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Newbie - three weeks on

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jaz

senior
Joined
Aug 14, 2008
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New Zealand
Hi, I just wanted to introduce myself. I found this site when googling information on THR and wished I'd found it earlier. I am 39 and had a THR three weeks ago yesterday. I was born with a shallow hip socket and have always managed to maintain an active lifestyle but just found this year the pain had become unbearable. I'd become increasingly limited on how much activity I could do so made the decision to have the surgery (I was originally told that I'd need it done at about 21 years).
 
jaz-
Yes this is one incredible site. What is it like in New Zealand having a THR? Crutches, walker? Pain meds? Curious/nosey. Welcome aboard. (14 weeks since my THR) -Gary.
 
jaz welcome !!
It is a great place. I am 10 weeks out of right hip replacement and also very active.
Judy
 
I was fortunate to have mine done on the public health system after only one month on the waiting list. The surgery and after care was contracted out to a private hospital where I stayed for five days so I was lucky to have good quality aftercare.

I was standing the day after surgery, walking on crutches the next day and climbing stairs by day four. They don't seem to use walkers here post surgery. While in hospital the surgeon and the physiotherapist visit you each morning and you have a booklet containing exercises to do post surgery but no follow up with the either until your six week check. This seems to be quite different as I gather from the board many have two, four and six week checks.

I had an epidural with sedative during the surgery and morphine afterwards. They use pain pumps (you just pump when you need a blast) for the first two days then oral pain relief (slow releasing morphine, tramol and panadol) until you go home. They sent me home with panadol which just wasn't strong enough so my own doctor prescribed me something stronger for the first ten days I was home.
 
Welcome jaz. These boards are great with quick, friendly and wise responses. We have our resident nurse "Josephine" who keeps us all on an even keel. You're after-surgery doesn't sound much different than mine with the exception of the walker. I had my right hip replaced on June 16. The walkers are good for balancing and I used mine for a good two weeks; then I used a cane...until my other bad hip started hurting too much; then I was back to the walker. But it's interesting that as the date of that surgery nears (Aug. 18), my left hip doesn't seem to hurt too much anymore. It could be that I was putting too much of my weight on it in the beginning.

I hope your recovery remains uneventful and I'm glad you're here.
 
Welcome to BoneSmart, jaz. We'll be watching for your questions.
 
Hi Ceci, once I had the surgery date confirmed and started doing the exercises they recommended I found my hip was relatively pain free. Perhaps the same is happening to you?

Could anyone tell me how much weight bearing is normal at 3 weeks post op? I am probably only putting about 20-30% of my weight on my new hip when I walk. I've heard of people ditching the crutches at four weeks but can't see myself being anywhere near that.
 
Hi Jaz,

I am 4 weeks post op tomorrow. I left hospital after 5 days and was told i could fully weight bear through the operated leg as soon as i wanted. I have used a cane since leaving hospital but do not use it around the house now only when i go outside for a walk. I do have a limp when i'm not using cane however when i really concentrate i can take a few steps without a limp but its very slow. I limped for about 8 years before my surgery so i expect it will take time to walk straight again. I think i am not fully putting my weight through the operated leg but think its more my lack of confidence and the fact it feels weird to me to put weight through it, rather than its not physically possible. If i go for a walk outside i definately lean to the right after a while and it takes all my concentration to try to correct my posture. I guess its years of poor posture and mobility which will take time to correct. The surgical teqnique used will also have a bearing on how much you can use your leg. I am 35 years old and had a creamic on ceramic THR (left side) my incision is only about 5.5-6" long and its on the side of my hip the wound was glued. It has not given me any trouble. All i can say to you is that i feel very different this week than i did last week one day i was only managing to walk to the bottom of my street and back (then slept for over 1 hour) and the next day i managed very slowly to walk to the local shop which i think is nearly a mile there and back. You sound like you are doing ok 3 weeks is not very long at all. Take care
Tracey
 
Hi Newbie and everyone else. I am new to this site myself and wanted to join in on the discussion. This is actually my first reply on any forum. I googled this site up after dealing with my own thr. I am now 10 days post op. My thr was about 8 years in the making. I am 50 yrs old and very active. Over the years the pain increased to a point that I could not wait any longer. Severe osteoarthritis was the cause. I was so tired of hurting all of the time.
My post op pain is nearly completely gone and every day seems to be getting better. I am looking forward to getting back to the things I love to do without the pain.
 
Hi Sparky

Welcome to this great place. I am 51 and 10 weeks past right THR also very active. Sounds like your healing is coming along great. My experience has been a few steps forward and one backward. Some days it was 3 steps backwards, but doing great now. I tried to do too much too fast and my body told me in no uncertain terms. My doc told me this would happen at my 2 week apt!!!

Welcome again
Judy
 
Hi Jaz, I think I was full weight bearing (did that sound right?) on my right hip at about 3 weeks. I'm not doing any exercises with my left hip. Maybe I should have. While the pain is somewhat better, I think I over did it yesterday getting things cleaned up around the house. Now both hips hurt. Arthritis in the left hip, muscle pain in the right. But someday I will be superwoman again; able to work rings around the men at home!

Hi Sparky, Welcome to the forum. You will find lots of really nice people here. I'm also 50. I know what you mean when you say your were hurting all the time. It's incapacitating. I'm glad you finally had the surgery.

Take it easy during recovery and don't overdo it like I have done several times. Once you are able to drive, drive a little each day instead of going all over town running errands. Do a little housework each day; and while you can pull sheets off the bed, don't try to put the fitted sheet on, unless they are large for your mattress. Don't vacuum until your OS says it's ok, and even then, just a room or two. All things I have done, and I'm sure there's more I have forgotten about. But, I can't wait to dance, but I have learned to do that a little at a time, too.
 
I am noticing that each week I feel significantly better than the previous week. The pain has never really been an issue but discomfort has been. Sleeping on my back all night has been challenging!

I started back at work today and this went well. I have something like 30 steps to climb to get to my office so I'm only working part days and asking everyone to come and see me rather than tackling the stairs more than once a day. The hardest part was remembering to get up and move every hour or so. I got a bit stiff and sore after about two hours sitting but managed to walk it out.
 
Welcome Newbies!
Weigh bearing depending on the method of afixing as well as procedure and patient condition, cemented joints can be quite quick if not immidiate to apply full weight. Non-cemented can be longer, 2-3 weeks. I had my uncemented THR May 29th, and was encourged to use it as much as it felt OK . My first real try, besides walking up and down the hallway in the hospital was walking the 1/4 mile to the car from the hospital. At first, +2 to 7 days it was very tiring to walk far but I tried anyway. I was a bad boy and did not do the exercises as recommended but instead just went about life as normal before the painfull hip limited my mobility. Shopping, cleaning, climbing ladders, travel to other countries, dating, daily walking around the city over miles, bicycling, hauling around sacks of groceries on foot, and doing all for myself since I had no one to take care of me, and I used no special tool for extensions or anything. Getting into a normal routine early may have been a benefit with fast recovery.
I started walking to work 3 days out of the hospital and went dancing(with crutches) on my birthday at day 4 post hospital. I guess I was lucky and never had pain so have never taken pain medication except once 40 years ago when I have a ruptured appendix.
Since I shed the crutches, I do not even remember when it was, I have almost forgotten that there was a long period of pain pre-op and that i used to be limited in range of movement and pain.
Pain is easy to forget with a little time.
I did over-do it once and felt soreness the week following a crazy all night session in discos and rock clubs 2 weeks ago, it felt great at the time, and on the 2 mile walk home at 6am.The week had a lot of soreness however. But this weekend I attended an private party with a great band and found a wonderful professional Ballerina as a dance partner. We entered a free style dance contest and won first place for the dance and for being the oddest couple, she was 22 , tiny, no more than 98lbs and 5'5" and highly skilled dancer with the best ballet company in the world and who happened to be a world class beuaty, and I was a tall 6'3" non-skilled dancer 59 years old, who looks it. It wasn't until the host reminded me that I made him nervous knowing I had had the recent hip replacement that it registered. I was almost in shock, I had completely forgotten that a few weeks before I had this metal thingy put in. The party with 300 guests finally sputtered to an end at 10am the next morning and my dance partner and I went out walking in the park, and searched for breakfast. Our first place prize was dinner for 2 in one of the nicest restaurants in St Petersburg, a $400 value...without wine. I think I better take my 1/2 the voucher and take my GF instead of my co-winner since she missed out by being at an Black Sea resort for the last 2 weeks.

So if this is typical, in a couple months you will need reminding that you ever had pain before or had limited mobility. On thing to remember however, you will probably limp because of habit, it takes a while for many people to stop limping even with walking is not restricted by pain or range of movement. I stand casually and not think about i notice I am resting on the un-bionic leg, then straighten up with proper 50-50 weight distribution. walking even over rough broken ground or on rocky steep trails feels balanced and poised, dancing is easier than any time in 8-10 years. So the limp will be mostly in casual relaxed times when you are not thinking of what you are doing.
Soon you will forget all the problems and if you have pain it will be hard to remember.
 
Thanks to everyone for the warm welcome!

jaz, I was also having trouble sleeping in bed on my back, always been one to lay on my side and I am worried about the "leg crossing". I used the wedge that was used during hospitalization but found it very uncomfortable. I moved to the recliner and am now sleeping reasonably well in it. I haven't discussed it with the doc yet but I don't think theres any danger in sleeping in the recliner.
Now at day 11 post op and feeling pretty good. Starting to develop some light pain in the buttock, sore muscles I think.
 
Sparky,

I was really worried before surgery about sleeping on my back and the possibility of crossing my legs while sleeping. At the pre op class, they told me (kiddingly) that I would have to velcro the pillow between my legs!!

I am 10 weeks out now and for about 2 weeks have been sleeping any way I want. The funny thing seems to be is that my hip (surrounding muscles) never let me do any of the non allowed positions as it was uncomfortable to do them.

I also did sleep on my non operated side with a pillow between the legs early on. I propped pillows behind me to not roll onto my back.

Good Luck with the healing, it goes by fast
Judy
 
Stanj - refreshing to think I could be dancing all night in a couple of months time. My joint is uncemented so perhaps that is why the weight bearing is taking a little longer than I thought.

Sparky - I think the sore muscles are from sitting or lying in the same position for extended periods. I had to stand and walk around every hour during the day and would often wake through the night sore (especially by the early hours) and have to stand or sit up and stretch out. After a couple of weeks it came right though.

Judy - I also find I can't get into the disallowed positions. My legs just don't seem to go that way, although I am looking forward to being able to lie on my side to sleep again.
 
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