THR Second THR at 44, done!

Denverish

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Hello! First time poster, long-time lurker here …

First, thank you to the forum staff and members for generously sharing such helpful information in this space. This forum has been invaluable to me while I’ve been recovering from having my right hip joint replaced on Nov. 30, 2022. As I had my left hip replaced nearly three years before, now my shiny new hips match!

This time around, my decision to have a THR was much easier, as was the initial recovery. At the first twinge of pain, I got in to see my GP to talk about what felt like a labral tear. One month later, I sat down with an orthopedic surgeon who specialized in laparoscopic hip surgery who confirmed that I did indeed have a small labral tear, but it was no use to repair it since I had advanced arthritis in my swollen, deteriorating joint. He recommended that I consider having a THR.

I did not need to consider. The twinge had rapidly morphed into a constant, deep throbbing pain that made it difficult to concentrate on work and a sharp, stabbing pain that woke me nearly every night — despite a steady diet of prescribed Aleve and Tylenol.

The surgeon swapped my Aleve script for Celebrex and confirmed that, miraculously, the surgeon who replaced my left hip had availability and put in ticket for me to schedule surgery with him.

A few days later, a nurse called to offer me two options: I could have my OG do the THR surgery in less than six weeks, or I could have him do it at the end of February. While the Celebrex did, thankfully, take the edge off the pain, I was ready to get this done and get back to an active life ASAP! In August, I was still recovering from a foot surgery in June but really enjoying my daily two-mile walks with my family. When I booked surgery for the end of November, I was using two walking poles to slowly walk a half mile and my recumbent bike was becoming difficult to use.

On November 30 at 7:30 am, I hobbled my way into the hospital on a cane and was helped into a wheelchair. A hour later, I was in surgery!

When I woke up, I did not have muscle spasms like the time before and did not have complications related to my sleep disorder (narcolepsy type I). After that amazing “nap,” I felt better than I had in months!

After enjoying a big breakfast, including a cup of coffee, I was cleared for PT, had a couple of sessions, and was sent home to sleep in my own bed! (Thankfully, my husband/joint coach talked me out of taking the flight of stairs to sleep in our comfy bed, as I am sure I would have had to stay up there for several days after the nerve block wore off.)

Nearly eight weeks have passed since then, and I am doing about 2 miles on the treadmill and elliptical machines at our gym a few times a week — and am planning to gradually return to WFH part-time on February 1st! It is so great to be able to exercise again, and I’m excited to return to the work that I love!!!

I am using my tens machine before exercise and icing and elevating when I get home, and making slow but steady progress week by week, not day by day like I was up until Christmas. The brain fog has finally lifted, my leg is getting stronger, and my balance has improved a lot!

However, I still have quite a bit of fatigue and it’s hard to figure out how much of that is from my sleep disorder and how much of it is from my THR recovery …

I do suspect that part of it is a mild depression I’ve been feeling these last couple of weeks. I’ve been cooped up mostly indoors for a while now since we’ve had unusually heavy snow here since Christmas and the paths at nearby parks have been icy. And now that my visitors have slowed down and my parents and everyone except me has gone back to school or work, I’ve been a little lonely.

I’ve also realized that I’ve been pushing myself too hard with exercising and tackling my to-do list at home. At first, I couldn’t push myself too hard because it hurt or I was too tired to even think about it! When I push myself too hard now, however, I either get dizzy and lightheaded and nauseous — or end up paying for it the next day with fatigue that pins me to the bed.

The hardest part is knowing what my limits are BEFORE I reach them! Can ya’ll identify? Do ya’ll have any tips for me? TIA!
 

Newhip_Pol

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Welcome to the forum. I'm on day 11 of my RTHR. LTHR was done 2018 and I had forgotten all the difficulties as well as how supportive this site is!
No tips except to listen to your body before you overdo things, not just afterwards!
 

Mojo333

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Hi @Denverish :wave:

:welome: to Double Hippydom:dancy:

You sound like your recovery is going great.

I'm going to leave you our Recovery Guidelines. Each article is short but very informative.
You may want to specifically check out the article about Energy Drain.
At 2 months, there is still an awful lot of healing happening so you should be mindful that the hours spent exercising could sap energy necessary for healing.
Also, I was slightly anemic (which led to light headedness) after my BTHR so concentrating on iron rich food helped me get my stamina back.

Honestly, often less is still more at this stage.


Just keep in mind all people are different, as are the approaches to this recovery and rehab. The key is, “Find what works for you.“ Your doctors, PTs and BoneSmart are available to help, but you are the final judge as to the recovery approach you choose.

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 to these pages on the website


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.
 

myglasshalffull

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You sound like you are doing great, is it possible you have joined the ODIC?!?! (Over Did It Club)
I'd say rest and ice when you feel a little overworked and sadness/depression does set in, read Post Op Blues, I had so many crying episodes over stupid stuff! LOL!
For me the loss of independence in those beginning months, not being able to work and not being able to continue with my volunteer work tore me apart. But it all works itself out and you have already had one THR so you are a veteran.
I wish you the best.
 
OP
OP
D

Denverish

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@myglasshalffull I don’t think I was walking too much, but I was definitely pushing the elevation too much on both the treadmill and elliptical … I think I mistook the resulting muscle spasms for normal aches and pains that come with healing.

I say WAS because I’ve spent most of this week sleeping off a cold, and my exercise has consisted of going downstairs to make myself tea and moving from the sofa to the bed.
 

Newhip_Pol

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Hi, I'm doing ok, moving about the house on one crutch. Sat upright for too long this morning so back to icing this afternoon. Leg quite swollen but feels stronger each day.
 

PolarIce

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Be kind to yourself. Interestingly enough a lot of people have gone through a small phase of depression right after surgery. It is a big surgery and for those people are pretty active before surgery, I think it's easy for all of us to forget as patients, that you need to take the time to adjust, heal and recover and I find it is quite a mental strain. It will all lift though. Stay positive, try to behave yourself and not overdo it. Things will come back, but you need to listen to your body and pace yourself. You've got this.
 

Layla

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Hello and Welcome to BoneSmart.
Happy Two Month Anniversary! I hope your cold is history by now.
They are such a nuisance. :groan:Feel better soon and don't be a stranger here. We love updates.
@Denverish
 

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