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New twinges after PT and frustrated!

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sweetcaroline

sweetcaroline

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Hi Hippies!
I had my TLHP Nov. 3. (My right one was done in April.) I'd been having one of those "great" recoveries.......walking unaided with minimal pain up until last Wednesday when the PT worked gently on my range of motion and then had me do a new exercise were I dangle my leg over the side of the table to help stretch my extremely tight hip flexors. All went well at the therapy session and afterwards I happily went shopping for an hour. The next day, as soon as I put my feet on the floor, I felt new twinges in the front of my left hip and also under my buttock. If I move in a certain way, my leg aches all the way past my knee. It's hard not to go back to limping mode when it feels like this. This is so frustrating because I was doing so well. :hissy:My OS said it was the soft tissue that got stretched a little too much and to wait awhile for the soreness to go away. He also said to avoid that particular exercise. (I am!) Should I continue with my exercise plan without that exercise or should I wait? :pzld: I don't want to be "tweaked" more than I am already! My next PT session is on Tuesday and I'll talk with him then. Has anybody else experienced this? I know I'm still healing but I'm so afraid I'm going to hurt myself and go back to that awful pre-op pain.
Thanks everybody! :D
 
You won't hurt your new hip, but you probably do need to take it easy for a few days up to a week to let the inflammation subside. Taking some anti-inflammants may help also.
 
psoas pain is awful...mine got really inflamed after my scope this spring...

and it IS easy to overstretch it. the stretch feels soooooo good while you're doing it, but then it can come back and really bite you!

anti-inflammatories definitely in order.....
 
Yes, I think taking it easy is the way to go. What about short walks? (I guess I'll have to "pop a pill" too, which I haven't had to do for awhile.:sigh:)
Thanks for your help! :D
 
The walks should be okay....depending on what you mean by "short." The pills are probably a good idea too. It's really common to have to go back to them for a bit when you overdo things.
 
Recovery is not a smooth one way trip. Backward steps are inevitable from time to time. Don't fret about it and don't imagine you've done yourself terrible damage. It's just a temporary glitch. Pop a pill or two, ease up a bit - definitely avoiding the exercise which you have determined is the culprit - and move on. It's not a portent of disaster!
 
Thank you, thank you Josephine! You are so reassuring! I talked with my OS yesterday and he told me to postpone PT for two weeks. He still wants me to do my bridging and "clamshell" exercises but no squats, lunges or that dreaded hip extension off the side of the bed!! :evil:
I still feel a bit swollen around the incision area but there's no sign of infection. I did take a couple of very short walks today and I don't feel I'm limping as much. (It's the morning where it takes me awhile to get going.) When I think of the trauma my body went through two months ago, it makes sense to have these minor setbacks while everything is adjusting.
I love this forum!:D
 
You definitely have the right attitude going, sweetcaroline....that is a huge plus for your recovery. You're gonna do just great.
 
Thanks Jamie, you ROCK! :cool:
Maybe someone can give me some specific details about the musculature, tendons and ligaments that are cut and retracted during a lateral LTHR (Nov. 3). I feel, as the days progress, that there are some very angry muscles in there! :hissy: If I try and squeeze my buttocks, it feels painful. Also sitting and leaning slightly to the left hurts too. Plus, why is this starting now after 2 months post-op? :pzld: I have so many questions but I don't want to look like a Giant Loser Hypochondriac by calling the Dr.'s office everyday!
Thanks!!!
 
Actually none are cut! There are natural planes between the muscles and these are carefully negotiated by blunt dissection (no cutting!) to just tease the muscle bodies apart and give access to the joint.

But if you really want to know ...

[Bonesmart.org] New twinges after PT and frustrated!


The blue line is the approach through the muscle layers. The only structures that are actually cut in this and the anterior approach are the capsule (pale blue line) and the muscles lying atop the capsule (grey line) called the iliofemoral ligament (though I don't think you can actually read that, sorry).

These are the iliofemoral ligaments that are the primary structures holding the joint together.

[Bonesmart.org] New twinges after PT and frustrated!


You're bound to get soreness in the muscles after surgery and it can arise later when you've been doing exercises and things. Try not to get too fixated on what is hurting or why. Just expect the soreness here and there and treat it with the pills as required. It happens!
 
Thank you again! It helps me to know the "wheres and whys" of things. ( I'm getting really good at anatomy!) My PT called me 5 minutes ago and gave me the same advice.......take it easy and be PATIENT!! (He knows about the Bonesmart Forum and says he thinks it's great!)
I'll try not to hyper-worry! You all are so reassuring! :cnsl:
Hugs to you all!
Caroline
 
I went ahead and made an appointment with my OS for this Friday. I don't want to start the PT again until he has a look at me. ( I feel I'm a bit better and I don't want to be re-tweaked again! ) Just for my own reassurance, what are the symptoms of the joint loosening? This is my biggest fear :shk: and I've started obsessing about it. (Sorry, can't seem to help it!) I can walk, do stairs, sleep comfortably but it seems this buttock pain and thigh ache, although mild, is still here and it's been two weeks.
I hope I'm not being a "pain in the butt" :hehe:for still worrying!
Thanks everyone!!
 
No, I can understand your concerns. I, too, often worry about loosening, specially when I'm on the treadmill at the gym! Find myself trying to tread lightly so I don't over stress it! Daft really! But you are going to get ligament and muscle aches and pains for some time yet. They are almost inevitable, loosening is actually quite rare and even then, doesn't usually happen until some months out, even a year or more. So stop worrying! (should take my own advice, eh? :hehe:)
 
Thank you SO MUCH, Josephine! I feel much better both mentally and physically tonight! :thmb:
I'll let you all know what my OS says on Friday about the physical therapy.
 
I saw my OS on Friday. He took an x-ray and everything looks fine! He also doesn't think I need to do any more PT as long as I do my exercises. (I walked a mile today !:D) Now, when I feel a twinge, I won't be so freaked out over it!
Thanks to everybody for your support!
 
GReat news, sweetcaroline! You are making GREAT progress.
 
Caroline I know there is nothing like the doc giving you reassurance that eveythig is ok and normal. I remember telling mine i could not believe how much muscles actually hurt.

Of coures Bonesmart did save me lots of visits and phone calls., It is great.
Sounds llike you are doing just great. I don't think about my hip at all now. Well not true, i always think abaout how great it is.

judy
 
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