THR Rick’s new hip!

RoosterRick

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18 days post anterior LTHR, hi everyone. I’m Rick, a 62-YO male, fit, active outdoor lifestyle since childhood. Bad genetics and bad luck, here I am. It began with a labral tear in the fall of 2010, the result of an acute injury... while running. Surgical options available at that time for my specific situation were just not great. So I managed it conservatively, for quite awhile and with reasonable success, until that was just no longer possible. As a life-long runner and cyclist, I was ultimately reduced to walking, with increasing pain. But walk I did, 3-5 miles daily, right up until my surgery. I live alone w/ 2 large active dogs, somewhat rural in SE Wyoming, 60 miles from the surgery center in Loveland Colorado.

Surgery was scheduled for 8am on 3/20/23, out of surgery 10:30am, discharged at 2:30pm. My adult daughter was my chauffeur, dog walker, cook and care giver for the first three days; I’ve been on my own since. The first week was difficult, emotionally and physically. Like many, Iwas completely unprepared for the trauma of the surgery. Holy ****, I felt like I got hit by a bus! The swelling, bruising, weakness (dead leg) pain and stiffness probably peaked about day 4 or 5 post-op. Additionally, getting good sleep was near impossible. I wish I had found BoneSmart sooner, as I’ve come to appreciate my situation is certainly not unique. I made some mistakes in the first week for sure. I got behind on pain management, not enough ice/elevate, too much activity and not enough resting.

Week 2 was better, and I found BoneSmart to be a wonderful resource. I was able to progress from the walker to the cane at about day 7, and off narcotic pain meds, except one 325mg hydrocodone before bed, as needed, which improved sleep. I was able to drive at day 10, and back to my office job 2 weeks post surgery. In retrospect, another week off work would have been very desirable, but just wasn’t possible for me. Getting dressed for work requires some creativity, to be sure, but I am managing.

I’m now in week three, and my body continues to slowly heal. I walk daily 1.5-2 miles now, but still use the cane, though less than 50% of the time, weening off as I am able. My pace is purposeful and deliberate, focusing on proper form and mechanics, over speed. No other PT, just walking. I continue to ice regularly, including while I am at work. My first post-op checkup yesterday; I seem to be doing well and OS has no specific concerns, nor do I. Swelling remains persistent on the operated side, as does soreness and tightness from hip to ankle. The upper left quad is particularly tender still, as expected. I hope to begin some easy spinning on the bike trainer in a couple weeks, which I am very excited about. Most importantly, I’ll continue to listen to my body and the collective wisdom and experience of this board, as my recovery progresses.​
 

djklaugh

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@RoosterRick Welcome to BoneSmart! It sounds like you are doing well with your new hip! Please do take things slowly ... you really can not speed up healing from major surgery!

If you have not found it yet, over in the Community Social room there is a long thread for bike riders. Although many of the members who post there have had knee replacements, there are also quite a few of our hip folks too.
https://bonesmart.org/forum/threads/cycling-club-for-us.12123/

And here for you is out list of post op articles and helpful suggestions:

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.
 

Layla

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Hello Rick, Welcome to BoneSmart!
You're doing great! Thanks for joining us. I hope you'll continue to share progress which will be beneficial to those following behind you.
A wonderful weekend to you!
@RoosterRick
 

Ocean

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Congratulations on your new hip
 

benne68

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My pace is purposeful and deliberate, focusing on proper form and mechanics, over speed.
Happy to read this! Regaining proper gait is so important and this is the right way to get there.

Sounds like your recovery is off to a great start!
 
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RoosterRick

RoosterRick

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Thanks everyone:) Deb, the HIP Recovery: The Guidelines section was the first “revelation” when I found this resource, on day 6 post-op. After a very difficult week of navigating the recovery on my own. BTW, I was failing miserably. The information has been truly a game-changer for my recovery, so far.

benne68, you have been through this, and certainly understand. I’m re-learning how to walk with my new, anatomically correct hip. I must be patient and learn it right:)
 

Caison113

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Welcome to our happy little club @RoosterRick! Glad you found BoneSmart which is truly the smartest place on the internet for hip/knee surgeries. Glad you have adjusted your recovery. And you are right, the first week is torture, but every week after that gets better and better!
 
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RoosterRick

RoosterRick

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19 days PO, and Spring has arrived on the high plains of Wyoming! At least for Easter weekend:) Temos in the 50’s, most of the snow is gone and the Meadowlarks are singing. Out for an early dog walk, 1.5 miles, I really love early morning walks! I probably used the cane 25%, feeling a bit more steady & confident without it. Rest and ice now. I am still dealing with residual swelling, bruising and tenderness on operated side. Mostly the knee and upper thigh, anterior and laterally. Frustrating, but certainly normal. The immediate area around the incision is both sensitive and numb…odd.
 

Jaycey

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The immediate area around the incision is both sensitive and numb…
One of the side effect of anterior approach. In most cases this eases with time.

Enjoy your Spring day!
 

nasruddin

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This is very inspiring. I hope you are not starting out with your rehab program a little too early, but everyone's different. Hoping for the same.

Prob that 3 mi walk right up to surgery is one of the keys. I wish I could still do that - now that the weather has cleared again I'm going to try for a mile today after a week's break but I think I'm getting to the end of that with months to go before surgery.
 

Mojo333

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Hi @RoosterRick
I had Bilateral Hip Replacement (via anterior approach also) almost 6 years ago but still remember those first months of recovery.
I showered this forum with Is this Normal? questions and this site was a great recovery tool for me.
We are all unique...and so are our recoveries...but getting the scoop from those who have been there and done that was priceless to me!:) :-) (:

You may find that breaking the 1.5 mile walks up into two .750 mile walks (with some hours of rest and ice so the soft tissue doesn't get overstrained) is actually more helpful....

My large areas of incision site numbness got smaller and smaller over the first 9-12 months (all normal now) as did the sensitivity.
All normal.
Hope your Easter Sunday is Sunny:yahoo::SUNsmile:
 
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RoosterRick

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Update at 25 days PO, and nearing the end of my 2nd full week back in the office. On any given day, I may feel better, or worse, than the day before. But measured week to week, I am slowly healing. My energy level and stamina are somewhat improved, I feel less physically and mentally drained after a full workday than last week. I have gradually increased my daily walking distance and average 2.5 miles/day over the last 7 days, including a daily 30-40 minute dog walk. I am still using the cane probably 25% of the time. Although not necessarily painful, I am reminded of my surgery with every step as muscle strength and endurance on the operated side is certainly compromised for now. Daily pain management recently has been one Norco before bed and 2x500mg Tylenol before work. I am still dealing with persistent swelling, bruising and general minor discomfort, so I will continue to ice regularly for the foreseeable future. Patience is a requirement. Thank goodness for the wisdom and experience of this site.
 

Mojo333

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You will get there @RoosterRick
All Temporary and all well worth it in the end.
Keep doing what you are doing.:ice::chuckmarch:
 
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RoosterRick

RoosterRick

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30 days post-op for me today. Progress has certainly been made, and the light at the end of the tunnel is visible, however it remains a long way off. The most notable development is that I am day-3 of walking without a cane or any aid. Finally. I'm slow, my stride is shorter and I make an intentional effort to maintain proper form and not limp. It sure doesn't feel natural, but it's generally not painful, which is progress, right? More than 2-miles (45-50 minutes at my current pace) puts me back in the hurt locker, as do hills, so that's my limit for now. Relative to my walks pre-surgery it is humbling, and unsatisfying, but I try not to dwell on it.

I still have swelling, and still some bruising & associated tightness, in the hip/thigh area, and the knee and ankle. And its been 4+ weeks, my OS must have really worked me over! It seems icing will remain part of my daily routine for some time yet. Pain management is acetaminophen or ibuprofen, usually in the morning and before bed. I think IBU works better for me. And beer, that works too:) Sleep quality is somewhat improved, but I am still not sleeping as well as pre-surgery. I'm not a great back sleeper and lying on my side just doesn't feel comfortable, yet.
Flexibility, or lack thereof, frustrates me. I still need to use an aid to put on my left sock, I can't trim toenails or tie my left shoe. I am stiff and tight still. It doesn't feel like I am making much progress here, and I don't think active stretching is a good idea yet. Driving up to an hour seems OK, as does getting in/out of the vehicle. I did some tractor work on my road on Sunday, an hour of that was too long though, so it will have to wait a few more weeks. I am tolerating being at the office fine, provided I get up from the desk and walk for at least 5 min every hour. And ice. I have one set of stairs at work, and can handle those fine for a couple trips up/down daily.

Emotionally, I have (begrudgingly) accepted this will be a longer recovery than I had initially hoped, and I have very little control over the process. It has been incredibly reassuring to follow other Hippy's recovery journeys, and appreciate my struggles, physically and emotionally, are not unique. Patience, Rick.​
 

Layla

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Yes, it does take patience and you will get there. You're making good progress, but you're only one month post op into a recovery that can last a full year and and even longer for some. Thanks for sharing the wonderful update.
I hope you will continue to post your progress here as a journal of your recovery for yourself, also as encouragement to those following behind you. Wishing you only the best!
@RoosterRick
 

Eman85

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Emotionally, I have (begrudgingly) accepted this will be a longer recovery than I had initially hoped, and I have very little control over the process. It has been incredibly reassuring to follow other Hippy's recovery journeys, and appreciate my struggles, physically and emotionally, are not unique.
Sounds like you have it figured out. I had problems with my right and it took quite a while before I could tie my shoes. I had restrictions so I didn't try until after week 6 and with my left it took easing into it with easy stretching. With my right it took quite a while longer. Your first post relates to being hit by a bus, what we have done is like a bad accident inside an operating room. Most accidents don't cause dislocations especially of hips, bungee jumping doesn't even cause it. Hard to imagine the force necessary to yank our joint apart yet still have it go back together.
 
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RoosterRick

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Layla, thank you for your support, positivity and calm reassurance :) I am healing. Patience is not something I’m good at, but I have no choice. Dammit.

Eman85, thanks:) All I‘ve figured out so far is that this surgery was an A$$ kicker! I have actually been hit by a car (not a bus, and I was young and that’s another story), and this was worse. The fact I am still dealing with this much swelling, bruising and general discomfort 4+ weeks later… yup.

I’m strongly considering getting a pedicure, just so I can have my toenails trimmed. Who knows, I may make it a regular thing.
 

Bevelina

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Wishing you well RoosterRick.

I’m about to have my 1st THR in a few days, after a very late cancellation in hospitals 4wks ago . .Exasperating.
I think rewards and treats will be helpful to have, we all need rewards for our endurance! yes sireee!
i’m planning on a pedicure too and some reflexology at a health spa when i can get in my car so yes, why not enjoy a pedicure and some relaxation
 

tanvat

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RR,

Thanks for your updates. I had anterior LHR about 3 weeks after you, on 4/13. I’m only a week out and, like you, am experiencing what seems like the aftermath of a really bad accident. And that is, in effect, what it is I suppose. But, b/c it is an elective, restorative surgery, it seems our view of recovery perhaps emphasizes the end goal (doing what we love once again w/ minimal or no pain) while looking at the means (the healing process) with rose-colored glasses. Now, that’s just my take and I think that despite trying to be a realist and researching THR for the last 2 years, I couldn’t quite shake those rose-colored glasses and look at this process completely realistically until I actually had the surgery. And, like being in a bad accident, how could any of us really know what it’s like until it happens? Anyway, just a long, rambling take on why I think I hear where you are coming from and your insights on recovery are valuable- but most importantly, hang in there. And if you are anywhere near Laramie - hit up Sweet Melissa’s for me. This will be only the fifth summer in last 25 or so years I don’t spend a good chunk of time in your home state (and my favorite) but THR is my ticket back and it’ll be yours too!
 

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