THR Subluxation<<

[Josephine]

Yes, I agree. Don't think you have to manage without the cane or that you're too proud or independent to use it! It's far more important that you avoid limping for as long as it takes.

 

[roo28]

Hi Layla,
Thank you so much when I was able to walk without the limp I was really trying to control the muscles around the hip, By just concentrating on heel toe walking it also goes away. I still get a bit fatigued in the muscles and being to limp when I am walking outside, but it is much better.

 

[Layla]

Hello @roo28
You're feeling fatigued easily because you're only one month post op from a second major surgery, experiencing both surgeries within 41 days. Your body is using energy first to heal the assault it went through during the two surgeries. Look at your progress weekly, rather than day to day. You'll notice a difference that way. Keep concentrating on the heel-toe walking.
I hope you have a wonderful week!

 

[roo28]

Thank you again

 

[roo28]

Is it normal several weeks into recovery to start having pain that you did not have before? I am noticing pain in my upper groin similar to what the arthritis felt like (not exactly). It started as I increased my walks and continue to work on no limping.... the no limping is going ok but tired and new pain?

 

[Josephine]

It depends what you've been doing. 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 that is fine

 

[Layla]

Let's tag, @Josephine so she doesn't miss your response. Sorry you're struggling with some new pain. Hopefully it's nothing significant and eases soon.
Happy Friday to you!
@roo28

 

[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 2nd surgery in 41 days

2. 2 today, the other day after walking 5

3. ran out of Celebrex Tuesday and the groin pain was Wednesday. Started Naproxen yesterday

4. ice twice a day

5. elevated when seated not when sleeping

6. walking about 1 mile per day, have to work not to limp but I can do it

7. lateral leg movement standing, walking, small knee bends holding on to counter.
No PT any longer

 

[Josephine]

Sorry but I need more detail here

3. ran out of Celebrex Tuesday and the groin pain was Wednesday. Started Naproxen yesterday

The question also asked "how much are you taking (in mg please) and how often?"

4. ice twice a day
5. elevated when seated not when sleeping

Question also asked "how often and for how long?"

7. lateral leg movement standing, walking, small knee bends holding on to counter.

This question specifically asked "please make this a list and not an essay"

 

[roo28]

3. 200 mg 3x daily
4. ice 2x a day for 20 min
7. lateral leg movements standing. 22 rep 1x daily
22 rep of short squats 1x daily
walking 1 mile 1x daily

 

[Josephine]

2. 2 today, the other day after walking 5

About right at 6 weeks

3. Started Naproxen yesterday 200 mg 3x daily

Try adding in Tylenol at 1,000mg per dose, 4 times a day at 6hrly intervals.

4. ice 2x a day for 20 min

You accomplish little or nothing in 20 minutes. Ice for at least 40-60mins and more than 4 times a day.

5. elevated when seated not when sleeping

Make sure you are elevating properly, that is, with 'toes above nose'

6. walking about 1 mile per day

That's very good

lateral leg movements standing. 22 rep 1x daily
22 rep of short squats 1x daily

You don't need even these few exercises. The walking is quite sufficient.

 

[roo28]

thank you

 

[Layla]

It seems you're on track. I think you may deal with the fatigue for some time yet.
Your body has been through so much trauma in a very short time. It seems you're doing well, considering.
I hope you have a peaceful week!
@roo28

 

[roo28]

thank you Layla

 

[roo28]

I saw my Dr. on Friday he said everything looks so good, I only need to come back if something seems wrong. Beginning to feel much better.

 

[Layla]

Hello roo
Wonderful! Thanks for sharing the news with us.
It's good to read you're feeling better. You're on your way.
Have a great week and happy 4th!
@roo28

 

[Mojo333]

Great to hear @Roo

 

[RobertHip1]

Hi Roo, I have read your posts. I think that I also had subluxation of my hip. The first thing I noticed was a weird wobble. It felt like I was sliding on ice by an inch or two but my foot was stationary. I also had weird vibrations clunks crunches and clicks. This was my second hip replacement the first which was held in with screws worked well. My second was not held in with screws has crumbled head broken and needs revising. Can you tell me was your hip cap held in with screws and also how did subluxation feel to you.