THR Arroyo65 Revision/Recovery

Hello everyone-well, I’m home! My surgery took about 3.5 hours and I spent three nights in the hospital. At the point of surgery the anesthesiologist came by and told me I was getting general-that was a surprise. Both my previous replacements had been spinal with sedation. He said since this surgery was expected to be longer he felt general was best. OK? In hindsight I wish I had had the other: my post op pain was much more intense-it stunned me how much. No catheter postop this time(my previous ops had it), so I used a bedpan for the first time. Not fun but hey, when you gotta-! After 24 hours of that I graduated to a walker. I was attached to a wound vac(new to me); it was an in-room version, a pretty large piece of luggage that had to accompany me on my frequent bathroom trips(#1. I was guzzling a lot of water-mouth stayed bone dry for 4 days).

Between the dead leg, walker, woundvac, and IV tree, it was hard. With no spinal I had loads of “sensation” in my op leg but no control at all-dead wood. Could barely make the distance from toilet to bed the first and second days. I knew the surgeon wanted me overnight for monitoring; My BP was very low, so I stayed another night. On Friday morning awakened at 5am with a 103 temp which took a while to come down, so another night. I was discharged on Saturday afternoon.
What I got was a new dual mobility cup. Placement was changed(of course!), my stem looked fine so (whew!) that wasn’t changed out. I’m wearing a smaller(relative term, lol)woundvac which ain’t gonna lie, is still cumbersome and fairly heavy but I understand this surgeon is extremely wary of infection. To that end too it seems like I’m taking many more pills than after my first time. I’m also much more constipated-the only surprising thing about that is that having been through this before, I thought I knew what to expect/worked for me. Uh-uh! I am now taking everything under the sun and double of it. Not fun but again, that’s how it goes-when it goes!

Now about the reason for all this: my impingement pain: I’m not feeling any. There’s pain aplenty in the groin and thigh-postop pain-and that makes it a bit hard to assess. But so far, so good.

My leg/surgical pain lessens quite a bit every 24 hours, but this past weekend was fairly brutal-pain+woundvac+constipation=some bouts of tears and depression-not at all unexpected, which I keep telling myself.

I see the PA in 6 days to get the wound vac off and also, I think, have my staples removed. I can’t shower or really get wet in any serious capacity til I get home from that appointment and that part’s already the drag you might imagine. Oh dear!
Thank you all for your kindness and support!
 
I'm sorry you had a rough start. At least your pain is lessening, that's good! I'm guessing you'll feel even better without the wound vac and staples. Hang in there, better days are on the way!

As you begin healing, please keep in mind that each recovery is unique. While the BoneSmart philosophy successfully works for many, there will be exceptions. Between the recommendations found here, your surgeon's recovery protocol and any physical therapy you may engage in, the key is to find what works best for you.

Hip Recovery: The Guidelines
1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary

2. Control discomfort:
rest​
ice​
take your pain meds by prescription schedule (not when pain starts!)​

3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.

4. PT or exercise can be useful BUT take note of these

5. Here is a week-by-week guide

6. Access to these pages on the website

Pain management and the pain chart
Healing: how long does it take?
Chart representation of THR recovery

Dislocation risk and 90 degree rule
Energy drain for THRs
Pain and swelling control: elevation is the key
Post op blues is a reality - be prepared for it
Myth busting: on getting addicted to pain meds
Sleep deprivation is pretty much inevitable - but what causes it?

BIG TIP: Hips actually don't need any exercise to get better. They do a pretty good job of it all on their own if given half a chance. Trouble is, people don't give them a chance and end up with all sorts of aches and pains and sore spots. All they need is the best therapy which is walking and even then not to excess.

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in a majority of BoneSmart's forums, we ask the at each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice.
 
I'm guessing you'll feel even better without the wound vac and staples. Hang in there, better days are on the way!
Thanks Layla! You're right-and I know I'll feel like singing show tunes when this device and the staples are gone! Still looking for the right balance of pain meds and anti-constipation meds, but getting there. This morning I decided I've probably been under-medicating a bit and it's not doing me any favors mobility or mood wise. Sure enough, making a small adjustment (within the parameters of my doctor's recommendations) has made a big difference. Also, I thought of this forum's "Recovery Guidelines" when the nurses told me my surgeon "believes walking is by far the best recovery regimen". :) Onward!
 
Hello there @arroyo65
Wise decision on adjusting the meds so you're able to stay comfortably mobile which definitely makes for a better mood. You're listening to your body as you should. I'm happy to read your surgeon believes that walking is the best recovery regimen. It is not necessary to exercise your injured hip to promote healing. The controlled trauma sustained through THR will heal on its own. Often though, we're impatient and want to move the process along. In doing so we run the risk of struggling with pain and setbacks stalling the healing process. The best therapy for recovery is walking, but not to excess. Start slowly increasing time and distance incrementally in an effort not to overdo it. Give yourself the TLC you deserve and reap the benefits of a successful recovery. You're on the right track and I wish you only the best! Thanks for updating...Stay in touch. :wave:
 
Happy One Month Anniversary!
I hope you're doing well and enjoying steady progress with the wound vac and staples gone.
Have a wonderful week. Beautiful Autumn is fast approaching! :SUNsmile:
@arroyo65
 
@arroyo65 Hi! I noticed that you had your revision done 2 days after mine so I came to read your story. Oh man, I feel bad about complaining about my one year of constant pain and here you are suffering thru FOUR years! My acetabulum component wound up protruding through my pelvis, it's been one crazy ride trying to find the energy and will power to survive this ordeal.

I also had one of those wound vacs, but it was just a tiny thing....well it seemed small enough to me, lol. I had the Pico14 and when it started whirring in the middle of the night I'd wonder who was outside working on their vehicle!

Wishing you a speedy and thorough recovery and a future free from pain!!
 
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Thank you @Layla and @danelady for checking in and the good wishes!

So here I am 7 weeks post-op. First thing, I'll say that my experience to date has been in line with what so many say: revision recovery takes longer. I really am so glad I read that in so many places-otherwise I'd have been worrying too much. But with two previous recoveries (not counting a 2020 illiopsoas release) to compare this to, it's been interesting.

Biggest thing has been my stamina taking longer to come back-I'm still not 100%, but it's better each day. I feel good enough that I'm forgetting not to overdo/be too ambitious.

But the big news is that for the first time since July 2018 I don't feel any impingment at all. I can raise my leg to put my pants on with no pain or resistance. My muscles have been taking a while, recovering slowly but they are definitely coming back. Having a normal range of motion and no pain is almost weird...isn't it funny what one gets used to?

After such a rigamarole I've been trepidatious about daring to hope it's really fixed, but so far so great! And it's a huge relief. I know the surgeon put in a larger, dual-mobility cup and I'm curious how that works so much better since I apparently had not much area to work with in there to begin with(presumably the cause of my impingment). I'm looking forward to asking him when I see him-so far my post op visits have all been with the physician assistant. I'll see him in November.

I'm so grateful this forum is here, with the wonderful mods and fellow hippies! It's helped me plenty.
 
Thanks for kind words in regard to the forum. There is wonderful support here through the camaraderie of other members that understand through personal experience. We're happy you found BoneSmart.
the big news is that for the first time since July 2018 I don't feel any impingment at all
This is such great news. I wish you all the best going forward and a good visit with the surgeon in November. Please let us know how it goes. Take good care!
 
Happy Two Month Anniversary!
I hope you have a great week and an enjoyable Autumn season.
Take good care!
@arroyo65
 
Hello any and all who do a search for hip revisions due to impingement(like I did)!

I'm almost at the 1 year anniversary of my revision and have been thinking of the Bonesmart forum and how desperate I was to find anyone else who'd had my experience. I used to haunt the Facebook hip replacement groups when I first discovered I had OA and needed to get my hips replaced, and I did get a lot of help there-lots of tips and tricks for pre-and post op. But as it turned out, my first replacement recovery never did feel quite "right", and search though I might I couldn't find others on Facebook who had my impingement issue. I also felt-and I'm sure this is common in my situation-afraid to be a "downer" or spoilsport for people who were scared of getting a replacement that might go "wrong", so I pretty much gave up there...but found really wonderful help here!

And so here I am a year later and my hip is finally 100%. No pain in lifting, no stabs, total mobility, no stiffness. It really is amazing as I'd forgotten what "normal" is supposed to feel like. I know plenty of folks here can relate to that.

Thanks again to everyone sharing and helping here-I'm so grateful this forum exists as a resource. It's a lonely road and would be so much harder without you all. What a great community!
 
Aww, I am so happy for you! What an inspiring update. It is so thoughtful of you to take the time to share that encouragement for any others that may need a revision. We appreciate your kind sentiment in regard to the forum and the supportive members. I couldn't be happier for you. :happydance:
Enjoy the rest of the Summer and please stop by again.
@arroyo65
 
So good to hear you are doing so well @arroyo65 :egypdance:
Bonesmart was a great support to me during recovery also.
Hope the rest of your summer is sweet.:SUNsmile:
 

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