JohnInSeattle
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I too am finding out about limits and testing them they are really a moving target, Be very very careful.
THR Z's Postop thread
- Thread starter Z15
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OP
Z15
graduate
John,
I think your recent version of "moving targets" (aka John meets floor) was one of the scarier ones. I'm sure mine is coming.
All,
First outpatient PT this AM ... need to be there at 7:50.
I may be weird, but I love these....
The main reason may be that he will determine what new things I can do. Exercise-wise I am virtually unchanged (literally) since Day2.
Have a great day wherever you are,
Z
Z
I think your recent version of "moving targets" (aka John meets floor) was one of the scarier ones. I'm sure mine is coming.
All,
First outpatient PT this AM ... need to be there at 7:50.
I may be weird, but I love these....
The main reason may be that he will determine what new things I can do. Exercise-wise I am virtually unchanged (literally) since Day2.
Have a great day wherever you are,
Z
Z
OP
OP
Z15
graduate
PT was great... They (2 therapists evaluated me) were pleased and impressed with where I am and said that one of their jobs will be to keep me contained to doing things appropriate for my point in the healing process. *I* might feel that I could do more at this point (and I do), but it would not be good for my healing. SO they said they will try to keep me under control and challenged...without doing any damage. And I support them wholeheartedly. That's where their expertise is so valuable...
I knew that they offer a pool based rehab which i was not excited about at all. I figure that I can walk 2+ miles a day and I do the bike and I now do the rower again..WHAT GOOD IS WATER THERAPY...but they convinced me otherwise!
I won't say it as well as them but it's like this... I want to get back to doing things that involve some impact (kicking a soccer ball for example). On land the only way to try that "explosive movement" of hopping into a kick is to do it...and there would absolutely be some IMPACT on my new prosthesis. :DOH:
But in the water, I can do the movement, I can eventually do it QUICKLY and when I land on my new hip the impact is greatly reduced. So I can get all the muscles firing and re-coordinated and practice that....without the banging on my hip if I did it on land. Hadn't thot of that....
It made sense so I agreed to do some of my sessions in the pool.
They were very nice....scrapped most of my stretches and exercices and gave me new stuff to do...plus continue the walking, bike and rowing (they happen to like rowing as a workout and we all understand that I will ramp SLOWLY back into that.)
4 weeks ago right now I was in pre-op....how the time flies :happy dance:SEE the impact on that little yellow smiley guy is just what i need to avoid....
Z
I knew that they offer a pool based rehab which i was not excited about at all. I figure that I can walk 2+ miles a day and I do the bike and I now do the rower again..WHAT GOOD IS WATER THERAPY...but they convinced me otherwise!
I won't say it as well as them but it's like this... I want to get back to doing things that involve some impact (kicking a soccer ball for example). On land the only way to try that "explosive movement" of hopping into a kick is to do it...and there would absolutely be some IMPACT on my new prosthesis. :DOH:
But in the water, I can do the movement, I can eventually do it QUICKLY and when I land on my new hip the impact is greatly reduced. So I can get all the muscles firing and re-coordinated and practice that....without the banging on my hip if I did it on land. Hadn't thot of that....
It made sense so I agreed to do some of my sessions in the pool.
They were very nice....scrapped most of my stretches and exercices and gave me new stuff to do...plus continue the walking, bike and rowing (they happen to like rowing as a workout and we all understand that I will ramp SLOWLY back into that.)
4 weeks ago right now I was in pre-op....how the time flies :happy dance:SEE the impact on that little yellow smiley guy is just what i need to avoid....
Z
staffsknot
senior
Hallo, Z,
I'm another one who thinks the little smiley guy can be a pain. In fact he is usually the direct cause of any pains I may have.
Where water therapy is concerned, think "racehorse". Trainers for a long time have had their horses swimming round in a circular tank, especially when they are trying to rehabilitate them after a strain, or during bad weather when it isn't practicable to run them outdoors. When in action these creatures are expected to run at 35 miles an hour with a smallish person on their backs, and take all this momentum and weight on legs that are not much thicker than barbecue skewers. So, for an athlete like yourself, for water drills, read swimming, and spend these early non combatant months polishing your swimming strokes, or as in my case learning new ones. Not the dreaded breaststroke, obviously, since the bone man seems to think that the leg kick will cause your leg to detach itself at the ball and socket and ping off to the side of the pool or lake and be eaten by one of the other swimmers or some other creature resident in the water.
For myself, although I still can't walk fast or far, at least this last year or so of swimming a lot has helped to keep my head straight and has helped me to convince myself that I am still in the game.
Meantime, bind and gag the little guy and proceed with caution.
All the best, Alan
I'm another one who thinks the little smiley guy can be a pain. In fact he is usually the direct cause of any pains I may have.
Where water therapy is concerned, think "racehorse". Trainers for a long time have had their horses swimming round in a circular tank, especially when they are trying to rehabilitate them after a strain, or during bad weather when it isn't practicable to run them outdoors. When in action these creatures are expected to run at 35 miles an hour with a smallish person on their backs, and take all this momentum and weight on legs that are not much thicker than barbecue skewers. So, for an athlete like yourself, for water drills, read swimming, and spend these early non combatant months polishing your swimming strokes, or as in my case learning new ones. Not the dreaded breaststroke, obviously, since the bone man seems to think that the leg kick will cause your leg to detach itself at the ball and socket and ping off to the side of the pool or lake and be eaten by one of the other swimmers or some other creature resident in the water.
For myself, although I still can't walk fast or far, at least this last year or so of swimming a lot has helped to keep my head straight and has helped me to convince myself that I am still in the game.
Meantime, bind and gag the little guy and proceed with caution.
All the best, Alan
Jen
senior
Z, you might find that you like water rehab more than you think. There is something that is really warm and comforting about being in the water, at least for me. Plus it's a good way to add resistance when/ if you're not ready for weights. And it can do great things for your range of motion.
OP
OP
Z15
graduate
Thanks to both Alan and Jen for their supporting comments on water therapy.
Alan, the folks here are giving me a slighlty different impression of THEIR water therapy...I don't think there'll be much swimming at all.
But they did say I could run, hop, jump, lunge, skip....all things that would be unwise to do on land, and they will involve the exact same muscles that will eventually let me do those on land (although I don't really skip that much anymore, except backwards when playing defense.... basketball and soccer players will know the move...:wink1
So I will see. I am what swimmers refer to as "a sinker". I can swim to save my life...have actually done a couple months where I swam regularly for fitness and it is very not my thing. More power to the swimmers of the world...you have my respect!
Z
Alan, the folks here are giving me a slighlty different impression of THEIR water therapy...I don't think there'll be much swimming at all.
But they did say I could run, hop, jump, lunge, skip....all things that would be unwise to do on land, and they will involve the exact same muscles that will eventually let me do those on land (although I don't really skip that much anymore, except backwards when playing defense.... basketball and soccer players will know the move...:wink1
So I will see. I am what swimmers refer to as "a sinker". I can swim to save my life...have actually done a couple months where I swam regularly for fitness and it is very not my thing. More power to the swimmers of the world...you have my respect!
Z
dectjc
member
Hi John
Sounds like things are heading in the right direction for you and congrats at hitting the 4 week mark.
Stay out of the deep end!
Sounds like things are heading in the right direction for you and congrats at hitting the 4 week mark.
Stay out of the deep end!
Wow Z - you are really on your way now. The water therapy does sound great. I would have had the same first reaction - :no2:! But it does make sense.
Let us know how it goes!
Let us know how it goes!
lisanewmc
post-grad
All you active people - respect! Just reading about it makes me tired :biggrin:
Jollyroger
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Hi Z (John, isn't it?)
I have finally found the time, stuck here in hospital, to read through some of the more interesting threads on BoneSmart and yours is certainly one of those.
I am fascinated by the minimally invasive techniques being used in specialist (US only?) centres now and the amazingly short post op recovery periods that seem to be the result. I was impressed with Haldox and Jetlag in Chicago and now with your story from Boston(?). I really enjoyed the vids too. Having just had the classic approach on my second hip (8" incision, 30+ staples and 3 or 4 days in hospital) you can understand my interest!
Clearly the immediate post-op period seems to be a major improvement over the traditional approach but I am starting to wonder if the medium term recovery is also improved. With hip #1 I was walking half a mile with one crutch at 10 days and at 20 days a mile without crutches was OK. Since then my recovery has been hampered by hip #2 protesting but ast 6 weeks I would say that I had largely forgotten about hip #1.
Do you think the short term benefits translate into a better medium to long term outcome or is there a coming together of the recovery journeys in both approaches from, say, 4 weeks on? I know it depends to a large extent on the individual, their general fitness before the op and their determination to succeed post-op etc. but it's a interesting question.
I have finally found the time, stuck here in hospital, to read through some of the more interesting threads on BoneSmart and yours is certainly one of those.
I am fascinated by the minimally invasive techniques being used in specialist (US only?) centres now and the amazingly short post op recovery periods that seem to be the result. I was impressed with Haldox and Jetlag in Chicago and now with your story from Boston(?). I really enjoyed the vids too. Having just had the classic approach on my second hip (8" incision, 30+ staples and 3 or 4 days in hospital) you can understand my interest!
Clearly the immediate post-op period seems to be a major improvement over the traditional approach but I am starting to wonder if the medium term recovery is also improved. With hip #1 I was walking half a mile with one crutch at 10 days and at 20 days a mile without crutches was OK. Since then my recovery has been hampered by hip #2 protesting but ast 6 weeks I would say that I had largely forgotten about hip #1.
Do you think the short term benefits translate into a better medium to long term outcome or is there a coming together of the recovery journeys in both approaches from, say, 4 weeks on? I know it depends to a large extent on the individual, their general fitness before the op and their determination to succeed post-op etc. but it's a interesting question.
OP
OP
Z15
graduate
Roger,
Since I am 4 weeks into my first hip replacement, I am pretty darned far from an expert on the stats. Jo and other moderators will point out that 6 months after the surgery, we will all look pretty much the same, and I don't disagree with that. And I am VERY FORTUNATE and I think doing better than most patients who have had this MIS, but I am not unique. My best friend's sister in law had this same surgery 3 months before me and went to Disneyworld 3 weeks after the surgery. That was silly..., but she did it with no ill effect. I've spoken with other relatives of folks who had this surgery and they rave about it. After speaking with my doc on Monday it's pretty clear that I am tending (don't know how far) to the better side of the scale. And as I remind folks and myself...this could unravel in heartbeat.
I think the part of the equation that is hard to argue with is the less that is cut, the smaller the incision THEN the "less" healing that has to happen, and the fewer complications that might occur. I believe that.
So here is my non-medical assessment of why MIS is not done more widely (I'm a computer guy...what do I know). To do all the things that need to be done thru a 4 inch incision is harder to learn and more challenging to do for the surgeon. Like making a (pirate's) ship in a bottle. It would be easier to make that ship without all the restrictions and confines.
And it may be that it is easier to "screw up" when you are doing this work thru that limited opening...I don't know and I am not willing to watch the actual footage to figure that out! ICK! :hate-shocked:
This hospital (yes, in Boston, MA) is a great place to go for most orthopedic procedures and joint replacement in particular, and I was fortunate enough that it's my default hospital for bone stuff.
But, the waiting list is very long, there are some out of pocket costs that are pretty high ($2200) . In my case the options on prosthetic types is kind of non-existant (which is ok...i wanted ceramic). But the Wright hip is at least partially designed to conform to that surgery. I was fortunate that I had the lead time to plan this.
I watched the video on Jetlag's procedure and agree with you...pretty amazing.
Heal well...be a good patient...and we'll all be at basically the same place after 6 months or so. AND, if I do something too dumb, too fast, my fancy pants MIS may not buy me a darned thing. That is a genuine reality....
Z
Since I am 4 weeks into my first hip replacement, I am pretty darned far from an expert on the stats. Jo and other moderators will point out that 6 months after the surgery, we will all look pretty much the same, and I don't disagree with that. And I am VERY FORTUNATE and I think doing better than most patients who have had this MIS, but I am not unique. My best friend's sister in law had this same surgery 3 months before me and went to Disneyworld 3 weeks after the surgery. That was silly..., but she did it with no ill effect. I've spoken with other relatives of folks who had this surgery and they rave about it. After speaking with my doc on Monday it's pretty clear that I am tending (don't know how far) to the better side of the scale. And as I remind folks and myself...this could unravel in heartbeat.
I think the part of the equation that is hard to argue with is the less that is cut, the smaller the incision THEN the "less" healing that has to happen, and the fewer complications that might occur. I believe that.
So here is my non-medical assessment of why MIS is not done more widely (I'm a computer guy...what do I know). To do all the things that need to be done thru a 4 inch incision is harder to learn and more challenging to do for the surgeon. Like making a (pirate's) ship in a bottle. It would be easier to make that ship without all the restrictions and confines.
And it may be that it is easier to "screw up" when you are doing this work thru that limited opening...I don't know and I am not willing to watch the actual footage to figure that out! ICK! :hate-shocked:
This hospital (yes, in Boston, MA) is a great place to go for most orthopedic procedures and joint replacement in particular, and I was fortunate enough that it's my default hospital for bone stuff.
But, the waiting list is very long, there are some out of pocket costs that are pretty high ($2200) . In my case the options on prosthetic types is kind of non-existant (which is ok...i wanted ceramic). But the Wright hip is at least partially designed to conform to that surgery. I was fortunate that I had the lead time to plan this.
I watched the video on Jetlag's procedure and agree with you...pretty amazing.
Heal well...be a good patient...and we'll all be at basically the same place after 6 months or so. AND, if I do something too dumb, too fast, my fancy pants MIS may not buy me a darned thing. That is a genuine reality....
Z
DallasSarah
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Hi Z,
The water therapy sounds brilliant! I like your analogy of the ship in the bottle concept that made lots of sense.
We are all so lucky to have this type of information on this website, its so helpful to read and learn from others going through the same thing!!
Thanks for sharing..
The water therapy sounds brilliant! I like your analogy of the ship in the bottle concept that made lots of sense.
We are all so lucky to have this type of information on this website, its so helpful to read and learn from others going through the same thing!!
Thanks for sharing..
dectjc
member
Hi Z
I saw on another thread that you are enjoying the compression socks as much as I am. I wasnt told to wear them during my first TRH. This time my GP is more involved and told me to wear them during the day. Im ok with it since its not short season here yet. My wife went out and picked up some black ones which would look SO striking in shorts lol. Maybe with a nice pair of black loafers I would look like I was back in the 50's. Have to say the best part of wearing them, other then if I got a bloodclot and wasnt wearing them, is taking them off at night. Man that feels so good.
I saw on another thread that you are enjoying the compression socks as much as I am. I wasnt told to wear them during my first TRH. This time my GP is more involved and told me to wear them during the day. Im ok with it since its not short season here yet. My wife went out and picked up some black ones which would look SO striking in shorts lol. Maybe with a nice pair of black loafers I would look like I was back in the 50's. Have to say the best part of wearing them, other then if I got a bloodclot and wasnt wearing them, is taking them off at night. Man that feels so good.
dectjc
member
Z,
Almost forgot, good luck to your team tomorrow, even though they embarrassed the Broncos I will still be rooting for them.
Almost forgot, good luck to your team tomorrow, even though they embarrassed the Broncos I will still be rooting for them.
OP
OP
Z15
graduate
Tom,
If I did the tall blacks socks I'd throw some shin pads in them and would throw on a dirty pair of soccer shorts and see if I could convince folks that I'd just enjoyed a healthy soccer game!!
I totally agree about taking them off...best part of them for sure, BUT I always to love to take off my socks at the end of the day...it just makes me smile!
I've never had the slightest hint of swelling..but I wear them <SIGH>. I don't want PT, nurses or docs to gever say I didn't follow orders...
Go Pats
(and I would've rooted for Denver over the Giants...I have LOYS of work friends in Denver!)
Z
If I did the tall blacks socks I'd throw some shin pads in them and would throw on a dirty pair of soccer shorts and see if I could convince folks that I'd just enjoyed a healthy soccer game!!
I totally agree about taking them off...best part of them for sure, BUT I always to love to take off my socks at the end of the day...it just makes me smile!
I've never had the slightest hint of swelling..but I wear them <SIGH>. I don't want PT, nurses or docs to gever say I didn't follow orders...
Go Pats
(and I would've rooted for Denver over the Giants...I have LOYS of work friends in Denver!)
Z
dectjc
member
Z
Well tell your work friends in Denver that if they see some guy laying on the side of the road with black compressions socks on to stop and help me.
Well tell your work friends in Denver that if they see some guy laying on the side of the road with black compressions socks on to stop and help me.
OP
OP
Z15
graduate
Good thinking, Tom
I'll be sure to have them tell the paramedics that you have 2 artificial hips...I think this is a really solid plan. :yes 4:
I'll be sure to have them tell the paramedics that you have 2 artificial hips...I think this is a really solid plan. :yes 4:
Rick02809
junior member
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