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THR BuffaloAl’s Recovery Thread

BuffaloAl

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Hi all. I’m a 48 year old father of 2, who was suffering from avascular necrosis in my left hip for about 10 years.

This past summer, while visiting family in California, I reached my breaking point. Simply playing recreational volleyball with my wife and kids, had me down for the count when I twisted funny. We all know that pain! My vacation went sideways fast and I was again the hobbled Dad.

While sitting by a pool, I contacted the well reknowned hip and knee specialist in Buffalo, NY, Dr. Romanowski to make an appointment for consultation. Well, he obviously is a well sought after man, as the earliest was 4 months out.

After X-rays, the doc said I had serious bone on bone and cysts growing on the femoral head. Looks like that sucker needed to go. What he didn’t understand is that my range of motion was fantastic for my condition. Minor miracle I guess. He recommended surgery, but didn’t know how much time that femoral head had left.

Anyway, after the consultation, my mind was made up and I scheduled the surgery for 1/20. That was a 3 month wait as well.

Surgery went as expected, and when Dr. Romanowski walked in the room to visit me post-op, he said I definitely needed it done and had no idea how I managed for 10 years on that bone.

Anyway, I am now 2+ weeks post op, and things are progressing. I have way more pain in the knee, front calf, and thigh than the hip. The doc said as an athlete my thighs were really strong and they had to use some serious force on the retractors to keep the muscles clear for the surgery. He specifically remembered the surgery well.

Hopefully things continue to improve but this knee stiffness and pain is a bummer. My knees have always been good.

Also, I feel like I have sciatica pain as well. Has anyone else felt that?

I am very happy to have found this site. Been lurking for awhile reading all the great posts, but thought I’d hop in

BuffaloAl
 

Layla

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:welome:Welcome to BoneSmart and Recovery. Thanks for coming out of the shadows to join us. I believe you'll like the support you find here as you begin healing. Congrats on your new hip!

Please read the Recovery Guidelines below and pay special attention to the article on ICE as it will help the aches and discomfort you've mentioned. Keep in mind your leg was pulled, tugged and power tools were used. The pain and discomfort will ease with some dedicated icing, meds if you're in need, but most of all time. Stop back often as we'd love to encourage you on while on the journey.
A great rest of the week to 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. At week 4 and after you should follow this
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.
 

Jaycey

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I have way more pain in the knee, front calf, and thigh than the hip.
Considering the difficulty they had during your surgery I can understand why you have this pain. Ice all areas - you have some very angry muscles and soft tissues.
I feel like I have sciatica pain as well. Has anyone else felt that?
I had a major sciatic flare just post op my left hip. I worked with a PT who specialised in spinal issues. He did deep muscle massage and it worked great. Hurts like the dickens at first but eases quickly with the pressure.
 

Celle

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Hello @BuffaloAl - and :welome: to recovery.

Please will you tell us the full date of your hip replacement, so we can make a signature for you? Knowing the exact date will help us to advise you appropriately in the future.
Thank you.:flwrysmile:
 
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BuffaloAl

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Thanks Jaycey. I was thinking about getting a massage for that pain. Hopefully that alleviates this pain.

Ice has been my “drug” of choice. It works wonders.

Celle,

the surgery was 1/20/2020
 
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BuffaloAl

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Also, are there any stretches recommended for the knee and thigh about 16 days past surgery?
 

ForumUser

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Hi Al,

Sounds like you are on track! You will be amazed how great you feel in another week or two!

I, too, had my first hip done in my 40s ... very active all my life. Flew airplanes for the Navy, aggressive workouts, loved racketball :) The motorcycle accidents, cows, horses, blah, blah, blah were all contributors. From about 32 yrs of age it started degenerating, as well. OS said, "you'll know when it's time." Walking around my desk one day as a 45 yr old ... fell down. Yeah.

My first one was good - easy recovery, but a bit fuzzy headed. Three nights in hospital.

My May 2019 one was waaaaay better - one night in hospital required - I could have had outpatient, but Medicare requires a night. Followed all the great advice here, and I decided I really wanted to be off narcotic pain killers after leaving the hospital (4000 mg/day Tylenol was sufficient) - had a little bit of pain, but was gloriously clearheaded. I did Over Do It at about 10-12 days because I felt so darn good - don't do this :)

I did very light stretching, very light ... I walked a lot ... around the house between icing and elevating ... then outside, but key was ICE and ELEVATE!

Did I mention Over Doing It? Save yourself - walk, walk, walk ... no dancing for awhile, no running, no PT (just my opinion) ... ice and elevate for an hour, then bathroom and walk, walk, walk ... repeat 6-10 times a day.

Here's my story ... https://bonesmart.org/forum/threads/thr-a-doing-well.54206/
 
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BuffaloAl

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Hey guys. The last couple of day’s have been pretty good. I am having a couple issues

First, my foot on my surgery side is ridiculously painful and swollen. I have been icing it and elevating, but not much relief. Any suggestions? Possibly Epsom salts?

Secondly, they have me on 2 325 mg tablets of aspirin for 30 days post surgery. I’m already noticing the effects on my gastrointestinal tract as it feels achy. I am heart healthy with no history of clots or heart attacks. Is everyone put on this protocol? I will reach out to the Doctor on Monday, but instead of concentrating on my hip, I am dealing with stomach discomfort.
Thanks in advance to any suggestions.
 

Jaycey

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my foot on my surgery side is ridiculously painful and swollen.
Are you icing for at least 45-60 minutes per session?
they have me on 2 325 mg tablets of aspirin for 30 days post surgery.
That's a pretty big dose for so long. I would definitely call your doctor today. Don't they have an on call number? Aspirin can do damage very quickly.
 
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BuffaloAl

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I am icing my leg very well at 45-60 minute intervals. The foot I haven’t been that great with, due to the logistics of getting ice on there. It’s tough to bend down and apply the ice machine pack to the foot.

I’m a very independent person, but I guess I will need to get my wife to wrap the foot up for me.

I will call the OS office today about the aspirin. That struck me as a high dosage as well. I cut down to one yesterday, and I noticed some improvement.
 

Eman85

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I was fortunate with the swelling but putting the ice machine pad on your foot is probably the best idea. I did a lot of ankle pumps and circles to keep the blood flowing. My OS had me on 1 aspirin a day for 4 weeks and told me to take Fomatadine (Pepcid) to protect my stomach.
 

leejaa

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I was also on 2 aspirin a day for a month but they were the 81mg dose so much less. They also advised Pepcid AC at the same time if I noticed any issues. I also made sure I bought the enteric coated aspirin which does help the stomach.
 

FCBayern

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I was on 325 mg aspirin but it was also the enteric coated kind and didn't bother me. But I've been taking 800 mg ibuprofen 3 times a day for 20 years so ANSAID's obviously don't bother me.
 
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BuffaloAl

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Thank you for the responses.
The ice on foot and elevate it for 45 minutes / 3 times a day made a huge difference. All better

My Dr. recommended Omeprazole for the gastro issues. That has worked well. He said, if it acts up still I can drop to 1 a day as I am 21 days past surgery already. Only 9 days left in the aspirin regiment anyway.
 

Layla

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Hello and Happy Monday!
It's great to read the swelling in your foot has decreased. You can always place a bag of frozen veggies over your foot, with the help of your grabber, if you're in a pinch again and wifeless for a time. Frozen Peas work well. Lol.

I hope your stomach issues improve. At 21 days post op, if you're reasonably active, it seems like overkill taking 325 mg of aspirin 2X daily.

Wishing you a great week as you continue healing! :)
@BuffaloAl
 

Elf1

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Happy that the swelling in your foot is decreasing. I would think at this point that 2 a day aspirin is probably a bit of overkill but I'm not a doctor. But, since you've noticed improvement by dropping to one I would listen to my body.
 
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BuffaloAl

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[/QUOTE] Ah - the "I'm independent" gets in the way sometimes. I'm sure you wife won't mind helping you. Just remember - all this is very temporary!
[/QUOTE]
Hello and Happy Monday!
It's great to read the swelling in your foot has decreased. You can always place a bag of frozen veggies over your foot, with the help of your grabber, if you're in a pinch again and wifeless for a time. Frozen Peas work well. Lol.

I hope your stomach issues improve. At 21 days post op, if you're reasonably active, it seems like overkill taking 325 mg of aspirin 2X daily.

Wishing you a great week as you continue healing! :)
@BuffaloAl
Agreed in the aspirin front. I am very active, walking all over the place. I feel it at night that’s for sure!

I went down to 1 a day and the omeprazole and all good.
 

Layla

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Happy One Month Anniversary, Al!
How have you been since we last heard from you? Hopefully you're doing well and noticing weekly progress. Please update us as we'd love to follow your journey awhile longer. Wishing you a great weekend!
@BuffaloAl
 

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