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[THR] Catirrusia's Recovery Thread

Discussion in 'Hip Replacement Recovery Area' started by Catirrusia, Apr 5, 2019.

  1. Catirrusia

    Catirrusia junior member
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  2. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Well first, please tell me where your pain is using this chart

    aa hip-references-horz.jpg


    Here are the questions:

    It would be very helpful if you would answer each one individually - numbered as I have done - in as much detail as you can then I'll come back as see where you are

    1. what approach did you have for your surgery? Anterior, posterior, lateral? You can look here to see the various types THR approaches or incisions

    2. what are your pain levels right now? (remember the 1-10 scale: 1 = no pain and 10 = the worst you can imagine. And don't forget to factor in other forms of pain such as soreness, burning, stabbing, throbbing, aching, swelling and stiffness).

    3. what pain medications have you been prescribed, how much are you taking (in mg please) and how often?

    4. are you icing your painful area at all? If so, how often and for how long?

    5. are you elevating your leg. If so how often and for how long?

    6. what is your activity level? What do you do in the way of housework, cooking, cleaning, shopping, etc., and

    7. are you doing any exercises at home? If so what and how often?
    This is the most crucial question so please help me by using the format I have left as an example
    (which means please make a list and not an essay!)

    Exercises done at home
    - how many sessions you do each day
    - enter exercise by name then number of repetitions of each
    etc., etc.

    Anything done at PT
    - how many times a week
    - enter exercise by name then number of repetitions of each
    etc., etc.
     
  3. Catirrusia

    Catirrusia junior member
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    My pain is where the V- R2F - Front.
    W - L2B - Back.

    1. I have anterior approach Feb. 22.

    2. My pain level goes 3 as I start the day and 8 as I reach evenings.

    3. I take Tylenol when I have too much pain. Today I started taking Gabapentin, two twice a day.

    4. I ice for 40 minutes three or 4 times a day.

    5. I elevate my leg each time I apply ice 3 to 4 timed.

    6. I do cleaning, cooking, bedding, dusting, today bit of gardening.

    7. I sit on a chair and lift my leg for 10 seconds and repetition 10 times once a day.
    biking 10 minutes every day and stopped because of the pain.
    roll under my knee and lift my leg for 10 seconds 10 times, once a day.
    small walks around the house as often as I can.
    up and down the stairs twice a day

    I have not done physio. I am supposed to start next week

    I hope I answered everything.
    Thanks
     
  4. Layla

    Layla FORUM ADVISOR Forum Advisor

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    @Catirrusia
    Will you please note on average how often you take the Tylenol, also the strength and dosage,
    so Josephine has the info when she gets to your responses.
    Thanks
     
  5. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Catirr.jpg
    The red spot is a Psoas pain issue
    The blue one is Piriformis syndrome

    escalating pain like this is generally due to doing too much.
    Wrong way to take pain meds. Instead that Tylenol 1,000mg 4 times a day regularly.
    I wouldn't recommend you take Gabapentin because it's not actually a pain med.
    okay
    Okay

    I expect you missed this in the second post of this thread. I hope you read the rest of the articles.

    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.

    I strongly suggest you decline their generous offer of therapy. Hips don't need it - not at all!
    BUT by this I don't mean do nothing - you should still go for walks around the house and outside. That's the way to get better.
     
  6. Catirrusia

    Catirrusia junior member
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    Thank you for all the information. I will follow it as you indicated. My surgeon has no idea, I was the one that suggested the psoas. He wants to inject cortisone.

    What do you think?

    I heard that when he opens up people for the second, creates more problems. I don't trust the surgeon anymore and I want to get an MRI to have an idea of what is going.on.
     
  7. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Hi @Catirrusia
    We need to tag @Josephine, as I just did, to be sure she's alerted to your question / concern.
     
  8. Catirrusia

    Catirrusia junior member
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    Thank you.
    I feel I am not alone in this.
    I really appreciate it.
     
  9. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    I'm actually a great fan of cortisone injections. I've had many in my shoulders over the last 15 years! It usually works for me.
    You could say that about almost any surgeon. There are risks with any surgical procedure and making things worse rather than better is one of them.
    People invariably have an over-rated notion of MRI scans, like they're the answer to all ills but they're not. Very often they don't show too much and might not even show as a standard xray. More often the diagnosis can be made by a person with good general knowledge of the issue.
     
    • Informative Informative x 2
  10. Catirrusia

    Catirrusia junior member
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    Yes, I agree but this doctor does not have a knowledge understanding as much of the time I am telling something and then he says: I don't know.

    Last time, I saw him told him that could be the psoas and then he said: yeah let's do cortisone injection. My point is I am not a doctor, but bone smart is giving me knowledge. Why am I telling him what could be?

    I think the anterior approach brings lots of trouble for patients and I know a friend of mine that had the same procedure last December and she still in pain.

    If the psoas muscle gets too compromised it could be that the metal piece was not placed in the right spot.

    The doctor that did my aspiration told me that and if he did, I believe he has seen a lots

    This doctor is evasive. He probably knows what the problem is, but instead he keeps saying: "I don't know why you have pain". Once he gets patients in trouble he does not know how to solve them or he avoids them.

    I have been calling his office since last Thursday and no call back. He told me to have the cortisone shot this Tuesday and that his secretary would call me to give me the address.

    So far, nothing. Hope he is not trying to avoid me. Now I am thinking of seen another doctor and don't know who to go to.
     
  11. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Hello, Happy Monday to you :wave:
    It sounds like you should consider searching for another doctor.
    Not returning your calls, or following through with his own recommendations is puzzling.
    How often are you calling the office I'm wondering?
    I hope you find answers and relief soon.
    @Catirrusia
     
  12. Catirrusia

    Catirrusia junior member
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    I am calling everyday, but I can leave only one message. Last night sent an email to the doctor and secretary. I don't where to start looking for another doctor. I guess have to be OS surgeon.

    If it is the psoas muscle why he does not say anything and he keeps looking at xray to avoid me.

    Happy Monday to you too.:hi:
     
  13. Layla

    Layla FORUM ADVISOR Forum Advisor

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    I'm really sorry, I'm not sure. I'm wondering if there is a miscommunication happening...
    You're in a difficult situation and I'm not sure how to advise other than suggest you start researching
    your area online for a new OS / second opinion in regard to your issue.
    Wishing you luck in your search.
    @Catirrusia
     
  14. Catirrusia

    Catirrusia junior member
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    Josephine
    I wonder if it is a psoas pain, why the doctor did not say that.
    I am going to have a cortisone injection and go from there.
     
  15. Catirrusia

    Catirrusia junior member
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    Cortisone did not work.
     
  16. Layla

    Layla FORUM ADVISOR Forum Advisor

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    I believe the cortisone injection can take up to 10 days for full effect, but
    you should feel some benefit before then. You must have just received the injection within the last day I'm guessing by your last two posts? Possibly you need to give it a little more time....then go from there.
    Wishing you comfort and relief.
    @Catirrusia
     
  17. Catirrusia

    Catirrusia junior member
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    Thank you.
    Katy
     
  18. Catirrusia

    Catirrusia junior member
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    Well I reached a point that cannot walk, the pain on my groin is unbearable.
    And the doctor does not know why. I think I need a second opinion.
     
  19. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Oh my, I'm so sorry. I think you need a second opinion also.
    Please try to arrange an appt soon.
    Wishing you comfort and relief.
    @Catirrusia
     
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  20. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Yes, you certainly do need another opinion. Can your GP not advise you?
     

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