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scheduled but having doubts.

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@gogreen Nice, When i started my process to get better i researched the options and decided on anterior, however, my OS wanted to do the mini-posterior. My scars are 4 inches long and i had very few restrictions. I hired the best OR i could find and put my faith in him. That process worked for me. You have to do what works for you. It sounds like you have it in control. I have fond memories of TC.
 
Lots of similarity between us!
Mine was bone on bone but my tolerance for pain was high.
I have a phobia about hospitals.
I avoided hospitals for as long as I could.
Every time I got near to making a hospital appointment my hip seemed to get better.
However I got to the point where I felt I would end up in a wheelchair.
We were renovating our house but I could do less and less and became a bystander in the whole process.
I finally, finally made my appt set a date and my hip got "better" but it was all relative.
I had my op 4 weeks ago. My recovery has been slow but sure. I have been emotionally up and down in the past 4 weeks but definitely going in the right direction. What I notice already is that I am talking about trips, holidays, walks as if there is a future which i had not done for two years.

I would say do good preparation. Read everything you can on Bonesmart. I found relaxation tapes very helpful. Set everything up to make sure your recovery is as smooth as possible. Then go for it!!

You are the only other person that I know of who has watched the hip op - I did on youtube. Like you I wanted to know whatI was letting myself in for. I am on the home ward stretch and by july/aug you will be too.
 
I still think about cancelling every now and then but I think it will have to be done sometime and insurance will cover the whole thing now. Who knows in the future . If I am ever going to do it this is the best time.
 
I had a posterior approach. There are major pros and cons and the research seems to me to be inconclusive. My Surgeon who made me feel very confident (and did 300-400 a year) preferred the posterior so I went for it. At 4 weeks the incision is healing amazingly well, getting less obvious day by day. A major disadvantage from my point of view is the precautions post op e.g. sleeping on back and not bending more than 90 degrees. Because of my anxiety I decided to stop reading about what approach to have as it was really winding me up and just follow my trusted surgeon.
Karen
 
gogreen said:
I like the idea of anterior, no restrictions, faster recovery. Hope its true.
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Every hip replacement is different. Yes, some people see good results from anterior. But I had lateral for my RTHR and had no restrictions and a very fast recovery. Approach is not the key - the surgeon's experience is what matters.
 
:hugzz:hi catdemer, well you are in the same boat. testing the waters to see what gets you to the worse pain but you listen to your body, i am in the same boat. i am scared but i know that i am tired of the pain after i simply workout my legs in pt or at the gym or walking on the treadmill. some days i feel great and some is unbearable. shoveled the other day and was walking in about 2 feet or more of snow and my leg said oh hell no i am not budging and i got stuck in the snow but pushed myself to get out and wow pain and tired. it sucks! but think about the future (pain free, can workout or walk long with no pain) i am not looking for the recovery part but going in strong and determined and motivated to recover fast yet listen to your body when its too much. being active according to the drs. orders as well at the pt is what is important to me. i am not going to lye in bed all day and pout. i will rest a lot but being active (walking etc. is the best thing for a hip. i wish you the best of making a decision. you are only 5 years older than me so we are close in age. you can do it, i can do it!!
 
Waving at you from elsewhere in this frozen state!! Gogreen (Spartan green perchance?), at age 60 I was in the same place. Bone on bone in both hips, but only one hip hurt. And some days it hurt a lot and some days it hardly hurt at all. But I was walking with a limp most of the time, and with hindsight that's when I should have gone immediately to surgery. I waited two more years for no good reason. I did not realize how small my world had become until after the THR, when it opened up again. The very moment my other hip started having frequent twinges, I scheduled the second. Today, I dance freely, bike ride freely, walk with satisfying strides. Well....not today....today I am hibernating from the snow and wind and ice. But you get the idea.

Regarding this ongoing debate about how much and how soon after surgery to push the PT and returning to the activities we love, those of us who have been on this forum for a long time see the repercussions of too much too soon way too often. Even with the anterior approach, there will be significant trauma to soft tissue, and this take a long time to fully heal (long time means a year or two, really). A poorly-managed early recovery is the first step to a much longer ordeal with various kinds of inflammations and tendinitis. @healthgal46 you can do your PT and gym and running just as vigorously as you choose....and I hope you are one of the rare few who gets away with it....but you'll lose out on jogging and running for a whole lot longer than five months if your rapid approach is way too rapid.

Stay warm, Gogreen...if you can. :)
Sharon
 
Spartan, of course! I will go through with it in June. Will probably have to hold myself back after that. I probably shouldn't listen to to too many bad stories. Alot of people on this forum have extra problems I don't have. Can get depressing if I dwell on the negative. Want to visualize myself having a positive experience.
 
well there will always be excuses. but reality is not so black and white. I made so many excuses over the past 5 years for not having the surgery. I scheduled twice and cancelled twice. finally after doing some extensive research and finding a very highly qualified surgeon and hospital I am now 5 days post op. I had the direct anterior approach and other than some swelling today I am feeling pretty good. I do not in anyway regret having the surgery. the ortho told me after the surgery that the x-ray did not give justice to just how bad my hip was/ I had bone spurs and probably was within a few months of being wheel chair bound. so my friends you may get lucky like me and get to wait until the last minute to have surgery or you just might wind up having to do it on your bodys terms. I would much rather be the one making the choices not some emergency care unit in the middle of the night after my pelvis has shattered.
 
Hello @gogreen
Do remember that lots and lots of people have hip op without any complications at all. I am one of them 4+ weeks post op "touch wood". Be prepared for a slow and gentle recovery. The tiredness at first is amazing for first week or two I got tired from walking round our dining room three times or having a shower ... so exhausting. I slept for hours in the day and then would still be tired at bedtime. But like everything the minute it goes it seems like history. Before surgery I did not have an opinion about how to manage the recovery I just knew I would be recovered with in a couple of weeks!. In the event it has been slower and the biggest thing is letting your hip and body dictate the pace not our over active minds.

I was so scared of surgery that i put it off until I could see that I would soon be in a wheelchair. For the reasons described by Teejay above don't wait too long
Thinking of you and hope it all works out for you -Hugs- Karen
 
I'm scheduled for my THR in 5 days & yes I'm terrified & yes I keep thinking gee maybe my hip is not causing too much pain today. Unfortunately I know if I don't do this I will be sorry. 12-2-12 I was tired of having a bum right knee & finally went to have it checked, 2 bad meniscus tears, repaired summer 2013 . Damage already done to left knee because I probably should have taken care of the rt. knee sooner. So last summer had to have the left knee scoped for meniscus tear & also told now I also had necrosis of medial femoral condyle. So after having all this done I still had tremendous pain & Xrays show knees look great but the hip deteriorated to point of having THR is now the only remedy.
The point is if we postpone the inevitable things always get worse not better.
 
Not scheduled until June so trying not to think too much about it until time gets closer. Going to chiropractor today, regular adjustment. Usually really helps. Might go for a walk on treadmill a little later (-22 outside so no school , brrr)
 
Re: timing
I had things delay my diagnosis on my hip; hip surgeon and x-rays with moderate arthritis (not best angles done I found out later) had it being my lumbar spine; finally after life eased up some (dog was ill and had to be put to sleep) I got to differrent surgeon and I was diagnosed as severe arthritis; 2 months later switched to better surgeon who did better angles and standing, weight bearing on the hip, determined 3 weeks ago I was bone-to-bone - - I'm doing walker to car, errands walker to scooter; at home doing lite weight wheelchair (propel with my feet) keeping weight off hip & spine doing much better getting thru out the house, fixing meals, etc.
(live solo) I have about 5 wks to go, well worth getting better surgeon and diagnosis.
 
does anyone know anything about taking Xarelto after having spinal anesthesia? is it dangerous? I read about possibility of spinal clots (and paralysis). also exactly how big is the risk of infection after hip replacement (I'm talking about after the healing is done)
 
gogreen said:
does anyone know anything about taking Xarelto after having spinal anesthesia
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I know about this from a patient perspective. Not sure where you have been reading but it's best to discuss this with your surgeon. Please don't believe everything you read on the internet. I took Xarelto after a spinal (post LTHR). It's a blood thinner so prevents clots.

The risk of infection post any surgery is always there. But given the amount of times this surgery is performed the rate of infection is pretty small. @Josephine has many years of experience in orthopaedic theatres. Let's see if she can comment on infection rates.
 
Xarelto (generic name rivaroxaban) has been in use as either and oral or injectable anticoagulant for years and is good, steady one to use. The other one is enoxaparin also called Lovenox, Xaparin and Clexane.

Considering about 2.2 million hips were done globally last year, the instance of infection is pretty low to about 2%.
 
@gogreen , Hi, I took Xarelto tablets until 6 weeks after surgery to prevent thrombosis (in the first 2 weeks as injections in the abdomen - later on - tablets). I tolerated it well - no side-effects. Don't worry about Xarelto - Best wishes and all the best
 
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