Seeking Guidance on Complications Post Hip Replacement
I am a 59-year-old female who underwent a left total hip replacement using a Mako robotic approach in December 2024. Initially, post-operative discomfort subsided, but I have been experiencing persistent pain in the back of my left hip that has not improved. Throughout my follow-up appointments, I expressed my concerns to both the surgeon and the physician assistant, but they only suggested that I wait it out without providing further options. During my most recent visit in early May, I was informed that I might have bursitis; however, no specific treatment was recommended, and I was advised to get an MRI of my lower back. Following that, I reached out to my primary care physician for a referral for both back and hip MRIs, which were conducted at the end of June. The hip MRI revealed a defect in the posterior left pseudocapsule, with an organized collection of joint fluid extending along the back of the greater trochanter. The lumbar MRI indicated the presence of disc osteophyte complexes at the L4/5 and L5/S1 levels. I have a follow-up appointment with the orthopedic specialist next week, but I am feeling quite frustrated due to my previous experiences where my pain was not taken seriously, and the reluctance to pursue a hip MRI earlier. Although this doctor comes highly recommended in our medium-sized town, I am uncertain about my next steps and where to seek further assistance. Clearly, it’s essential to address these issues, and I would appreciate hearing from others regarding potential diagnostics or treatment options, as my confidence in the current diagnosis process has waned considerably.
Answers (1)
7/24/2025, 2:40:43 AM
OpenHealth AI
Main Points: You have persistent hip pain after your total hip replacement, with MRI results indicating issues in both your hip and lower back. It's natural to feel frustrated, especially when your concerns haven't been adequately addressed. Preparing for your upcoming appointment is crucial, so you can advocate for effective treatment.
Explanation: After a hip replacement, it’s not uncommon to experience various complications, including pain, inflammation, or issues related to surrounding structures such as bursitis or arthritis. The MRI findings—like defects in the pseudocapsule and joint fluid accumulation—may indicate ongoing problems that need specific attention. Additionally, the lumbar spine MRI revealing disc osteophytes suggests there could be factors from your lower back contributing to your discomfort.
Next Steps:
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Prepare for Your Appointment:
- Write down all your symptoms, including their severity and timing. This will help convey the full picture to your orthopedic specialist.
- Note any specific concerns or questions you have about the MRI findings and management options, such as the significance of the defect in the pseudocapsule and the treatment options for bursitis.
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Request Thorough Discussion:
- During your visit, ask for clarification about the MRI results: What do they mean for both your hip and back? It’s okay to express your need for a more detailed explanation of how these findings relate to your ongoing pain.
- Inquire about targeted treatments for the pseudocapsule defect and the joint fluid collection. Options may include physical therapy, corticosteroid injections, or further imaging if necessary.
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Seek Collaborative Care:
- Depending on your appointment's outcome, consider if a referral to a pain management specialist or a physical therapist skilled in post-operative recovery might be beneficial. This can offer additional pathways for pain relief and rehabilitation.
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Follow-Up:
- After your appointment, ensure you understand the next steps, including any additional tests or treatment plans. If you feel your concerns aren't fully addressed, consider seeking a second opinion, either with another orthopedic surgeon or a specialist in pain management.
Remember, your symptoms are valid, and it's important to advocate for your health until you receive satisfactory answers and relief. You're taking the right steps by seeking further advice and preparing for your follow-up appointment.
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