THR Subluxation<<

[Mojo333]

I am glad you have confidence in the surgeon and will be sending you all the best for a superior outcome.
I know that many of our members with revisions and weight bearing restrictions.
If this what it takes to get this healing show on the road, it will be all well worth it.
Hope today is a good day!

 

[Layla]

Hi
Just dropping by to say Hi and wish you comfort as you await surgery on Tuesday.
I hope you have a peaceful, relaxing weekend
@roo28

 

[Mojo333]

Hope all went well and you are resting comfortably (as possible)
Healing vibes coming your way!

 

[roo28]

So it has been about a week, the joint feels more stable, but the muscle pain was much worse this time.... he replaced everything and changed the angle quite a bit

 

[Josephine]

At one week? Of course it's going to be painful! Do you think perhaps you've just forgotten how it was first time around?

I'd really like to offer you some structured advice but in order to do that, I also need to ask you some questions. Are you willing for me to do that?

 

[roo28]

yes Josephine, any advice would be helpful. As far as the pain, I expected that two surgeries in 30 days or so would leave me a bit more sore in the muscles (the muscles had to endure a lot). I think this time went much better. I will read your recoveries. Thank you

 

[Josephine]

Here y'go then!

It would be very helpful if you would answer each one individually - numbered as I have done - in as much detail as you can then I'll come back as see where you are

1. what approach did you have for your surgery? Anterior, posterior, lateral? You can look here to see the various types THR approaches or incisions

2. what are your pain levels right now? (remember the 1-10 scale: 1 = no pain and 10 = the worst you can imagine. And don't forget to factor in other forms of pain such as soreness, burning, stabbing, throbbing, aching, swelling and stiffness).

3. what pain medications have you been prescribed, how much are you taking (in mg please) and how often?

4. are you icing your painful area at all? If so, how often and for how long?

5. are you elevating your leg. If so how often and for how long?

6. what is your activity level? What do you do in the way of housework, cooking, cleaning, shopping, etc., and

7. are you doing any exercises at home? If so what and how often?
This is the most crucial question so please help me by using the format I have left as an example
(which means please make a list and not an essay!)

Exercises done at home
- how many sessions you do each day
- enter exercise by name then number of repetitions of each
etc., etc.

Anything done at PT
- how many times a week
- enter exercise by name then number of repetitions of each
etc., etc.

 

[roo28]

1 posterior
2. 2 when sitting, 5 when moving after pain meds wear off
3. oxycontin 5 mg every 4 hours less at night
4. icing once or twice, helped with incision soreness
5. just when sitting
6. getting up and walking around the house once every waking hour
7. pt quads, glutes, ankle pumps, bending leg while on bed.... 2 sets of 10 once with pt once by self

 

[Josephine]

2 2 when sitting 5 when moving after pain meds wear off

Okay

3. oxycontin 5 mg every 4 hours less at night

Try taking Tylenol 1,000mg every 6 hours.

4. icing once or twice, helped with incision soreness
5. elevating just when sitting

Okay

6. getting up and walking around the house once every waking hour

Too much. Did you read the Recovery Guidelines that Jaycey left you in the second post of this thread? One was this Activity progression for THRs. I suggest you read it again and take note of the timetable.

7. pt quads, glutes, ankle pumps, bending leg while on bed.... 2 sets of 10 once with pt once by self

I think you also missed the paragraph titled

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.

This is not a jest, it's true and real. Hips need NO exercising or PT. If you do it, that's a fast way to get lots of aches and pains and spots of tendinitis. Here's another article you should have read BoneSmart philosophy for sensible post op therapy

 

[roo28]

thank you

 

[roo28]

Its hard not to go through the ups and downs even when I know they are coming from experiencing the first surgery so recently, but it is still a rollercoaster, and I wish I could walk outside, but I know it will come. Some dizziness, I think because they said I lost a lot of blood, and I have not been taking the iron regularly because even with aids for constipation the constipation gets unmanageable when I take the iron....

 

[Layla]

Sorry you're having a bit of a rough time. It's good you realize there are ups and downs
and that it's temporary. Eleven days post op is such early days. I'll bet a week from now you'll notice some improvement. Hang in there and stop by often, we're here for you.
Wishing you comfort and a peaceful weekend.
@roo28

 

[Mojo333]

Hi @Roo
I hope you are feeling a bit better and things are "going" well?
I struggled with constipation for the first few weeks and that certainly didn't help anything!
It was also hard to balance staying hydrated with trying to hold down those trips to the bathroom in the middle of the night.
Keep the faith...it gets better!

 

[roo28]

thank you both for the encouragement, still waiting for a really good day, but it will come.

 

[Layla]

Hi there @roo28
I think looking back two weeks from now, maybe even only a week, you'll see the improvement you've made.
Hoping today is a good day....you know they're coming.
Happy Tuesday!

 

[roo28]

Saw the Dr. on Friday said everything look great, told me to start getting outside. I noticed my gait is so much better with the cane than without. It doesn't hurt less just seems to support the muscle on the top of my glutei better so I don't roll. Time will heal.

 

[roo28]

Well things are improving faster. I have started to come down stairs on foot on one step. Still limping and sore by the end of the day, but it is more progress than I made six weeks after the first surgery

 

[Layla]

Great news on the Doctor visit!
It's advised you use an assistive device until you're no longer limping.
Don't forget heel-toe walking also, if you're not already.

A tip -
Try heel-toe walking when / if you're limping. Let your heel hit the ground first followed by toes.
It takes a concentrated effort but I believe you'll notice a difference. Give it a try.

I hope you have a lovely weekend!
@roo28

 

[roo28]

I can virtually walk without a limp if I concentrate, but the muscles still fatigue quickly then I limp again.... The Dr. was fine with me not using a cane anymore since I was fully weight bearing. But I do notice if I bring the cane out I don't limp at all because the cane replaces the stability that my injured glute is not able to do on its own all the time.

 

[Layla]

Hi @roo28 I hope you're having a good weekend so far.
I'd use the cane until the limp is completely gone. I'm sure it will happen soon.
Hang in there, you're doing well.
Have a great Sunday!
@roo28