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[THR] CafeFan18's recovery thread

Discussion in 'Hip Replacement Recovery Area' started by CafeFan18, Jun 29, 2019.

  1. CafeFan18

    CafeFan18 new member
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    Hi all,

    I had THR posterior on May 28. This is my first recovery post. I have been reading all the threads attentively and learned a lot. Most of my questions about recovery issues have been answered by reading others' threads.

    But I do have a concern. Prior to my hip issues (fracture with pinning Dec. 2016, AVN leading to THR), I used to commute to work on a bike. This is one of the joys of my life. I'm not one of those speedy lycra-wearing folks. I'm the grey-haired woman with one pantleg rolled up that everyone passes.

    Biking is not only fun and healthy, but with the traffic around here it is sometimes the most efficient means of transportation!

    Trouble is that riding in the Boston / Cambridge area is somewhat risky even with bike lanes. It is highly likely that at some point over the course of years some car will "door" you or you will have some other mishap.

    Is a femur with a prosthetic implant more likely to shatter (in general) than a natural one?

    I also have been diagnosed with osteoperosis. So it is most likely that wisdom would say I should put the bike away to avoid an accident.

    But I hate to do that. Are there other urban bike commuters out there (or anyone else) who have thoughts on this?

    I have not gotten on my bike yet. Still too soon for that. But I am thinking ahead about what this will mean for the future. For now am enjoying walks around the park with my cane.
     
    Last edited: Jun 29, 2019
  2. Layla

    Layla FORUM ADVISOR Forum Advisor

    Member Since:
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    Welcome to Recovery :welome: and Happy One Month Anniversary!
    Please read the Recovery Guidelines below as many will still apply.

    I would suggest you talk to your OS about the risks of a biking accident and chances / consequences of a fracture. I believe it would be considered a serious complication most likely involving surgery. Possibly riding your bike in areas that are safer than a commute in traffic could be a consideration. I'm sure you'll receive additional feedback from others.

    Please stop back often, you'll find great support and encouragement here as you continue the journey.
    Happy Saturday! :wave:

    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
    elevate
    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. @CafeFan18
     
  3. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Cycling is an excellent form of exercise/activity and is not incompatible with a hip replacement.
    Not at all. Actually neither is prone to shattering.
    I wouldn't agree with that at all! I think you should read these to get yourself some enthusiasm about what is possible after a hip replacement
    Stories of amazing hip recoveries
    Great news about Andy Murray!
     
  4. CafeFan18

    CafeFan18 new member
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    Hi folks,
    I'm 6 and half weeks post op posterior RTHR. Everything was going swimmingly but I think I've hit a bump. I've seen that recovery picture with the twisty arrow and I guess I'm in a twist. Hopefully it's only a temporary situation.

    Starting yesterday I've developed pain in the side of the hip -- sort of underneath the incision. Unlike previous discomfort that felt like sore and stiff muscles, this is a bit sharper. I'm not on any pain meds and don't plan to start up at this point, as the pain is probably still only like maybe a 3.

    But I'm nervous about whatever complications can set in (bursitus, or even something more sinister). I have to admit I'm a bit of a hypochondriac, so am imagining bad things.

    Today I cut completely back -- just rested and iced. It's possible I may have aggravated something by "over doing it." I'm hoping the pain will subside and this is just some of the ups and downs. I read Josephine's comment elsewhere that pain can spike around 6-7 weeks because possibly people start to do more.

    My "handle" should be "NervousNellie."
     
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  5. bruinsfan

    bruinsfan new member

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    Hello @CafeFan18! I don’t have a reason for your pain, but I’m having a similar issue at 5 weeks. I was hoping it was a just bump in the road. I see my Dr next week. I’m also from Massachusetts (North Shore) and love riding bikes. I’m hoping to get back on my indoor trainer in a couple weeks. I hope you get some insight to your issue.
     
  6. CafeFan18

    CafeFan18 new member
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    Hi @bruinsfan. I actually just got the go-ahead from my surgeon to do a stationary bike so looking forward to that. But I don't think I'll try much of anything until this new pain subsides some. I asked my surgeon (Mass General) if low-impact exercise such as walking and biking at low resistance could in any way negatively affect the ability of the bone to adhere to the implant. He was of the opinion that low-impact walking and biking would in no way negatively affect that. That was great to hear because I hope to "up" my walking as well. When you say you have "a similar issue" -- is that some new pain that cropped up? I'll see if you have anything on that in your thread.
     
  7. bruinsfan

    bruinsfan new member

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    I actually never started a thread...compared to others, mine seemed uneventful. It is a new pain. I was walking without a cane in the house (I use it when I go out for a walk or elsewhere) however, I’ve had to go back to the cane inside. Dr.sent me to PT for a possible IT band issue and I think I was pushed too far last visit.
     
  8. CafeFan18

    CafeFan18 new member
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    Yes @bruinsfan, I guess your experience and mine probably just represents the ups and downs of recovery. Good luck on progress toward walking pain free!
     
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  9. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    :hi: Just over one month and lots of healing still happening.
    I think this is wise..
    Lots of time to strengthen and tone...early days still.

    It might not compromise the stability of the implant but could negatively affect still healing disturbed soft tissue and traumatized muscles and tendons.
    We all want to get back to normal but your body is in charge.
    Slow and steady will win this race!

    Hope you have a restful weekend. :ice:
    You will get there
     
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    Last edited: Jul 15, 2019 at 3:51 AM
  10. CafeFan18

    CafeFan18 new member
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    Thanks @Mojo333 for the encouragement and good advice!
     
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