Guest viewing is limited

THR Brooklyn's hip

Status
Not open for further replies.
I had some serious issues with sleep both pre and post op. Fortunately for me the 500 mg Tylenol PM and melatonin worked to get me 4-5 and now almost 6-7. Also I drink lots of chamomile teas starting at about 8 -- "sleepy time" teas by Celestial Seasons are tasty --- absolutely no caffeine except for the half of wake up cup at 6 a.m.
 
It is Debbie Downer again. I am a little better. Sleep is a rare thing with me. But I am hoping it will pass someday. My PT called the nurse because she is worried about me and they will call me today maybe with different meds. Now I think my leg is longer than the other. It does not feel even. Please someone tell me it is me and this will pass. I know I still am doing the limp some and my knee is swollen from this hip.
 
hey@brooklyn... I think in time when the swelling goes down you will notice the limp will be better... give it a little time...glad you are getting meds straightened out... and sleep... where in florida are you?
 
@brooklyn you should not worry about being a "downer" here. We are all here to listen and help. It sucks not be able to sleep even for one night and it seems like this has been a pattern for you for some days. If your pain is well-controlled at night but you still can't sleep, there are prescription alternatives to Ambien. I wonder if one or two nights of a sleep aid will break this cycle you are in. I am 3 days out from surgery and taking my narcotic pain med (plus an anti-emetic) only at bedtime. I feel my pain is well-controlled during the day without it but at night I am unable to sleep and the milder pain meds that work during the day are not enough. My op leg definitely feels longer, but my understanding from others here is that that is a typical post-surg sensation that will right itself in time.
 
Stripey-Yes my pain is pretty much well controlled at night. The Ambien and Lunesta things do not agree with me at all!!! I am sorry you cannot sleep at night either. This is terrible.
 
Last edited by a moderator:
@brooklyn You will notice that I have moved your post-op posts into the recovery forum. Now you have your own recovery thread and should post everything in here. No new threads, okay?

I do not have a lot of pain.
None? Often when people say they have 'no pain' what they mean is that the pain they had pre-op is gone. Post-op pain is different and includes things like soreness, burning, stabbing, throbbing, aching, swelling or stiffness? These are all types of pain and need to be medicated.
I cannot sleep. I think I am going to die unless someone tells me what to do to sleep!!!!
Sleeplessness is usually due to pain and being under-medicated. Sleep deprivation is pretty much inevitable - but what causes it?
Trying to keep moving and exercising
Just how much exercising are you doing?
Now I think my leg is longer than the other. It does not feel even. Please someone tell me it is me and this will pass
That's perfectly natural. You've spent a while walking unevenly and now you're straightened out, it feels different. It will settle eventually. Leg length differential - LLD

You also need to read these
First are the BoneSmart mantras ....
- rest, elevate, ice and take your pain meds by the clock
- if it hurts, don't do it and don't allow anyone - especially a physiotherapist - to do it to you
- if your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again
- if you won't die if it's not done, don't do it
- never stand when you can sit, never sit when you can lie down, never stay awake when you can go to sleep!
- be active as much as you need to be but not more than is necessary, meaning so much that you end up being in pain, exhausted or desperate to sit down or lay down!

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
Activity progression for THRs
Home physio (PT)
Post op blues is a reality - be prepared for it
Myth busting: on getting addicted to pain meds
 
Hi @brooklyn :). I am only 2.5 weeks post op and I can tell you so far, that first week was the hardest and I had lots of meltdowns! I had the same problem as you with Percocet years ago when I broke my ankle. I've been on hydromorphone this time around. I also do not like being on meds in general because they make me feel ill. I tried going off them at the two week mark and noticed a difference in what I could do and it wasn't good. So now I'm trying just taking less and have started back on my tylenol arthritis to help take the edge off. Talk to your doc or pharmacist to see what you can do. I recognize I still need them at least a bit if I'm going to be able to rest and progress but I cannot wait to be off them!! You will continue to have good & bad days but I promise it does get better. Be good to yourself :)


Sharri -LTHR May 28th 2014 13 inch incision on side
Sent from my iPad using BoneSmart®
 
I am so depressed I dont want to do anything. Sleeping is still bad. I have tried a few things and still dont sleep. I did not take any pain meds yesterday because I think they make me nauseous. I also notice foods are tasting different to me too. Has anyone experienced this? I do my excercises from Pt and I think I am doing well with that. Have doc appt. next tuesday. Still on walker. I think I could walk a little with the cane but I am afraid to. This disclocating thing is so drilled in my head I do not want to do anything.
 
@brooklyn Hi, I am sorry you are feeling down. You are so early in this recovery. I guarantee the sleeping issues will get better. I understand the depression. I am fighting it right now as I am having some pain 3 months out and it sucks. My normal, happy disposition is gone and I fight to stay positive. You will get better. It takes time! Some people bounce right back physically and emotionally, but I think those are the ones who don't have any real problems afterwards. Just losing sleep can make one depressed! Hang in there.
 
Hi @brooklyn I can certainly commiserate. I am 9 wks post op and am again having significant pain, forced back to taking pain meds...as sucky as it is to have to take them, I have noticed that hydrocodone-acetaminophen does help me sleep better. Not sure if you've tried it, all bodies are different, but it's worth a shot. Feel better and know that there are people out there who know what it's like and are thinking about you...Rebecca
 
Went to doc and he said I am doing good. I graduated to the cane!!!. I slept a couple of nites in a row but I think I am now not sleeping again. Doc said I can sleep on my side but need a pillow inbetween legs. Of course I am still worrying about popping my hip out or something. Now my husband noticed my leg sort of bows out now. It has I guess been happening overtime with my hip cause I was limping so bad. So now he has me upset over this. I try to walk straight and keep my legs together but they dont want to go together very close yet. Has this happened to anyone else?
 
@brooklyn - I have exactly the same issues with uneven legs and the same answers from the doctor and PT that the problem will settle. I don't really see how it can settle: I can't walk well now, no matter what I try, because the legs are not even. Even when I stand up and try to bring my legs together, I have to bend my right leg (operated, and it feel "longer") or my left leg (unoperated, "shorter") should be on the toe. I didn't have these issues before the OA started but during the 4 years of limping around I started to feel the legs as uneven. I was very crooked.

Now, in my post op, I can NOT get rid of the limp and my back hurts during the walks and both of my hips are tense and I simply cant relax because of the uneven gait. I totally share your concern, Brooklyn, but so far I don't know the solution, sorry...

I'd love to ask someone knowledgeable - @Josephine? any Physical Therapists here on BS forums? - should I do any special exercises to try to relax or strengthen certain muscles to see if the pelvis and hips will get more even? If the whole point was the walking after the operation without a limp and without discomfort - I can NOT do it due to this LLD that I feel now. I am only 17 days post op but I still can only move around with either a walker or with a huge limp. Not much pain, but huge discomfort and tension in the whole body, hips, back, legs. I don't want to continue to walk with this kind of walking in my mind and in my body but I can NOT move otherwise... Any advice, for me and Brooklyn, anyone else?

Dear Brooklyn, let's hope that we both will somehow, with time, resolve all the issues and will be painfree and walk normally! Keep the faith in your body :)
 
Last edited by a moderator:
@brooklyn and @allahere I just want to reassure you on the leg length differential that it will get better
and settle out.
Before my surgery, my right side had become 1.5 inches shorter.
After surgery, my right leg was lengthened to even them out, and started out feeling really wierdly too long.
It took about 2-3 weeks for the pelvis to sort itself out. Meanwhile the nonop leg hurt when I walked during
the shakeout process. I had to stop about every ten feet for about 7-8 seconds and then it would go away for about another 25 steps. Repeat, etc....

I noticed when I walked outside on the road that the roads are tilted somewhat so water runs off to the side.
So I started walking on the right side of the road, to help my longer right leg.
This helped!
(If your left leg feels longer, walk on left side of road....)

I guess all that depends on where you live, and what the roads or sidewalks are like. ha!

But, it DOES sort itself out for the better! It really does. It just takes a little time. You will get there.
 
I don't really see how it can settle: I can't walk well now, no matter what I try, because the legs are not even.
Allahere, you're not even three weeks out yet! You have to give things a chance! It took you a year or more to develop this imbalance. It's not going to get rectified in three short weeks! No way! Try more like three months - minimum. Most likely six. If things are not evened out by then, perhaps you might actually have a valid complaint!
any Physical Therapists here on BS forums
Afraid not - you're stuck with me! And I am just going to repeat this: hips actually don't need much 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.
 
@Josephine - we trust you and your opinion, I promise I will do my best trying and doing PT :) I am just still so bad with walking (with and without assistance) and when I see and read that ppl walk days after surgeries, I start crying. Then I read those threads where ppl fight infections, I am crying again . So I'm kind of crying all the time and feel pity for everyone and for myself... It's funny even to me :) Josephine, thanks for answering my post! And millions of thanks for this forum.


Sent from my iPhone using BoneSmart Forum
 
Hi @allahere - what you are experiencing is perfectly normal. There are so many emotions that your sub conscious is working through, let alone the physical changes happening within your body.

Remember this is your recovery journey.. and when you read other members posts they are writing about their journey..

If reading certain posts are upsetting you right now, don't read them honey - no point in getting upset and crying (which btw, is normal post op blues).. Look after yourself sweetie, slow and steady and go at your own pace :)
 
@brooklyn and @allahere and anyone else who is agonizing in their first month out about the sleep problems and the walking problems and the leg length problems, and the pain med problems, and the fact that they aren't healed and out enjoying life like the Arthritis Today magazine ads show....

In the first month to six weeks out, you have a newborn hip. Like all newborns, it needs TONS of rest. Ideally that rest would be sleep, but when sleep eludes, just the rest alone helps. While you're resting, you can ice. A lot. All the time. While you're resting you can watch TV, read great novels, do crossword puzzles in pen for the fun of it. You can haunt the forums here on BS to find kindred spirits and lots of empathy. You can go into our library and read every article. There's a huge compendium of information that you didn't even know you wanted to know. You can talk and text on the phone. You can write. You can plan. You can daydream. You can rest so completely that you might even fall asleep.

Especially if you are adequately medicated for pain. If one med doesn't work, pester your doc for something else. Pain takes a lot of different forms, but if you are in pain, you won't get good sleep. And you won't get good walking.

In between all that rest you take short walks. And you do a few of the easier PT exercises. And it's better to do a few more often, than to do a lot all at once. One of the problems with going to PT is that you are there for half an hour to 45 minutes so you do a lot of reps of some really difficult things. If you can do them without pain, great. But the second any straining even sort of starts, it's time to stop....even though the PT chides you and tells you not to wimp out. No strain/no pain. If it's painful, the answer is no. Or... don't do outpatient PT yet. You can always add it later if you need it. Listen very carefully to your body on this, because it's a fine line between helpful PT and soft-tissue injury that will be difficult to manage.

Stop stressing about dislocations. You follow your basic restrictions and it simply rarely happens. When it does happen, it's usually not something you could have prevented. Likewise infections. They are an awful thing to happen, and we all worry about them, but you really haven't much say about it now. Worrying to the point of stress that impedes good recovery is so counter-productive. Worry more about soft-tissue strains....you can control this, so simply do so.

When leg length differences are noticeable, for most people time is the crucial factor. You wait it out, the problem goes away. The heel lift is always available to you if you are one of the ones for whom it doesn't resolve. But you won't know this until you give it some time. So give it some time. In the meantime, if you are getting out for short walks and finding that it increases your pain to do so, consider new shoes. There is NO GUARANTEE....but wearing your former shoes means you have wear patterns that maladapted to your impaired gait before surgery. You are adjusting to a new gait now, and new shoes will allow you to do that without extra impediments. I have a wonderful shoe store in my city that lets people return shoes within 30 days of REAL wear. If you can find something like this, it takes a lot of pressure off of buying new shoes when you don't know for sure if they are the solution. But sometimes it is that simple.

So...treat yourselves like newborns. Mostly rest. Eat good food. Change your diaper occasionally. Just let your bone grow around the implant. Let your tissues heal. Protect yourself from pain. Take a timeout from the world so you have no obligations. Therefore you sleep when you can, and when you can't, there's no need to stress. It will pass.
Rockabye baby.

Shh.

Nite nite.

Sharon
 
Status
Not open for further replies.
Back
Top Bottom