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Re: Need for aggressive physiotherapy or not?

Hi Jo, it does sound like you need a bit of therapy to get you walking right, particularly that you should now be well heeled.

Beware of overdoing it at the beginning, rebuilding muscles takes quite some time. You'll know if you are overdoing it:biggrin:
 
Re: Suggestions for wound? Bilateral dysplasia?

Cheeky, which hospital and what speciality are you in? I worked at Sunderland Royal in ortho theatres.
 
Re: Need for aggressive physiotherapy or not?

You know, a lot of these issues will work themselves out with time and patience. I doubt you need 'aggressive' physio but you will need some. No doubt your surgeon will prescribe some - talk to him about it before you leave hospital. The true nature of your needs will be more apparent then. If, when the physio he has ordered has run its course and you feel you still need more, either he or your GP will order more. I strongly recommend you just wait and see how it is after the surgery. You just might be surprised!
 
Re: Suggestions for wound? Bilateral dysplasia?

Hi Josephine,

What a small world! I trained at the 'old' Royal Hospital in Durham Road and qualified in 1987. I worked on paediatrics for a number of years at the District General as it was called back then from 1987 until I left in 1993.

During this spell out I worked for the private sector when my daughter was young, but returned to the 'new' Sunderland Royal Hospital in 1997 and worked on the Stroke Unit, ICCU and Neuro-rehabillitation/Rheumatolgy wards before I left to take a promotion nearer my home at South Tyneside Hospital in 2003.

My current employment is predominately Cardiology and includes four CCU beds;always extremely busy and so stressful!

I'm really considering applying to university this year to train as a Health Visitor...I'm very concerned how my hip(s) will fair in the long term!

Unfotunately my nursing career to date has never included surgery and never orthopaedics and hence I'm completely in the dark regarding advancements in orthopaedic surgery.

Wow you working in orthopaedic theatres must have given you an invaluable insight as to why hip/knee folk experience so much trauma and pain afterwards...I think orhopaedic and ENT operations have to be without doubt the most barbaric!

:wink1:
 
Re: Suggestions for wound? Bilateral dysplasia?

Oh I totally agree! I've done some ENT but that and fax-max I hate with a passion. :eeew:

I worked at the Royal 2000-2006 so we didn't miss by much! Actually, I worked in ortho theatre (and joint replacement) since 1960!
I qualified in 1962 but my training school was already regularly doing hip replacements, first in the world!
Have a read here The History of Bone Smart Forum
 
Anaemia

Hi I wondered how long ot takes for a haemoglobin to return to normal following a THR? I'm still feeling really tired and still look like 'Casper' the ghost which is strange as I'm usually so highly-coloured.

My Hb was 8.9g/dL when I left hospital and I was prescribed Ferrous Sulphate 200mg twice daily however my GP changed this to Ferrous Fumerate a few days later as I was feeling extremely nauseous.

I'm eating and drinking normally now so I'm hoping it won't be too long before I'm feeling less tired.

Thanks :biggrin:
 
Re: Leg length discrepancy

Josephine,

It may be that my surgeon's thought process on this is non-standard and I will need to deal with that...but here was how I understood his logic.

And I will admit that that the fact that my OS has published numerous papers on the topic of leg length as it pertains to hip replacements made me pretty confident that I should just follow his advice on this...and trying to come to my own conclusions on this topic i know nothing about was likely a non-starter. :scratch: [if you looks at scholarly articles after googling "murphy sb hip leg length" you'll see that he has certainly pondered the topic]

My OS suggested that he would intentionally add some length to my new hip to get me back closer to where I should be AND knowlingly be longer than my unoperated hip, because we fully expect that in a few years I will have the second one done and he will even them out then. He saw a value to in getting the length back to where it should be, and dealing with a slight leg length difference in the interim. We discussed the fact that it would be longer, but his feeling was that it would be a difference (3/8 inch perhaps) that would be manageable and non-problematic until #2 is done, and doing this would have a long term benefit.

On Day 12 it just feels long...but I can see how some months from now it will be less of an issue.

Have you ever heard of this thought process before?

I can imagine using lifts some months from now, but at this point it just feels (and is) uneven.

Z
 
Re: Anaemia

I have brought my levels up in a couple weeks before. Gotta make sure when you take your iron tablets that you also drink a full glass of 100% vitamin C juice. Vit C helps your body absorb the iron.

I also find that eating a decent snack before taking the iron helps with any stomach issues.

Forgot to add.... caffeine can hinder iron absorption.
 
Re: Anaemia

I had my hemoglobin & hematocrit levels checked by my GP at 6 weeks post surgery and I was back into the normal ranges -- after weeks of iron supplements, prune juice and some homeopathic remedies...

Even though my H & H were in the normal ranges I still experienced fatigue related issues for some time just as part of the recuperation from the surgery. It's normal to feel tired after this type of procedure.

Take care,
Cardie
 
Re: Need for aggressive physiotherapy or not?

cheekychops:yay:

Hi, I am also in the UK near London and even before the op my surgeon confirmed lots of physio. I did 4 weeks and am now doing hydrotherapy which is absolutely wonderful! Bar the next day when its a little sore - but hey - we have gone through so much so far! You will probably exercise more if the physic is there rather than just at home. I also do static bike for 10 minutes every day and lots of walking (and walking around the house). I am 10 weeks post op and there is an improvement every day. hang in there and do gentle physio.
Cat
 
Re: Anaemia

Cheeky---I don't know about the anemia but I had normal levels after my first surgery and looked like a ghost. You are young and surely are anxious to get going. But a little coddling of yourself now might be in order. Soon enough healing takes care of much of the limitations you feel now. Good luck!! :thumb:
 
:scratch: I think I asked you that before, didn't I?

So, just up the road, eh?
 
Re: Anaemia

Cheeky, After surgery I was given iron pills. Twice a day. The only draw beck to taking them, is for me, it makes me constipation. i found apples and loss of fuits and other food that has lots of fiber. At least that is what I had to do. Do take care, you have had a manor surgery and it takes time to heal so be gentle to yourself. :doggieshmooze::yes 4::flowerysmile:
 
Re: Leg length discrepancy

That thought process is actually pretty standard amongst all hip surgeons. If doing the first of two hips of course they are going to get it 'where it should be' as opposed to matching it with a leg with a hip which is ultimately going to be replaced also. Any other course of action would be neither logical nor professional.
 
Re: Leg length discrepancy

Good to hear Josephine...it's just something I'll adjust to, or wear inserts, during the interim...

Thanks so much for confirming this... :happy dance:you can imagine that lots of us have to put our trust in the wisdom and professionalism of our surgeons and can't begin to analyze the engineering and medicine that goes into such decisions.

As I adjust to the LLD I did want to know that I'm not guilty of being too casual with such a decision! :sigh:

Thanks again,

Z
 
Re: Need for aggressive physiotherapy or not?

There is a big difference between "lots of" and "aggressive". Lots of is what you do yourself. Aggressive is what a physio does to you, stuff that causes pain and swelling.
 
Re: Anaemia

Just remember when taking iron it must be taken on an empty stomach for it to be absorbed. Someone mentioned taking it with orange juice which is an excellent suggestion because ascorbic acid helps iron absorption.
 
Well, that's a great thing I did! Cheeky, I joined all your threads together so now the conversations don't make a lot of sense!

But I would be extremely grateful if you would keep your posts about your hip and your recovery in this thread and don't keep starting new ones. It's a bit like patient's notes - the continuity is useful both for me and for all those who are trying to follow your progress. You may not think there are that many but there are. We get about 200 guests online at any time of the day! :wink1:
 
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