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[THR] Second THR has been harder than the first

Discussion in 'Hip Replacement Recovery Area' started by Pj1961, May 16, 2019.

  1. Pj1961

    Pj1961 new member
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    Apr 27, 2019
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    It's only six days postoperative THR on my right hip but my experience is very different from the THR left hip I had in August last year. I realise it's early days, but I have more significant pain around my knee. The pain around my hip is about the same as what I remember. Doing the six 5-minutes of walking each day has proven much more challenging. My left leg appears to be somewhat "wasted" despite doing pre-op exercises. The THR last year was such a positive experience. The OS said the sore knee is probably a result of using the knee as a fulcrum () and should settle with time. The physio thinks I need to build muscles up to support both my knee and hip. I feel as though I'm overthinking at best; or a tad neurotic at worst Also, I have advanced degeneration in the patella femoral joint on the right leg.
     
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    Last edited: May 16, 2019
  2. Layla

    Layla FORUM ADVISOR Forum Advisor

    Member Since:
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    Hi, Welcome back! Congratulations on your new hip.
    I'm sorry you're having a tougher time than you did with your first surgery. Hopefully things level out soon. It is known that no two recoveries are alike, even with the same person.

    I'm sure you're aware that the knee can be manipulated rather aggressively during the dislocation process which may very well be what's causing your pain. Ice your knee right along with any other painful areas you're icing. The forum Nurse, Josephine, recommends icing for no less than 40-60 mins each time you ice. It should help with the pain and swelling.

    Please re-familiarize yourself with the Recovery Guidelines below. Take notice of the Big Tip toward the bottom. Another helpful article is the Activity Progression for THR.

    Stop back often, we'd love to offer support and encouragement as you move forward.
    I hope you have a peaceful day!


    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 discomfo
    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
    5. At week 4 and after you should follow this
    6. Access to 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.

    While members may create as many threads as they like in a majority of BoneSmart's forums, we ask the at each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice. @Pj1961
     
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  3. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    :hi: Sorry that knee is causing you such distress!
    No time soon I hope!

    Exactly!
    Please give things time to recoup from all the trauma incurred.
    Healing vibes coming your way!:angel:
     
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  4. Pj1961

    Pj1961 new member
    Thread Starter

    Member Since:
    Apr 27, 2019
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    Thank so much @Mojo333 and @Layla for your kindness and encouragement. My expectation of this recovery was based on the success of the one last year. It's good to be reminded that I need to start from scratch again and that's it's still so early. I've gone back to the recovery graph and info and feel much less upset about the sore knee (even though it's still sore)
    I've appreciated having access to the wealth of info on BoneSmart. Thanks again.
     
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  5. Hip4life

    Hip4life junior member

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    Hello @Pj1961. I also was surprised at how much pain I had in my knee post op. It persisted at varying degrees for the first few weeks. Pretty normal/common I was also told by my ortho clinicians. I’m 11 weeks out and just now feel like everything is finally settling down and the pain is low to nonexistent. That just happened in the last couple of days and that is very different from many others’ experiences but it was mine. I embrace that because I finally have what this was all about-my life back. You know what I’m talking about, obviously. Hang in there, ice, elevate, and medicate. We’re here for you.:) :-) (: :ice:
     
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  6. SE Florida

    SE Florida graduate

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    Hi @Pj1961! :wave:I had my 2nd hip done 5 years after my first but I still expected the same outcome in recovery. About the only thing that was the same was the incision! :heehee: My knee and ankle/foot were really swollen for the first 3 weeks. I had to do a lot of icing and elevating before I saw any improvement. My thigh/hip muscles had really deteriorated before I had surgery but I was able to work through that with no PT, just walking. You're only at 7 days post-op so it's best to just ice and elevate, quick walks to the bathroom, etc. The best thing to ease your mind, is never compare the first hip to the second hip------strange, right? But your hips are completely different from a surgical stand point. Also it's best to not compare your recovery with others. We are all so different! Wishing you a restful recovery!!! :flwrysmile:
     
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  7. Pj1961

    Pj1961 new member
    Thread Starter

    Member Since:
    Apr 27, 2019
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    Thank you @SE Florida and @Hip4life for sharing your experiences. This forum has certainly been helpful in easing my mind about the swelling and pain in my knee and quads. I'm focusing on doing the recommended walking and lots of rest, elevation etc.
     
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