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[THR] Post op pale skin

Discussion in 'Hip Replacement Recovery Area' started by geraldined, Apr 12, 2019.

  1. geraldined

    geraldined new member
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    My surgery was April 2, on left hip. I had anterior surgery at 8:30 am and returned home at 4:00 pm. All seems to have gone well.

    Two days ago, I noticed that my face seemed very pale. Anyone else experience this? It comes and goes, but one of my visitors noticed it as well. No blood tests have been done after surgery. Thoughts?
     
  2. Celle

    Celle FORUM ADVISOR Forum Advisor

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    Hello @geraldined - and :welome:

    I think your first step should be to go to your doctor, explain that people are commenting how pale you are, and ask to have blood tests done, to see if you are anaemic, or not. Blood loss during hip replacement is variable and it may be that you bled more than you had realised.

    It's still very early days in this recovery and it is also possible that your pallor is simply due to general unwellness after a major surgery.

    Here are the recovery guidelines we give to everyone with a new hip:
    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
    5. At week 4 and after you should follow this
    6. Access these pages on the website

    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.
     
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  3. tollertwins

    tollertwins member

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    I was for a couple weeks. Worse at night. I tend to get kind of grey when my body is stressed - sometimes the husband can tell I need to eat before I do. I still pale out if I need pain meds.
     
  4. Carriemay60

    Carriemay60 post-grad

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    Hi Geraldine, It might be normal energy drain following such a big surgery but I agree with Celle that you should get it checked. They seemed to think it was important to do blood tests about 24 hours after my surgery before they would release me. If it isn't normal energy drain, I would assume it could lead to fainting which you really don't want!
    :flwrysmile:
     
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  5. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Hi @geraldined
    Wondering how you're feeling today? Being pale could be okay but if it's concerning please consider calling the office of your OS, at the very least. I'm sure through a series of questions they'll be able to offer you reassurance or determine if you need to be seen for some routine bloodwork. Please keep us posted.
    I hope today is a good one! :SUNsmile:
     
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  6. SE Florida

    SE Florida member

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    So strange how every hospital has different protocols for things. My hospital wouldn't even release me without doing blood work. I also have a lingering paleness and I have read other posts describing the same thing. Always best to check with your OS to calm any concerns. I hope the rest of your recovery is going well for you!
     
  7. Eman85

    Eman85 post-grad

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    I've posted quite a few times how I had no color for 2 weeks post op. My THR was a longer one and I lost a fair amount of blood. I guess my body had better uses for the blood it had than to color my complexion. I looked gray and it was amazing when the color started to come back. I'm not a little guy and I've always been healthy and outdoors a lot so it was real evident.
     
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  8. Jamie

    Jamie ADMINISTRATOR Administrator

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    @geraldined ... I assume you have Home Health attending to you since you are home from surgery. This is the type of concern that needs to be addressed with your Home Health nurse. She can assess you and take a blood sample if needed to determine if you are anemic or have other problems. You can call them at whatever "emergency" number they gave you any time day or night. That's what they are there for.

    If by some chance you didn't get an order for Home Health, I suggest you call your surgeon's office immediately, talk with the on call person and see if that order can be placed so you can start with a Home Health agency. This is an important service that's completely covered by Medicare and you should have it at least for a week or two in the beginning of your recovery.
     
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  9. geraldined

    geraldined new member
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    I was experiencing lots of pain in my leg that seemed to be a new development. I had a visit from my physical therapist and she identified it as a stiff IT band in my surgery leg.

    She didn’t offer any exercises for it. In the past I use a foam roller but that would be too extreme and too close to my incision from anterior surgery. I do see my surgeon in 2days but wonder if anyone else has experienced this.
     
  10. Hoppy Nanny

    Hoppy Nanny Sr Bonesmartie

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    Is the pain down the side of your leg to the knee? If so I definitely had that... After6 weeks I had some deep massage and it subsided ..


    Sent from my iPhone using Tapatalk
     
  11. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Well there y'go then! Having an anaesthetic can do that to you. It's nothing to worry about. Just make sure you rest and elevate your legs most of the day, no bending down or anything. Do read the Recovery Guidelines - carefully! and take special note of things like activity progression and energy drain. Rest is the cure!
    LOADs of people! Trust me, it is very, very common.
     
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  12. Layla

    Layla FORUM ADVISOR Forum Advisor

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  13. Eman85

    Eman85 post-grad

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    In all seriousness you do understand your leg was removed from your body, the end was chopped off and foreign objects were hammered and screwed into you before you were reassembled. All of the muscles in the area were stretched much further than they had ever experienced.
     
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  14. SarahBee

    SarahBee senior

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    :yikes::shocked::scary::scare:
     
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  15. Carriemay60

    Carriemay60 post-grad

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    Tell us how you really feel @Eman85 :rofsign:
     
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  16. SE Florida

    SE Florida member

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    We haven't heard from you @geraldined and wondering if you contacted your doctor about the paleness. Hoping you're feeling better with your recovery! :flwrysmile:
     
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  17. geraldined

    geraldined new member
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    Saw Dr. two days ago, and he didn’t seem concerned. Seems like my color is coming back...slowly but I don’t look nearly so pale anymore. I’ve been eating spinach and a little red meat to “beef” up my red blood cells so maybe that has helped a bit.
     
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  18. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Try a little blush. As the saying goes....Fake It Till You Make It!

    Glad your OS reassured you. I hope you're doing well.
    Wishing you a beautiful Saturday and a happy Easter!
    @geraldined
     
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  19. SE Florida

    SE Florida member

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    Good to hear that things are going well! Happy Easter to you!
     
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