THR Ellie’s THR Bonanza

Mojo333

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Hi @EllieBelly
Post op Blues (tired of recovery, just tired from Energy Drain, is this "symptom" going to pass or is it permanent?) hit me hard around the one month out mark, and unfortunately this, too, is common with new hippies.:console2:
As far as Leg Length Differential goes, you're not alone, many feel this sensation post op. In most cases it eases with time. We advise giving it 3-4 months as it can take that amount of time for things to balance. If at that point, you are still concerned we suggest you visit a reputable podiatrist or PT for a measurement.
This information Layla gave you is important and is what you need to keep foremost in your mind, as you are still in early days and still healing muscles and tendons are tight.

The most common cause of leg length discrepancy irrespective of THR is pelvic tilt due to tightening of the muscles (pelvic obliquity)

Many women have an anterior pelvic tilt and it is certainly common after pregnancy as the pelvis compensates from carrying that heavy baby in the front!
Or for that matter is compensating for bad hip.

I had both hips replaced at the same time and was measured by surgeon in supine position (all even he declared) , but after 3 months I worked with a PT who noticed that while sitting up on table with legs out in front of me, one appeared longer.
My issue was tight hip flexors due to an anterior pelvic tilt wherein slow and steady exercises to address this were prescribed with success.

There are a percentage of THR patients who have an unacceptable permanent LLD, unfortunately, like InkedMarie, that, if substantial, may have to address it with shoe lifts.

The most common reason leg lengths are unequal after hip surgery, is the need for stability within the replaced joint. As part of hip replacement, the soft tissues surrounding the joint must be stretched to the appropriate tightness to ensure that the joint stays in place. That can result in a slightly longer leg length. It is usually a matter of a few millimeters, and many people don’t notice it.
Stability is obviously critical to successful hip replacement. It serves no purpose to have equal leg lengths if every time you sit down after surgery the joint dislocates because the soft tissues are too lax to hold it in place. In short, stability trumps exact equal leg length because a chronically unstable hip requires another surgery to correct the problem.

My thought is that those tight muscles serve a purpose during recovery, protecting your hip, and after the first 3 months I began to address my tight hip flexors and pelvic tilt.

I hope you get reassurance at your appointment, but it really is too early to worry about the things that will likely resolve with time and healing.
 
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EllieBelly

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@Mojo333 thank you so much for this breakdown. That is probably the best that the tilt and tightness has been explained to me. Considering years of bad walking and still recovering from pregnancy, I’m sure my pelvis is all out of whack! I will give it more time and trust the process. Thank you again really.
 
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EllieBelly

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Any stomach sleepers out there?? I’m dying to be able to sleep on my stomach again. How soon were you able to do that?
 

CricketHip

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Oh gosh, the thought of sleeping on my stomach makes me cringe.. I know some people love it but it's so hard on our bodies. So I can't give you any insight on that. I think I would ask my surgeon's office about it, as there could be extra precautions, dependent on the surgical approach used.
 

Eman85

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I went back to stomach sleeping probably 2-3 mos post op. I have since stopped stomach sleeping as I figured out that it was my biggest source of back problems. The pillow between my legs stopped me from stomach sleeping so I went back to it and now I'm a side sleeper without back pain.
 

Layla

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Oh gosh, the thought of sleeping on my stomach makes me cringe..
Same. I can’t…and when I was younger I loved sleeping on my stomach. While pregnant I’d dream of sleeping on my stomach after giving birth. Now I couldn’t even get comfortable attempting to do so. Different strokes I guess.

You’re still young @EllieBelly I’m guessing that desire may fade as you age. :shrug:
 

Layla

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Happy Two Month Anniversary!
I hope you've been doing well over the past several weeks, enjoying steady progress and greater ease in doing all that became difficult before surgery. Have a great rest of the week and update us as time allows. We love progress reports. :)
@EllieBelly
 

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