest part is diagnosing it.

 

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