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THR Recovery following a R THR 10/20/20

rowergal

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Hi everyone!
I had my first join replacement, a TRHR with anterior approach, a week ago today. It was at Suburban Hospital in Bethesda, MD with Dr. Sri Durbhakula of the Ortho Bethesda practice. I stayed over 1 night for "observation". They had me up the next morning and by that afternoon, I was discharged.
Here's what's happened since I got home:
  • First couple of days were hard, getting used to how to move around, get in and out of bed, more pain, etc.
  • Was able to alternate between sleeping on my back and my left (good) side from the very first night.
  • Stopped taking 5mg Oxycodone after Day 5. (Days 3 and 4, I just took one pill before bed.) Now just taking Tylenol. Pain is very manageable.
  • Got to remove my bandage today. Looks like the scar just has Steri-strips on it.
  • Have had 3 at home PT sessions and will have 3 more. At today's session, my PT said "grab your cane, we are going for a walk outside"! I haven't been past the front porch for a week, so this was awesome news. He officially graduated me from the walker to the cane after just 1 week. I'm amazed! It helps to be on the younger side (63) and a normally very active person, I guess. Also, I had 15 PT sessions and lots of at-home exercises just before surgery because I was trying to avoid a hip replacement. I'm sure that helped up my muscle strength before surgery.
  • I'll see my doctor at the 2-week point (next week).
The only concerns I've had are these:
  • I have a lumpy spot next to the scar that the medical assistant says is likely a hematoma. I'm going to do more elevating of my leg in addition to the icing I've been doing a lot of.
  • I have a very sensitive spot in the crease where my leg meets my torso that the Med asst says is likely referred pain right over the joint. It hurts most when I stand up from sitting or lying down.
All comments welcome! Good luck to all of you in your own recoveries!
Danna (aka "rowergal")

P.S. I've been on a competitive masters rowing team for 15 years. Sadly, COVID has kept us off the water for all of 2020. I'm hoping we'll be able to start again in April 2021, and my new hip will do great!
 

Pumpkln

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@rowergal
Welcome to the OtherSide!

Sounds like you are doing well, already using a cane!

Here are the Hip Recovery Guidelines, the articles are short and will not take long to read.

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
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.
 

Going4fun

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Welcome.

Sounds like you're off to a good start. I've spent many hours at Suburban Hospital. I grew up in D.C., and have had various family members treated there. I think it's a really good place!

On the lumpy spot and the sensitive spot, I'll let others come on board who are more familiar with those issues than I might be. But it sounds like you're doing quite well.

You can get quite the workout with the cane. But I have to say: I liked the walker more than I thought I would.
 

Schaargi

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Hi! I had my left hip replaced,with an anterior procedure on June 9. I had a painful lump near my scar, too. Mine was the site of my drainage tube. Weirdly, it took longer for that lump to heal than did my scar tenderness. I think it was still there, albeit small, at my 6 week post-op appointment. I'm not sure if you had a drainage tube, but that was my experience. Happily, it's gone now!
 

Mojo333

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Hi @rowergal :wave:
So happy to see how well you are doing.:happydance:
Most small hematomas resolve with time as the collection of blood is slowly reabsorbed into the body. You are getting back to activity quickly which is great, but as you say, icing and elevating and babying your leg after this major surgery is also important.
I was lucky to have good upper body strength as I have a fairly labor intensive job, but certainly you have a great advantage with your fitness level as a rower.
Makes it easier to get ourselves up and about these early days.
I had that tightness/tenderness in that crease area also and not sure if it was referred pain...felt more like tightness caused it....but in either case, there are lots of healing happening and All Temporary became my mantra during my recovery.

Hope the rest of your week is sweet. :flwrysmile:
 
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rowergal

rowergal

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Hi! I had my left hip replaced,with an anterior procedure on June 9. I had a painful lump near my scar, too. Mine was the site of my drainage tube. Weirdly, it took longer for that lump to heal than did my scar tenderness. I think it was still there, albeit small, at my 6 week post-op appointment. I'm not sure if you had a drainage tube, but that was my experience. Happily, it's gone now!
They didn't use a drainage tube for this surgery, although I've had them for previous surgeries.
 

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