Re: tendons rubbing against prothesis? and revision

[Guest guest]

Hey Sunita! Fascinating post! Oh Sunita....my gosh...you've really

had a rough time. I'm wondering how small are you? What is your

weight and how tall are you...if I might ask such personal questions?

Was the other person that DeSmet identified as having your same

problem a small person? Will you be revised to a total hip?

Geez...how you must feel....my oh my. Thank you so much for keeping

us informed. I will look forward to hearing more about this. My

thoughts are with you. Susie in Memphis

> AS some of you know I have been struggling with pains in my BHR (De

Smet R BHR January 6, 2004).

> I had bone scan, blood test for infection, Xrays; all are OK and

were looked at by De Smet except he does not have yet the original

pictures of the bone scan (only the report from the radiologist here

in Vancouver). The report from the bone scan is good (although they

cannot " see " under the cap).

> Anyway the only thing at this point that De Smet can see is that

the prothesis is slightly oversized because they only go in 4mm

increment in the Birmingham and I am tiny. So he put in a slightly

oversized one cause the size below would have meant a risk of

fracture or AVN cause he has to take out more bone.

> De SMet says that the problem could be that the tendons are rubbing

against the prothesis and the solution would be a revision!!

> He has only one other patient with this problem and is going to do

a revision for that reason.

> Anyone has heard about that or has that problem??? I am not keen on

a revision especially with the bad times I have had after the first

surgery! But .... might have to and then with the prospect of the

other hip to do too!

>

> Eleanor did you get the results of your hip aspiration arthrogram?

>

> Sunita

> RBHR January 6, 04 De Smet

>

>

>

>

[Guest guest]

Hi Susie

I am 5' 1 " and weight 100lb. I don't know if the other patient is small, De Smet

said she did not speak English and has no email so I have not communicated with

her.

the revision is a THR unfortunately but I don' t know yet if they have to remove

the cup also (the question is the size) cause I don't want to have the same

problem with the THR!! De Smet was not sure about that yet.

Yes I am very upset; also I am wondering if I can get it better through physio.

I have been going to an excellent physio and I will talk to him next time and

see if he has any idea how to handle this new information. Anything would be

better rather than going through surgery again!

That is the risk we take when we are into " new " type of surgery. And it is hard

to believe it is happening to me ... that this BHR did not work! I had never

thought of such an outcome!

thanks for your email

Sunita

Re: tendons rubbing against prothesis? and revision

Hey Sunita! Fascinating post! Oh Sunita....my gosh...you've really

had a rough time. I'm wondering how small are you? What is your

weight and how tall are you...if I might ask such personal questions?

Was the other person that DeSmet identified as having your same

problem a small person? Will you be revised to a total hip?

Geez...how you must feel....my oh my. Thank you so much for keeping

us informed. I will look forward to hearing more about this. My

thoughts are with you. Susie in Memphis

> AS some of you know I have been struggling with pains in my BHR (De

Smet R BHR January 6, 2004).

> I had bone scan, blood test for infection, Xrays; all are OK and

were looked at by De Smet except he does not have yet the original

pictures of the bone scan (only the report from the radiologist here

in Vancouver). The report from the bone scan is good (although they

cannot " see " under the cap).

> Anyway the only thing at this point that De Smet can see is that

the prothesis is slightly oversized because they only go in 4mm

increment in the Birmingham and I am tiny. So he put in a slightly

oversized one cause the size below would have meant a risk of

fracture or AVN cause he has to take out more bone.

> De SMet says that the problem could be that the tendons are rubbing

against the prothesis and the solution would be a revision!!

> He has only one other patient with this problem and is going to do

a revision for that reason.

> Anyone has heard about that or has that problem??? I am not keen on

a revision especially with the bad times I have had after the first

surgery! But .... might have to and then with the prospect of the

other hip to do too!

>

> Eleanor did you get the results of your hip aspiration arthrogram?

>

> Sunita

> RBHR January 6, 04 De Smet

>

>

>

>

[Guest guest]

Hi Sunita

I was glad to hear that the bone scan looked OK. You must be very

upset by the prospect of another operation. I think you are wise to

keep working with the physiotherapist for awhile and see what happens.

If it's irritated tendons, hopefully waiting a few months won't make

them much worse. And of course you want to get advice from as many

medical and paramedical people as you can, not just from surgeons.

If Dr. Greidanus is correct in saying that your other hip is not

yet urgent, you might want to take the time to investigate if other

BHR appliances (such as Durom) come in a better range of sizes for

you, before you decide what to do about the second one.

I had torn a lower back ligament in a bad fall before my BHR, and

it healed up all wrong, causing me sometimes excruciating pain. I was

told that only surgery would fix it, but since the operation and my

improved alignment, it's been slowly improving.

It's interesting that some of the people who, like you, were in

pretty good shape before their operation have had more problems

afterwards than some of those with slack muscles. I guess with a

fairly new surgery like BHR, there are a lot of details that are still

not fully studied, and are therefore unpredictable. It's really too

bad for you that being a " guinea pig " has been such a hassle. But good

news that you don't have an infection.

Wishing you all the best,

n

rBHR Oct. 2004 McMinn

[Guest guest]

Hi Sunita,

Just a thought - has anyone who knows what they are looking at had a close

look at the acumbulum cup under xray conditions etc......... One of the

people I know who had a resurface ran into severe problems with his........

it didn't fix properly and moved by tiny fractions causing a good deal of

pain....... It seemed to take quite a while for doctors to decide that was

the problem and they had to go in and fix it better.......... then he had no

trouble.........

Much of his troubles with it were thought to be buritis, which is about what

rubbing on the ligament/bursa/tendon area around the hip would give

you........... Be sad to revise the femoral head area and then find it was

the cup........

Edith LBHR Dr. L Walter Syd Aust 8/02

> thanks Diane;

> I am now in my 7th month... and the pain has become worse: more or less

constant ache and pain on activity and walking. any movement can hurt even

sitting for longer than 10 minutes or sitting on a hard surface.

> I can only walk 3 blocks now (was able to walk 10 blocks for 3 weeks

around month 4).

> Physio helps momentarly.

> I am dreading the idea of revision and to THR on top of it!

> Sunita

>

[Guest guest]

Hi Sunita,

Just a thought - has anyone who knows what they are looking at had a close

look at the acumbulum cup under xray conditions etc......... One of the

people I know who had a resurface ran into severe problems with his........

it didn't fix properly and moved by tiny fractions causing a good deal of

pain....... It seemed to take quite a while for doctors to decide that was

the problem and they had to go in and fix it better.......... then he had no

trouble.........

Much of his troubles with it were thought to be buritis, which is about what

rubbing on the ligament/bursa/tendon area around the hip would give

you........... Be sad to revise the femoral head area and then find it was

the cup........

Edith LBHR Dr. L Walter Syd Aust 8/02

> thanks Diane;

> I am now in my 7th month... and the pain has become worse: more or less

constant ache and pain on activity and walking. any movement can hurt even

sitting for longer than 10 minutes or sitting on a hard surface.

> I can only walk 3 blocks now (was able to walk 10 blocks for 3 weeks

around month 4).

> Physio helps momentarly.

> I am dreading the idea of revision and to THR on top of it!

> Sunita

>

[Guest guest]

Hi Edith

De Smet has looked at Xrays from 3 months ago and Xrays now and does not see any

movement in the acetabulum cup. I don't know how he would detect a tiny fraction

of movement??

How did they " fix it better " in his case?

sunita

Re: Re: tendons rubbing against prothesis? and

revision

Hi Sunita,

Just a thought - has anyone who knows what they are looking at had a close

look at the acumbulum cup under xray conditions etc......... One of the

people I know who had a resurface ran into severe problems with his........

it didn't fix properly and moved by tiny fractions causing a good deal of

pain....... It seemed to take quite a while for doctors to decide that was

the problem and they had to go in and fix it better.......... then he had no

trouble.........

Much of his troubles with it were thought to be buritis, which is about what

rubbing on the ligament/bursa/tendon area around the hip would give

you........... Be sad to revise the femoral head area and then find it was

the cup........

Edith LBHR Dr. L Walter Syd Aust 8/02

> thanks Diane;

> I am now in my 7th month... and the pain has become worse: more or less

constant ache and pain on activity and walking. any movement can hurt even

sitting for longer than 10 minutes or sitting on a hard surface.

> I can only walk 3 blocks now (was able to walk 10 blocks for 3 weeks

around month 4).

> Physio helps momentarly.

> I am dreading the idea of revision and to THR on top of it!

> Sunita

>

[Guest guest]

Hi Edith

De Smet has looked at Xrays from 3 months ago and Xrays now and does not see any

movement in the acetabulum cup. I don't know how he would detect a tiny fraction

of movement??

How did they " fix it better " in his case?

sunita

Re: Re: tendons rubbing against prothesis? and

revision

Hi Sunita,

Just a thought - has anyone who knows what they are looking at had a close

look at the acumbulum cup under xray conditions etc......... One of the

people I know who had a resurface ran into severe problems with his........

it didn't fix properly and moved by tiny fractions causing a good deal of

pain....... It seemed to take quite a while for doctors to decide that was

the problem and they had to go in and fix it better.......... then he had no

trouble.........

Much of his troubles with it were thought to be buritis, which is about what

rubbing on the ligament/bursa/tendon area around the hip would give

you........... Be sad to revise the femoral head area and then find it was

the cup........

Edith LBHR Dr. L Walter Syd Aust 8/02

> thanks Diane;

> I am now in my 7th month... and the pain has become worse: more or less

constant ache and pain on activity and walking. any movement can hurt even

sitting for longer than 10 minutes or sitting on a hard surface.

> I can only walk 3 blocks now (was able to walk 10 blocks for 3 weeks

around month 4).

> Physio helps momentarly.

> I am dreading the idea of revision and to THR on top of it!

> Sunita

>

[Guest guest]

Hi Edith

De Smet has looked at Xrays from 3 months ago and Xrays now and does not see any

movement in the acetabulum cup. I don't know how he would detect a tiny fraction

of movement??

How did they " fix it better " in his case?

sunita

Re: Re: tendons rubbing against prothesis? and

revision

Hi Sunita,

Just a thought - has anyone who knows what they are looking at had a close

look at the acumbulum cup under xray conditions etc......... One of the

people I know who had a resurface ran into severe problems with his........

it didn't fix properly and moved by tiny fractions causing a good deal of

pain....... It seemed to take quite a while for doctors to decide that was

the problem and they had to go in and fix it better.......... then he had no

trouble.........

Much of his troubles with it were thought to be buritis, which is about what

rubbing on the ligament/bursa/tendon area around the hip would give

you........... Be sad to revise the femoral head area and then find it was

the cup........

Edith LBHR Dr. L Walter Syd Aust 8/02

> thanks Diane;

> I am now in my 7th month... and the pain has become worse: more or less

constant ache and pain on activity and walking. any movement can hurt even

sitting for longer than 10 minutes or sitting on a hard surface.

> I can only walk 3 blocks now (was able to walk 10 blocks for 3 weeks

around month 4).

> Physio helps momentarly.

> I am dreading the idea of revision and to THR on top of it!

> Sunita

>

[Guest guest]

Hi n

On the bone scan it shows that my other hip has " modaretely severe " arthritis.

So in fact what Greidanus said is not completely true and I know it from the

pain is the non operated hip!

I looked up and yes Durom has a better range of sizes (increment of 2mm rather

than 4mm in the Birmingham). However at this point I don't know if I would go

for another resurf on the other hip in view of the failure of the first one! Not

easy choice...

I am continuing with the physio but for now pain is the same if not worse.

Sunita

Re: tendons rubbing against prothesis? and revision

Hi Sunita

I was glad to hear that the bone scan looked OK. You must be very

upset by the prospect of another operation. I think you are wise to

keep working with the physiotherapist for awhile and see what happens.

If it's irritated tendons, hopefully waiting a few months won't make

them much worse. And of course you want to get advice from as many

medical and paramedical people as you can, not just from surgeons.

If Dr. Greidanus is correct in saying that your other hip is not

yet urgent, you might want to take the time to investigate if other

BHR appliances (such as Durom) come in a better range of sizes for

you, before you decide what to do about the second one.

I had torn a lower back ligament in a bad fall before my BHR, and

it healed up all wrong, causing me sometimes excruciating pain. I was

told that only surgery would fix it, but since the operation and my

improved alignment, it's been slowly improving.

It's interesting that some of the people who, like you, were in

pretty good shape before their operation have had more problems

afterwards than some of those with slack muscles. I guess with a

fairly new surgery like BHR, there are a lot of details that are still

not fully studied, and are therefore unpredictable. It's really too

bad for you that being a " guinea pig " has been such a hassle. But good

news that you don't have an infection.

Wishing you all the best,

n

rBHR Oct. 2004 McMinn

[Guest guest]

Hi n

On the bone scan it shows that my other hip has " modaretely severe " arthritis.

So in fact what Greidanus said is not completely true and I know it from the

pain is the non operated hip!

I looked up and yes Durom has a better range of sizes (increment of 2mm rather

than 4mm in the Birmingham). However at this point I don't know if I would go

for another resurf on the other hip in view of the failure of the first one! Not

easy choice...

I am continuing with the physio but for now pain is the same if not worse.

Sunita

Re: tendons rubbing against prothesis? and revision

Hi Sunita

I was glad to hear that the bone scan looked OK. You must be very

upset by the prospect of another operation. I think you are wise to

keep working with the physiotherapist for awhile and see what happens.

If it's irritated tendons, hopefully waiting a few months won't make

them much worse. And of course you want to get advice from as many

medical and paramedical people as you can, not just from surgeons.

If Dr. Greidanus is correct in saying that your other hip is not

yet urgent, you might want to take the time to investigate if other

BHR appliances (such as Durom) come in a better range of sizes for

you, before you decide what to do about the second one.

I had torn a lower back ligament in a bad fall before my BHR, and

it healed up all wrong, causing me sometimes excruciating pain. I was

told that only surgery would fix it, but since the operation and my

improved alignment, it's been slowly improving.

It's interesting that some of the people who, like you, were in

pretty good shape before their operation have had more problems

afterwards than some of those with slack muscles. I guess with a

fairly new surgery like BHR, there are a lot of details that are still

not fully studied, and are therefore unpredictable. It's really too

bad for you that being a " guinea pig " has been such a hassle. But good

news that you don't have an infection.

Wishing you all the best,

n

rBHR Oct. 2004 McMinn

[Guest guest]

> Hi Susie of Menphis in Tennessee!

> Oh of course Elvis Presley! Now I know where you are!

> yes overuse! maybe I sure hope so... But I am becoming less and

less optimistic with time passing and nothing getting better. I have

not been taking much antiinflammatories cause 1- they screw up my

stomach and second I know they make arthritis worse and I have it in

other hip... and 3- if it is overuse then it would be so hard to

know when to stop if the pain is masked???

> I don't know ... but these are my thoughts. Maybe I should take

more antiinflammatories maybe I will have to anyway if the pain

becomes unbearable!

Sunita,

I am an old hippie just passing through as I do from time to time.

I had my bilateral resurfacings done over 2 1/2 years ago in

January. From the beginning when I thought I should be pain free I

would stir something up usually by my over zealous exercise. To

this day I am battling on-going trouble with a painful psoas in my

right hip. The muscle on the outside that goes from the hip and

attaches on the inside of the knee is also affected to a lesser

degree. (I forget the name at the moment; CRS- cuz I'm 56.) The

left hip has settled down to what I would consider " normal " though

at 5 months out I remember complaining to the physical therapist

about pain on flexion.

All in all I am very happy with my new hips. I can do things even

with the limitation of the pain in the right that I never would be

able to do if I hadn't had the surgery. Like you I am having a very

hard time finding a decision as to what exactly is going on with the

right. The guess is similar to what you are hearing. I don't think

I had oversized devices implanted though. For some reason or other

the muscles, tendons or ligaments that are close to the device stay

inflamed to one degree or another. My surgeon did the standard test

for impingement: if he moved (flexed) the leg it didn't hurt, if I

moved it, I had the pain. So soft tissue is not getting caught but

it is still being bothered for some reason. I am very consciously

trying not to do things that would cause it to hurt. I need to

exercise and have gone back to the pool using the " Heal Your Hips "

book. I thought I was on to something when a week ago I did my

routine in the pool after not being able to do so for a week because

of rain. I've been very sore since. I DO use anti-inflamatories

when I get to this place. I also use ice and I rest until the

intense pain subsides. If I can sit on myself long enough and not

go back to exercise I can get the pain down to a manageable level or

at least I have been able to up to this point. I also am quite

certain that I wouldn't be able to do this without the use of the

anti-inflamatories. I rarely use a full dose of vioxx; I cut them

in half except when the pain is at it's worst. On the " not so bad "

days or as the pain subsides, I use plain old aspirin. I have to

say that this last episode needed the full dose of vioxx for a day

or so. I'm beginning to think I should use the full dose for a

longer time. I haven't tried that yet.

From reading the other posts I noticed one that talked about tendon

inflamation in the wrist and that it took 6 months to get over.

Time might just be the case here to. It's possible that I never

quit long enough to really get over anything! I can relate to this

type of inflamation. I had a similar problem in my wrist and it

took as long. I was to the point where I thought it was a " forever "

thing when I noticed it finally had gone away. It's much easier not

to use a wrist than the legs though.

This is " just my two cents " . I hope you find a solution to your

trouble. Feel free to email me personally is you'd like to discuss

this further.

From a Happy Hippie (though sometimes in pain)

Trudy

[Guest guest]

Hi Sunita,

They had to go in and put screws around it from my limited understanding of

it all........... I did gather that it took quite a bit to find the movement

in the acetabulum in his case.......... though I am sure Drs such as De Smet

know what they are looking at.......

And re your next email - I had learnt that it was probably ligaments you

were talking about not tendons from my little fitness course.......... but

you are right they hurt just the same and it will be rather like the buritis

that Marie was talking about earlier with her hip joint preop.......... I

think I get a large dollop of it every time I get mine to stretch a little

more for it would be the force of the ligaments pulling over the joint that

actually stretches it out a tiny fraction......... It is rather painful then

and does a lot of aching though I never have trouble with actual soreness

sitting on anything........ My son just says one day it may well stop.......

as bodies do tend to adjust to things.

From what I have gleened in knowledge of the hip joint area lately once a

hip joint starts seizing up in any fashion the ligaments/bursia area would

be in danger of rubbing until they got stretched again which they should do

naturally over time.......... We have had people talk about having longer

legs post op ............ I imagine they go through some fun too until those

areas get stretched and are not sitting up against the joint so closely as

to get rubbed...........

All joints are fairly complex arrangements and the hip has these

ligaments/bursia bits across between the hip bone and femur bone that

encases the whole lot and all got stretched and played with during the

operation just to get in there, then there are some tendons that come out

not far from the joint itself and one little muscle that sits across the

joint and has a lot to do with how far one can stretch it......... All these

got interferred with during the op one way or another....... and all take

time to heal and could have been hurt in such a way that healing doesn't

readily happen......... Age and what we started with matter here

greatly...... along with just how we set about with our healing.........

(Actually I cringe about what I did now I know some more about it all)

To heal an already inflammed joint isn't an easy task and one really need a

physio that knows what they are doing and follow their instructions

carefully........ It seems to be one of those games of do this much, ice and

rest, then do that much etc etc.......... and you are certainly right in

thinking you have to keep moving........... Perhaps you could find some info

on the web and/or library that has some pictures of joint capsules/hip

muscles to get a better idea of the process and get more control over

it....... It is certainly facinating and easier to handle if you are in more

control yourself...........

Edith LBHR Dr. L Walter Syd Aust 8/02

>> De Smet has looked at Xrays from 3 months ago and Xrays now and does not

see any movement in the acetabulum cup. I don't know how he would detect a

tiny fraction of movement??

> How did they " fix it better " in his case?

> sunita

[Guest guest]

Dear Sunita,

Haven't logged on for ages and have just been reading about your

difficulties. I am so sorry to hear that you may have to have

another operation and do hope that there is some way of preventing

this. Possibly facing another op myself, I do know exactly how you

must be feeling!

Eleanor

- In surfacehippy , " Sunita Romeder "

wrote:

> Hi n

> On the bone scan it shows that my other hip has " modaretely

severe " arthritis. So in fact what Greidanus said is not completely

true and I know it from the pain is the non operated hip!

> I looked up and yes Durom has a better range of sizes (increment

of 2mm rather than 4mm in the Birmingham). However at this point I

don't know if I would go for another resurf on the other hip in view

of the failure of the first one! Not easy choice...

> I am continuing with the physio but for now pain is the same if

not worse.

> Sunita

> Re: tendons rubbing against prothesis?

and revision

>

>

> Hi Sunita

> I was glad to hear that the bone scan looked OK. You must be

very

> upset by the prospect of another operation. I think you are wise

to

> keep working with the physiotherapist for awhile and see what

happens.

> If it's irritated tendons, hopefully waiting a few months won't

make

> them much worse. And of course you want to get advice from as

many

> medical and paramedical people as you can, not just from

surgeons.

> If Dr. Greidanus is correct in saying that your other hip

is not

> yet urgent, you might want to take the time to investigate if

other

> BHR appliances (such as Durom) come in a better range of sizes

for

> you, before you decide what to do about the second one.

> I had torn a lower back ligament in a bad fall before my

BHR, and

> it healed up all wrong, causing me sometimes excruciating pain.

I was

> told that only surgery would fix it, but since the operation and

my

> improved alignment, it's been slowly improving.

> It's interesting that some of the people who, like you, were

in

> pretty good shape before their operation have had more problems

> afterwards than some of those with slack muscles. I guess with a

> fairly new surgery like BHR, there are a lot of details that are

still

> not fully studied, and are therefore unpredictable. It's really

too

> bad for you that being a " guinea pig " has been such a hassle.

But good

> news that you don't have an infection.

> Wishing you all the best,

> n

> rBHR Oct. 2004 McMinn

>

>

>

[Guest guest]

Hi Edith,

thanks for your informative email.

I think you read my last post on my new OS here.

there is something I don't quite understand in your email:

" From what I have gleened in knowledge of the hip joint area lately once a

hip joint starts seizing up in any fashion the ligaments/bursia area would

be in danger of rubbing until they got stretched again which they should do

naturally over time "

rubbing against what? and can you explain this statement a bit more??

thanks

sunita

Re: Re: tendons rubbing against prothesis? and

revision

Hi Sunita,

They had to go in and put screws around it from my limited understanding of

it all........... I did gather that it took quite a bit to find the movement

in the acetabulum in his case.......... though I am sure Drs such as De Smet

know what they are looking at.......

And re your next email - I had learnt that it was probably ligaments you

were talking about not tendons from my little fitness course.......... but

you are right they hurt just the same and it will be rather like the buritis

that Marie was talking about earlier with her hip joint preop.......... I

think I get a large dollop of it every time I get mine to stretch a little

more for it would be the force of the ligaments pulling over the joint that

actually stretches it out a tiny fraction......... It is rather painful then

and does a lot of aching though I never have trouble with actual soreness

sitting on anything........ My son just says one day it may well stop.......

as bodies do tend to adjust to things.

From what I have gleened in knowledge of the hip joint area lately once a

hip joint starts seizing up in any fashion the ligaments/bursia area would

be in danger of rubbing until they got stretched again which they should do

naturally over time.......... We have had people talk about having longer

legs post op ............ I imagine they go through some fun too until those

areas get stretched and are not sitting up against the joint so closely as

to get rubbed...........

All joints are fairly complex arrangements and the hip has these

ligaments/bursia bits across between the hip bone and femur bone that

encases the whole lot and all got stretched and played with during the

operation just to get in there, then there are some tendons that come out

not far from the joint itself and one little muscle that sits across the

joint and has a lot to do with how far one can stretch it......... All these

got interferred with during the op one way or another....... and all take

time to heal and could have been hurt in such a way that healing doesn't

readily happen......... Age and what we started with matter here

greatly...... along with just how we set about with our healing.........

(Actually I cringe about what I did now I know some more about it all)

To heal an already inflammed joint isn't an easy task and one really need a

physio that knows what they are doing and follow their instructions

carefully........ It seems to be one of those games of do this much, ice and

rest, then do that much etc etc.......... and you are certainly right in

thinking you have to keep moving........... Perhaps you could find some info

on the web and/or library that has some pictures of joint capsules/hip

muscles to get a better idea of the process and get more control over

it....... It is certainly facinating and easier to handle if you are in more

control yourself...........

Edith LBHR Dr. L Walter Syd Aust 8/02

>> De Smet has looked at Xrays from 3 months ago and Xrays now and does not

see any movement in the acetabulum cup. I don't know how he would detect a

tiny fraction of movement??

> How did they " fix it better " in his case?

> sunita

[Guest guest]

Hi Edith,

thanks for your informative email.

I think you read my last post on my new OS here.

there is something I don't quite understand in your email:

" From what I have gleened in knowledge of the hip joint area lately once a

hip joint starts seizing up in any fashion the ligaments/bursia area would

be in danger of rubbing until they got stretched again which they should do

naturally over time "

rubbing against what? and can you explain this statement a bit more??

thanks

sunita

Re: Re: tendons rubbing against prothesis? and

revision

Hi Sunita,

They had to go in and put screws around it from my limited understanding of

it all........... I did gather that it took quite a bit to find the movement

in the acetabulum in his case.......... though I am sure Drs such as De Smet

know what they are looking at.......

And re your next email - I had learnt that it was probably ligaments you

were talking about not tendons from my little fitness course.......... but

you are right they hurt just the same and it will be rather like the buritis

that Marie was talking about earlier with her hip joint preop.......... I

think I get a large dollop of it every time I get mine to stretch a little

more for it would be the force of the ligaments pulling over the joint that

actually stretches it out a tiny fraction......... It is rather painful then

and does a lot of aching though I never have trouble with actual soreness

sitting on anything........ My son just says one day it may well stop.......

as bodies do tend to adjust to things.

From what I have gleened in knowledge of the hip joint area lately once a

hip joint starts seizing up in any fashion the ligaments/bursia area would

be in danger of rubbing until they got stretched again which they should do

naturally over time.......... We have had people talk about having longer

legs post op ............ I imagine they go through some fun too until those

areas get stretched and are not sitting up against the joint so closely as

to get rubbed...........

All joints are fairly complex arrangements and the hip has these

ligaments/bursia bits across between the hip bone and femur bone that

encases the whole lot and all got stretched and played with during the

operation just to get in there, then there are some tendons that come out

not far from the joint itself and one little muscle that sits across the

joint and has a lot to do with how far one can stretch it......... All these

got interferred with during the op one way or another....... and all take

time to heal and could have been hurt in such a way that healing doesn't

readily happen......... Age and what we started with matter here

greatly...... along with just how we set about with our healing.........

(Actually I cringe about what I did now I know some more about it all)

To heal an already inflammed joint isn't an easy task and one really need a

physio that knows what they are doing and follow their instructions

carefully........ It seems to be one of those games of do this much, ice and

rest, then do that much etc etc.......... and you are certainly right in

thinking you have to keep moving........... Perhaps you could find some info

on the web and/or library that has some pictures of joint capsules/hip

muscles to get a better idea of the process and get more control over

it....... It is certainly facinating and easier to handle if you are in more

control yourself...........

Edith LBHR Dr. L Walter Syd Aust 8/02

>> De Smet has looked at Xrays from 3 months ago and Xrays now and does not

see any movement in the acetabulum cup. I don't know how he would detect a

tiny fraction of movement??

> How did they " fix it better " in his case?

> sunita

[Guest guest]

Hi Sunita,

The ligaments and bursa around the hip go from the hip side of the joint to

the area below the actual round ball area of a hip joint....... Some are

straight across, others appear to curl around so we can use the hip as we

do.......... They are the first line of support around the joint and sit

very closely onto it. The various muscles that lift our legs, move them

sideways etc then sit over the top of all that in various other

arrangements............ some coming out fairly close to the top of those

ligaments in the hip area...........

Joints seem to require a full flex and use to keep their flexibility and

keep these ligaments etc all working as they should.......the bursa area

makes the synovial fluid that keeps it all lubricated and is essential to

this story...... When hip joints 'seize up' as people talk with their ROM

going I am thinking these ligaments as well as the muscles shorten so to

speak..........and the synovial fluid isn't made as it should be to keep it

all lubricated........

The natural or unnatural ball, as in the case of a Resurface or THR, move

within that closed area......... The cup edge of the acecumbulum whether

natural or unnatural no doubt has the role of holding the ligaments etal

just out a fraction to give clearance at the top........However the ball is

only fully enclosed within the acecumbulum at a straight angle........bend

the leg in any fashion and the ball is going to move against the

ligaments/bursia........... If those ligaments are unnaturally tight, and/or

the synovial fluid isn't happening well there can be the problem referred to

as buritis because these get irritated and inflamed....... In my initial

story I left out the critical role played by the synovial fluid..........

Hope that all makes sense and I am very happy to hear you found an OS on

hand who is willing to listen andtry working it out........... He will be

worth

his weight in gold...........and I think you have to have that to figure

mysterious complications out...........

We can all hope it isn't AVN but as you say the prognosis sort of

fits...........sadly..........

Best of luck getting some resolution..........

Edith LBHR Dr. L Walter 8/02

> thanks for your informative email.

> I think you read my last post on my new OS here.

> there is something I don't quite understand in your email:

> " From what I have gleened in knowledge of the hip joint area lately once a

> hip joint starts seizing up in any fashion the ligaments/bursia area would

> be in danger of rubbing until they got stretched again which they should

do

> naturally over time "

> rubbing against what? and can you explain this statement a bit more??

> thanks

> sunita

>

[Guest guest]

Hi Sunita,

The ligaments and bursa around the hip go from the hip side of the joint to

the area below the actual round ball area of a hip joint....... Some are

straight across, others appear to curl around so we can use the hip as we

do.......... They are the first line of support around the joint and sit

very closely onto it. The various muscles that lift our legs, move them

sideways etc then sit over the top of all that in various other

arrangements............ some coming out fairly close to the top of those

ligaments in the hip area...........

Joints seem to require a full flex and use to keep their flexibility and

keep these ligaments etc all working as they should.......the bursa area

makes the synovial fluid that keeps it all lubricated and is essential to

this story...... When hip joints 'seize up' as people talk with their ROM

going I am thinking these ligaments as well as the muscles shorten so to

speak..........and the synovial fluid isn't made as it should be to keep it

all lubricated........

The natural or unnatural ball, as in the case of a Resurface or THR, move

within that closed area......... The cup edge of the acecumbulum whether

natural or unnatural no doubt has the role of holding the ligaments etal

just out a fraction to give clearance at the top........However the ball is

only fully enclosed within the acecumbulum at a straight angle........bend

the leg in any fashion and the ball is going to move against the

ligaments/bursia........... If those ligaments are unnaturally tight, and/or

the synovial fluid isn't happening well there can be the problem referred to

as buritis because these get irritated and inflamed....... In my initial

story I left out the critical role played by the synovial fluid..........

Hope that all makes sense and I am very happy to hear you found an OS on

hand who is willing to listen andtry working it out........... He will be

worth

his weight in gold...........and I think you have to have that to figure

mysterious complications out...........

We can all hope it isn't AVN but as you say the prognosis sort of

fits...........sadly..........

Best of luck getting some resolution..........

Edith LBHR Dr. L Walter 8/02

> thanks for your informative email.

> I think you read my last post on my new OS here.

> there is something I don't quite understand in your email:

> " From what I have gleened in knowledge of the hip joint area lately once a

> hip joint starts seizing up in any fashion the ligaments/bursia area would

> be in danger of rubbing until they got stretched again which they should

do

> naturally over time "

> rubbing against what? and can you explain this statement a bit more??

> thanks

> sunita

>