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What to do?

(13 Posts)
Luckygirl3 Sun 03-Apr-22 09:21:43

I have two very painful problems at the moment and just do not know what to do.

1. I had a hip replacement about 10 years ago and it has never been right. After the op I had new pain in my groin and down inside of my leg which has steadily got worse. Also pain on outside of hip. Movement and walking painful - and bending is hell.

2. Disc problem with severe pain down leg, numb foot etc.

I have been prescribed opiate patches which I am not taking at the moment as they scramble my brain and I am trying to manage without. I just take paracetamol, but this is not great long term. I cannot have anti-inflammatories.

The two conditions are on the same side and I never know which is causing which pain.

I paid privately to have a nerve root block in spine 2 weeks ago - there was a massively long wait to have it done on NHS, so I dipped into savings. Unfortunately the improvement was short-lived. I knew it was a risk but feel pretty hacked off at the waste of money as well as the continued pain.

My options now are:

- have a microdiscectomy on slipped disc. To have it done on NHS would take an eternity - to do it privately would cost-a-load.
- have the hip replaced again - they have done every test in the book and cannot find the source of the pain and this is all they can suggest. Again there is the NHS/private decision; and also I have to bear in mind that I was very poorly after first hip replacement and finished up on coronary care unit. Also the current replacement is structurally sound and it seems wrong to mess with it. But the pain is awful.

I am 73 and want to get on with my life as long as I can. I am being held back by pain - I walk with a stick and great pain.

I just do not know what to do for the best. I spent many years looking after my OH who died two years ago. I am just beginning to surface from all of that and hoped I might be able to get out and have a bit of fun. If I have the ops I would need to factor in recovery periods.

I do have enough savings to cover both operations, but would be left with very little and I had hoped to have some nice holidays pain-free, but funds would be low.

If I do go for the ops, which do I do first?

I have two holidays booked for this summer - low-key self-catering ones. I would hate to miss these, but not great to do them in pain.

Decisions, decisions ........

FannyCornforth Sun 03-Apr-22 09:35:48

Hello Luckygirl smile
I’m sorry to hear that you are suffering with your leg so much.
Your problems sound uncannily like mine.
I am currently waiting to hear when I can have my hip replaced.
It looks as if it will be in June.
I too recently had an injection in my spine for nerve pain; and it did nothing for me either.
I don’t have any advice as such, (sorry)I just wanted to offer a sympathetic ear and a virtual hug.
thanksbrew

Charleygirl5 Sun 03-Apr-22 09:52:39

Firstly you need a change of surgeon for your hip. That hip has never been right from day 1 so there has to be something wrong mechanically.

I personally would start off trying the NHS or another option is to find another surgeon, be seen privately and if he suggests surgery you then opt for the NHS.

When choosing a surgeon, only choose one who does hips and knees and zilch else. For your back, choose one who only operates on backs.

Do not choose one who only operates in a private hospital- you want somebody who does NHS work as well. I am unwilling to write here the reasons why.

Your hip pain may have started off the spinal pain because I would think you are not walking normally. I am happy for you to PM me.

Luckygirl3 Sun 03-Apr-22 09:52:50

I am sorry that you are in a similar boat. Being in constant pain is so very wearing I know. I hope very much that you get your hip replacement soon.

Thanks for your good wishes flowers

FannyCornforth Sun 03-Apr-22 09:55:58

You’re welcome, and listen to Charlie! smile
My surgeon only does hips; and he works in the NHS and privately too, so that’s reassuring.
I’m very intrigued about what you said about that Charlie!

foxie48 Sun 03-Apr-22 09:58:06

I am so sorry that you are in constant pain, has your GP referred you to a pain management clinic? If not, that would be my first option and your GP needs to know that you are really struggling to cope. I know waiting lists are very long but this is perhaps the time to make it clear to your doctor that life is unbearable and could he/she write to your consultant to let them know that you are not coping. I think you need a consultant's input to decide which op might offer you the best option but fwiw I'd rather reduce pain so that every day life is better than have money for a holiday or two so I'd pay for an op if I had to. Good luck, I hope you have a good GP who will push for you to get further treatment asap.

kittylester Sun 03-Apr-22 10:12:33

I have no experience or advice, lucky but pain management referral might be a good first stop while you work out the way forward.

GrannyLaine Sun 03-Apr-22 10:15:55

Some good advice here Luckygirl3
Living with chronic pain is so debilitating and I know that recent years have been so hard for you. As your hip replacement was such a negative experience for you, it will be hard to contemplate a revision but I do think that needs to be your starting point. You will know that I have had THR in recent weeks: my surgeon uses a robotic assistant to achieve millimetre perfect implant placement. Choosing the right surgeon is, I think, the key but difficult to achieve without good recommendation.
Very happy for you to PM me if you wish.

BigBertha1 Sun 03-Apr-22 10:32:50

You could ask to be referred to the pain clinic before surgery is considered. There is a thing called Regional Pan Syndrome which needs pain specialists to diagnose and treat. I hope you get some relief soon. flowers

Luckygirl3 Sun 03-Apr-22 10:51:46

Thank you for all of your ideas - food for thought for me.

JenniferEccles Mon 04-Apr-22 14:05:53

I agree with GrannyLaine that choosing a very good surgeon is the key.
Why don’t you ask around, friends, neighbours, people in any leisure activities you participate in. Hip and knee replacements are such common procedures these days, especially with our age group of course, so you may find as I did when I researched surgeons for my hip, that one name in particular repeatedly came up as being an excellent, well respected surgeon around here.
We are entitled to choose our own surgeon these days so I had the one who came highly recommended!

Of course the vast majority of orthopaedic surgeons are perfectly fine, but as your case is rather complex you really need to track down the best one available in your area.

Then possibly also ask around and do some research on a different one who specialises in back surgery.

Oopsadaisy1 Mon 04-Apr-22 14:22:16

I’m surprised that your GP hasn’t sent you for either XRays or an MRI, you will need them to see what treatment you will need.
I had a Neuro Surgeon for my back op, my GP said you don’t want someone who uses a saw to touch anything on your spine!

Luckygirl3 Tue 17-May-22 11:34:40

Microdiscectomy booked for next Tuesday - I am suitably terrified! Decision was based on the fact that MRI evidence for disc protusion is very clear and microdiscectomy helps in 84% of cases.

Hopefully it will knock one problem on the head - but I am not looking forward to the post-op recovery period here on my own; and am quite worried that I will have to go off my anti-coagulant for a few days prior to the procedure - it has always been dinned into me how important it is that I should take this.

The surgeon is a spinal surgeon from a centre of excellence so that is reassuring. I am dreading the general anaesthetic as I get dreadful giddiness afterwards which could mess up my mobilizing.

Worry ... worry .....