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Setback?!

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Tommy Utah

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I was cruising along recovering from bilateral THR in fine fashion when I seem to have incurred a setback that I’d like to query folks about. I just finished a stint of driving limo for two weeks working 12-14 hr days in a very sedentary fashion. Basically we can’t leave the vehicle. When that gig was over I decided I needed to increase my exercise regimen by essentially doubling the length of my morning walk to 2 miles…really not that far and I took efforts to pace myself. Also consider that I've been pain free for well over 2 mos. After one day I felt good but the morning of the third day I could barely move my left hip (4 mos post-op). In addition, on one walk I had I slipped and caught myself on some ice but at the time there was hardly any pain incurred. Basically what it feels like is that I’ve pulled or incurred a groin injury on the left side. My back also feels a little tight and weak. I recall some folks here with similar circumstances and any feedback would be appreciated.

Tommy Utah
 
I think you've just sprained a muscle, Tommy. I doubt it's much to worry about other than it hurts!! I'd go see a chiropractor and get him to work on it. Other than that, some simple pain pills and/or ibuprofen would help ease your pain.
 
Thanks Josephine, there isn't anything out of whack or instability so I'm not too worried. I'm guessing many folks have these sort of things occur as they go along with recovery. I do have non buffered Ibuprofen that is helping.
 
Hi Tommy
I am about 7 months out of right hip replacement. I love my new hip . I have had other surgery since then and before and njothing compares to the new hip.
all that being said I do get occasional soreness, pain in the hip area, at one point a few months ago, it was actually painful for a few days to sleep on that side. I think I was at my going crazy hiking all I could mode and deserved what I got. But, I still love my new hip and it is awesome, just think we might always get some type of muscle issues in the area for a while if not for ever!!!!
I see my hip/knee surgeon today and may ask about it although I have absolutely no complaints, I can always find a cause when things are a little bit uncomfortable.
That does sound rough staying in the limo all that time, it would kill me!!!
Judy
 
Tommy, hope you bounce back from this little setback very quickly! Sounds like you are on top of it with the Ibuprofen! I'm with Sewell, though....12-14 hours in a car!!! Oh my! That would be difficult for someone even without a joint replacement in the mix.
 
Tommy, hope you bounce back from this little setback very quickly! Sounds like you are on top of it with the Ibuprofen! I'm with Sewell, though....12-14 hours in a car!!! Oh my! That would be difficult for someone even without a joint replacement in the mix.

Yeah with the new hips a guy sort of seizes up after a couple hours, but limo driving involves a lot of waiting around and not so much driving so we can get out and stretch, and believe me I got strong signals when it was time to stretch.
 
Hi Tommy,

I can relate to your situation. I had my THR Nov '07. It was fantastic, I couldn't stop telling people how wonderful I felt and the freedom from pain had given me a new lease on life. I then had to line up for a TKR which I had Nov '08, 10 weeks ago today. My hip started with a pulling sensation in the thigh of a night time a few months before my op and now after my operation the pain has just increased to the point I can no longer go upstairs, get into or out of a car, turn in bed, without a pulling pain down my thigh. As it was the same pain I originally went to the doctor with it has been scary. I feared my hip replacement was loosening but xrays show it hasn't.

I'm sure we will have some recurrent aches and pains with our new bits :) I hope yours becomes more comfortable soon.

Question for Jo and/or Jamie......

Do you think it would be worth a shot to try Ibuprofen and see if that eases the pain?

It's just such a change from the way I could move in the beginning and also in hindsight I think the first hip twinges started when I stopped the Celebrex (anti inflammatories)5 months before the TKR. (I was on a standby list, that's why they were stopped so long before the actual operation).

Regards
Chris :)
 
Hope you are feeling better! I had TRHR lgoing on 14 weeks tomorrow! When my OS surgeon lifted all restrictions, he gave me his blessing to drive from New York to Florida,,,,,as long as I promised to take frequent stops to stretch, I could drive long hours! I notice whether I'm in the car 1O minutes or 1O hours, the toughest position for me is getting out of the car! I stiffen up & it just takes me a few minutes to straighten myself out! Especially with the cold weather we've been experiencing this winter,,,its been a remarkable recuperation! Keep Alleve handy....it definitely helps in the long run!
 
Aussie, Jo is the medical expert, but I would give one of the over the counter pain meds a try. You might need to experiment with them to find out which works best for you. In my case, Aleve works SO much better than Tylenol or Advil, but everyone is different. Your thoughts about the Celebrex make sense to me. I've taken it before and for me at least it is a wonderful anti-inflammant! But.....like all prescription meds, there can be some consequences with long term use, so I now opt to just take Celebrex now and then if I REALLY hurt and mostly use Aleve the other times. I want to get to the point where I'm not taking ANY prescription meds on a consistent basis (my dream - LOL).
 
Thanks Jamie,

I've worked out our equivalent to Tylenol is Panadol, but not sure about Aleve???

Maybe someone can tell me?

Chris :)
 
I'm gonna give my definitely NON-MEDICAL knowledge of over the counter pain meds here.....certainly welcome anyone with more knowledge than I!

There are 4 types of pain medication you can get over the counter - aspirin (we all know what that is, I think), ibuprophen (I believe Tylenol is in that category), acedemenephin (this is Advil), and naproxen (this is Aleve). The brands I've mentioned are what I'm familiar with in America. If you don't have them in your country, snoop the aisles of pain killers in the drug store and read labels. It should say what is what. I'm going to go out on Google and see if I can find a better list that I could post.....BRB!
 
Thanks all,

Panadol Osteo would be our Aleve. My GP just gave me that, it doesn't have a lot of effect on my thigh pain, but I'll check out the chemist.

Thanks for Googling for us Jamie.

Chris :)
 
Ah - Naproxen is what my gp prescribed for me a few weeks back - never did a thing for me! But then, I'm not post-op!
 
I'm gonna give my definitely NON-MEDICAL knowledge of over the counter pain meds here.....certainly welcome anyone with more knowledge than I!

There are 4 types of pain medication you can get over the counter - aspirin (we all know what that is, I think), ibuprophen (I believe Tylenol is in that category), acedemenephin (this is Advil), and naproxen (this is Aleve). The brands I've mentioned are what I'm familiar with in America. If you don't have them in your country, snoop the aisles of pain killers in the drug store and read labels. It should say what is what. I'm going to go out on Google and see if I can find a better list that I could post.....BRB!

Not to be nit-picky, but. . .

All the above meds are NSAIDs (Non-Steroidal Anti-Inflammatory Drugs).

Asprin is a common med that suffers from GI upset and irreversibly binds platelets and inhibits them significantly, therefore, increasing bleeding risk.

Ibuprofen (aka advil, motrin, etc) is a nice NSAID that can also cause GI upset, minor bleeding risk (according to many surgeons). There is a theoretical risk I have recently learned about of "bone-softening" though my surgeon doesn't seem to mind.

Aleeve (aka Naproxen, naprosyn, etc) is very similar to ibuprofen with similar risk and side-effect profile. It can be dosed less frequently.

Celebrex (along with Vioxx - now gone) is very similar to the above except it works more intensely on inflammation and less elsewhere which serves to minimize GI effects and bleeding risk.

Tylenol (acetominophen) is an NSAID, though quite different from the above as it is felt to act more centrally (i.e. in the brain) to reduce pain and less so in the rest of the body, thereby minimizing all side-effects.

As a rule, tylenol can be hard on your liver when taken too frequently and the others can be hard on your kidneys (yes, even the might - mighty expensive - Celebrex).

Many prescription pain killers (Lortab, Vicodin, Percocet, Darvocet) are a combo of tylenol and narcotics (i.e. derivatives of morphine), so caution to the liver and don't add too much over-the-counter tylenol to these!

Hope that helps.

***Disclaimer: Lawyers of the world, the information given above is free of charge, implies no doctor patient relationship and should not, in any case, be a substitute for your doctor's opinion when considering taking medications****

Ain't America great?
 
Thanks for providing more and better information, UTDave! I was hoping someone might help me out with more details! Your disclaimer was great. You know, I didn't know about the real dangers of Tylenol in large quantities until I had my knee surgery. I was trying to find something to use instead of Hydrocodone and took a lot of Tylenols in a 12 hour period. It made me really sick and, once I read on the internet that I had gone over the dosage considered maximum, I went to the Emergency Room. Fortunately my liver was in good shape and it processed the Tylenol okay. So all I got was a really sick tummy. But I swore off Tylenol after that unless it's just a few doses well spaced apart. It wasn't working for me and so I just kept taking it every couple of hours....not smart!!! I have told this story to all my friends and not a one was aware that there was any danger with over the counter pain meds. Scary.
 
So long as you stick to 1,000 mgm acetominophen (paracetamol in the UK) 4hrly you should be perfectly fine. It's when you either start taking them more frequently and/or increasing the recommended dose for a protracted period like 4 weeks or so that you start running risks.
 
It has been my experience that much of what makes folks sick is the buffers and other ingredients in nsaids and pain pills. I take prescription ibuprofen which is without other ingredients and actually cheaper/mg than OTC Advil..etc. When I had to take narcotic pain pills it was just plain non buffered oxycontin.

I have been told for reasons that escape doctors/researchers for now some nsaids work for some people while others do not. Aleve does nothing for me...nada. Vioxx however was like a miracle pill...(sigh). Larger doses of IBF will have to do for now.

But back to the original issue. I feel a bit better today but the overall symptoms are more widespread than I mentioned. The whole joint aches with mild pain sometimes going down my leg, and my incision/scar area has even sort of flamed up a bit. Having experienced similar scenarios with knee surgeries I think what happened is that must have somehow mildly traumatized the whole joint and/or broke up some scar tissue. Fortunately I have a post-op appointment next week and again things seem to be improving. Having a new x-ray that shows everything where it is supposed to be will probably relive me of any leftover pain...sort of like how a stress/treadmill cardio made some minor chest pains go away permanently.
 
Hi Jo and Jamie,

I have bought some OTC Ibuprofen. I'll give that a try and see if it helps with the hip/thigh pain, since the xrays say all is still in tact. If it's an inflammation problem it should settle with the Ibuprofen. Well that is my theory and I'm sticking to it! LOL

Thanks for the info everyone.

Chris :)
 
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