Friday, September 29, 2023

Stabbing Pain In Thigh After Hip Replacement

Continuity Of Sciatic Nerve Lumbosacral Plexus And Nerve Roots

Hip Joint Pathologies causing back, groin, buttock, & knee pain

In the 7 of 9 patients in whom a proximal lesion of the lumbosacral plexus could not be ruled out via clinical examination and electrophysiology, MRN could eventually document that the lumbar nerve roots and the lumbar plexus proximal to the implant related artifacts were intact , without spinal or intraforaminal compression of the nerves. The extent of artifacts varied between different patients. In general, the artifacts reached their greatest extent in the pertrochanteric region, where the diameters of the implants were maximal . Susceptibility related signal loss was less extended in the T1-weighted sequences than in the fat-suppressed T2-weighted sequences, owing to the short echo time of T1-weighted TSE. Thus on T1-weighted TSE sequences implant related artifacts were minimal, and most parts of the sciatic nerve were evaluable, so that continuity of the sciatic nerve could be proven with sufficient diagnostic confidence.

Localization and fascicular distribution of T2-nerve lesion, and denervation pattern of target muscles.

Is It Normal To Have Groin Pain After Total Hip Replacement

Pain after surgery is not uncommon and typically improves over several weeks. Persistent groin pain is not normal but unfortunately can and does occur after hip replacement surgery. The prevalence of groin pain after hip replacement is 0.4-18.3% . This can be very unsettling as many patients opt for hip surgery to free themselves from their groin pain and limited hip range of motion.

When Can I Go Home After A Hip Replacement

Most patients can start walking and can go home the day of the surgery, says Thakkar. Most people dont need bed rest. In fact, moving your new joint keeps it from becoming stiff.

If you have a preexisting condition , or if no one can give you a ride and help around the house right after the surgery, you might need to spend the night at the hospital. People who had complex surgeries or lack support at home may benefit from starting their recovery in an inpatient rehabilitation unit.

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Thigh Pain After Hip Replacement


I’m wanting some feedback on high thigh pain after a hip replacement. I am 68 years old and am 10 weeks post op cement hip replacement due to severe arthritis. I have been going on very well and thought all my troubles were over, but have now developed pain which seems to be centred just underneath the buttock and goes down the leg slightly. I have been doing the exercises that are given to you and the pain started when I had done a batch of them. Speaking to the physio she indicated I may have strained my hamstring. Am due to see her in ten days time, but I have read that this type of pain is not uncommon. Has anybody else experienced this? Am on painkillers again and very disappointed with this set back. Am I expecting too much too soon? Hope to get your feedback.

21 likes, 418 replies

Pain At The Back Of The Knee

dr david agolley sport injuries hip hamstring tear Sport Injuries > Hip Hamstring Tear” alt=”Dr David Agolley > Sport Injuries > Hip Hamstring Tear”>
  • A sharp stabbing pain at the back of the knee can commonly be due to hamstring tendonitis, caused by inflammation of the tendons connecting the hamstring to the knee. A common cause is overuse, and the pain becomes more apparent with continued use.
  • A swelling and tightness behind the knee might be due to inflammation of the popliteal bursa . This is often due to there being another mechanical abnormality within the knee producing excess fluid.
  • Pain at the back of the knee may also be due to a tear in the posterior part of the meniscus.

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Additional Hip Impingement Symptoms

In addition to hip pain, a person with hip impingement may experience:

  • Loss of range of motion, particularly when rotating the hip inward or moving the leg toward the centerline of the body.
  • Stiffness around the hip, making movements slower or more difficult.
  • Trouble going up stairs. Changes to the hips range of motion may change a persons natural gait while climbing stairs.2
  • around the hip.3
  • A loss of balance. Balancing on the affected leg may be more difficult than balancing on the unaffected leg.3
  • Limping. In moderate to severe cases of hip impingement, hip pain and other symptoms may cause a person to walk with a limp.

Most people experience a loss of range of motion in the hip. The other symptoms may or may not occur depending on the severity of the impingement and how long it has gone untreated.

Prp And Stem Cell Treatments

PRP is rich in growth factors that can increase blood flow and decrease inflammation. Your stem cells are powerhouses of healing and can recruit other cells in your body to accelerate healing. The Iliopsoas tendon is easily seen and evaluated during an ultrasound examination. At the Centeno-Schultz Clinic were are experts in the treatment of hip and tendon injuries. All PRP and stem cell injections are performed under x-ray or ultrasound guidance to ensure that the cells are injected at the right place. This, in turn, results in better clinical outcomes and patient satisfaction.

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Upper Leg Pain After Hip Replacement


Experienced constant upper leg pain since my hip replacement. Tested for blood clots but negative. My leg feels numb but in a painful way, like I am being stabbed with a knife. Doctors claim my back is causing the problem. Yes bad back but this started right after surgery and my back has never caused leg pain before. Anyone else with this problem. I literally cant sleep and barely eat because it is so intense. They scheduled a nerve block on my back 4/20/2018. I just dont think it will help. Six weeks straight of pain now!

3 likes, 5 replies

  • Posted 4 years ago

    Hi Deborah: I had a left hip replacement, anterior approach, last September. The hip and groin pain were gone after surgery, but it left me with a numb thigh, and a burning sensation where they made the incision. It felt as if someone had kicked me as hard as they could in my thigh, so along with feeling numb – like it was asleep – I’ve had pain and numbness in my thigh ever since. It has gotten better as time goes on, but it’s still there. I understand it can take up to a year for these post-op symptoms to abate. The fact that it has gotten better makes me hopeful. Hang in there and give it some time. I hope the nerve block helps. Janet

This Issue Is Likely Causing The Sharp Stabbing Pain In Your Hip

Total Hip Replacement – Exercises 9-12 Weeks After Surgery

A few issues can cause pain and dysfunction in your hip joints. Hip osteoarthritis and referred pain from the lower back can easily cause hips to be painful. However, people who are feeling sharp, stabbing pains in their hip are likely dealing with an issue called femoroacetabular impingement .

FAI occurs when the rim of cartilage around the socket of the hip joint, or labrum, is damaged or torn. Typically, this condition leads to symptoms such as:

  • Sharp, stabbing pain in the groin area or outer hip
  • Discomfort when sitting, particularly in low seats
  • Catching, popping, snapping or clicking sensations in the hip

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Honda Rancher 420 Electric Shift To Manual Conversion

Originally published in Insidermedicine. Nearly half of women who undergo surgery and other treatments for breast cancer report having persistent pain in and around the treatment area a year or more later, probably because of nerve damage, according to research published in the November 10 issue of the Journal of the American Medical Association.

What Treatment Options Exist

The best way to avoid groin pain after hip replacement is to avoid hip surgery altogether. Hip replacement surgery has been associated with significant complications which include pseudotumors , hip dislocations, strokes, metal toxicity due to wear particles, and an increased incidence in falls . In a recent study that followed 51 patients after hip replacement, activity level, and sleep were not improved at 6 months .

Treatment for groin pain after hip replacement depends upon the underlying source. Infection, a loose implant, and pelvic fracture require prompt surgical evaluation and may require additional surgeries. Conservative care in the form of rest, safe NSAIDs, stretching and PT are the initial treatment of choices for Iliopsoas tendonitis. When unsuccessful, steroid injections are often recommended. Steroids are powerful anti-inflammatory agents that are toxic to orthopedic tissue, and should be avoided. In addition, steroids also reduce local stem cell numbers and compromise immune system activity. Surgery is also an option if pain persists. In some cases, the Iliopsoas tendon is cut thereby relieving the pressure on the tendon. Unfortunately, this also significantly changes the biomechanics of the hip and lower extremity as the Iliopsoas tendon is a major stabilizer.

Are there new, natural treatment options? YES!

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Features Of Nerve Related Anterior Hip Pain

  • Area of nerve entrapment and area of nerve supply . See infographic above outlining area of cutaneous innervation. Please note that the infographic provides typical distributions but there is much interindividual variability, with territorial overlap and lack of distinct territories.
  • The femoral branch of the genitofemoral nerve serves the skin of the femoral triangle while the ilioinguinal and iliohypogastric nerves may give rise to symptoms in the inguinal and suprapubic regions.
  • Injury or entrapment of the lateral femoral cutaneous nerve usually results in symptoms in the anterolateral thigh region referred to as Meralgia Paraesthetica. It is also possible for patients to experience nociceptive pain in the most common area of entrapment as it exits the pelvis just inside the Anterior Superior Iliac Spine.
  • Femoral nerve symptoms are likely to arise in the areas of cutaneous innervation in the thigh.
  • Extra-territorial spread of symptoms may occur due to remote immune-inflammatory responses in the dorsal root ganglia and dorsal horn.
  • Nature of pain:
  • Often described as burning with sharp or shooting pain
  • Also, may experience an aching pain, often related with nociceptive stimuli at the region of entrapment
  • Associated Symptoms:
  • Dysaesthesia/paraesthesia tingling, change in sensation, itching/crawling sensations, sensitivity to touch or temperature
  • Aggravating Factors: This varies depending on the area and mechanism of nerve entrapment or irritation.
  • Easing Factors:
  • Armor Physical Therapy Is Ready To Help Treat Your Hip Pain

    Certain Uncommon Factors Can Cause Hip Replacement Prosthesis to Fail

    Do you have sharp, stabbing pain in your hip? Our therapy specialists at Armor Physical Therapy are here to help you. We offer free screenings that can reveal the source of your hip pain. Our team also excels at building personalized therapy plans intended to reduce hip pain. You can even get therapy from home thanks to our virtual care and at-home therapy services, and none of our services require that you have a doctors referral.

    Contact us today for more information about how we can help with your hip pain or to schedule an initial appointment.

    Quick Links

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    What Causes Stabbing Pain In The Thigh After Hip Replacement

    Hip replacement surgery involves two parts, one piece inserted into your femur bone and the other piece the socket in your pelvis. Generally both parts are easily fitted by the surgeon and should allow you to put weight through it immediately after surgery.

    Stabbing mid thigh pain after hip replacement is something you can expect to feel in the first few weeks after surgery. This area of your leg has major muscle, blood supply and nerve supply running through it. Because of this involvement, effects from the hip surgery can cause it to be very sensitive and cause pain.

    Because the replacement post is inserted lengthwise into your femur bone, there is a good chance that you will have some femoral stem pain in your thigh for 4-6 weeks after surgery. Dont forget, bone takes 6 weeks to heal. By placing the post into the bone you are doing some minor injury to the area which takes time to heal.

    If this stabbing pain in the thigh continues beyond a year after surgery you will want to get reevaluated. This type of pain can last up to 6 months however when continued beyond a year after surgery would be abnormal.

    If you feel any excess movement in the mid thigh along with your stabbing pain please contact your surgeon. Excess movement or any movement of any kind can be signs of non-healing of the femoral stem and need to be x-rayed.

    Nerve Related Conditions Associated With Anterior Hip Pain

    The nerves that serve the anterior hip and thigh can be responsible for nociceptive pain in the region of any local entrapment and/or neuropathic pain that extends to the area of nerve supply. Once leaving the spine, these nerves need to travel between or through paraspinal and abdominal muscles, the pelvis and then exit through or beneath ligamentous structures, before piercing the fascia to reach the skin. There are many sites of potential entrapment or irritation of these nerves along their pathways and mechanisms of injury that may be local or distant to the anterior hip region itself.

    Possible entrapment or injury zones associated with nerve related anterior hip pain1,2

    Possible mechanisms for entrapment or injury of nerves supplying the anterior hip1,2,3

    The most common mechanisms for entrapment or injuries related to nerve related anterior hip pain are iatrogenic mechanisms, indicating the importance of exploring any surgical history in the patient interview. Pregnancy, childbirth and endometriosis are also potential mechanisms in females. Trauma, external and internal compression are less common but potential mechanisms and tumours and cysts should always be considered.

  • Pregnancy and childbirth mechanisms may be related to pressure within the pelvis and during childbirth if the hips are sustained in stirrups or full flexion for prolonged periods. Direct nerve injury or scar tissue entrapment may occur during/following caesarean section as mentioned above.
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    Dos And Don’ts To Protect Your New Hip

    Whether you are experiencing severe pain after your hip surgery or not, it is important to pay attention to a few things to help accelerate the healing process. Be sure to work closely with your healthcare provider and physical therapist and follow their list of do’s and don’ts to avoid any complications after your surgery. Here are a few common things you should and should not do post surgery:

    The Don’ts

    • Do not cross your legs at your knees for up to 8 weeks of surgery.
    • Do not raise your knee up higher than the level of your hip.
    • Do not lean forward when sitting.
    • Do not bend forward to pick something from the ground while sitting.
    • Do not turn your feed outward or inward while bending down.
    • Do not bend excessively at the waist beyond 90 degrees.

    The Dos

    • Do keep the leg straight and facing forward.
    • Do keep your leg right in front of you while standing or sitting.
    • Do make use of a barstool or high kitchen while working in the kitchen.
    • Do apply ice packs to the affected area to relieve pain and swelling.
    • Do use heat before any exercise to improve your range of motion.

    What Could Slow Down My Recovery

    George Murrell: Walking without Pain after Hip Replacement Surgery

    As with any surgery, there is some risk of complications during and after a hip replacement, which may include infection at the incision site, bone fractures and hip dislocations, explains Thakkar. If you notice a fever, drainage from the incision site, difficulty moving your hip or severe pain that is not relieved by your medication, contact your doctor immediately.

    Taking rehabilitation at a comfortable pace and avoiding sudden, sharp movements can help prevent dislocations and falls that may delay the recovery.

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    How Long Will Thigh Pain Last After Hip Replacement

    As we briefly touched on earlier, thigh and hip pain immediately after surgery is to be expected, of course. But how long should it persist, and when is it time to worry?

    The initial pain from surgery will likely last between 2-4 weeks, depending on your age and how serious you take your recovery. Other factors include how active you were prior to and after surgery, your medical history, etc.

    But, some people can experience pain in their thigh for up to 6-8 weeks after surgery. This is not necessarily cause of concern, but if you ever feel concerned for your health and safety, a doctors visit is warranted. This can help you rule out infection.

    Your pain should lessen every single week, and if it ever starts getting worse, its worth asking a doctor.

    But, while you endure a few weeks of misery, here are some tips to help make yourself more comfortable and speed up your recovery.

    How Long Does It Take To Recover After A Hip Replacement

    On average, hip replacement recovery can take around two to four weeks, but everyone is different, says Thakkar. It depends on a few factors, including how active you were before your surgery, your age, nutrition, preexisting conditions, and other health and lifestyle factors.

    Achieving a certain level of activity before you have the surgery can help you bounce back more quickly, shares Thakkar. We use a regimen called prerehabilitation, or prehab, to help patients get in a physical shape that will set them up for a successful recovery.

    Preparing for Hip Replacement Surgery | Q& A with Savya Thakkar, M.D.

    Savya Thakkar, a hip and knee replacement specialist, talks about which conditions may require a hip replacement and what to expect before and after the surgery.

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