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THR The fun part

Oh, you gotta know I was kidding! Seriously, have a wonderful time, and soak up some delicious sunshine! I'll be down there next year, searching out all the good riding places!
 
A word to @Mojo333, @Layla, and others: is there any research about physical therapy after hip arthritis concerning its effectiveness? I'm evaluating whether I want to go freelance on the whole rehab thing.
 
I have found what you would expect when googling these things...alot of varying opinions.
PT for specific issues I understand but mainly I speak from my own experiences.
PT, especially early on, aggravated the already aggravated tissues and muscles injured during surgery.
I did no PT for 8 weeks and then only mild PT with strict boundaries in regard to weight and resistance bands.
I did at home PT, glute clenches, pelvic tilts, stretching..and as my job requires an inordinate amount of walking...got more than my share of exercise. Did a little freelance water therapy also.
Nothing to excess.
I healed just fine. Most information I see on www that really touts Physical Therapy is (shockingly) put out by PTs.
Maybe some moderators have more clinical information.
I just did what I knew was helping and followed the Bonesmart mantra...if it hurts, don't do it.
 
@Mojo333: there's not a lot I could find either, but my thinking is starting to parallel yours. I have my 2nd PT session today, which I plan to use mostly for instructions on how to walk with a cane, and a little beginner's help on posture (20-30 years of OA and my posture is poop). And then... dunno yet. But I'm not down with the rote list of exercises they're pulling out, mostly because I doubt the benefit out-weighs the risk of pain and swelling at this stage of recovery, and I strongly suspect that professional PT at this stage is driven more by tradition and norms than science.
 
So much can be done on our own using common sense. I had to practice my heal toe walking, and practice using my core to stand up straight.
Years of bad limping and bad posture with hip pain takes a oll and does need work to replace all old bad habits. Good new shoes.
I can stand and lift my legs up and to the side for the appropriate (for me) reps without an overseer.
A full length mirror helped as I could check my posture and deficiencies.
New aches arose as I slowly put my body back in the right shape to bolster these hips.
Ah two weeks out, I'd say practice your right way of walking, stairs in short amounts will mimic PT raises, normal activity and standing tall are all that is needed this early on in my opinion.
Hope today is a Good Day for you.
 
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Good Morning :wave:
I wonder if Josephine would have any info on the question you posed. It may be helpful if we could find some articles on that subject to add to the Library. So you are opposed to doing clamshells? @Bone-obo
Only kidding because those are the worst to me! I think your approach is very sensible and the pay off will be good. Wishing you a great day and a good PT session!
 
Hi again,
To me, they are the worst! They feel like the biggest offenders sometimes through what I've read here.
You're doing great! Thanks for your contributions to the forum.
 
The last two days have been CRAZY PANTS!

On Tuesday I'd decided I was in for a long slog of recovery, and that I was going to have to cultivate patience, however difficult, for the slow climb ahead - and I hasten to add there's nothing wrong with that!! That was also my first PT appointment. At first, she was surprisingly helpful - I wanted to show off my walker skills, but the therapist said slow down, hot shot, you're not SUPPOSED to become a better walker pilot - you're SUPPOSED to use it to get RID of the walker.

Oh.

So, point 1 for the therapist. Yay! Then she scored again by showing me how easy it was to use a cane. Big revelation! The ground shook! A way forward! 2 points for the PT team!

But then she blew it by getting out those same exercises that everyone gets, when it was blatantly obvious that the muscles groups she had me working were already reasonably toned, and that my adductors were if anything TOO strong, stiff, and tight from anchoring a dodgy hip. I assessed a 5 point penalty for PT, which put them in jeopardy of getting axed.

Tuesday night I had the sads. I felt sorry for myself, sore from what I considered a useless waste of hit points, and discouraged that my PT seemed determined to see a generic hip replacement patient instead of me and my needs. And I had to pay ODIC dues with pain, which meant more Oxycodone to sleep than usual, which made me queasy and dizzy when I got up. Bone-obo was a crabby, crabby boy.

Yesterday I had a bi-annual checkup with my regular doctor, a guy I've known for years, and while we were reviewing the meds, he gently suggested I try something else to control the pain at night: Meloxicam (which I've used a good bit with good tolerance and no side effects) and Arthritis-strength Tylenol. (I love Dave - he's the type of doctor that assumes you want all the details on everything he does, and is happy to talk recent studies and anatomy to whatever level you want.) Meh, I thought. Why not?

This morning something felt ... strange. It took a minute to realize that where there is usually a persistent low-level ache there was nothing. Nada. Got up, grabbed the walker, and set off for the loo. I kept one finger on the walker the whole way, then one finger under the walker, and went in search of my cane. And it. Felt. AWESOME! Great! Natural! Still sore when I put weight on the operated leg, sure, but easily tolerable, and no lingering after-ache. My PT had said not to switch over before her go-ahead, but no WAY was I giving this freedom up!

Had another PT session for today - going into it, I was 3/4's of the way to bailing (as you can tell from my posts around that time), but I thought I'd talk to the PT and try to get her to see what my individual needs were first. And lo: she saw! The cookie cutter exercises were disappeared, replaced with things that make sense, and she saw that one of the best uses of her time was to start loosening up all those knotted flexors and adductors, which she set about to do with gentle massage. :flabber: ("Are you okay with this," she'd ask constantly.) So yeah. I'll stick with the PT for a while longer.

So, good day. I'd dared to hope I'd make it to opening night for "The Incredibles 2" with friends, and now? Lookin' good!
 
Hi @Bone-obo
Enjoyed your post. I love your sense of humor and detailed descriptions.
You're doing great at nine days out....I'm happy for you!
I hope you enjoy The Incredibles 2 with friends this evening.
 
[Bonesmart.org] The fun part
 
So you are opposed to doing clamshells?
100 million years ago, when I taught aerobics, I could do them just fine, but now? :censored:
To me, they are the worst! They feel like the biggest offenders
If you want my take on most of the regularly recommended exercises, read this BoneSmart philosophy for sensible post op therapy
I have my 2nd PT session today, which I plan to use mostly for instructions on how to walk with a cane, and a little beginner's help on posture (20-30 years of OA and my posture is poop).
I absolutely agree! 100% In fact, quite a lot of them are responsible for a lot of the aches and pains members complain on in this forum (hips and knees!). I spend a considerable amount of my time urging people, who have posted that they are in agony and worried that their hip or knee has failed, to stop doing the routines instructed by their PTs. These invariably include clamshells, bridges, high marching, steps, lunges, squats and various others I can't recall now. Ban'm all, I say! It would save a small fortunes on pain killers!
 
@Josephine: I hear what you're saying, and completely understand how rigorous workouts like these can cause inflammation & pain, and retard healing & mobility. But I also see the point of what they're trying to accomplish - in my case OA has left a lot of support muscle groups like the abductors atrophied. Do those recover on their own over time thru normal day-to-day activity? Or would it be better to chill for a few months and hit the gym after healing is firmly established?

My passion is biking - recumbent triking to be precise - and I worry that I need those currently MIA muscles to protect my knee from repetitive stress. Is this a valid concern?

Confession time: I kinda like a challenging PT session - BUT my swelling/pain is under control, I stop IMMEDIATELY if I feel pain, and I monitor how I feel both after and the next day for any long term damage/tiredness.

And caveat: I can also see how a bone-headed PT could carelessly inflect damage with these exercises on someone who wasn't ready. I suspect a lot of PT's have a blame-the-victim mentality - the sort of "no pain no gain" bull pucky you warn about.
 
OA has left a lot of support muscle groups like the abductors atrophied. Do those recover on their own over time thru normal day-to-day activity?
To be honest, I've never seen anything to the contrary!
I kinda like a challenging PT session
Those are okay but not right after major surgery - that's all!
 

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