Sarah K – Week Nine

Three weeks until I can run again and three weeks of PT under my belt.

I must admit, I was very skeptical of PT when I first started down this road and was relieved when my doctor told me I wouldn’t need any PT for the first month. I even agreed with the nurse practitioner during my one month follow-up that I wouldn’t need to see my PT more than a couple of times (but of course if I wanted to, I should call her so she can refill my PT prescription).

Well, today I made that call, because PT is amazing. Continue reading “Sarah K – Week Nine”

Stan’s Pre Op…

Just had my Pre-Op Dr. appointment. 5 days till surgery date. I have been
dreading all this surgery stuff. But what are you going to do? Hip won’t get any
better without surgery! I was a bit bothered in that I didn’t even have appointment with my Doctor, but instead with his PA. I really needed to hear the words from the Surgeon. I expressed that running has been a huge part of my life for as long as I can remember and wanted to build back my fitness post surgery by cycling but still wanted to be able to run 5k’s occasionally. PA’s response of course was “we don’t believe you should ever run on a prosthetic hip. That it will just not last! And that if a revision is needed later the surgery is
harder”.
I’m supposed to be getting ceramic/ceramic and I was curious if maybe I should be getting ceramic/plastic because of my goals.
I left the appointment wondering if 1) I have the right doctor, 2) If I still even want to go through this! Guess I have some real soul searching to do!

MRS – one week post-op

I’m not able to tell stories of minimal pain or no need to medicate or “hold me back” regarding PT.

I had my anterior approach right THR on Tuesday, April 1 at 5 pm. It was done and I was in recovery by 6:11. They said I did great and all had gone amazingly well. I got to see pictures of my femur head…flat on the top. Very delineated where the cartilage ended and the bare, eroded bone began. They said it was a really good thing that I got the surgery done. The joint was beyond shot.

I FELT great at that point. By 9 o’clock, I started feeling some inkling of pain. My teeth started chattering uncontrollably. Having decided to not be a “tough guy” and to follow directions and advice of those who had gone before me, I buzzed for meds. Fifteen minutes later, when the pain was actual pain and no one had shown up with any relief (or anything, for that matter) I buzzed again. “O, right! She’ll be right there!” Twenty minutes after that when I was in excruciating pain, I buzzed again and was pretty rude and nasty and pretty much experiencing pain worse than any I’d ever had before. The nurse came scurrying in, apologizing profusely, and administered dilaudid through the IV. While the pain melted away, I suddenly vomited the small amount of fruit they had given me once I was in my room. Thus began an 18-hour alleviate pain/empty stomach pattern until they figured out when to dose and what to use regarding the anti-nausea meds. Then it was much better.

My first round of PT was so painful. I was somehow able to get out of bed with my Thigh Of Fire and stand using the walker. I got about 20 feet from my room and said I was light-headed. Back to the room I went. Blood pressure 65/32 or something like that. And thus continued my PT pattern for the next 4 sessions before being discharged.

Last night as I was feeling frustrated I decided to see what really happened to my leg and I found this video…

I also posted this in a comment on Sarah’s thread. For those of you who had anterior approach and are experiencing IT issues…they cut through your TFL. Just sayin’…

So I felt better seeing evidence of what I already knew…that it was a very very invasive procedure and to be gentle to myself in terms of recovery.

Every day the Thigh Of Fire burns a little less. I’m looking forward to the day when the swelling subsides for good…because Blimpleg is no fun!

A question for you: did you ice pretty constantly? can you over-ice provided you aren’t giving yourself frostbite? I’ve a message in for my surgeon but no answer yet.

For now I only need the pain meds at night…maybe once during the day…but not yesterday or today.

I’m still able to make meals for my 4 kids (not because I want to but because there’s no one else to do it). They do help a little bit. Still able to help the youngest get dressed and undressed and brush her hair, etc. Self-care is pretty good, too…except for putting my foot down when I’m spent and really want to lay in bed! Where’s my housekeeper? lol

I’m not feeling as negative as this all probably sounds. In fact, I’m feeling really ‘up’ about the whole thing…just my story isn’t sunshine and roses 🙂

Hope all of you Hiprunners are doing well!

The Post Surgery Exercise Routine

Now that I’m home, I’ve been put on a physical therapy regimen that I must do 3 times each day.  These exercises are such a far cry from old me….but it’s a start.  This is the routine:

Ankle Pumps: Sitting or lying position, point your feet down and pull your feet up.  (10 Times)

Quad Sets (Thigh Tightening):  Lie on your back.  With hip and knee straight, tighten the muscles on top of the thigh, pushing the back of the knee into the bed.  Hold at least 5 counts, then relax. (10 Times)

Buttock Squeeze:  Squeeze your buttocks together.  Hold at least 5 counts, then relax.  (10 Times)

Heel Slides:  Lie on your back.  Slide your heel up toward your buttocks, then slide it back down.  Do not lift you heel from the bed.  (10 Times)

Hip Abduction:  Lie on your back.  Place a pillow or folded towel between your knees to rmind you to not cross midline.  Slide your entire leg out to one side and back to the pillow, keeping the knee straight. (10 Times)

 

My Questions and His Answers

OK….so I really need to know some answers to my questions. I won’t have answers until my pre-op appt on 12/29…but figured I should start writing them down.

  1. When will I be able to put weight on my hip?  Dr. Tim says that he wants me on crutches for 2 weeks.  He says that he KNOWS I will want to put full weight on my hip before then, but he wants to make sure that I gradually add the weight and give the joint time to heal.
  2. When will I be able to swim? He is recommending that I wait 1 month.
  3.  When will I be able to Spin?  No spinning until the 3 months are over.  Spinning puts pressure on the socket and he wants the initial bone growth into the new “bionics” <– my word not his, to be uninterrupted.
  4. When will I be able to go back to work? He said I would be able to go back to work when I am ready.  He suggested a reentry into the workforce
  5. Can I do pushups?  1 Month.
  6. What is the most therapeutic position during recovery?  Can I sit at a desk? Yes I can sit at a desk, but I should get up periodically and walk around.  (Again, Dr. Tim’s suggestions as far as reaclimating to work…were a bit extreme – but I didn’t think he’d mind if I didn’t completely follow those suggestions).
  7. When will I realize that hip replacement surgery is not an out-patient thing?  Answered:  I actually did think it was an outpatient procedure.  Talking with Mark the pizza guy – who had his hip replaced…….I figured I’d be walking out the door on crutches the same day and tossing the crutches the next.  Tommy Tommy Tommmy sooooo much to learn.  I will be in the hospital for 3 days.  But I will have a computer and my iphone and words-with-friends, plus a few books that my boys thought I would find entertaining while I’m cooped up.

Other things:

  • I can do upper body work (lifting) but not while standing.  As a matter of fact, I am supposed to lift nothing heavier than a coffee cup while I’m standing.
  • My leg will be longer after surgery. Yikes.  It’s already longer than the other leg.   More lifts in the shoes.
  • Situps in 2 weeks.
  • The walking training plan.  After I ditch the crutches.  Walk 1/2 block for 2-3 days and assess the pain.  If all is well then walk 1 block for 2-3 days and assess the pain. If all is well (i.e. not limping) than walk 2 blocks for 2-3 days …. and so on.  Slow and steady.
  • The hip will get as good as its going to get in 3 years.
  • Highest risk of dislocation happens in the first 3 months after surgery.
  • During the first 3 months, avoid any kind of twisting at the hip be conscious of your movements.
  • There is a 10% chance I will lose feeling on the skin of the thigh.
  • Whenever I go to the dentist for anything, cleaning, fillings, etc, I will have to take antibiotics the night before – for the rest of my life.  (WOW).