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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Chronic Pain In Lower Back And Groin Long After Hip Replacement Surgery?

MY NAME IS HEATHER I HAD A FULL HIP REPLACEMENT IN 2013. HAVE TWO BULGING DISC IN LOWER BACK AND DAMAGED NERVES IM IN CONSTANT PAIN CHRONIC DOCTOR SAID IT WAS THE WORST CASE OF OSTEO,SPINAL STENIOSUS{?} TAKE ADVIR DISK ONE OF THE SIDE EFFECTS OSTEOSOUS{?} ALSO HAD REALLY BAD INFECTION AFTER SURGERY WAS IN HOSPITAL FOR A MONTH. EVERY DAY ITS GETTING WORSE TO WHERE IT FEELS THE WAY IT DID BEFORE SURGERY I CANT WALK HARDLY CONSTANT BURNING IN LOWER BACK CHRONIC PAIN IN GROAN ALWAYS SWOLLEN HOT OR WARM TO TOUCH CANT SIT STAND OR WALK FOR VERY LONG WITHOUT ELECTRIC BURNING NEEDLE ETC PAIN CANT LIFT LEG CANT NOW BARLY WALKING LIMBING WORSE THAN BEFORE NO DOC NO MEDS ETC
Mon, 6 Apr 2020
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General Surgeon,  's  Response
Hello,

There are various causes of chronic lower back pain and groin after hip replacement surgery as:
- Prosthesis related nerve compression
- Vascularity compromise of hip joint as avascular necrosis or others
- Nerve compression of lower spinal cord (which will present with sciatica radiating to back of thigh even up to calf as well)
- Chronic spasms of ligament of hip around prosthesis
- Worsening of osteoporosis, spondylytis or osteoarthritis condition
- Calcium homeostasis disturbances
- If history of steroid consumption, side effects of chronic use

Treatment depends upon the underlying cause and management accordingly. Review your latest lab data with a, x-ray and MRI plates if available for further reference here during follow up conversation.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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How To Treat Chronic Pain In Lower Back And Groin Long After Hip Replacement Surgery?

Hello, There are various causes of chronic lower back pain and groin after hip replacement surgery as: - Prosthesis related nerve compression - Vascularity compromise of hip joint as avascular necrosis or others - Nerve compression of lower spinal cord (which will present with sciatica radiating to back of thigh even up to calf as well) - Chronic spasms of ligament of hip around prosthesis - Worsening of osteoporosis, spondylytis or osteoarthritis condition - Calcium homeostasis disturbances - If history of steroid consumption, side effects of chronic use Treatment depends upon the underlying cause and management accordingly. Review your latest lab data with a, x-ray and MRI plates if available for further reference here during follow up conversation. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon