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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Excruciating Pain After Total Hip Replacement?

I had a total hip replacement 2.12.13 and am still getting excrutiating pain when getting in and out of bed and when sitting in a chair at work. I m a young 57 year old low bmi right weight for height and my surgeon has said the operation went well and there s no infection what could be wrong?
Thu, 21 Apr 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thank you for providing the brief history of you.

A thorough neuromuscular assessment is guided.

As the THR was successful, and no infection is there, than the pain is due to muscle weakness. Also, you need to perform physical therapy post THR not only upto the mobility but upto the state where your body is out of pain and aches. For which, exercises included are - core stability, pelvic floor strengthening, back strengthening, hip strengthening and lower limb as a whole. Since all these exercises will strengthen the muscle groups in and around the hip joint which needs an attention to give full support to the hip joint.

In my clinical experience, i prefer physical therapy for my patients anywhere between 6-8 weeks post which after a musculoskeletal assessment the discharge from physical therapy is advised. Patient recover to 99% of optimum muscle strength and no pains.

Regards
Jay Indravadan Patel
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What Causes Excruciating Pain After Total Hip Replacement?

hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is guided. As the THR was successful, and no infection is there, than the pain is due to muscle weakness. Also, you need to perform physical therapy post THR not only upto the mobility but upto the state where your body is out of pain and aches. For which, exercises included are - core stability, pelvic floor strengthening, back strengthening, hip strengthening and lower limb as a whole. Since all these exercises will strengthen the muscle groups in and around the hip joint which needs an attention to give full support to the hip joint. In my clinical experience, i prefer physical therapy for my patients anywhere between 6-8 weeks post which after a musculoskeletal assessment the discharge from physical therapy is advised. Patient recover to 99% of optimum muscle strength and no pains. Regards Jay Indravadan Patel