Groin Pain, Hip Adductor Tenotomy??

[rebeccajordan]

I am a 27 year old healthy female. And, was injured in a car accident over 2 years ago. The original MRI showed a left acetabular hip fracture and a sacral fracture (lower back). I was supposed to recover fully. But, I am still in pain in my left adductor (groin) region and am on a Fentanyl patch for the pain. I used to have constant pain but now it is more limited to: pain while walking up stairs, pain when I lie flat in bed ( I have to put a pillow under my knees), sitting for more than 30 minutes and when I walk for over an hour I am in pain. Many doctors have said that there is nothing they can do and I have to live like this for the rest of my life . But one orthopedist said that adductor tenotomy will fix me completely. I am scared and don't want to live my life the horrible way that I have been living. Does anyone know or has had adductor tenotomy. Do any of you out there have any other suggestions what this could be and/ or treatments that exsist. I haven't had an MRI or sonigram or anything done in over a year- would that diagnosis adductor sprain?
Please HELP!!

[the_k_man]

I am a 27 year old healthy female. And, was injured in a car accident over 2 years ago. The original MRI showed a left acetabular hip fracture and a sacral fracture (lower back). I was supposed to recover fully. But, I am still in pain in my left adductor (groin) region and am on a Fentanyl patch for the pain. I used to have constant pain but now it is more limited to: pain while walking up stairs, pain when I lie flat in bed ( I have to put a pillow under my knees), sitting for more than 30 minutes and when I walk for over an hour I am in pain. Many doctors have said that there is nothing they can do and I have to live like this for the rest of my life . But one orthopedist said that adductor tenotomy will fix me completely. I am scared and don't want to live my life the horrible way that I have been living. Does anyone know or has had adductor tenotomy. Do any of you out there have any other suggestions what this could be and/ or treatments that exsist. I haven't had an MRI or sonigram or anything done in over a year- would that diagnosis adductor sprain?
Please HELP!!

Hello, Rebecca
I share your pain. I had problems with this area for 3 years until I saw somebody about it. Most told me the same they told you, that it is with you all your life. I saw many doctors, some from a.i.s and the nsw equivalent and because I was not an elite athlete they didn't care. Finally I saw a doc (a runner of some note, national level) he put me onto another surgeon, ( the guy that actually invented the adductor tenotomy, well in australia any way). I was in the operating theatre 3 days later and I had an ADDUCTOR TENOTOMY. I walked out of there with a handful of painkillers and didn't ned one. I was walking with no pain after 1 week and slowly running after 2 weeks, full training after 7 weeks. ?The operation is a very straight forward one, especially when no other problems exist, like hernia etc. It was a very positive experience for me after all the years of pain and being ignored. All i have is a very neat 3-4 cm scar near the groin.
P.S. I did need to have an m.r.i before to see which part was the problem. The surgeon didn't really need these as he put me through a series of tests and knew what needed to be done.
If you want my 2 cents, DO IT!. It completely fixed the pain and the oestitis pubis I was also experiencing!!!!
Good luck, michael

[the_k_man]

I am a 27 year old healthy female. And, was injured in a car accident over 2 years ago. The original MRI showed a left acetabular hip fracture and a sacral fracture (lower back). I was supposed to recover fully. But, I am still in pain in my left adductor (groin) region and am on a Fentanyl patch for the pain. I used to have constant pain but now it is more limited to: pain while walking up stairs, pain when I lie flat in bed ( I have to put a pillow under my knees), sitting for more than 30 minutes and when I walk for over an hour I am in pain. Many doctors have said that there is nothing they can do and I have to live like this for the rest of my life . But one orthopedist said that adductor tenotomy will fix me completely. I am scared and don't want to live my life the horrible way that I have been living. Does anyone know or has had adductor tenotomy. Do any of you out there have any other suggestions what this could be and/ or treatments that exsist. I haven't had an MRI or sonigram or anything done in over a year- would that diagnosis adductor sprain?
Please HELP!!

REBECCA,
It is me again,
DON'T LIVE WITH THE PAIN!!!!!
DON'T LISTEN TO A FEW FEEBLE MINDED DOCTORS WHO DON'T UNDERSTANd; EVEN THOUGH WE ARE NOT ELITE ATHLETES OUR SPORT IS STILL VERY DEAR TO US!!!!!!!
MIchael.

[injuryupdate]

Simple test which would determine whether your pain is coming from the adductor attachment:

Get a doctor to inject local anaesthetic, about 5-10ml, at the exact point where you adductor tendon joins the pubic bone. Then walk around and do whatever exercise you normally would feel would hurt in the next 2 hours. If this is all pain free, then the pain is coming from your adductor tendon attachment, and it is worth having the operation done.

Be aware though, that:
(1) Adductor tendinopathy is MUCH more common in males than females (must have something to do with the shape of the male pelvis).
(2) If you have had acetabular fracture then there is likely to be some hip joint degeneration, which would give rise to some pain. You can try a local anaesthetic block in the hip joint as well (needs to be put in using a CT scan or ultrasound though).
(3) Even with correct diagnosis, the procedure is still not 100%

More info on this operation is available at:
http://www.injuryupdate.com.au/image...SMStendons.pdf

[Joan]

I am a 27 year old healthy female. And, was injured in a car accident over 2 years ago. The original MRI showed a left acetabular hip fracture and a sacral fracture (lower back). I was supposed to recover fully. But, I am still in pain in my left adductor (groin) region and am on a Fentanyl patch for the pain. I used to have constant pain but now it is more limited to: pain while walking up stairs, pain when I lie flat in bed ( I have to put a pillow under my knees), sitting for more than 30 minutes and when I walk for over an hour I am in pain. Many doctors have said that there is nothing they can do and I have to live like this for the rest of my life . But one orthopedist said that adductor tenotomy will fix me completely. I am scared and don't want to live my life the horrible way that I have been living. Does anyone know or has had adductor tenotomy. Do any of you out there have any other suggestions what this could be and/ or treatments that exsist. I haven't had an MRI or sonigram or anything done in over a year- would that diagnosis adductor sprain?
Please HELP!!

Hello Rebbecca,
My son is in need of this adductor tenotomy, would you please be ableto send me the name and address of the person that michael gave you?
Is this surgeon in Sydney?
Does he do the operations on the elite sports people?
Have you had it done and was it successful?
thanks Joan

[Joan]

Hello, Rebecca
I share your pain. I had problems with this area for 3 years until I saw somebody about it. Most told me the same they told you, that it is with you all your life. I saw many doctors, some from a.i.s and the nsw equivalent and because I was not an elite athlete they didn't care. Finally I saw a doc (a runner of some note, national level) he put me onto another surgeon, ( the guy that actually invented the adductor tenotomy, well in australia any way). I was in the operating theatre 3 days later and I had an ADDUCTOR TENOTOMY. I walked out of there with a handful of painkillers and didn't ned one. I was walking with no pain after 1 week and slowly running after 2 weeks, full training after 7 weeks. ?The operation is a very straight forward one, especially when no other problems exist, like hernia etc. It was a very positive experience for me after all the years of pain and being ignored. All i have is a very neat 3-4 cm scar near the groin.
P.S. I did need to have an m.r.i before to see which part was the problem. The surgeon didn't really need these as he put me through a series of tests and knew what needed to be done.
If you want my 2 cents, DO IT!. It completely fixed the pain and the oestitis pubis I was also experiencing!!!!
Good luck, michael

hello Michael.
I have noticed that you have had a adductor tenotomy. Would you please send me the information on the operation and the surgeon that preformed it for you?
Has your operation been successful?
My son has been told that he may have to have the adductor tenotomy
so i am wondering if you would give me as much information as you have ?
I am a registered nurse and am a bit worried about this as it is not a very common operation.

Thankyou for your help
Joan

[Unregistered]

rebecca! i am a 20 year old male. i was extremely active until unfortunately 13 months ago playing a soccer match i turn on the ball and instantly felt pain. i ignored this pain and kept playing for two weeks however the strain began to get worse i couldnt run for 10 minutes without being in pain for at least two days after. the main a problem is that no doctor, surgeon or physio could diagnose my problem until recently that is, i meet a sports injury specialist who has sinse diagnosed my proplem. he has now refered me to a surgeon who will preform a tenotomy on me soon. this he said will cure all my problems he said hopefully so go about finding out about this route. regards mark

[eoghancarroll]

Hi there,

I'm mailing from Ireland. I have had chronic pain in my adductor area for the past 5 years. I played Gaelic Games up to that point and have not been able to play since. I have visited many doctors and physios but I have had no improvement. From reading all the posts on this topic it looks this tenotomy could be a very worthwhile procedure for me to have. Could somebody throw me a lifline and forward me details of the surgeon who has been performing these tentomy operations.

Thank you,

Eoghan

[Marzipanlil]

I have an an adductor tenotomy. It was and is a disaster. But I suspect that the procedure was wrong. The adductor longus tendon was pulled off the pubic bone and paced high up in the groin. The tendon is tight and very visible. I stumble easily, can't avoid bumping into people and have constant discomfort. I would love to know the procedure that people had who are happy with the results. I know this is an old thread but I chanced upon it so someone else might too.
As a side effect I developed a frozen shoulder as a result of all the falls had it manipulated and woke up with a fractured shoulder!
Patient check your surgeons success rate and ask lots of questions!

If anyone has had a tenotomy where the tendon was lengthed and put back more or less where it came from please please e-mail me just to confirm that this is possible. I live the life of an old lady!

[Beechy]

I 26 year old male, active GAA and soccer player and also have constant groin pain. Gerry McEntee is a surgeon in Dublin and does the adductor tenotomy in the Mater Hospital. I am currently arranging for to have this done. By all accounts his success rate is high