THR Coral's Pre and post op thoughts and feelings

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@coral63
Coral, I'm so glad you are doing well! Positive attitude & determination plus taking care of yourself help you considerably. Keep up the good work & remember to follow the wise advice of your doctor here & the BS family. Was your surgery really done in 20 minutes? Wow! That's quite an accomplishment!
Have a great day!
SweetPea69
 
Now that I am home and able to type on my computer (instead of trying to write on my phone) I am going to add some details from my THR experience.

First off, a big THANK YOU to BoneSmart for this forum. I have learned over the years to face fears with information and connection and this forum provides exactly that. You, gentle reader, apply the action necessary gleaned from this site to make your own experience one of comfort and clarity.

My surgeon’s name came to me via direct results. Quite a while ago a woman in front of me in the store was sharing with the clerk that she had just had a THR the week before. I stood behind her in disbelief. Here she was, out, using a cane and shopping! Whoa! I simply had to know who did her surgery. I asked and mentally jotted down the name.

As I have mentioned before I feared this procedure and tried to delay a total hip. Two years ago I saw this doctor. As I relayed my fears he said we could do a scope instead which could delay a THR by about 5 years. Hindsight being 20/20, I could have easily done a total back then and saved myself physical pain and finances. This procedure went well and I was up on my feet in no time but the results sadly did not last. Bone spurs returned quickly and I was back to limping and pain again. Two years later….

So back to this surgery. My surgeon is not one for hand holding and speaks it like it is. While this trait may make him off putting to some I found it refreshing and encouraging. After all, what I need in a surgeon is for him to be the best he can be in surgery where it counts in my opinion. I came here to this forum for any encouragement I needed.

My doc is a pioneer in Minimally Invasive Surgery (MIS) and teaches others this craft. Pre-OP physical therapy is just as important as post op therapy. This proactive approach keeps everyone on their toes from patient to staff. Warning signs are easily identified and plans of action put in place. What I especially liked about doing the pre-op exercises was that I found myself easily doing them in the recovery room right after surgery since I had been doing them beforehand …. there was no learning curve.

I also knew what hip precautions to take, 90 degree rule etc and what was expected of me. My only complaint came from not being able to get a room in the hospital. Although my surgery was 9 in the morning, at 8 pm I was still in recovery. At 9 that evening I was transported to my room and began to get settled. This was the most difficult night, little rest with constant checks.

One of the team of physicians saw me the next morning and told me that their office grades each surgery. Parameters include mistakes they make, time, efficiency etc and my surgery was scored a 10 on a 1-10 scale with 10 being the best grade possible. Also the prosthesis was chosen especially for me for my age and activity level and I was quite surprised to see how small it really is.

Between PT/OT, meds, vitals it is hard to get any good sleep in the hospital. I thought I may go home the day after surgery but I stayed one more day. I am glad I did. I was able to get up and use the bathroom, sponge bath myself and walk down the hall before heading home.

One of the perks I used was having the hospital pharmacy deliver meds before going home. This meant no stops and the ability to get home without delay. I am glad this is offered. I also had a bedside commode delivered to my room as well to go home with me. (Using over the toilet for hand rail support is excellent!) Once home I initially did a great deal of sleeping. My body and mind needed it. Since then family and friends have visited and are simply amazed at how fast I am on the mend.

Now I am at the point where I am getting along well and had my first day by myself today. I can fix my own cereal in the morning and with my walker and reacher can manage. I still need help putting on my TED stockings, but I can get dressed alone now. I see my surgeon on Monday (10 days post op) for a check up and staple removal and hopefully will get cleared to drive. I’ll post more after that. Until then, thanks for being in my heart and pocket!

Hugzzz and love
Coral:flwrysmile:
 
Hi @coral63 - wonderful news and thank you so much for such a detailed account. You've no idea how helpful it is for us on the brink to hear such encouraging words. Can you remind, did you have GA and spinal and sedation - and how did you find that? How are you managing your pain and are you icing? What sounds especially good is that you are sleeping - so many say they can't do that, but how great that you are able to answer your body's need. I'm convinced it will stand your recovery in good stead. So good to hear from you. Best wishes!
 
@coral63 It appears you were in very good hands. That had to be reassuring. And to chat with a lady about her surgeon, now that is the icing on the cake. That was no coincidence. :SUNsmile:

It is amazing how every week you will become stronger.

Your surgeon sounds like my surgeon as far as his credentials. My surgeon along with a few others in his practice, invented an instrument that helps with the placement of the prosthesis. I was patient #40. At my 3 wk he told me about this and said placement was perfect in my case and all 39 patients as well.

Looking forward to reading about your recovery. Take care
 
@coral63, it does sound like you are doing very well! With less disturbance to your soft tissue, the recovery should be quicker. You still have lots of serious trauma to the inside of your thigh, though, to bone and soft tissue, and that needs a certain amount of time to heal, and can't be rushed. Which is your surgical leg? If it is your right, you may not be ready to drive that early. Mine was right, and I was told I could drive after I stopped opioid pain killers, which wasn't until during my 5th week. Started in week 6, and that was plenty soon enough for me! I didn't have minimally invasive surgery, though. Stories like yours have me shaking my head in amazement, as mine was so different. May your good results continue!
 
Greetings Hippies!

@Miss Muffet my surgery was performed with General Anesthesia, no spinal which I tolerated well and with previous surgeries. Icing is important, which I learned here on this site and kept at it for the first 5 days. Now I am a little more sporadic with icing but still reach for the paks probably twice a day now. The swelling is just about gone and I was able to put my wedding ring back on last night. Also I have been spot on with meds, keeping on schedule. Additionally, my doc prescribes muscle relaxers to help with pain management. This has been the greatest help since it is the reusing of semi dormant muscles that has brought more pain than actual replacement. I have also continued to hydrate, which helps all the way around especially with the effects of pain medicine.

@Arlene56 WOW....so exciting to be in on a ground floor, 40th to be exact with a new instrument! :egypdance: Your experience brings to mind an episode of M*A*S*H where Hawkeye and the gang invent a delicate clamp to preserve blood vessels and save limbs. When we stop to really think about it...each of us is far more connected than we give credit...(I for one missed many connections and find myself still learning!)

One of the more interesting notes with my doc is how organized he is. At the office and again right before surgery he asked me if had had any of the Big 7 or 8 risks. What he meant was did I have diabetes, heart attack, heart stents, high blood pressure, cancer, blood clots, gosh I cannot remember the last two. Anyway, he wrote a zero on the opposite hand of my surgery side since I did not have any. He told me that way he knew if something happened in the OR he could see the number on my hand, then he knew what it wasn't and could react faster to what was going on. Sounds brilliant to me!

@Krista, You bring up some very important facts. Through this surgery there was some serious trauma to my skin, muscles, ligaments and bones. Each part needs time to heal and recover and the timelines for each differ. Resting, not pushing and following precautions as noted provide a gateway for a full, successful recovery. I am at my last day on opioid painkillers, my doc says I can now switch to Motrin, Naproxin, Ibuprofin etc. I took the non narcotics yesterday and they worked well.

Driving is something I am looking forward to, and yes my THR was on my right hip. I will have to wait to see what he says next week though he did say that once I was off of pain meds and could tap my foot up and down with a little force I could return to driving.

Discussing this surgery with others has them shaking their heads too Krista. A dear friend of mine recalls the days when you went to the hospital a couple days beforehand and stayed a over a week or longer after surgery. Healthcare continues to change, to become more patient involved with incredible discoveries. I am grateful for the advances and feel very blessed indeed.

Today is going to be a great day!

Hugzzz and love:angel:
Coral
 
Driving is something I am looking forward to, and yes my THR was on my right hip. I will have to wait to see what he says next week though he did say that once I was off of pain meds and could tap my foot up and down with a little force I could return to driving.

My experience with the driving aspect - I was "cleared" to drive (in quotes because it wasn't like an official release or anything) after my post-op appt at 19 days out. The RN said as long as I am not on narcotics anymore and I feel comfortable with it there is no medical reason I can't drive. I had my right hip done with anterior method. The hardest part at first was just getting into and out of the car. I felt so free and not cooped up in the house once I could drive again!
 
Yesterday had my first post op visit. The staples are out, which actually felt quite nice since they were really beginning to itch. One smarted quite a bit as it came out but otherwise I was fine. My doc took a look at my gait and said I can just use a cane as needed now. So I have graduated from the walker. YAY!

I was reminded to shed about 40 pounds to keep my new hip in tip top shape. Excess weight takes life out of the new hip. I am ready to get back to my recumbent bike at the gym. Breaking it down into 10 pound goals will be an easier way for me to accomplish this weight loss.

I also got the green light to drive. WOOHOO! The doc had me copy some foot movements that he did and I passed and viola...driving! I actually drove part of the way home and could feel the difference in my leg muscles. It was a busy day for my new hip.

Last night after getting into bed I had quite a bit of pain. Probably the worst that I have had since I have been home. It was all the changes...going from a walker to a cane, driving, being out and about....I put quite the strain on myself. I could not rest easy and it took about 30 minutes of icing the area to make the pain subside. After that I slept well but like I said that was tough.

So today I am taking it easy, not going anywhere while continuing my post op exercise program.

Hugzzz
Coral
 
@coral63 I found the best strategy post op was to plan an active day followed by a rest day. Pretty soon the rest days get shorter. But you are right, all those changes you made yesterday contribute to more discomfort. Glad you are taking it easy today!
 
You're doing so well and progressing nicely. Good for you!!! I guess we have to get our muscles back in shape before those muscle aches and pains disappear. :-)
 
@Jaycey ...Great idea! Planning one day of activity and then one day of rest brings about a sense of balance that is so needed during this time. My sister made a comment that is spot on, that even my center of balance is completely new. This is quite a bit of adjustment. Each muscle in my right leg is relearning how to do even the smallest of movements. Grateful to be surrounded by so many insightful and connecting folks!
 
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