THR Dorothy's 2nd hip recovery, June 22, 2012

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Hi Dorothy,

It sounds like you are coming along nicely, with many of the usual peaks and valleys!!

Pacing ourselves is a bit difficult because of the "alien" hip -- it can be hard to decipher what sets something off in a flare-up and also to figure out what to do to settle things back down if they flare up. With our old hip we knew what our ROM and limitations were, I've found it takes a while to get this same knowledge with the new hip.

Glad that you have found a good PT to partner with and I hope you will find it helpful. I hope that you will also find your comfy clothes and spend some time just sitting around enjoying the weather and maybe working on some jewelry pieces. You have two new hips and plenty of time to get them all squared away and strengthened -- :thumb:

Take care and good job getting that little kitty a new home :kittykiss:
Cardie
 
Hey Dororthy,

I looked at those "crash pads"...cool! That is a encouraging strategy to think about future delights and plan for them carefully. I am such a scardy-cat, I can't imagine getting on a horse. (The only time I rode was in Mongolia across the Gobi steepes on horses so small, my feet could almost touch the ground; security!) I have read othre posts about horse people getting back in the saddle and my hat off to you. I, too, dream of the future and for me, that means favorite yoga poses, like standing on my hands, which I guess has the same element of possible falling as horseback riding. HOWEVER, lovely and inspiring as these dreams are, I think it is also good to be in the present. Those dreams will manifest, and in the meantime, embrace where you beloved body is now. You are such a giving woman, offer yourself unconditional love as well.

Great that you have lost some weight that you wanted to lose!! YAY!!!

I am not a naturally suspicious person, but do you think it is possible Lucy likes carrots becasue she saw her main squeeze feeding them to the horses and got jealous?

Take VERY gentle care and celebrate this last JUly weekend.

Hugs
Elle
 
Hi Dorothy

I loved your new PT's expression - 'active rest'.... My SO has insisted that was the way for me to travel my journey of recovery. He is also a great one for saying walk for 5 mins or 10 mins and do that for a week and then add a minute at a time... I know he is so right and for the most part I have listened and benefited from this advice.. After all, given he was in the SAS for over 10 years.. I figured he must know the right approach to how far we can or should push ourselves...

You will find your inner barometer, you will find your natural rhythm and balance of activity and rest... All in the fullness of time as they say :)
 
Thanks everyone. It's a challenge adapting to my new "toned down" activity regimen. I sometimes feel downright lazy! But, it's more like the OCD part of my personality has just calmed down a bit out of necessity. I think it was easier having the other hip done during the winter because I was forced to do less because of the weather. Now, it's just too easy to go for one more walk, or do some other outside activity that I couldn't do during the winter. Of course, I am facing additional challenges physically that I didn't have last time.

I haven't noticed much difference with the hip flexor strain--I think that is going to take a long time to resolve. I get impatient, but I do remind myself frequently that at least this is a problem that *will* get better, and for that I'm grateful.

The new exercises from the PT help my back more than the hip flexor. I find myself having to really hold back from doing too many of them--the old "if a little helps; more must be even better!" way of thinking. In addition, I hope the spinal injections I have August 3rd will help he back further. Fingers and toes crossed!

I'm also hopeful that my continued weight loss with help the back. I'm very determined to get to a healthy weight. My weight really got out of control over the past couple of years especially and I have a ways to go, but it is inspiring to step on the scale every few days and see a pound or two gone. 10 pounds less than before my surgery! I only hope I can keep going once I get back to work. That's much harder because my life is more stressful, a variety of food is very readily available from our little work cafeteria (and I don't have to prepare it!), and I'm just tired more and I don't cook or take time to prepare good food the way I can do now when I have more time to do it. I need to come up with a strategy and have it in place before I go back to work.

About work. I think I'm going to shoot for 8 weeks. I wish I could take off more, but I can't afford to do so financially. By that time, the back injections should be settling in and helping and my hip will have 3 more weeks of healing. My job is sitting all day so I have to be very aware of the time and make sure I get up and stretch or move around frequently, rather than just get wrapped up in what I'm doing and get stiffened up like the Tin Man on the Wizard of Oz. Luckily my job is self-paced and flexible, so I can get up and move around any time and as much as I need to. I find the mental concentration component to be just as difficult as the physical. That was a surprise to me last time. My brain fought me every step of the way and didn't want to do anything.

Elle, you are so funny about Lucy! But, I don't think that's it--Lucy firmly believes she is superior to all other 4-legged creatures on Earth, so there would be no need for her to get jealous :-) Boy, she is my challenge child! She is demanding, devoted, and lovable--all wrapped up into one 45 pound red-headed ball of Australian Shepherd mix fire. My other dog, Heidi, is more like an average dog--she just wants to be happy and doesn't over think life. Her biggest demands are "pet me" for as long as someone is willing to pet her and play "catch" with a ball for a little while. Lucy wants more action. She needs something to do all the time and gets very frustrated when that isn't possible (like now, when I'm recovering from surgery). She's a piece of work! I try to keep her entertained with chews and review her training exercises with her frequently (she loves to do them and responds like a machine). I have a large fenced yard ... sit in a chair and play ball (she likes fetch) with her as much as I can, but sometimes she is fussy and doesn't want to play ball. She probably is a little spoiled and I've given in to her too much through the years, but she is Queen Lucy, and that little red, super expressive face and those huge amber eyes are just too much to resist. What's a mom to do?

Hope everyone has a great day today and things are going well.

Dorothy
 
Hi Dorothy,

Well, I see who heads your family! Those redheads! She sounds like she must be extremely smart. Well, your throwing arm must be getting strong!

Dorothy, I thought about you this morning when I was doing my Elle-cises. Show this stretch to your PT and ask what he thinks. The work is on the leg that is straight. This was impossible for me to do before THR (in fact it was unbearably painful and I had to give it up). Now, I can do it (!) and just feel the stretch in the groin. It is gentle. This is from the Egoscue book. He suggests you hold it for 40 minutes at first (?!) whihc is good for a snooze or until when you flex the leg, you can feel the muscle contracting near the groin (when you start, the contraction is felt by the knee). The small block keeps the foot from flopping over. You probably should do at least 5 minutes on the side that is not affected. If you cannot get on the floor yet, you can put a small chair on the bed.

[Bonesmart.org] Dorothy's 2nd hip recovery, June 22, 2012

broken link removed: https://www.subdude-site.com/WebPages_Local/RefInfo/StretchExerciseEtc/Egoscue/LyingDown_Egoscue.htm

AND the good thing about this exercise...you are resting while you exercise! So you don;t need to feel guilty! AND you are in the perfect position to receive a dog kiss! (My cat lays on my stomach in this pose, but your girls sound like they would smash you if they tried that!)

Oh, I am going back to work after 8 weeks, too. I love my work, but anxious for the same reason you are: mental fatigue. I thought I wuld be doing all these projects (computer based) while I was resting on my back, but I did not have the mental energy to persue them.

Eating too much at work-very easy to do, but you have already done step one-you have already identified the problem. Take health snacks with you, like raw almonds (blanched) or pistachios (because you have to peel them and thus focus on eating as opposed as just putting food in your mouth.)

OK, my dear, you take gentle care.

Hugs,
Elle
 
I discovered the Egoscue exercises a number of years ago...stumbled onto the website, and then took out the books from the library. He certainly has a very different approach to exercise. It is probably time to buy the books outright, and incorporate some of the exercises into my routine. I did have a terrible time with 40 minutes for that supine stretch, and once I'm past the current brain fog, I know I would have a hard time again just lying there. After two minutes, I'm itching to pick up a book or magazine. I'm pretty much incapable of sitting still without something to read.

Elle and Dorothy, good luck with going back to work. The mental fatigue....oh boy, I know what you mean!

And Dorothy, you are wise to plan ahead for handling food at work. It's so easy to opt for the quick and easy (meaning junk food) when you're caught unprepared. Post-menopause weight for me....I've lost and regained 30 pounds several times over the last 10 years. Grrrrr. Set a good example and I'll try to follow. :)

Sharon
 
Good stretch. I tried it this morning using a chair with a pillow on it. I can feel the stretch deep in my groin. Overall, quite comfortable. I did this on the bed because I can get down to the floor, but I worry that I will break the hip precautions or hurt something getting back up ... I can get down, but getting up is the tricky part. Overall, very domfortable to lie there and just kind of hang out. I'm good that these days, now that my brain is operating in slow motion.

Sharon, I'll try to set a good example, although I'm sure you will do quite well on your own. You could lead the pack on most everything. You are an amazing person!

Dorothy
 
Hey there Dorothy,

Ah, you tried without askign your PT first, although, yes, it is pretty gentle, yet effective.

How do you get down to floor? I sit on edge of the bed, my hands on either side of me and then slide down to my rear. Getting back up, I sit with my back against bed, put my forearms behind me, using arms and non-operated leg to hoist me up with operated leg extended, no restrictions violated. If your bed is high, this may not work. Also can your earlier hip operation support the weight? You can alos put a small chair up on the bed. Move slowly! You dont want to hurt yourself with a good passive stretch by getting into the position!

Warmest,
Elle
 
Yes, Elle, I went ahead and did the stretch without checking with the PT--I'm a rebel and a dare-devel :-) ha ha . It's actually very similar to what happens when I do my routine flexion exercise with the other side (grasp my 1st new hip side and bring it towards my chest , lying flat on my back with the newest hip leg straight--I still have exercises I need to do with the other hip side to continue to build and stretch that out). I figured your stretch wasn't going to do anything this flexion stretch didn't already do ... and I get to just lie there and take a break!

About getting up and down to/from the floor ... I don't think I'm going to risk that yet. THAT sounds like something where my less-than-flexible body would fail me and I would be stuck on the floor. I should be off my hip precautions soon and then I can get up and down in a more normal fashion. As with the last hip, I will still go easy for a while after the hip precautions are lifted--I don't want to throw caution to the wind and suddenly put the new hip in a position that could cause problems. I'm sure it's not a definite line that I step over-- "one day I can dislocate it by moving a certain way ... next day hip precautions are lifted and nothing I do will dislocate it."

I have felt that my new hip is very secure in the socket from day one. The hip itself feels very good---the muscles surrounding it have the been the problem ever since they were overworked beginning the day after operation ... oh, yes, and the pre-existing back problems. I have noticed things improving slowly since I've been backing off on my walking and hip exercises. I long to go for a nice walk with my dogs but I know I'll be right back to square one if I do. Walking seems to get everything hurting, worse than any other activity I do. I keep the walks to no more than an estimated 500 feet or so at a time. Unfortunate. Straight leg raises will also aggravate the hip flexor. I still do a couple each day just to make sure I'm not losing the strength in that area, but I have to be very slow and careful with it, and I stop immediately if the pain seems strong. The PT pointed out that I can do front leg raises standing (kind of like a knee "march" kind of thing) without stressing the hip flexor anywhere near as much as one lying straight leg raise will and these will help maintain strength in that area, so I do quite a few of them. He's right--I don't notice anywhere near the amount of pain and stress in that position. I see him again Wednesday and wonder what he will have in store for me next.

I'm awake early, put the dogs outside (fenced yard--they bug me if I leave them in--"come on, Mom--let's get up and play!!!!"), and I will probably go back to sleep for a while. Everything is verypeaceful in the early morning and very relaxing.

Dorothy
 
Oh, so, so sorry, Dorothy...I misread your previous post; I thought you were already on the floor, but were still having issues getting up. I NEVER would have suggested how to maneuever that otherwise! Each person has their own set of cans and cannots.

Yes, that marching step is good. If you are tired, you can also lay down on back and slide heels about 6-8 inches from rear, so knees up. You then can lift the foot of one leg up and down about 6 inches. I did this to try to strengthen my hip refelxor when it hurt too much to walk.

Hey, it is already July 31 in Asia, so.......

[Bonesmart.org] Dorothy's 2nd hip recovery, June 22, 2012
 
Elle, thanks so much for the birthday wishes and such a pretty card! Yes, one more birthday. It's been a very eventful year and there are only good things in store for my 52nd year. :-)

Don't worry about the "down and up off the floor" suggestions. I know my limits and won't do anything that I don't think I can do. I appreciate your suggestions a lot. I won't do anything I know I'll have trouble with. I do expect I'll be released from my hip restrictions next week when I see my surgeon and can start being more adventurous. I'm sure I break the 90 degree rule from time to time right now, but for the most part I do adhere to the restrictions.

Dorothy
 
Happy Birthday Dorothy! I'm glad you are doing so well with "Both" your new hips. Sending lots of good wishes, hugs and lots of love xxooxx
 
Dorothy

Just wanted to add my "Happy Birthday" wishes. 52 is a great age! And two strong hips. Good for you. Pet those puppies, slip an apple to the horses, and have wonderful birthday week!

Suki
 
Hippy Birthday, Dorothy! Looking forward to seeing you Monday!
 
Belated Happy Birthday Dorothy. Hope you had a great day and I hope both you and Diane have a lovely time meeting up on Monday.

Take care

Ann.
 
Hi everyone. Thanks for the happy birthday wishes :-)

I'm not in a good mood today. I went to my physical therapy session today and after talking things over, the therapist wants to wait until my surgeon sees me next week before working with me further. He's concerned about how easily my hip area and leg get more painful with just a mild increase in activity. He wants to be sure there is nothing wrong with the hardware or the bone and all that stuff before proceeding further. He gave me a note to give to the surgeon asking for an evaluation and specific written instructions.

I doubt there is anything wrong with the hip itself. I think the soft tissue around it was severely damaged by the aggressive hospital physical therapy and my own fault trying to just "bulldoze" through the pain to do my exercises and walk before that damage healed. Yesterday I did my usual horse care that I do every day. Instead of taking another similar length walk, as I usually do, I went to a nearby little grocery store to buy a few things. I'm talking 3 very light plastic bags with a few items. I parked close to the door, used the cart for support, and even asked for help taking out my groceries so I wouldn't have to walk back in with the empty cart (save a few steps). It took all of 15 minutes. Five minutes putting things away at home, and that was it. It was more strenuous than my typical second walk of the day, but not that much more. I was so sore afterwards and today--it's ridiculous how "fragile" I am. Seems like any small increase in activity will aggravate the pain. I don't think this is normal for being almost 6 weeks post op. The pain is in the lower/inner groin headed into the crotch/pubic bone area and kind of circles around toward the buttock. It also spreads down my inner thigh for a few inches too. It's not a stabbing pain; it feels just sore and stiff. Very frustrating! I've already slowed down my activity and exercise to a crawl and I'm afraid I'll never be able to build full strength and flexibility if I can't get a handle on this pain soon. And, I have work to worry about ... I can't stay out forever financially. What a day!

Dorothy
 
Hi Dorothy,

I think I've probably said a couple times that maybe you are doing a little too much a little too soon. Maybe Josephine; could add some of her wisdom to what you are describing is happening at this 6 week point as well.

You are just really early out from your surgery still and have a whole lot of healing that is going on inside. That "fragile" feeling and pain/soreness & stiffness is your body saying that it's not quite ready yet. You cannot make it work by bulldozing, your body will rebel and the rebellion will get "louder" (e.g. more painful) until you slow things down. You have plenty of time to build full strength and flexibility -- but first you have to let the healing occur from the surgery. Taking a break from PT might be a really good thing, especially if you have to be recuperated enough to return to work in the coming weeks. Maybe PT would work better when you get to the point of a phased return to work -- a few hours at work, a PT session and home to rest. In the meantime, you have quite a bit of activity in your daily life with the animals and a tiny walk.

In the meantime, remember your ice pack on the sore adductors and your cane to help take some of the stress from your newest hip. Go easy on yourself :friends:Cardie
 
Oh, Dorothy,

I can so relate. My 1st hip was so easy...of course I didn't know or realize that as I had never had a hip replacement before. You know some of the story of my 2nd hip. I really believe that for some of us 2 major surgeries are a lot for our bodies, minds, emotions, psyches in general, it just takes longer. And 6 weeks is not far out from surgery. It is so frustrating but listen to our bodies we must. I am glad you will see Dr. C in just a few days and hopefully get some reassurance.

I am working on 9 months out and still feel the healing and still have some issues some days. Yes, they are minor now but it took a good lenght of time to get here.

I wish for you patience, healing, patience and all you need to feel secure and well. See you soon.
 
Thanks Cardie and Diane. I guess it just scares me sometimes when I realize just how deteriorated and weak my body has become ever since this whole hip pain situation started 3 or so years ago. I used to think nothing of stacking a couple hundred 50-pound bales of hay in my barn; I used to trim my own horses' hooves, which is extremely hard physical work and why my back is probably messed up; hike for several hours at a time; spend an afternoon hand trimming weeds around my horse fence, and lots of other pretty heavy duty physical activities as part of every day life. Then, as the pain became more of a problem, there were fewer and fewer things I was able to do ... and now it seems I've hit an all time low when it comes to the ability to do physical activity--cardiovascular-wise, general body strength and endurance-wise, in addition to the ortho issues. It seems like all I have to do is one thing slightly above where I'm at physically and it takes forever to recover. That's a little scary--is it possible to regain what I've lost??? I've never been a thin, atheletic kind of person involved in sports, but I've always been sturdy, hardy, and tough. That's important to me and I guess part of who I am. I grew up helping on my parents' dairy farm when I was a kid, then continued farm type work with my own horses. And, riding helped keep my core strong and kept me more flexible. Oh well ...

I didn't do any exercises today. I decided that wasn't going to do anything that hurt. I might even skip tomorrow too. I feel a little like a naughty child, lol.

Diane, I'm looking forward to meeting you on Monday--that will be a really fun thing to look forward to :-)

Dorothy
 
I just returned from having my spinal injections. Kind of tired, but I think they went well. At least I'm not super sore or feeling poorly from it.

There was a time, though, after they gave me the versed and the fentanyl when I just felt SO good--"happy" due to the versed and completely painfree because of the fentanyl. All I could think of is "this is how normal people feel!!!" ... then the good drugs wore off. Darn!

A friend drove me to the procedure because I'm not allowed to drive for 24 hours afterwards. I felt OK enough to stop and have lunch, which was fun because it was a neat old remodeled home turned into a cafe type restaurant in a little village. Very quaint and the food was very good. My friend and I got caught up on some life happenings and had a nice visit.

Now, just taking it easy the rest of the day to let the medication settle into the right places in the back and start working. Keep your fingers crossed it helps with the back.

I have another appointment on Monday with my surgeon, and Dianemarie and I are meeting for lunch beforehand. That will be so nice to meet her and visit! So, Diane are we on for the same time, 1:00pm, same restaurant??

I'm really looking forward to finding out my surgeon's assessment of my problems and his perspective about my delayed recovery and pain (at least my feeling about it compared to last hip). I don't really care what is wrong as long as it can be fixed and will go away and I will be normal. I'm still thinking it just strains/sprains and all that from too much PT at the hospital that has never healed ... but he'll know more after he checks me out. I sent him an email a couple of days ago to give him the heads up about what is going on and that the PT doesn't want to work with me again until he clears me medically that the hip is functionally OK ... and all that. I don't want to waste precious office visit time discussing all that. I'd rather he know about it ahead of time and get down to the nitty gritty of figuring out what is wrong with me as soon as I get there.

I have to compliment my surgeon. He has been really great about all my surgery concerns, care while in the hospital (the things that he could control and was aware of), answering every email I send to him quite promptly, being very flexible with everything, and just being kind to me. He seems to have the patience of a saint because I'm probably one of the more outspoken patients he has and want to know more about things than most patients do. I'm a nice, pleasant patient ... but I will say I'm probably one of his more challenging and demanding patients in that respect. He's great at doing surgery and he's a very nice person. That can be difficult combo to find in a surgeon.

Dorothy
 
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