AussieRodney
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My pain med is Dilaudid, 2 per 4 hours. Every time I take 2 of these, I also take 2 Stool Softeners, an Over The Counter from a local pharmacy. Works OK for me, some days harder than others (yes, pun intended).
THR Psoas tendonitis post-THR
- Thread starter Sashimu
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My pain med is Dilaudid, 2 per 4 hours. Every time I take 2 of these, I also take 2 Stool Softeners, an Over The Counter from a local pharmacy. Works OK for me, some days harder than others (yes, pun intended).
But if you realize it and act accordingly your hip will appreciate it!
Hippielife
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Sashimi hope your thr surgery goes well. Be sure to keep us all posted.
For my first thr I was very happy to have get rid of the osteo daily grinding constant pain...and much younger when I had my first hip replacement. That was in 1999 and that hip is still in place and giving me a good quality of life. Take care of that new shinny hip and it will give you many good years.
I had a heck of a time just sitting still. My surgeon emphasized rest,eat right , vitamins and manage pain and healing is all that was needed to get back on my feet. All I did was walk once the first few -About 10-12 weeks. Just walking and after a few more weeks of gaining strength and improvement worked on balance with work a good heal to toe walking gate with NEW shoes. I moved on to water therapy which was basically walking under water slowly. Hips heal on their own and it cannot be hurried as irritating as it all is for a few months just slowing down made a huge difference with progress and healing.
For my first thr I was very happy to have get rid of the osteo daily grinding constant pain...and much younger when I had my first hip replacement. That was in 1999 and that hip is still in place and giving me a good quality of life. Take care of that new shinny hip and it will give you many good years.
I had a heck of a time just sitting still. My surgeon emphasized rest,eat right , vitamins and manage pain and healing is all that was needed to get back on my feet. All I did was walk once the first few -About 10-12 weeks. Just walking and after a few more weeks of gaining strength and improvement worked on balance with work a good heal to toe walking gate with NEW shoes. I moved on to water therapy which was basically walking under water slowly. Hips heal on their own and it cannot be hurried as irritating as it all is for a few months just slowing down made a huge difference with progress and healing.
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Sashimu
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My pain is better since I started really trying to stay off my feet. Some knee pain last night but not too outrageous. I'm still really struggling with nausea though, and now night sweats. I have been clammy at night, but last night I soaked the sheets and woke up wet numerous times, which made for a pretty ghastly night. Really wondering if tramadol is the cause of all these problems, but I'm not sure if I can do without it yet.
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Hello @Sashimu
Since nausea is a possible side effect, it’s understandable you’d attribute it to the Tramadol. Sweating may be a side effect also, check out the insert you received with the drug.
Consider contacting the office of your OS to talk about switching meds to something more tolerable. Feeling clammy all night and waking numerous times to soaked sheets sounds miserable and is obviously going to hinder getting the restorative rest your healing body needs.
I hope tonight is better than the last.
Since nausea is a possible side effect, it’s understandable you’d attribute it to the Tramadol. Sweating may be a side effect also, check out the insert you received with the drug.
Consider contacting the office of your OS to talk about switching meds to something more tolerable. Feeling clammy all night and waking numerous times to soaked sheets sounds miserable and is obviously going to hinder getting the restorative rest your healing body needs.
I hope tonight is better than the last.
Missy45
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Hi Sashimu, I’m glad to hear your pain is getting better! I am concerned about night sweats too because that’s something I’ve struggled with on and off for about a year now. The best thing I’ve been able to figure out has been to have several large towels on hand so I don’t have to strip off the sheets at night. I lay on one, then put another over me, then the covers. Occasionally I’ve had to change them out once in the night, but it’s worked well so far. I am wondering how feasible this is all going to be during recovery, though. If you find something that works well, I would love to know about it!
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Sashimu
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Still dealing with persistent nausea and night sweats, but as of today I hope to not be taking any more tramacet and that I'll get some relief. @Missy45, that's what I do too, is lay on the towels. Since I'm up anyway, I heat up a flaxseed therapy bag in the microwave so that I'm not as freezing cold when I get back into bed.
On the bright side my pain is much less. I saw my surgeon yesterday and he was happy with the x-rays and my progress. And I finally got my dressing off and the incision looks good, just a little swollen, probably from too much standing and walking around. Lots and lots of little staples came out!
On the bright side my pain is much less. I saw my surgeon yesterday and he was happy with the x-rays and my progress. And I finally got my dressing off and the incision looks good, just a little swollen, probably from too much standing and walking around. Lots and lots of little staples came out!
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Sashimu
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Last night was the worst night yet for night sweats, so a very broken sleep. Uggh. Definitely a nap day today. Just talked to the pharmacist as well; he also thinks it's got to be the tramacet, so hoping for a better night tonight since I'll be up to 48 hours tramacet-free. Note to self: tramacet does NOT agree with me; next time try a different drug. Back when I was getting a lot of dental surgery, the dentist always gave me Tylenol 3s but in this case I never heard any mention of that as an alternative. The good news is, I no longer need tramacet to manage the pain. Very grateful for that.
I don't know much about Tylenol 3, except that it contains Codeine as well as Acetaminophen. I believe some doctors prefer you not to take Codeine now.
You can get good pain relief from taking Tylenol, though.
The most effective way to take Tylenol is 2 x 500 mg tablets (Extra strength Tylenol) 6-hourly, to a total of 4,000 mg (4 doses) in 24 hours. You need to take it regularly, to keep up the levels in your bloodstream. If you just take the odd dose now and then, it's far less effective.
Check all other medications you're taking, to make sure there is no Tylenol/Acetaminophen/Paracetamol in them. If there is, scale back one or two of your regular doses, so you stay within that safe 24 hour limit of 4,000 mg.
You can get good pain relief from taking Tylenol, though.
The most effective way to take Tylenol is 2 x 500 mg tablets (Extra strength Tylenol) 6-hourly, to a total of 4,000 mg (4 doses) in 24 hours. You need to take it regularly, to keep up the levels in your bloodstream. If you just take the odd dose now and then, it's far less effective.
Check all other medications you're taking, to make sure there is no Tylenol/Acetaminophen/Paracetamol in them. If there is, scale back one or two of your regular doses, so you stay within that safe 24 hour limit of 4,000 mg.
Missy45
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Hi Sashimu, I hope you got caught up on some sleep! I did some reading and talked to the nurse practitioner I saw today about what might help to manage night sweats. As far as anything non-medicinal, the suggestions I got were cut out caffeine and try drinking some cold water before bed at night. I haven’t cut out the caffeine yet as soda is my vice, but I will try the cold water this evening. I figure it can’t hurt!
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Sashimu
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Still dealing with night sweats, but I may have eliminated tramacet or Tylenol as the cause. I haven't taken any tramacet since Monday night, but it turns out Tylenol is also known to cause sweating, so yesterday I knocked my dose back to three extra strength. Fortunately my pain level is now low enough that I could get away with it. Still up every 2 hours last night though. Ugh, feel like a zombie this morning. @Missy45, I didn't find that cold water helped!
On the plus side, the nausea is better. Also a common side effect of Tylenol.
So now I'm wondering about the blood thinner, enoxaparin, which I inject once a day. My surgeon prescribed it for 28 days, which means another week. I have a call in asking if I can stop it, or at least switch to some other blood thinner. If it wasn't for the night sweats, I'd feel like my recovery was going really well, but they're really taking it out of me. At least I can nap in the afternoon!
On the plus side, the nausea is better. Also a common side effect of Tylenol.
So now I'm wondering about the blood thinner, enoxaparin, which I inject once a day. My surgeon prescribed it for 28 days, which means another week. I have a call in asking if I can stop it, or at least switch to some other blood thinner. If it wasn't for the night sweats, I'd feel like my recovery was going really well, but they're really taking it out of me. At least I can nap in the afternoon!
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Sashimu
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So last Friday my surgeon agreed to let me stop taking the enoxaparin and switch to aspirin. Not sure if it's because of the switch or for some other reason, but after some gradual improvement last night was the first night I had no night sweats at all. What a treat!
I also went for my first physio appointment yesterday. The physio said one leg was a centimeter longer than the other, but that that was quite typical at this point, and that my leg strength was quite good, so I guess all the exercise I did before surgery paid off! I got a bunch of exercises to do, plus instruction to start taking a 10 minute walk once or twice a day. It has to be on flat ground, so I need to do it on the walkway in front of my townhouse block, rather than on the street, which is on a hill.
I started the program today and so far so good; my hip doesn't seem to be reacting too much to the extra work, even without taking any Tylenol. I'm almost a month out now; really happy about that and looking forward to steady improvement.
I also went for my first physio appointment yesterday. The physio said one leg was a centimeter longer than the other, but that that was quite typical at this point, and that my leg strength was quite good, so I guess all the exercise I did before surgery paid off! I got a bunch of exercises to do, plus instruction to start taking a 10 minute walk once or twice a day. It has to be on flat ground, so I need to do it on the walkway in front of my townhouse block, rather than on the street, which is on a hill.
I started the program today and so far so good; my hip doesn't seem to be reacting too much to the extra work, even without taking any Tylenol. I'm almost a month out now; really happy about that and looking forward to steady improvement.
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Sashimu
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Yesterday I was able to get a copy of my surgeon's report to my family doctor. It was four pages long and a complete blow by blow description of the surgery, which was very interesting. I know a lot more now about the process, even though the language was very detailed and technical and I had to do a lot of looking up on Google.
One thing that leaped out at me was that he said I had a "fairly significant acetabular retroversion", which he addressed during the surgery by cutting away some additional "anterior" bone. Not sure what the implications of this are; just wondering if anyone else on the forum had this issue and what their post-op experience has been. Needless to say I'm hoping it's not going to be an ongoing problem for me.
One thing that leaped out at me was that he said I had a "fairly significant acetabular retroversion", which he addressed during the surgery by cutting away some additional "anterior" bone. Not sure what the implications of this are; just wondering if anyone else on the forum had this issue and what their post-op experience has been. Needless to say I'm hoping it's not going to be an ongoing problem for me.
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The dangers in reading the surgeons report, lol. It gave you something to be concerned about that you wouldn’t have otherwise. My best advice would be to call the surgeons office and speak to a member of his care team to get the reassurance you need to “let it go.” I’m not implying that you’re obsessing by any means, but you’re obviously questioning it. Call and get the peace of mind that I’m sure will be offered during the conversation.
It looks like you’ll be one month post op on Sunday. I hope you have a Happy Easter and a wonderful one month anniversary!
@Sashimu After working in a health care setting for 24+ years (though not in orthopedics) I learned that interpreting medical-ese/doctor speak is fraught with misunderstandings, no matter how well you research the lay man's definition of medical terms. What may sound horrific to the non medical person is probably an every day occurrence to the doctor/surgeon. And if the surgeon did not specifically tell you about something that came up during your surgery as a matter of concern, then it most likely is NOT something that will cause you problems!
I agree with Layla - ask your surgeon's assistant or nurse to help you interpret the surgical report.
I agree with Layla - ask your surgeon's assistant or nurse to help you interpret the surgical report.
Eman85
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I got my surgeon's report from him right after surgery. He came to see me in recovery room and explained what he did and how he did it and that was good enough for me. A written report would just be confusing and something to worry about.
