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THR Sometimes peachy, sometimes the pits

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Hi Peaches - I have had experience with 2 orthopedists. The first one, who has an excellent reputation, never even looked at me - he had his back to me and looked at his computer screen which showed my x rays! (He's the one who first told me I was headed toward surgery.) Despite his excellent reputation, I found him rude, and I moved to the one I used. Every visit he has tested my ROM. He has done so as I have sat in one of the chairs in the examining room - he's asked me to let my leg go loose and he's moved it up and down, back and forth. He did this pre-op, 2 weeks post-op, and 6 weeks post-op. But he never had me get onto the examination table.
When I was on my way out at my 6 week appt. he said, "well, I usually like to see people again at 12 weeks...." and I think if I'd disagreed, he would have said it was fine for me not to come back. After that, it's yearly for several years. So I agree with Liveringer, Maeve and ByGosh - I would bet this is simply the way he does things.

As far as evaluating my walking, he mentioned a few things about that - and I've come to realize that he watches the way I walk when I am on my way down the hall to the exam room!
The difference between that first doctor I saw and the second, of whom I am very fond, is exactly what TeeEm described: my current one sees people as whole people (even apparently visits folks in their homes if they are in too much pain to get to the office!!) I lucked out in finding him!:yahoo:
 
Peaches how are you doing? I went into the pool today for 28 minutes, some of that doing only arm exercises with hand weights, and no swimming, just light exercises and walking. I am exhausted. In bed under covers, aching everywhere. Hopefully better soon.

Hope you are less stressed and feeling okay.
 
That's great that you finally got to have a dip in a pool, LeeApril26! Do you feel the aches are the kind that bed rest and ice, etc., will cure? I mean, you don't think you did anything too problematical, do you? I am not a water person, but have always imagined if I ever got in a pool, I would never get out. It sounds so wonderful on the joints. But I guess you really can overdo it?? I really hope you feel better tomorrow so you can go back. Was this a pool near your apartment and, if so, how did you manage it? I also wonder if some of these gyms have elevators or do they tend to have staircases. When is your trip to your friend's --- oh, wait! Is that where you are now??
I'm a little fried in the brain, right now. I hope you are having a wonderful, well-deserved vacation away from the city. Enjoy every minute!

I have been too fried, in fact, to even get undressed for bed this week. I have started back to work and even though I am not working one second of overtime, by the time I get home and eat some dinner and lie down "for just a minute" with my trusty ice bags --- like a beached whale --- I wake up around midnight realizing I've fallen asleep right there. Then my sleep is all messed up for the rest of the night. I fell asleep while logged in to bonesmart, even.

Work has not turned out to have made me actively stressed, and in fact I've been in a pretty good mood. I guess it's because the goodwill of most of my coworkers has been very nice to be around. On the other hand, there is a feeling of waiting for the other shoe to drop, as one of my superiors is very inconsistent and one minute tells me to stop working so hard and then the next minute gets annoyed if something hasn't been done fast enough for him. No news does not mean good news. No one has told me that I no longer have pain written on my face; but many have told me I look good--and by that I don't mean pretty or anything. I think they are surprised that I am not haggard and pale. Some even thought I'd be in a wheelchair (????). More importantly, for anyone pre-op or post-op who wonders what it's like to go back to work at week six: Well ... I have felt like someone threw a bunch of tennis balls at my body all day. Kind of a beaten-up feeling. Aches and pains almost like those early post-op days ... when I was looking at my watch and wondering WHEN CAN I TAKE TWO MORE EXTRA STRENGTH TYLENOL! And my job is just a desk job. But I get up and walk a few feet here and there. I carried a ream of paper from here to there. I reached up and down to retrieve stuff from shelves. I walked four blocks to a bus stop. All of this added up, though, to a beaten-up feeling. But my fingers are crossed it isn't anything that ice bags and heating pads and rest will not soothe. And ... those four blocks I just mentioned? Prior to surgery I could not walk them without stopping for a rest. Could Not. Because of the bone on bone pain. This time, I had my friend Lower Back Pain shadowing me, but I did not need to stop. My concentration is okay ... BUT I cannot push myself to work lickety-split. I take my sweet time working on one thing slowly and steadily, rather than trying to race and do many things. Of course there are the inevitable email interruptions. The fact that I can indulge myself in working on one thing only rather than many things in a hectic way is because a stroke of luck occurred: One of the staff transferred to our department because of layoffs and reshuffling around ... and for right now, he is kind of free to help me out! This is amazing to me. I had stressed out prior to surgery because of the real threat that I would be thrown back in without a life raft to do all of my work, and do it fast and perfectly. But I have this godsend of assistance. Not sure how long it will last, but am hoping at least for this week and maybe next. It has been a huge help.

So ... the jury is out in terms of me recommending that "any desk job can be returned to in six weeks." But I'll keep posting and letting people know how it's working out for me.

So far, too, I have NOT been hearing any of those "amazing" stories about so-and-so's neighbor, uncle, in-law, teacher, priest, etc, etc., who had a THR and was mountain climbing the next week. In fact ... someone just today started to tell me about his sister's THR and I said, "... and she was bungee jumping in a week?" and he said, "Why, no, as a matter of fact, it really took her an entire year before she felt back to normal." Then ... someone else told me his wife's THR (which was almost the same time mine was) was feeling very disappointed because she still had lower back pain!

Someone did recommend that I go to PT on my lunch hour. And I said that would be hell on earth. I can't imagine tacking on that much more physical activity during an already full day. Not now, no way. That's insane. I am going to check out PT facilities that are open on Saturday and start there.

Having said that ... I have been lax on the PT exercises I should be doing at home. And I am really tight and stiff. I am unable to put my operated leg up high enough to put on socks or tie shoes. The toenails thus continue to grow.

Songlady, I'm so glad your second OS is so wonderful! Wow ... home visits?? I had no idea that still existed. Well, good! Thanks for sharing your experiences.

Thank you also to everyone else for sharing your experiences with OS checkups, withdrawal pains, and all of your support for my nuttiness!
 
Peaches....don't worry about shoes and socks. That will come. You are doing an amazing job at just six weeks. It's lovely when there's an option to delay returning to work, but everyone does what they have to. You are wise not to try and tack on the PT on top of it. You're getting exercise just being at work, plus walking to and from the bus stop. In another month or so, you'll have more stamina, and more concentration. For now, the priority is to do only what you have to, and the rest of the time is for rest and recuperation. Hang in....you'll be out of the frying pan AND the fire.

Sharon
 
Hi Peaches, the aches are just revived muscles. I assume I'll be okay tomorrow. Just haven't done it in a long time. And you're right. Once I go into the pool I hate to leave, but I knew I shouldn't overdo this, especially since I just started all this bending and stretching stuff. I tried sitting on the couch today and it was really uncomfortable, but picking stuff off the floor and scrubbing my feet are okay-no more flakes. Haven't tried cutting toenails yet. We are in the country, so getting to the pool is easy.

I'm so glad you are able to do the physical tasks required for work-walking to the bus, lifting stacks of paper, etc. That's great, and the mental multi-tasking will come. It is difficult to do that the first day after vacation, yet within a week it is as if you've never left. I'm sure it will come back. Hope your unexpected assistant sticks around until you get some of the backlog cleared up. Can you ice at work? Secretly lean on an ice pack?

And, as Sharonslp said, you are getting plenty of PT. In the mornings I do heel slides before I get out of bed. It seems to help with the stiffness.

I hope you can rest when the weekend arrives.
 
Thanks, sharonslp. I'm wading into the back-to-work pool in the kiddie pool area, sticking my big toe (with its ever-growing toenail) in gingerly. I might have made the mistake of going outside for a short, two-block walk at lunchtime simply because I can't stand to be cooped up inside all day, and NYC has been blessed with almost-autumnal weather this week, after a brutal heat 'n' humidity wave over the weekend.

LeeApril26: I have used my heating pad and numerous ice bags front row and center, for the world to see.
Don't care how it looks. Sadly, our freezer in the office community kitchen has several ice bags in it. Several of us need them. I'm so glad your post-pool aches seem to be routine, expected ones ... and that you can resume the pool in small doses. I know how much it must revive your spirit to get into the water! I have not tried sitting on my sofa yet; it is low. I still cannot sit on a super-low toilet, that's for sure. It hurts too much and I don't want to make myself extra sore if I don't have to. But the handicapped toilet, which is not as high as the stinky toilet riser toilet at home, is doable. I am still doing a golfer's reach or maybe a modified one when reaching down to pick up stuff; sometimes, to give myself a pain break, I use the grabber, too. How are you reaching down? I am still very unsure about the one big restriction I have, which I call the "buckling the sandal strap move." It seems as if reaching down at all could get dangerously close to breaking that restriction. I need to find pictures or videos of exactly what he meant. I hate to be so stupid about it, but that's it.

I hope you are enjoying wonderful weather and a peaceful respite from your urban recovery from the THR!

Yes, I will rest up a lot this weekend. Number one priority.
 
Peaches, thanks for your description of your working experience! I love your sense of humor: very dry. Not to sound like a broken record (do people know what that means anymore? lol) but when I looked at my posts from 3 years ago and the first hip, I was hurting from playing a full load of Sunday services at eleven weeks (and needing to nap afterwards) - and here you are, at six! You go, girl! Please be as easy on yourself as you can! And right, you are getting plenty of PT just functioning! @LeeApril, I hope you are hurting less by today - but, also, you are doing "normal activities" in your holiday, and I would think it's pretty normal to hurt! I hope you have had a good rest so the hurting doesn't mess up your time away. (Let's call your trip a PT Outward Bound Trip for Hippies!)
I am still not leaning or bending to scrub my legs/feet in the shower; just doesn't feel doable yet. I may try tomorrow. I am really enjoying this cool weather at the moment and am wearing jeans, so... who knows if I have flakes or not?!
 
Peaches. Was you doctor talking about sitting with your knee pointed inward, breaking the midline, and your foot going out, with you leaning over your leg to buckle a sandal? If so I can never do that either. Not supposed to turn the knee inward on the operated side. He did say I could sit on the bed with the leg extended and reach forward to close the shoe (no sandals for me !!!) I showed him the move to be sure it was ok. So what I understood was that we can never bend the knee in and lean over the outside of the leg. Hope I understood it properly.
Songlady I am reaching down in a touch your toes move to scrub my feet. The toilet seat here is okay, though I did bring along a riser just in case. I have always been flexible and limber, so the leaning over is not a problem, but when I sat on the couch my hips went down quite low and it really hurt. Hope I don't have hard chairs in my future. And, though I think I could lean coward enough with my leg straight on a bed to clip my toenails, I am afraid to extend that far. Doesn't feel like I could lift my foot to the opposite knee yet. I go back to PT next Monday and will ask.
 
hi LeeApril26 - I am looking forward to standing on one leg in the shower and bending the other to scrub it. I came to the point where I could do that with my 3-yr-old hip, so I'm sure the time will come!
I actually can life my foot to the opposite leg, but not as "severely" as normal, and really, I can just do it for a minute (to straighten out a sock, or pull the tongue on a pull-on sneaker) because it's uncomfortable. But that will come, too, I'm sure!
 
Hi Songlady. I'm not standing on one foot yet. Just bending down from the waist and using a brush to scrub my feet. Good to know I can aspire to it.
 
Peaches oh my dear, what are you doing up at 2:30am?????? get your rest, woman!
I have mixed feelings about your return to work. I wanted you to have tons of time off. but you can't, and here you are so far keeping up. As Sharon says, just do the things that are absolutely needed. Who needs nightclothes anyway when we have day clothes? LOL
it sounds like all your walking the halls paid off. I hope and pray that the back pain stays away, and that you can hang in there doing the least that's necessary until your stamina and focus come back-- and this time with NO b-o-b pain!!!!!! :) Sending you support over the innertubes :)
 
Peaches Hope you got home okay in all this rain. We are sitting on top of a large hill as it streams by, and I was watching the NYC news and it looked worse. Hope you are home and dry.
 
Hi, LeeApril26:
Yes, I got home okay in that downpour ... thanks so much for checking in on me! I hope you are okay and far enough away from "Tropical Storm Andrea"?? It was rainy and sloppy to/from work yesterday, but I took it slow and it was manageable. I was lucky!

Hi, zauberflöte, Songlady, ByGosh ... Work week and my new crazy sleep schedule has really messed me up. I seem to sleep from around 9 p.m. to 2 or so; then wide awake and up; then back to sleep pre dawn. Family stuff too. Am getting far behind, but think of bonesmart and hoping everyone had a good week.

First week at work done!! I made it! That guy assigned to work with me (and on his own stuff) has made all the difference. We have a couple of Jekyll-n-Hyde supervisors to contend with, so it's always a "never know when the other shoe is going to drop" / "no news isn't necessarily good news" atmosphere (so what else is new? that's why they call it "work"), so it's still a deal where you never know when the stress will pop up. I am still working very slowly and pacing myself. The reactions from some people have been less than stellar, but I imagine this is how it is at most workplaces ... there are a few who seem to be a little resentful that I got to "take off work for so long." Others seem to think I'm "all well." I have to ignore these types ... and figure out how long to use my cane inside the office. I don't really need it, but wonder if I will maintain stamina throughout the day if I still use it. I will continue to use it outside for a while since there is so much foot traffic.

Am almost afraid to say so, but ... each day I have come home with a little less pain. The lower back pain still occurs, but not constantly. The other body aches and pains from the first couple of days back at work are less so.
Am not sure I should trust how long this good streak will occur, but am cautiously optimistic. I am still exhausted from it all, but part of that is from the weird sleeping patterns!

Now, here's an interesting twist: A couple of friends have emailed me to say they hope the arthritic pain from all this rain hasn't been too bad for me. Well, guess what: There is no arthritic pain (in the hip) anymore! How about that? I had about a five-minute walk last night, including waiting for a long stop light and standing, when I noticed I was completely pain free. It was a dream! Now I have lower back pain as I type this, ha ha. You can't have it all. But little pain free moments are here!!
 
So pleased your weekend is here.. Time for some R & R..

I went back to work at 7 weeks, with my walker (just in case) and my walking stick. By 10 weeks I didn't need either.. You are doing fantastic for almost two months.. slow and steady :)
 
Hi, Poppet! How are you?? Thanks for the reality check about needing a cane at work. "Slow and steady" is my middle name. I hope and pray it serves me well in the end, but the truth is I don't really know what I am doing.
 
Hi there Peaches, You said ' but the truth is I don't really know what I am doing.' ... can I help you; ask away honey, that is what we are here for
 
Hi, Poppet. I just mean there are so many contradictory bits of advice among all of the OSs and PTs. One minute I read that using a cane isn't good; then I read it is good. I am sadly not a good multitasker at all. I felt starting back at work was all I could do, activitiy wise. I chose to believe that avoiding hallway walks when I got home exhausted at night, and even ignoring the easiest of PT exercises each day was enough. I hope I am not fooling myself. I don't mean to abandon all PT forever; I just want my body to get adjusted to being back in the work routine and then start up the PT again. And by PT I mean at home. Maybe I'll check out the outpatient stuff. I just never know. Right now I should jump up and maybe take a nice, slow walk outside in the sun. It would be good for my spirits. But would that be "overdoing it" since I am sore and tired from the work week? Do I baby myself too much? See ... these are the burning questions. Thanks for your concern! It is always such a pleasure when I see "Poppit" on the screen! Tell me your main page so I can check in more frequently with how you are doing in your world. I always smile when you mention the countdown to retirement. I would love to retire, but will have to put it off for about 10 years. Unless I win the lottery! :)
 
There is no arthritic pain (in the hip)
First week at work done!! I made it!
Yea....to both...and I hope that your sleep patterns work themselves out soon.
I think you are smart to keep using the cane for a while, even if it is just a warning to others so they do not get to close and make you loose your footing. I still carry mine when I am going to be in a large crowd just in case. While I am pretty sure footed at this point, I just want to make sure someone else does not cause me to fall.
 
Hi there Peaches...

You are doing exactly what you should be...

You are back at work - so you will feel tired and exhausted, and the best thing is to rest and take it easy. I didn't have PT at all, my surgeon didn't believe in it, he said walking is the best exercise. Oh, I did and still do the simple set of exercises they gave me in hospital, but I don't go out of my way to do them.

With regard to using your cane, if you need it, use it honey. Your body will tell you when you don't need it, suddenly you will forget where you left it. We literally have to learn to walk again and helping that process with your cane is fine.To progress of a cane, you must be able to walk without a limp. I would suggest if you limp when you go without it you are probably not quite ready to go it alone.

The length of time that it takes to get off your walking aide is not important and will not determine the success or failure of your hip replacement. You will walk without support when you feel you are safe and can walk comfortably without dropping your hip or limping.

If you are feeling sore and tired, that is not the time to walk. Your body is saying to you - "rest me, I am healing", but don't let that stop you from sitting in the sun and getting that all important Vitamin D as well as a boost to your spirits. That's healing and recovering for your emotions as well, which is equally as important as the physical.

What kind of work do you do? Is it office based? If so, make sure you get up and even stand supported at the back of your chair or hanging onto a cabinet and do tippy toes and leg adductors and real gentle squats every 45 mins. I am sure if you are in an office, the walking involved in getting a cuppa or going to the bathroom, getting to work and home is sufficient at this stage until you build strength, energy and stamina.

Also are you able to take ice packs to work? I found them absolutely invaluable and still have them tucked away in the freezer at work and if I have had a lot of walking in the day and sitting in odd chairs, I will get an ice pack and sit on it! I noticed that you had a posterior lateral, which is what I had, so ice packs are good..

Here is the link to my recovery thread.. Pop on by any time and tag me anytime :)

https://bonesmart.org/forum/threads/miss-poppet.12374/page-101

Hang in there, give it a little more time :) It is ok to baby yourself, you have had major surgery.. I still baby myself :) I am off to sleep now it is just past midnight Sat night here in OZ... I will catch up with you tomorrow.. Hugs from down under ((( h )))
 
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