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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Extreme Pain In Hip Post Hip Replacement Surgery?

I have had a total hip replacement surgery on September 24, 2014. I felt better right away I was able to ride a bike 20 + miles less than three weeks after the surgery. In the last six months my hip is getting worse than it was prior to the surgery. I have been back and forth to the original surgeon many times. I have gotten injections, X-rays, trivacide bone scan, and had fluid taken from the hip to check for an infection. The pain is getting unbearable again. What should I do? What is my next move? I m 55 years old in decent health. I have arthritis and gout. No heart issues, no diabetes that s all the information I have.
Wed, 20 Nov 2019
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General Surgeon,  's  Response
Hi,

Noted your history of having gout and arthritis in the first place, hip replacement then the unbearable pain, tests like X-rays, fluid from joint, bone scan done.
As per the history your have provided you already have gout and arthritis and hip replacement surgery entails only a part of the hip replaced and the other structures remain there only. Hence it is of utmost important to get a proper management of the gout and arthritis which may help for pain relief also.
Search for autoimmune disease and get treated properly.
Local CT scan or MRI if the replacement material allows can tell any local problem like fibrosis and deposits around hip that can cause such pains.
Neurological involvement also has to be considered for unbearable pain and treated if suspected with medications like Amitriptyline and so on.
Give rest to the part for recovery to occur.
Consult pain management clinics if indicated.

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

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Extreme Pain In Hip Post Hip Replacement Surgery?

Hi, Noted your history of having gout and arthritis in the first place, hip replacement then the unbearable pain, tests like X-rays, fluid from joint, bone scan done. As per the history your have provided you already have gout and arthritis and hip replacement surgery entails only a part of the hip replaced and the other structures remain there only. Hence it is of utmost important to get a proper management of the gout and arthritis which may help for pain relief also. Search for autoimmune disease and get treated properly. Local CT scan or MRI if the replacement material allows can tell any local problem like fibrosis and deposits around hip that can cause such pains. Neurological involvement also has to be considered for unbearable pain and treated if suspected with medications like Amitriptyline and so on. Give rest to the part for recovery to occur. Consult pain management clinics if indicated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon