COVID-19 UPDATE: Regenexx is committed to the health and safety of our patients. You may now be seen in clinic or via telemedicine for virtual/online or phone visits.
Our physicians are available via telemedicine to continue to give you the care you need during this difficult time. Learn more.

Hip Pain after a Hip Replacement: Helping a Patient with Blood Platelets and Stem Cells

By /

hip replacement pain after one year

Hip replacement pain after one year? ML is a 69 year old woman who we first evaluated in June and who now claims we have performed a “miracle”. I don’t know if I would use the same terms other than we were able to get to an accurate diagnosis of what was wrong. Prior to having a hip replacement, the patient had a long history of low back problems and had a failed back surgery. Her physical therapist thought her hip pain was coming from her SI joint, while her orthopedist thought it was her hip. The surgeon won and she eventually had a metal on metal hip replacement, which seemed to help her hip pain for a few months, but then it returned with a vengeance. So she had hip replacement pain after one year of trying to recover. Based on her lack of recovery, she was then told by another surgeon that she may need a low back fusion. At that point she ditched the whole concept of more surgery and began looking for answers. On her initial exam it seemed clear that either her hip pain was from the metal on metal wear particles caused by her prosthesis or was being caused by her low back and SI joint. We investigated all of this by first numbing up what was left of her hip joint under x-ray guidance. When this numbing block didn’t help we then tried her SI joint and SI joint ligaments, which helped her hip pain. We now had a diagnosis, her hip pain was coming not from her hip, but the SI joint. The SI joint is the area between the tailbone and the back of the hip. How can the SI joint cause hip pain? This is discussed in our practice’s book (Orthopedics 2.0) but briefly, most patients with SI joint pain have pain that they describe as the back of the hip and sometimes the groin. However most patients with hip joint pain describe it as in the groin area. Many times there’s no accurate way to tell which joint is causing the hip pain (the SI or hip joint) outside of taking a good history (she had a fall off a horse at a young age and landed on her SI joint and sacrum) and performing a numbing block of the hip and the SI joint to see which injection helps more. Because either joint could be causing hip pain, just looking at an x-ray of the hip and concluding that since it looks like it has arthritis it’s causing pain is a bad idea. So how did we help this patient? We injected her own blood platelets and stem cells into the SI joint and associated ligaments three times under x-ray guidance (Regenexx-SCP). Today she reports long-term pain relief for the first time in years. She’s reduced her pain medications significantly and is finely getting more active. She states that it’s a miracle.  It is not; it’s really just taking the time to tease through a correct diagnosis of the cause of her hip pain. The upshot? Even though you feel hip pain doesn’t mean it’s really coming from the hip joint! It could be your SI joint or even a pinched nerve in your back. Insist that a doctor numbs your hip under x-ray or ultrasound guidance to prove that your hip is causing most of the pain before they surgically remove the hip joint. If all of your pain doesn’t go away, then your pain isn’t coming from the hip joint!

NOTE:  Regenexx-SCP is a medical procedure and like all medical procedures has a success and failure rate.  Not all Regnexx-SCP patients experience the same results.

Get health and wellness information from a trusted source.

By submitting the form, you are agreeing that you read and consent to our Privacy Policy. We may also contact you via email, phone, and other electronic means to communicate information about our products and services. We do not sell, or share your information to third party vendors.

Is Regenexx Right For You?

Request a free Regenexx Info Packet


Learn about the #1 Stem Cell & Platelet Procedures for treating arthritis, common joint injuries & spine pain.

Join a Webinar


Get fresh updates and insights from Regenexx delivered straight to your inbox.

Subscribe to the Blog


9035 Wadsworth Pkwy #1000
Westminster, CO 80021


Copyright © Regenexx 2020. All rights reserved. | Privacy Policy

*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.

Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.