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Knee Replacement & Hip Replacement
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Who would have thought I would now need a new hip

Discussion in 'Hip Replacement Pre-Op Area' started by leejaa, Aug 5, 2016.

  1. leejaa

    leejaa Post-Grad
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    I had been struggling with lt. groin pain that would radiate medially thigh and laterally down to the knee and below to foot anteriorly. I had been treated by chiropractor for ilipsoas syndrome but the groin pain persisted and the medial thigh and down, progressively getting worse. It also extended up toward my SI joint and whole left pelvis. I could not lift my left leg sitting without pain and could not bend over sitting to put on shoes or socks. Certain movements in bed were also progressively painful.

    I had hip x-rays in 2014 and they were completely free of disease so never thought it could be OA. It kept getting worse so I even saw my PCP or rather the PA in his office who assumed it was my SI joint and ordered PT. At same time I took myself to a pain specialist who also thought it must be my back and ordered a MRI of my lumbar spine which did not show anything that would be causing any issues. She then suggested a SI joint injection which I had and then a trigger point injection over my SI joint a few months later. All this time, I was doing PT both water and land which seemed to help a tiny bit for a very short time but did not last at all. I did 20 sessions but no real results.

    I then made an appt with my PCP who was somewhat new to me as I had been seeing one of his partners previously but that doctor left for another practice which was not in my network. Thank goodness I saw this doctor. He listened to my symptoms and then examined my hip with certain movements and said "it is your hip". He did not think it was OA but wondered if it was labral tears or AVN and luckily ordered an MRI and miraculously the insurance even approved it. I believe having had PT already and treatments along the way helped with getting the approval.

    I had the MRI within a week. I am lucky to have had it done so quickly. It showed major joint degeneration. Luckily, I work in the radiology department so I had the results immediately. Well, immediately I called my OS for an appt. He is very good with a good reputation so his first appt was December however I could see his PA within a week. I had seen her previously so made that appt.

    I have seen the OS PA with imaging and report in hand. She reviewed, ordered plain x-rays as they will need it for sizing and said as she showed me the image 'you need a new hip and you probably did not think to need us so soon'. No, I did not think it was my hip. I have my surgery date set Jan 25,2017. As I said, he is very good and in demand.

    I did ask for pain meds for night time so I could sleep. The last 2-3 weeks I have had extreme difficulty sleeping and I am still working. She did prescribe Vicodin to take evenings before sleep. The last 2 days I have actually been able to get more sleep. I still wake up and switch between bed and recliner but can get sleep in 3hr intervals with taking 1 pill before going to bed around 9p and then again around midnight when I seep to wake up again with pain.

    I know I could look for another surgeon to have this sooner but this OS did a great job on my knees in 2013 and I trust him and the office is very efficient and the hospital path was also very well managed according to his plans - it is a hospital that has a joint replacement center and everything is very well organized. Again, the trust of the OS is driving me to wait.

    I am going to try to work from home at times and some shorter days when I can so I can manage the next almost 6m wait. This has also forced me to change my plans for early retirement as I want to get through this with insurance and just in case situations before I formally hand in my retirement date. This has really thrown me mentally as this was not on my radar, thinking the x-rays from 2014 looked so good. The PA in the OS office told me she had seen changes even in shorter time lapses with the shortest a month. I feel less dumb but still off kilter.

    I am writing this as I am back to BoneSmart and have been back for the last week reading other people's pre and post stories and other info provided here. This site is awesome and also I wanted to share some of my pre story in case it can help anyone else with symptoms they are having.
     
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  2. Josephine

    Josephine NURSE DIRECTOR, BONESMART Administrator

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    Well, now you know! OA can creep up on you slowly or with lightening speed!
     
  3. Cynthia777

    Cynthia777 Forum Advisor

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    Welcome back @leejaa!

    Wow, that's quite a story! I'm amazed at how quickly OA can advance! I'm sorry you have to wait so long while being in so much pain! Have you iced the area, as several members have used ice to help alleviate the pain both pre-op and post-op? Fortunately you have a great OS who did your knees! Has he also done a lot of THR's? I'm just curious because most of the practices I visited before deciding on who I would use, had an OS that specialized in separate areas (knees, hip, spine, hands etc.).

    I hope you can keep the pain at bay with your pain meds and ice and get the much needed sleep! Nothing worse than sitting up awake while the rest of the world is sleeping (at least it feels that way)! :)
     
  4. leejaa

    leejaa Post-Grad
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    My OS specializes in both hip and knee but not other body parts. The Vicodin is helping with sleep which has been a god send the last few days. You are so right that it feels even worse to be awake and in pain at night when everyone else seems to be at peace.

    I have not tried ice- heat helps some but does not last - so I use a heating pad for short bursts. I have even tried a TENS unit on my hip laterally but it did nothing. I used the TENS (you can buy one on AMazon) for my lower back because it would get really tight when I am walking more and then I have more problems. It helped with the lower back tightness but nothing for the hip.

    I have ordered a post hip kit from Amazon (not expensive at all) since I cannot easily get dressed now and cannot get socks/some shoes on and winter will be coming. I figured make my life easier now plus I will have had practice for post op 90 degree rule. I also ordered a lotion applicator with a long handle since my legs get dry and I cannot reach to do my left leg due to pain.

    Have a great week end.
     
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  5. Jaycey

    Jaycey Moderator

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    Welcome back to BoneSmart @leejaa ! Sorry you are here due to a bad hip. Yes, the pre-op pain is very hard to control. Baby that hip. Try to avoid any activity that aggravates it. You certainly don't want a collapse.

    Can you please put your THR date in your signature? Thanks!
     
  6. Cynthia777

    Cynthia777 Forum Advisor

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    So good to hear you've been getting some relief and sleep with the Vicodin! January sounded like a very long time away, but then I realized we're already in August, so the time will be here before you know it.

    I wonder if It might help to rotate the ice and the heat? The ice will help if you have any inflammation going on (plus you can't beat it for pain control). It may not work for you, but I iced SEVERAL times a day, for about 30 or 40 minutes at a time and it completely deadened my pain. I used those gel packs at first, but found putting ice in a very large Baggie and placing the Baggie inside a pillow case really worked better (the ice could spread out to different areas). It's cheap and worth a try.

    The post-op kit should really help. I didn't even know they made a lotion applicator! Since I had my surgeries, my legs have become so dry (especially my calves) and it's ended up causing a patchy rash here and there. I thought I was having an allergic response to my implant :yikes:, but my PCP thinks it's from the dry skin (I hope he's right)! :)
     
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  7. hoppy Mary

    hoppy Mary New Member

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    What's a lotion applicator. Would like to get one
    thanks
     
  8. leejaa

    leejaa Post-Grad
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    i went on amazon.com and put in a search for long handle lotion applicator. There were a few listed. Mine has not arrived yet so cannot comment on it. I will put in a note once I have tried it. It is something to put lotion on and spread it to where you cannot reach. I am hoping it works for my leg that I cannot bend on since it is very dry.
     
  9. Cynthia777

    Cynthia777 Forum Advisor

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  10. hoppy Mary

    hoppy Mary New Member

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    cynthia777. thank you. Think it would be a handy gadget to have.
     
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  11. Cynthia777

    Cynthia777 Forum Advisor

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    You're very welcome! :)
     
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  12. leejaa

    leejaa Post-Grad
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    Well my day is finally getting near. Had my class at the hospital on 12.27. I had my husband come with me and it was an eye opener for him as he did not attend the classes before my knee replacements due to work but this year he is retired so he came along.

    I had my regularly scheduled teeth cleaning on 1.6.17 with annual x-rays and all is well there. Then Monday 1.9 saw my GP for pre op visit as required by surgeon and hospital. Tues. 1.10 saw the OS to get any questions answered in pre op and that is all set. Today 1.11 Wed had to go to the hospital for pre surgery testing. Yay, all is now done except for the call on 1.24 to find out what time to come in for surgery on 1.25. I almost cannot believe it as it has been a long wait since this all started. So relieved.

    I cannot wait. It has been so hard to wait and keep going to work and trying to get through to this date. I am retiring once I recover from the surgery so that is a real blessing as I can concentrate on full recovery and not worry about things piling up at work to return to. In fact, work knows about my decision and my director is acting like she cannot wait to have me gone. It made me feel hurt at first and angry as I had been there 23 years and have basically established and built the area I manage. However, this is also making it easy to leave as I have done all I could in the years I was there and worked 50-60 hrs a week without overtime since I am salaried and I have no regrets that I did the best I could. It will be wonderful to have this hip taken care of and have time to do things I want to do without worrying about work and project timelines. The hardest has been the last few months with the pain and the attitude. In fact I was planning on trying to work till 1.20 but did check with the OS if I could get taken out of work earlier due to pain and discomfort and he said to just call the office and I can get a note. I am considering just finishing up this week or maybe working Monday and that is all. This will also give me time to get prepared since with this hip and the pain when upright or walking everything takes so much longer and I cannot do a bunch of stuff all in one day, The appts the other day had me popping Vicodin when I got home.

    I am so looking forward to getting to the other side of this and starting recovery. Some apprehension of course but really concentrating on getting through this and being able to take a walk again and move around without pain. Of course have gained more weight with the lack of movement and hoping it goes away some with increased activity once I recover. Not expecting quick miracles but just the ability to be pain free.

    I have been following the pre op and recovery threads as usual as it gives me perspective and hope and helps me prepare for the surgery and recovery. This is the best site for information and support.
     
  13. Cherdonnay

    Cherdonnay Member

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    Leejaa... I'm waiting a long time also to get the OS I chose who is very sought after. March 7th is mine for RTHR. I hope you are more comfortable when you quit work and take some time for you to plan and get more rest. I am 65 and retired 3 years ago. I have gotten to really look forward to my afternoon naps. Good luck with everything.
    Cherdonnay




    Sent from my iPhone using BoneSmart mobile app
     
  14. Miss Muffet

    Miss Muffet Forum Advisor

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    @leejaa this is a funny time - mixture of nerves coupled with let's get on with it. So glad you're on the verge of getting your pain resolved so that you finally have a chance to participate in everything you've missed out on for too long. The general opinion seems to be that knees are tougher than hips on the recovery scene and you've managed them so that's good news. I'm only a hip veteran but can tell you that as a total wimp I coped fine, provided I followed the BS mantras faithfully. It's great that you haven't got to worry about a return to work - a sounds like you're slightly overworked and undervalued so maybe it's time to out yourself first and languish in the knowledge that life is going to be so much sweeter very soon. Keep us informed as we'll all be watching out on your progress.
     
  15. leejaa

    leejaa Post-Grad
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    Trying to concentrate on the things I will be able to do once I recover and then have time to actually do them when I want. Cherdonanny, mu husband loves his afternoon naps. I am lucky that I will be able to retire and have the time. For me, it was realizing that what I really wanted was time - time to enjoy the little things and some bigger things if we are able but time is finite so might as well enjoy it as much as I can especially once the pain is gone.

    Everyone, have a good evening.:mooncat:
     
  16. Tweetybrd

    Tweetybrd Graduate

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    @leejaa We are almost there!!! :dancy:
    Congrats on your retirement! That is so great that you will have plenty of time to recover at your own pace. :)
     
  17. leejaa

    leejaa Post-Grad
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    It is so wonderful that we are so close now. Like you, the pain is increasing or maybe it is my tolerance for it and tiredness. I look forward to following your recovery thread.
     
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