Pain Came Back with a Vengeance
I am a 34 year female, I was pretty active prior to my injury. I was involved in a motor vehicle accident almost 14 months ago.
I was at a complete stop with my foot on the brake and was rear-ended by a truck going approximately 45-50 mph. My pain started in my low back and within a week spread to my right hip and leg.
My doctor ordered an MRI of my back and found 2 herniated discs at L5 & S1. I completed 3 months of physical therapy with some relief to my back region but not my hip, at which time I was referred to an orthopedic surgeon who ordered an MRA, which found a labral tear. I underwent labral repair in March 2013.
After 2 months of recovery time, with a daily regimen of stretching & strengthening exercises I had a significant decrease in pain. I slowly started to return to my daily activities such as work, short walks etc. Approximately 6 weeks after resuming activities my pain came back with a vengeance.
It would start in the groin area and radiate out around my hip bone and into my lower back and buttocks and also radiate down my thigh and at times in my lower abdomen. The pain can be relieved with narcotic pain relievers & rest but never completely goes away.
Upon physical exam I had significant weakness in the right hip with limited ROM. My surgeon then ordered a steroid injection of the Iliopsoas bursa. I had this done approximately 4 weeks ago. At first I had no relief but then for 4 days I had absolutely no pain. After that it was back.
After consulting with my surgeon he has recommended a Iliopsoas tendon release or lengthening as he feels we have exhausted all other options.