THR Sarak - There's Life After a Hip Replacement

I can sympathize, Sara. I am still having inner thigh and lower buttock at the crease pain, although the latter went away for awhile, but it's back again. I posted elsewhere it's not debilitating but extremely annoying. My pain increased after doing water exercises no less, doing lateral moves while on my back....figured doing it in water would be less stressful. Guess I was wrong. ROM issues still. I cant put my ankle of the operated leg anywhere near my opposite knee while sitting...tried that in my Tai Chi class and had more pain the next day. Let us know what the PT says.
 
Annoying is a good word for it. I can live with it and live quite well, but it would be nice just to get rid of it and get completely back to normal.

I'm working out with a possible new trainer tomorrow. I'll be starting the relationship with a list of "nopes." That actually could be a good test - we'll see how she deals with not being the one in control and what level of creativity she has in finding adaptations.
 
Good luck with new trainer today @SaraK. I hope they can figure this out. Is the problem with your newer hip side or the first one?

My issues with first have toned down. Lilmited shoes I am wearing, simple stretches, longer walks 3 times a week. Going to get fitted for walking shoe and hopefully a couple of work shoes today.
 
What first hip @MammaT ? Forgotten hip syndrome. Luckily it's being a good older sister right now. This is something that has never completely settled down with new hip but has gotten worse as I've gotten more active. It's something I could deal with (although it limits exercises for core) but a large part of the concern is because of regressing.
 
Best of luck today, Sara. I hope the new trainer makes a good first impression.
Let us know her strategy and we'll let you know whether we approve :rotfl:
Even though you don't care, lol.

Enjoy the weekend!
@SaraK
 
Don’t blame you for being concerned with regressing @SaraK. That’s a bit different than plateauing. For me it is the older sister that is acting up, so I will be very interested in what they tell you.

I am armed with new shoes. Interestingly, due to surgery on great toe on right foot being fused many years ago, my right foot is nearly a size smaller and slightly wider than left. Went with shoe that fits left very well since it is side giving me problems. I’ll let you know if that helps with muscle issues I’m having.
 
That must make it hard finding shoes @MammaT . I have wide peasant feet and often find the shoe box fits better than the shoes. :loll:
This trainer was ok but I'm not sure. Trying another next week and then I'll make a decision. @Layla would probably prefer I went with this one for the same reason I'm not sure - too many breaks and didn't work me hard enough!:rotfl:
 
I know exactly what you mean. You want to feel you've done enough.
Thinking of checking out a new gym myself next week but a little wary of the vast choice of ultra young, ultra fit, young personal trainers- none of whom seem to have any knowledge about THR so, I fear will either push me ridiculously hard or not enough at all!
Go with who feels right @SaraK. Good luck on the search.
 
@Bone-obo - replying here to avoid derailing your thread.

Not a lot to report. This is 3rd week back in PT to work on the psoas and range of motion. So far, we've been concentrating on activities to stretch the hip flexors without activating them. It's a good thing I don't plan to wear shorts anytime soon. In addition to the blinding glare from my very white legs, people would think I'm being abused if they could see all of the bruises up and down my thigh from the "massage." He also limited some of my activities - primarily limiting walking (flat surface, 3 MPH or less, 1.5 miles max) and limiting anything that would activate the hip flexors (no marches, step ups, dead bugs, knee ups, planking on the floor, etc.). We're starting a bit more activities this week and will see to what degree the issues are continuing (based on getting in and out of bed, etc., it seems a little better, but still problematic). He's said there could possibly be an impingement that is affecting the psoas, but he's not ready to go there yet (and, even then, he couldn't make a diagnosis but would just be suggesting I go back to OS and request further testing to check it out).

Luckily, PT didn't shut down dancing. :happyfeet::yes!::happydance::egypdance::spin::dancy: It had been far too long since I'd had the opportunity and I wanted to go out Saturday to dance to the band that initially caused my PT and I to coin the term "disco hip" for the problems with my second hip. PT said it would be a good test of where the issues were, so I went out and had fun! I was a little sore that night and the next morning, but rolling out before my workout the next day seemed to take care of it.

PT was also OK with me continuing with my trainer so long as we kept restrictions in place and didn't do any floor work or any of the other things I'd noted above. @MammaT - I ended up going with the first trainer because the 2nd one decided not to take any new clients when she found out she was pregnant, but the second session with the trainer was NOT like the first. She definitely pushed me further than the first time and we came to an understanding that I would let her know if I needed a break (plus, I've learned some awesome delay tactics from watching my kids :loll:). She is also very good about making sure the form is correct on all exercises to reduce the possibility of injury and get the most benefit. I worked out with her Saturday and I've already gotten a "homework" assignment from her with more to come this week!

I hope everyone else is doing well. I don't always post much, but I do check in on my hipster friends regularly!
 
You feel free to derail my thread whenever you want. It's a quantum thread anyway - it disappears from time to time and then resurfaces somewhere else without going thru any points in between.

Sorry to hear your hip flexors are giving you trouble! Keep me posted about that - I have crazy tight aircraft cables for hip flexors, both from decades of OA and a ton of triking, so your present may be my future!
 
people would think I'm being abused if they could see all of the bruises up and down my thigh from the "massage
Oh my stars!!:flabber:
That doesn't sound pleasant!
You make me a nervous wreck...I do so want you better.
 
Well, today marks 4 weeks of formal PT (with 2 weeks of informal PT before that). Not much change. As long as I don't take long walks or do anything that otherwise engages the psoas, I have little pain. Little things like lifting the leg to dry it after a shower, getting into the bed, getting into the car, etc., though are still painful. Not "OMG" painful but not pleasant. PT said that, between activity restrictions, heat, massage, stretching, etc., he'd have hoped for more impact by now. He agreed that it was probably time to take the next step and make sure there isn't a psoas impingement causing the problems. If not, I'll continue with the stretching, etc. and see if things improve over time.

I left a message with the surgeon and, surprisingly, had a call back from the surgeon within a couple of hours. He obviously hadn't read the full message because he was suggesting that we try anti-inflammatory meds and/or PT and I reminded him that I was already doing all of that after my 6 month follow-up 6 weeks ago. He then suggested that we try an injection into the psoas to see whether that provides any relief. Sometimes that will take care of the problem but it is also helpful from a diagnostic standpoint. He doesn't do those but has preferred me to a pain management specialist (I would have just said "physiatrist" but when I saw that at first on her profile, I misread it and thought he was telling me it was all in my head and he was sending me to see a psychiatrist - a few letter different but vastly different specialties! :heehee:

Keep your fingers crossed! I'm waiting for a callback to get an appointment set. (Although, I'm not sure whether I want them to find something or not - a psoas impingement can be treated and the problem eliminated but, unless an injection works long-term, it could mean another surgery.) If nothing else, keep the fingers crossed that the injection doesn't mess with my diabetes as much as the hip injection a couple of years ago.

Now for my Scarlett O'Hara act - "Oh, I can't think about this now! I'll go crazy if I do! I'll think about it tomorrow. . . . After all... tomorrow is another day." And, tomorrow being Saturday, means working out with my trainer and dancing all night!:biking::treadmill: :happyfeet:
 
I'm very sorry, Sara. I hope this doesn't result in an additional surgery.
Prayers it's easily resolved.
It's good to hear it's not stopping you from doing the things you love.
Enjoy the weekend!
@SaraK
 
(I would have just said "physiatrist" but when I saw that at first on her profile, I misread it and thought he was telling me it was all in my head and he was sending me to see a psychiatrist - a few letter different but vastly different specialties!
Hey, when I was searching for a diagnosis for my back pain they sent me to a pain management specialist who tried to send my to a psychiatrist or a drug rehab clinic thinking I was seeking pain meds for a nonexistent problem...Not Funny. I was furious...:censored:

If nothing else, keep the fingers crossed that the injection doesn't mess with my diabetes as much as the hip injection a couple of years ago.
:fingersx: for you Sara...we are on your side.:console2:
 
One of the forms they sent me to fill out and bring in on Monday is an opioid contact. It assumes I'm going to want opioid and has me say that I won't get them from any other doctor, will use only one pharmacy, will not be able to get early refills, can only get a prescription for a refill by coming in to office, etc. I have news for them. I still have all of the opioids from my second hip replacement. I'm not wanting more and would really just like to figure out how to get rid of this pain so that I don't need any of the OTC meds either! Can you guess that I didn't sign that form?
 
Now for my Scarlett O'Hara act - "Oh, I can't think about this now! I'll go crazy if I do! I'll think about it tomorrow. . . . After all... tomorrow is another day." And, tomorrow being Saturday, means working out with my trainer and dancing all night!:biking::treadmill: :happyfeet:

HI Sara! I agree with Scarlett. We must enjoy life despite what curves or obstacles come our way! Keep on dancing girlfriend!
 
You know something must be wrong when I didn't dance as much or as long Saturday as normal. My psoas decided it wasn't liking it, so I went home early.

I saw the physiatrist this morning. She said something is definitely going on with psoas so we need to figure out 1) how to calm it down for now and 2) figuring out what's causing it so that we can fix it. So, she prescribed a muscle relaxant and an anti-inflammatory, PT with someone she's worked with for manual adjustment of a mild "pelvic torsion" (essentially, one side of the pelvis is tilted at a different angle than the rest which could be causing or exacerbating the issue) and a fluoroscopically guided injection into the psoas (scheduled for 8/6 - my surgeon had apparently contacted her Friday and requested that we proceed straight to an injection rather than waiting for the results of more PT, etc.). I've already asked for a different anti-inflammatory since the one she prescribed isn't covered by my insurance and (because?) it's $1200 for a one-month supply. The PT hasn't returned my call for an appointment and, when I tried again, her answering machine's "memory" was full so I'm not sure if she's on vacation or not.

I do at least feel like things are finally moving in the right direction! If nothing else, the injection will provide diagnostic information. It's possible it could "reset" things and, by reducing inflammation, allow PT and stretching to lengthen the psoas. If the pain goes away and comes back, more diagnostic tests (like metal suppression MRI or ultrasound) could be done to pinpoint the issue to come up with a treatment plan.
 
From my experience working in a pharmacy back in the dark ages, doctors have absolutely no idea how expensive the medicines they prescribe are. They just know that this one seems to work better than that one (or, if you want to be cynical, which drug rep most recently came in and touted why their med was best). The number of times I'd call the office and tell them the patient couldn't afford the medicine and they very quickly decide that one of the inexpensive old faithful would work just as well always astounded me. Even if my insurance had covered this, my copay would have been $250 per month. You'd have to really convince me that this was a miracle drug for me to pay even that much!
 

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