THR Juanita's Hip Recovery

[Mojo333]

@Ryesgma
I hate that you are so miserable...I don't think you should have this much pain at over two months out . Josephine will be along to hopefully weigh in, so do check back.
Hope you are sleeping...
Hugs

 

[Layla]

I'm so sorry you're struggling with pain. I hope you were able to get some sleep last night.
With any luck you'll get a phone call from your OS's office early today. Please stay in touch and let us know what you hear.
Hugs
@Ryesgma

 

[Josephine]

my pain has been a 7 going on a couple days now

Can you show me the site of your pain using this chart?

After that, I'd really like to offer you some structured advice but in order to do that, I also need to ask you some questions. Are you willing for me to do that?

 

[Ryesgma]

T-R2F X-R2F
Z-R2B X-R2B
the pain runs down the back of my calf on the right side as well.

 

[Josephine]

Like this? with the pain going from one spot to the other?

The red would very likely be an ITB (ilio-tibial band) issues and/or Trochanteric bursitis.
The blue probably Piriformis syndrome

Let me know if this is not so

 

[Ryesgma]

The pain is mostly in the front of the thigh. It feels like it's right where the stem was placed. I am also having off and on pain in my groin. The nurse from the OS office called and said that even though some of my levels are elevated they're not worried about it. They keep saying that they think it could be in my back .

I however don't agree because I've never heard of anyone having pain in the front of the thigh because of their back. I just didn't think I would be having pain at 9 weeks post op

 

[Carriemay60]

I feel so horrible for you feeling this much pain and feeling left out in the cold by your OS. I agree with Mojo about the pain at this stage. My surgery was 2 days after yours and if I get pain, it is not nearly bad enough to make me cry. I truly hope you can get to the bottom of this!!

 

[Hoppy Nanny]

So sorry you are having so much pain....
I had pain very bad in the area you are talking about on my first THR... it was below my thigh just where I felt the stem was ... just above the knee... it was so tight & so painful... I went to a physio who did deep massage on the area... it took a couple of treatments but it worked... she taught me how to run hard & massage the area myself... it was painful but it seemed to ‘stretch ‘ it out...
Hoping you find some comfort xxx


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[Josephine]

The pain is mostly in the front of the thigh.

But you never indicated that when you used the chart. So can you give me the references for this pain?

They keep saying that they think it could be in my back. I however don't agree because I've never heard of anyone having pain in the front of the thigh because of their back

You might be right but it would be more helpful to me if you gave me those references from the chart.

I just didn't think I would be having pain at 9 weeks post op

Of course you can! A THR is major surgery and 9 weeks is a very small amount of time. Look at week 9 on this chart

 

[Ryesgma]

@Josephine it's R2FW down to Y and I thought I should've been pain free by now from the surgery. I guess I'm just getting real impatient. I want to not have pain from this surgery before I have my next one on July 1st.

I really do appreciate the time and all the information that you guys give on this forum.
You guys are angels to us that are going through this

 

[lotus76]

Hope your pain goes away soon. Thinking of you!

 

[Ryesgma]

Me too I guess I just want too much too fast I'm really trying to tone down all my activities.

 

[Jaycey]

@Ryesgma can you please clarify - are you doing any PT or exercises? Any heavy lifting or pushing objects?

 

[Ryesgma]

@Jaycey I am going to physical therapy once a week and I'm doing a lot of walking. I've also been doing all of my usual housework , the only lifting I've been doing is lifting the laundry basket not sure if that's considered heavy I don't believe I have pushed anything. I'm not sure I should continue the physical therapy even though the PA I saw said I needed more

 

[Jaycey]

If you are walking and doing normal daily chores that is plenty of activity. I would bet that if you stopped that PT this would ease. Hips just don't need that. You are not in training - you are recovering from an injury.

 

[Layla]

Hello, Happy Saturday @Ryesgma

Just in case you missed it in the Recovery Guidelines -
BIG TIP: 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.

You seem pretty active and I second Jayceys advice on stepping away from PT. I'd give it a rest and begin icing at least 4x daily, for no less than 40-60 mins each time you ice, as recommended by the forum nurse.
It will help relieve pain and swelling. You can experiement after you're feeling better and go back to PT, but I certainly wouldn't since the risk of suffering another set back is a good possibility. Your choice though...

Wishing you comfort. I hope you find relief soon and have a nice weekend!

 

[Josephine]

So you mean like this?

I'd really like to offer you some structured advice but in order to do that, I also need to ask you some questions. Are you willing for me to do that?

 

[Ryesgma]

Yes that's where a lot of the pain is , and I have no problem answering any questions you may have

 

[Josephine]

Thank you. Here y'go then!

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.

 

[Ryesgma]

1. I had the posterior approach

2. The pain levels are now between a 4-5 and feels mostly like sharp Pain with a lot of stiffness in the joint itself

3. I was told to take 800mg of ibuprofen 3xs a day

4. I'm currently icing the top of my thigh and the hip joint 3xs a day for 30mins

5. I elevate my leg Everytime I sit down in my recliner

6. As far as my activity , I'm not really active but I do clean my house (dusting , making my bed , laundry etc) I do make dinner and I also go grocery shopping.

7. I don't do any exercises at home except for walking but I do quite a bit at physical therapy
Planks x10 hold for 10 seconds on each
Bridges x10 on each leg
Squats x10 x10 second hold
Crab walks from when end of the room to the other
Superman's x10 each x10 second hold
Bird dogs x10 on each leg with a 10 second hold