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THR I am titanium!

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Calikat, the use of screws and cemented vs uncemented is one of those things that surgeons just tend to differ on. The surgeon I went to prefers uncemented implants with no screws. His partner does uncemented with screws. Both are highly regarded surgeons around here. My theory......my non-screw surgeon is about 15 years younger than his partner. I'm thinking the partner is happy with the outcomes of the way he's always done it, and sees no reason to change what has been successful. My surgeon seems to be very interested in research...he even published a paper about cemented vs uncemented approaches which I discovered when someone here on Bonesmart posted a link to a journal article and I read it and realized it was written by my very own surgeon!! Bottom line is that both approaches seems to work just fine.

I had generals for my surgeries, so I don't have any first-hand knowledge about residual pain from the spinal. Jo is away for a couple of days, so she can't respond to your inquiry just yet. Jamie or Jaycey Do either of you know anything about this?

How is the Celebrex working for you? It's a wonder drug for me, but I'm thankful that at this point I only need it occasionally when I have to function at top level. It won't get a generic version for a couple years yet, and it's SO expensive! My surgeon thinks it's the safest of all the NSAIDS though....but I think safety is a relative thing. Safer and safest do not mean the same thing as completely safe.

So sorry to hear that your bathing suit modeling career is at an end. :)

Sharon
 
sharonslp said:
So sorry to hear that your bathing suit modeling career is at an end.
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:rotfl::loll: :rofsign: :snork:

I have not tried the celebrex yet. Today will be the first day so I will let you know. The 400 mg of ibuprofen worked wonders for the two days I took it last week. Prior to my surgery 800 mg every 8 hours was not even touching it...nor was 75 mg of voltaren twice a day. I am now realizing that my bad hip was making my whole body ache. I am going to try the celebrex in the hope that it will be easier on my stomach.

Regarding the screws, my OS is older...he has been doing the replacements for over 35 years...but he is also very keen on research. He seems to always be travelling to some place or another for conferences etc. and has spouted off the research for every question I ask him. I know he also used to teach the anterior method...it's in his bio along with countless other achievements, but I have no idea if he uses screws for certain situations. I do know that he does both anterior and traditional method for implants. He prefers the anterior, but says not everyone is a candidate. He also does the Birmingham resurfacing procedure for which he told me I was not a suitable candidate. I guess what I am saying is who knows why surgeons make the choices they make. LOL I am sure they choose what they think is best for the patient. I myself can see the benefit of a screw because it will help insure that the component stays where it is supposed to. I do think this whole press fit thing is pretty amazing. How does everything stay where it is supposed to? I know they fit everything in tight, but it still seems like it could move. What I find even more amazing is how doctors etc come up with this stuff. We are fortunate that there are such smart people in the world. One other thing...he wears a long ponytail of dreadlocks...LOL! Not what you expect! But he is very cool.
 
Hi calikat and sunsetbiking

My Dr said he used a screw for extra insurance. He would be in his 40's and quite progressive according to my nurse and theatre nurse friends.

I think you have all jinxed me as I'm not sleeping that well now...very annoying isnt it???

So glad you can get something done for your thumb!!!! Your surgeon sounds great!!!!

Keep up the good work!!!
 
He said there has been some study that NSAIDS can impede the growth of bone into the prosthesis, but I should be past that at this point.
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calikat ... the above quote is what I was asking you about. I know the pitfalls about overuse (whatever that means) of NSAIDS but didn't know a thing about impeding growth of bone into prosthesis. My OR has said nothing at all about that. Thanks for the info.

Off to work now, but will write you again. Hope you have a good day.
 
Hi Peaches I first read about NSAIDS interfering with bone growth on this site. I asked him about it at my appointment. He mentioned the studies, but did not seem overly concerned. Once your bone has grown in which I believe takes about 5 weeks, the problem should be moot. It is interesting though, because I think a lot of hip replacement patients take NSAIDS after their surgery.

Have a great day at work. <3 I had meetings all day yesterday. My leg is now pretty achy. :/ How long were you off before you went back to work?
 
Good morning Vetgirl ! Thank you for the response. That is what I was wondering if the screws were used for...extra insurance. For me personally it sounds like a good idea. :) In my brain it seems like it would be too easy for stuff to move around in there with no cement etc. to hold it in place, but I guess it is the surgeon's call. You know I even tried to google it (Why do some surgeons use screws in hip replacements?) and nothing really came up. I hope you are doing well. Thank you for posting some of your pool exercises in your thread. I went to a pull over the weekend. I plan to go again this weekend, and I am going to try out some of your routines. As I said before, I think it is so great that your hospital has that rehab program. It is also probably helpful to exercise in a group setting.

Very sorry about the sleep. :( At this point I am starting to think I may need a sleep aid. I should have asked my doctor about it when I had my appointment on Monday, but I really thought the sleep issue would work itself out. It is not happening.
 
calikat, I have my 6 week in an hour. I'm hoping for a peek at my x-ray to see if there is a screw or two as well. Maybe the doc will tell me I have a screw loose! :rotfl:
As far as pool stuff, I've been doing some lap walking in the swim lanes. Standing facing the wall, you can adduct and abduct the new hip leg in front of you as far as it feels comfortable. Stand with the new hip leg away from the wall and pretend to 'run' with that leg, not touching the bottom while you stride.

Sleep is still improving for me too! Getting better each night now. The nights after PT are still the worst!
 
calikat, are you still taking your pain meds at night? Sleep issues are very common post THR but if you are under medicating this could add to the problem.
 
I am Jaycey. Last night I also took a percocet in the middle of the night. I seem to be ok during the day, although I still need some type of pain medication. I have been taking ultracet and tylenol twice a day. Now I am trying celebrex which does not seem to do much.
 
Jaycey Do you think it would be alright for me to take some melatonin with the pain medicine before I go to bed? Today is my hips 5 week birthday. I am pretty happy with my progress the "not sleeping thing" withstanding. I am just very nervous about mixing medications etc. I know melatonin can interact with medications because I have personal experience from my college days when not sleeping was a problem. I am sure my sleep problems which are independent from the hip issue are not helping my situation. I often use melatonin, but as I said, nervous Nelly about mixing things. I could call my doctor's office, but I know I won't get an answer for days. Also...it was a doctor years ago who had me mix the melatonin with another medication that caused a bad reaction so I trust you all more!
 
I have used melatonin before but never with other meds. Jo is away from the forum for a few days. Perhaps our nutritional expert Poppet can comment. Having said all this I had sleep problems for weeks after my THR. Try to nap during the day. This eventually eases - I promise!
 
Hi there calikat Jaycey melatonin supplements can interact with various medications as you have already found out, including: Blood-thinning medications, (are you still on these?) Diabetes medications, Birth control pills and a long shot here, but just in case you may be taking , meds that suppress the immune system (immunosuppressants). Also there has been sone research indicating that people taking Celebrex may suffer Dyspepsia (indigestion). Not knowing what other general health meds you are taking there may be other interactions.. If you want to tag me or better still PM me if you prefer to keep it private I can let you know :)

Also there are side effects with the the most common effects which may include daytime sleeplessness, which would defeat the purpose if you are trying (or are napping during the day), dizziness, headaches. Other, less common melatonin side effects might include abdominal discomfort, mild anxiety, irritability, confusion and short-lasting feelings of depression.

My suggestion, if you have had a reaction before is to call your Doc first, there is a lot happening in your body right now following major surgery. Melatonin is not a supplement I would recommend this early in your recovery phase.. Do let me know how you go with your Doc :) in the meantime check out my nutritional section of the library, especially the article regarding foods and sleeping :)

https://bonesmart.org/forum/view/nutritional-advice-for-pre-op-and-recovery.84/
 
Hello Miss Poppet I am no longer taking blood thinners or any of the other medications you mentioned except for Celebrex which I started 3 days ago. I am not sure if it is really helping with anything. At this point I would say very little. I have taken Melatonin for years as a sleep aid, but only on an as needed basis. It is very helpful for the times I have trouble sleeping. I really don't have any unwanted effect except for the time I mentioned above when I was in college, and that was more years ago than I care to admit! LOL I am 53 so you can do the math! ;) Back then my doctor had prescribed a VERY high dose for sleep issues. I would never even consider taking that much now. To this day I have no idea why he told me to take so much. I guess I will just tough it out :/ as I am not scheduled for another appointment with my doctor for 6 weeks. I will check out your nutritional section. Thanks! :)
 
Poppet You have provided some great nutritional articles/information! Thanks again. I am immediately switching my magnesium to night time among other things. <3
 
You are very welcome :) keep an eye on the nutritional library I have lots more articles in various states of writing :)
 
calikat I hope you find a solution to your sleep problems very soon.Insomnia seems to be a big issue with many following hip replacement.I always feel so much more positive the day after a good nights sleep.
 
I am feeling really blue this morning. :( I mentioned about a week ago that I was having problems with pain in a tooth. I went back to the dentist because it was still really bothering me. Well I found out yesterday that I most likely have a cracked tooth...although it is a different one then what was originally bothering me! Referred pain I guess. It appears I may have an infection although the X-ray still does not show anything but the tooth is symptomatic. I am bummed and worried about what this might mean for my new hip. I am on antibiotics, but the area is still really sore and my gums are swollen. I had a full dental check up a few weeks before my surgery, and I was given the all clear for surgery. The x-rays still don't show anything. I am fairly calm about it since it is really beyond my control at this point. I just wish the tooth could have waited a few more months before deciding to be being difficult.
 
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