version 3.3.6.2.3.3Page loaded in 0.840 seconds, "Hello @amber67, and welcome to Connect. There was no difference in the number of patients experiencing moderate to severe intensity of anterior thigh pain between these two groups, 3% versus 5% respectively [p=0.36]. No other statistically significant differences were found in the incidence of pain in the lower back, buttock, groin, trochanter, lateral thigh, or posterior thigh regions between the two cohorts. He is able to walk but experiences a 7/10 pain on a daily basis. 1987; (231):7-28. I do not know what end of stem pain is but I still have lots of pain in the outside upper leg. Charnley reported 0.23% femoral stem fracture following hip replacement, while an another study indicated a ratio as high as 11%. When you call, explain your needs and see who they recommend. Over time, however, a hip replacement … Nam D, Barrack T, Johnson SR, Nunley RM, Barrack RL. 2017 Feb;475(2):375-383. doi: 10.1007/s11999-016-4974-1. Liked by Teresa, Volunteer Mentor, jjjames050, @amber67 Physical therapy is always a good idea. Thigh pain 5 years after a total hip replacement can be caused by a variety of conditions. I am a 6th year medical...", "I had a cortisone shot last week in hip area but did...", "@amber67 Physical therapy is always a good idea. Had end of stem pain so they did total hip revision in may of 2016. The third patient was a 76-year-old man who had a 7-year history of chronic hip pain. A total of 1347 patients (1536 THA) met inclusion criteria for the study and surveys were returned for 820 of these THAs. Those patients suffering extensive comorbidities and postoperative complications were excluded from analysis. It It has been 8 months and still having end of stem pain. A periprosthetic hip fracture is a broken bone that occurs around the implants of a total hip replacement. When he did this, he stretched all the muscles and tendons in the thigh. His opinion is that when I had total hip replacement he lengthend the leg to keep hip in place. Clin Orthop Relat Res . Results: If the pain is from stem movement in the upper femur, we would expect the pain … Who do you recommend at Mayo and which location. Demographic data and UCLA activity scores were similar between cohorts of patients receiving the short- and standard-length components. There are many different underlying etiologies … They think it is mostly nerve and muscle pain ,maybe the same as you. Thank you. HHS Mihalko WM, Wimmer MA, Pacione CA, Laurent MP, Murphy RF, Rider C. Clin Orthop Relat Res. Both times I went for two different issues but even though I have to take 3 flights to get there, I didn’t hesitate to go back the second time! A femoral neck fracture is a fracture in the bone, just below the newly implanted ball joint. Will, another posting you may find helpful info for your father is http://mayocl.in/2bVSUwB. I am at my wits end. LO L. The Dr did give me a prescription for a physical therapist that does Dry Needling something similar to acupuncture. I can stand and sit without pain, but can not put pressure on it to walk. It can be confirmed with X-rays. Clin Orthop Relat Res.  |  2014 Dec;472(12):3747-58. doi: 10.1007/s11999-014-3816-2. It is a serious complication that most often requires surgery. A periprosthetic hip fracture is a broken bone that occurs around the implants of a total hip replacement. He has been treated with OxyContin and Lyrica (Pregabalin) with little success. NCI CPTC Antibody Characterization Program. Outcomes of different bearings in total hip arthroplasty - implant survival, revision causes, and patient-reported outcome. Femoral stem fractures used to be a common complication of first-generation forged stainless steel or casted cobalt chrome femoral … I had a CAT scan done last week, still no answers for the pain. In the vast majority of cases, total hip replacement enables people to live more active lives without debilitating hip pain. While you bounce ideas off with amber67, you might want to check out the Caregiver’s group to meet others who are experiencing the same emotions you are regarding care for a loved one, http://mayocl.in/2h1ttpY. I can walk without a cane but use a walking stick often. Groin pain can develop if the muscle that raises the hip rubs against the edge of the acetabular cup. The patient had an anterior hip replacement done 2 months ago by an outside physician. Doctors tell me to try more exercises but that is too painful if I do more than a few minutes. Here is the...", End of stem pain after total hip replacement. I have had a bone scan, nerve conductor test and blood work to rule out infection, loose stem, and nerves. Surgeon did a partial hip replacement. The Journal of Arthroplasty Vol.  |  COVID-19 is an emerging, rapidly evolving situation. After the cup is prepared, attention is then turned back to the femur. He showed them to us and they do look lighter in color than the other leg that is good. I”ll pray for you to make the best decisions as to where to get possible help. Hard-on-Hard Bearings Are Associated With Increased Noise Generation in Young Patients Undergoing Hip Arthroplasty. Patients who present with failed total hip arthroplasty and significant proximal femoral bone loss pose a challenging reconstructive problem. Thigh pain is a variably reported symptom in the postoperative period following primary total hip arthroplasty (THA) with a well-fixed cementless femoral implant. Epub 2013 Oct 26. However, I would not hesitate to seek another opinion, some place exceptional – like Mayo. He has had a bone scan, multiple MRI’s and blood tests to rule out infection and everything came back normal. Here is the website with their phone numbers http://www.mayoclinic.org/appointments. Anyone have any ideas on anything that can be done. Liked by Teresa, Volunteer Mentor, katrine, jjjames050, Will, I know exactly what your father is experiencing. The purpose of this work was to determine whether there were differences in the pain experienced by patients treated with two design variants of a femoral stem during direct anterior THA. Background: Thigh pain is a variably reported symptom in the postoperative period following primary total hip arthroplasty (THA) with a well-fixed cementless femoral implant. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Many possibilities: There are a number of reasons why someone can have anterior thigh pain after total hip replacement. @guipacker, thank you for jumping in to this discussion. The femoral stem may be either cemented or "press fit" into the bone. Went thru the full revision to a full hip in may 2016. Hello. Study subjects completed a pain drawing and scale questionnaire for the operative hip at least one year following surgery. A few months after the partial in July 2015, I started having sever pain when I put pressure on the operated side to walk. Some hip replacements will last longer, while other hip implants can fail much sooner. Background: As a medical student, it sounds like you are experiencing some difficulties with frustration and powerlessness yourself. He is a postal worker and has noticed the thigh pain over … NLM Thigh Pain After Hip Replacement. Does anyone know of a treatment for this. 11 No. Thanks again for all your help and please keep us posted, Hello @guipacker Welcome to Mayo Connect. Risk factors for this include age (less than 50 years -- such people usually being more active), weight (more than 80 kilograms), and a high level of physical activity at any age. I have asked for cannibus oil but the medical profession is not ready for that yet. Liked by Jen, Alumna Mentor, Teresa, Volunteer Mentor, hiskara. Clipboard, Search History, and several other advanced features are temporarily unavailable. The anterior supine approach for total hip arthroplasty (THA) offers the advantage of operating through a true intravascular and intranervous plane, but it places the lateral femoral cutaneous … Pick the one closest to you. However, I would not...", "@amber67 Mayo has 3 locations, Minnesota, Arizona and Florida. Clin Orthop Relat Res. Revision surgery was performed, and a large head total hip replacement femoral stem was implanted. Jen. … There are two types of fixation: cemented and uncemented. Also, obesity has been shown to correlate to an increased risk of developing a femoral neck … A 72-year-old female was referred to us for a left hip and thigh pain. I had a cortisone shot last week in hip area but did not help. Preparing the Femoral Canal (Left image). You have joined a wonderful online community that shares information in various health topics. Thank you. Oh my goodness, I can not believe someone answered. Schmalzreid introduced the concept of the effective joint space to include all periprosthetic regions that are accessible to joint fluid and thus particulate debris. We may have to take a vacation. Osteonecrosis of the femoral head is a common debilitating cause of hip pain, particularly among patients in their third to sixth decades of life. 2016 Oct;474(10):2115-22. doi: 10.1007/s11999-016-4759-6. While research has identified stem size, stem alignment, and differences in modulus of elasticity between implant and host bone as potential sources of thigh … The main long-term threat to hip replacements appears to … According to the Bulletin of the NYU Hospital for Joint Diseases, a femoral neck fracture can develop after hip replacement surgery, which can result in pain 1. I know you are so busy, but please do not forget us on this site. Went to surgeon in January 2016, he said a revision to a full was necessary to correct the pain in the thigh. A cementless, single-taper wedge, titanium femoral component design available in short- and standard-length variations was used in all cases. Loosening of the stem component is a late complication that most often occurs 5-10 years after total hip replacement. A few patients who have had a hip replacement suffer chronic pain after the surgery. The most common locations of pain reported were in the lower back and trochanteric region, 28% and 24% respectively. All were negative. I will keep you posted. I too have a permanent issue from a doctor’s mistake, but I ended up at Mayo in Minn, where they at least came up with a diagnosis and recommended physical therapy which I have been in weekly now for over 3 years. Occasionally hip replacement implants will fail immediately after surgery, but in other cases, patients may have implanted joints for 30 or more years with no problems.2 Decades ago, when joint replacement surgery was new, there were different facto… If the implanted hip stem is not stable it can cause pain, classically in the groin and thigh. Long-term results and bone remodeling after THA with a short, metaphyseal-fitting anatomic cementless stem. I have had the exact pain since July 2015, so far no answers as to why, except end of stem pain and the stem is stiffer than bone. @amber67, would you mind explaining exactly what end of stem pain is? Women are more likely to develop a femoral neck fracture, possibly due to lower bone densities than males. I am Will from Brazil. How are you getting around after your hip revision, other than the pain? His trauma doctors are unable to determine the cause of his pain but it’s the same type of pain as this other person is reporting in this thread. I am still on a cane and walker. Please enable it to take advantage of the complete set of features! I would like to introduce @mnpat, @grandmacheryl, @popolopo, and @sma1952, who have all had hip replacements and may be able to talk about their experience with recovery and pain related symptoms. I have never been able to walk without a cane or walker. I am also inviting @success10, @chief917, @Adrainpalmer, @learningtolive2, to return and share their experiences with pain and recovery after a hip revision. @guipacker, is your father scheduled for any more tests or to try any different medications or coping strategies? I have heard about the ioil also but we are not a state that approve it. He is 60 now and experiences the exact same type of pain that you are describing. This site needs JavaScript to work properly. Amendola RL, Goetz DD, Liu SS, Callaghan JJ. He previously underwent a left hip replacement but reported that the recovery had been challenging. The surgeon may use bone cement to achieve this or a press fit technique hoping bone will grow into or onto the prosthesis. I fell down stairs july 2015, fractured femor. A 2017 study in The Journal of Bone and Joint Surgery, American Edition, looked at the mortality rate among 332,734 hip replacement … Surgeon did a partial hip replacement. Conclusion: CONCLUSION: Hip AP and Lat radiographs are usually taken to confirm fixation and alignment of the femoral stem after hip … I fell down stairs july 2015, fractured femor. Mild trauma can fracture the femur around a prosthesis stem, especially if the bone is osteoporotic.  |  How have alternative bearings and modularity affected revision rates in total hip arthroplasty? Two- to 4-Year Followup of a Short Stem THA Construct: Excellent Fixation, Thigh Pain a Concern. You are not alone in those feelings. 2014 Mar;472(3):943-50. doi: 10.1007/s11999-013-3354-3. Although aseptic loosening is always a possibility, extrinsic and other intrinsic … ... People who benefit from hip replacement surgery often experience one or more of the following: hip pain … Teresa. 3 1996 Incidence of Thigh Pain After Uncemented Total Hip Arthroplasty as a Function of Femoral Stem Size Edward J. Vresilovic, MD, PhD,* William J. Hozack, MD,t$ and Richard H. Rothman, MD, PhD,~-$ Abstract: Two hundred seventy-one patients (297 primary total hip arthroplasties) were evaluated for thigh pain 2 years after … Pain outcomes were compared between these two femoral stem options. I ask the dr about the cortisone shot too he said it would not help the pain in my inner thigh because everything had been stretch when they did the surgery. Hip replacement … Femoral stem fracture is a devastating complication in hip replacement. It is … Ant insight will be desply appreciated. Presence of contact between the femoral stem and cortical bone was associated with postoperative anterior thigh pain. To begin replacing the femoral head, special rasps are used to shape and hollow out the femur to the exact shape of the final metal stem of the femoral … Patients in the short-length cohort reported a significantly lower incidence of pain in the anterior thigh as compared to the standard-length cohort, 12% versus 19% respectively [p=0.007]. You are definitely in a position to find out what we can do for this pain, especially with your father having the pain. As a recognized cause of groin pain following total hip arthroplasty, iliopsoas tendonitis probably results from different factors. Tramacet is really good for pain but I am worried about addiction. The pain is felt in both the hip area and the thigh when both parts of the prosthesis have become loose; if only the femoral component has been affected, the patient usually feels pain only in … Went to orthopaedic Dr. last week. The goals of hip replacement surgery are to relieve pain, help the hip joint work better, and help you move better. Total hip replacement is one of the most successful procedures in all of medicine. There are many people who undergo total hip replacement surgery (THR), and some people often complain about thigh pain after the procedure. He never did give and answer as to if this can cause so much pain. The pain … I can only speak for the Minnesota site, but they are incredible and I work in the medical field, however not in patient care. Eight months later after the revision, the same pain and  still on walker,  the pain at the stem along with the inner and outer thigh is so bad, it requires a walker or the leg will buckle and I will fall. Most hip replacements last an average of 20 to 25 years. NIH Waiting on the PT office to call back woth an apt. Thank you for any help that you can give me Please ask me any questions that you need that may help. Prevention and treatment information (HHS). The only thing the Ortho can see is that when he compared the regular x-rays is that the bones on both sidee of the stem look weaker. These include a loose or unstable component (in the case of a partial hip, this refers only to a loose stem, while a total hip patient can experience pain for either a loose stem … Furthermore, he did not want a second hip replacement … , attention is then turned back to the femur you need that may.... After undergoing total hip replacement is the... '', `` @ amber67 physical therapy is always a good.. 2016 Oct ; 474 ( 10 ):2115-22. doi: 10.1007/s11999-014-3816-2 3 locations, Minnesota Arizona... ( 10 ):2115-22. doi: 10.1007/s11999-016-4974-1 … a 72-year-old female was referred us... 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