THR Newbie in the Hippy World

springs12

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Hello!

I just thought I would start a thread. I had a RTHR on June 22nd. I'm 44 years old, and it's nice to know I am not alone in my journey! Feb. 2020, I was rear ended and suffered SI joint sprains, and I also feel confident that is when my left labrum tore. When I became active again, I suddenly couldn't poo and eventually saw a pelvic floor physical therapist. Two years later and a 3rd Pelvic PT later, I was sent to a hip preservationist. March 2022 I was diagnosed with FAI: cam impingements, mild hip dysplasia, and labrum tears on both my right and left hips. In addition, I had an anterior pelvic tilt. I was sent to a general surgeon to evaluate for occult (hidden) inguinal hernias and underwent laparoscopic surgery May of 2022....turned out I had THREE hidden hernias. That surgery resolved a ton of groin/mons pain. I was in nursing school, and due to my age and success rates in women over 40 with repairs, my surgeon recommended hip replacements, but encouraged me to finish nursing school (second career: originally primary school teacher). My way of dealing with pain was to slow down. By the end of each day, I just wanted to lay down.

Anyway, I finished nursing school early May 2023 and scheduled my surgery June 22nd direct anterior approach. I rented a GameReady, which was absolutely worth it! Minimal swelling. Hardly any narcotics (but I really didn't want them due to my pelvic floor issues and constipation), but I didn't feel I needed them. I was on alternation ibuprofen 800mg every 8 hours and 1000 mg Tylenol every 8 hours. I had several moments in my first two weeks where I questioned what I did. Haha. I have a 5 and 9 year old at home, and it was a bit rough all around, but my mother in law came out for the first 11 days. My husband has been amazing, and my kids have had a little more screen time than I would normally like. Haha.

At my 2 week post op appointment, I saw the PA. My quads were ANGRY. I said I couldn't tell if my leg felt longer or if it was actually just what a stable hip felt like. I attempted a bridge, and my surgeon came in and told me he thinks my leg lengths are incredibly close if not the same. The PA told me to start using a cane in my home, which I was terrified of, but once she showed me how to do it, I was amazed I could. She gave me new PT exercises to do at home (very gentle) for the next two weeks and then new ones to do 4-6 weeks and she wants me to start water walking very slowly at 4 weeks. One of the PT exercises are pelvic tilts, and I have to say they give me the gentlest stretch on my quads. Everyday seems a little better. I'm trying to help in the kitchen with some meal prep to lessen the burden on my husband. It's crazy. I feel like I am ready for bed by the time I am done so I rest and ice after. Yesterday I had 2300 steps in my home, which feels like so little, but considering what I just went through, I have to keep telling myself I am proud of myself. I'm now only on Aspirin twice a day and I take 5mg valium before bed because I get muscle spasms in my sleep. I only take ibuprofen as needed, and I rub some Voltaren on my quads where I have some numbness/burning and on my attachments on my hamstrings. I'm definitely stiff, and my hamstrings are not happy in addition to my quads, but they weren't happy before the surgery so I would expect this.

Anyway, I am SO grateful for this thread. It's encouraging to read other's stories and all the replies. I am super hard on myself, but I am also a rule follower and extremely cautious so reading the different stories is encouraging. I still have a long journey ahead as my left is inevitable and then my pelvic floor might be able to get somewhere (I could only get so far because of all the tension from my hips). THANK YOU to bonesmart and THANK YOU to all the hippies/hipsters who post!
 

djklaugh

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@springs12 Welcome to BoneSmart! And congratulations on your new hip. It is not at all unusual for folks to have angry or weak quads and other muscles after hip replacement. They get out of alignment with the limping done before surgery and also with the trauma of being shifted around during surgery. With patience and gentle reconditioning this should settle down. Also it is common to feel like there might be a leng length differential problem right after this surgery but usually that sensation disappears as things heal and muscles get back to functioning how they are supposed to.

Here are the BoneSmart articles and suggestions for post op :

Hip Recovery: The Guidelines
1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary.

2. Control discomfort:
rest
elevate
ice
take your pain meds by prescription schedule (not when pain starts!)
3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.
4. PT or exercise can be useful BUT take note of these
BoneSmart philosophy for sensible post op therapy
5. At week 4 and after you should follow this
Activity progression for THRs
6. Access these pages on the website
Oral And Intravenous Pain Medications
Wound Care In Hospital
The Recovery articles:
Pain management and the pain chart
Healing: how long does it take?
Chart representation of THR recovery

Dislocation risk and 90 degree rule
Energy drain for THRs
Pain and swelling control: elevation is the key

Post op blues is a reality - be prepared for it

Myth busting: on getting addicted to pain meds
Sleep deprivation is pretty much inevitable - but what causes it?
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.

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in a majority of BoneSmart's forums, we ask that each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice.
 

benne68

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:welome: @springs12.

You've been through a lot and I'm glad you found us!
I feel like I am ready for bed by the time I am done so I rest and ice after.
Yes, we've all been there. Energy drain is a real thing and it takes many weeks -- even months -- to get back to something that feels like normal.

It sounds like you are off the a good start with your recovery. Try to take it slowly -- this recovery requires us to exercise our "patience" muscles.
 

Debru4

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You've had quite a journey and I love how positive and thoughtful you are about the whole process. It sounds like you are doing a great job with recovery, by understanding that gentle movements and simply resuming daily life activities is the best way to rehab. I can relate to your feelings about achieving over 2000 steps...I still recall what a feeling of relief and happiness I felt when I'd see myself able to walk more, and move more comfortably after my s surgery nearly 5 years ago. 2000 steps was a milestone memory for me too! It sounds like having a good support system at home helps a lot, and I think participating here on the Bone Smart Hip forum is a great idea. Being able to share both worries and successes with others who have gone through the same surgery really is helpful. The people on this site are so empathetic and knowledgeable. Keep doing what you're doing because it clearly is working! :loveshwr:
 
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springs12

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It sounds like you are doing a great job with recovery, by understanding that gentle movements and simply resuming daily life activities is the best way to rehab.

THANK YOU for the encouraging note! Yesterday was an achy day all around. I still helped in the kitchen, but 1900 steps was what I ended with for the day. I felt a little bummed, and then I realized I will ovulate in four days. Hormones mess with me so bad now that I am in my forties! I started my cycle day 7 post-op and icing was so hard bc my body temp felt lower. I was covered in so many blankets so I could keep icing! Oh the joys. I am expecting this for the next couple days, but I will say the one place that didn't ache was inside my right hip joint (can't say the same for the surrounding muscles: haha)! The left was so throbby so it was cool to compare and know that was how the right would have felt 3 weeks ago too!

It sounds like having a good support system at home helps a lot

Yes, I have a wonderful support system. There is one family even picking my kids up once a week and taking them to do stuff (they have a 5 and 8 year old). I am soooooo grateful for them. The mom is going to even come pick me up on Thursday and take me for a coffee date. :)
 

Momo Lee

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@springs12 Congratulations on completing Nursing School! To go to school while you’re in pain, take care of your family, and yourself, is an amazing feat!!! Kudos to you!!!!
I had a LTHR on 6/22, same day as yours. You are doing so well with your recovery. Keep on keeping on!!! :happydance:
 
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springs12

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Congratulations on completing Nursing School! To go to school while you’re in pain, take care of your family, and yourself, is an amazing feat!!! Kudos to you!!!!
Thank you! I think I was in denial about my pain! Haha. Like mentioned above, I would just move like a turtle rather than "feel" the pain. I still have a lot of work to do between my left hip, my low back, and my pelvic floor, but I at least have answers now, which I did not before.

I had a LTHR on 6/22, same day as yours.
Congrats to you! How are you doing? I really want to move, which my surgeon and PT said I would because their clientele are mostly under 50 and were/are active people. They were right, BUT as mentioned before, taking it easy and listening to our bodies wins the race. :) ***Not implying those over 50 don't want to move. :) Just want to make sure that doesn't come out wrong.
 

Momo Lee

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Congrats to you! How are you doing? I really want to move, which my surgeon and PT said I would because their clientele are mostly under 50 and were/are active people. They were right, BUT as mentioned before, taking it easy and listening to our bodies wins the race. :) ***Not implying those over 50 don't want to move. :) Just want to make sure that doesn't come out wrong.
Hi @springs12, you’re right, slow and steady wins the race. My recovery has been a textbook BoneSmart recovery. Thank you BoneSmart for this valuable group! Nothing remarkable has occurred so far. :tada:

Your disclaimer about those over 50 is funny! I’m over 60 and I didn’t take offense at all! :heehee:
Wishing you well on your recovery journey!
 

myglasshalffull

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Happy you have some help with the kids and good friends, so important in recovery when you are young and have little ones.
I was laughing about the "over 50" comment...I'll just add I was 50 like yesterday and now I'm 71! I can't understand where last 20 years have gone, my sons are 53 and 47 and I tease them all the time saying I can't understand how they are that age when I am only 45!!! LOL!
All my best to you during your recovery.
 
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springs12

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'll just add I was 50 like yesterday and now I'm 71! I can't understand where last 20 years have gone, my sons are 53 and 47 and I tease them all the time saying I can't understand how they are that age when I am only 45!!! LOL!
Oh, girl! Isn't this the truth!?! You must be young-spirited! That is very much me! My parents are 73 and 74, and I still have it in my head that they are 40. Haha. Although, they remind me of their aging. My dad has a bionic shoulder but that is it. I have been cursed with crappy teeth between genetics and a very high fever when I was young. I had a dental mishap prior to this surgery with a tooth I will eventually lose (it's achy, but I went to a dentist, a periodontist, and an endodontist for reassurance about my hip replacement) and two teeth next to it I had pulled due to cracks. I have a plan for implants once I am allowed, but I keep joking that I am in my forties getting both hips replaced and losing all my teeth.

PS. I like your username. That's the way to live!
 
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springs12

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Day 22: I decided I would post an update because I feel like being able to look back on the journey will help in a week to see how I am progressing. I feel like since this is a marathon and not a sprint, it is hard sometimes to feel like I am moving forward. I still am helping with meals and trying to take very short walks to the end of the block and back a few times a day. It's so hard because I just want to be active. I am still using a cane and do not plan to ditch it too soon, but I just wanted to see how taking a step without it felt. It was not effortless, but it was stable. A week ago, I could not take that step so it was a good mental check-in to let me know that I am getting stronger.

I also have a mental health therapist and I just had a virtual appointment with her the other day. She was very proud of how I am doing, and she encouraged me to start meditating daily to check in with my body. I've used an app for 3 days now, one of which has some muscle relaxation and check-ins. I have done them the past two nights before bed since I struggle with muscle spasms in my sleep, and I have to say that although I have woken up stiff still, I am certainly less stiff the past two mornings and I don't hurt at all upon waking. I have continued with my muscle relaxer before bed, but I think this is a good habit to start to allow myself to try a night without it to see what happens.

The hardest part mentally is that I want to be active. I have two young kids and a husband. We enjoy summer activities, and I just feel so bummed with how little I can do. Yesterday was a busy day for me because a friend took me to lunch and I went to my son's swim lessons. I was so achy deep in my thigh by the end of the day and took some ibuprofen. I know this will take awhile, but I felt like I did so little and ended up hurting...but not through the roof hurting. Week 3 is still soooooo early, I know, but when I haven't been the same since the car accident 3.5 years ago, I'm just so ready. I was prepared for this will get worse before it gets better, but the reality of that is sinking in. I'm also constantly giving myself the peptalk about being cut open, muscles retracted, pulling my hip out of it's socket, and we all know the intensity of the rest. That makes me chuckle and look at myself at week 3 and say wow.

Hopefully, I will look back at this post in a week, and see how I have progressed. :)
 

Mojo333

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:wave: @springs12
Yes, still early days indeed...

I had my bilateral THR via anterior approach and my quads/thighs were definitely the biggest pain!
Felt like someone strung me up and used my quads for punching bags.
Lots of pulling them to the side to get to that hip joint, I assumed.

Slow and steady is definitely the way to go... letting that soft tissue trauma settle and lots of icing:ice:
All temporary and well worth it in the end.
Hope your Saturday is sweet.:SUNsmile:
 

myglasshalffull

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All of this is temporary which I know is difficult to wrap your head around when you are hurting and very limited in your day to day activities.
I kept saying, "I just want my life back." And honestly went through a depression with bouts of crying. No one knows how you are feeling, especially anyone who has never broken a bone or had a surgery. There's no way they can understand what you are dealing with and the crazy thoughts that run through your mind. Been there, we all have, that's why we are a community of "hippies" that come here for solace and information.
And my life returned, slower than I wanted but it is back. Are there days I still have pain, absolutely, but I can run my day to day life majority of the time. I had aches and pains before I broke my hip so they don't magically disappear.
I feel for you with a young family, I'm sure it's so difficult but hang in there, each day will be another day on the recovery road. You will get there.
 
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springs12

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@Mojo333 and @myglasshalffull THANK YOU! Yes, this is a process and takes time. My 5-year-old commented on how fast I was moving with my cane this morning. Haha. I wouldn't really call it fast, but it was definitely faster than I have been moving. I attempted a night without the muscle relaxant two nights ago, and both times I've tried that, I have woken up with some intense pain and aching, so my muscles seem to like that assistance during sleep. As mentioned several times, less than one-month post-op is still extremely early in recovery. I shall get there. :)
 

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@springs12 - Thank you for your story and updates. While it may feel that way, you are definitely not alone in your frustrations and pain. We have all been there! While you are “missing out” on a few things now, I can tell you that in a couple months you will be a “new you.” I went from having to skip out on activities or limp around pre-hip operations to now being able to do all the activities without pain. It was really worth the 2-3 months of aggravation. Hang in there!
 
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springs12

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You sound like you are really being proactive with your recovery, and while testing different limits, are flexible and willing to back up a bit if needed. That's a perfect recipe for a successful recovery! :yes!:
Thank you! Yes! I'm a rule follower, but also want to see if I am improving. Yesterday I made it to 4000 steps! I'm not using steps as a goal, but more helping me to monitor my improvements and if I need to step back depending on how I feel the next day, I know that I need to dial back! My muscles were so messed up prior to surgery that I can just feel how weak they all are when I walk even with a cane, but they are getting stronger! They just didn't know how to function correctly....like my whole life:). Of course they are tired!
 
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springs12

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Thank you for your story and updates. While it may feel that way, you are definitely not alone in your frustrations and pain. We have all been there! While you are “missing out” on a few things now, I can tell you that in a couple months you will be a “new you.” I went from having to skip out on activities or limp around pre-hip operations to now being able to do all the activities without pain. It was really worth the 2-3 months of aggravation. Hang in there!
Thanks for the encouragement! It's definitely been hard having younger kiddos and not be able to run around and play and hike with them. Or camp and go on vacations, and just be very limited. However, I've managed to still nurture and care for them and complete nursing school. I feel like once both my hips are done, it's going to be a new start! I'm just not sure when hip #2 will take place, but definitely in either 2023 or 2024 so that is relatively soon. :). I look forward to "new me". I'm glad your hip replacements cage you back your life!
 

Layla

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Yay! You made it through the first month of recovery and you're doing very well.
Happy one Month Anniversary! I wish you and yours a wonderful July weekend.
Take good care and thanks for sharing your journey with us. :)
@springs12
 

Momo Lee

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Hi @springs12! Happy One Month Anniversary to You!
You have come a looooong way and I’m rooting for you!
We are Hipster Sisters since we had our surgeries on the same day!
:friends:
 

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