22 weeks post-op, still can't walk unaided...

Posted , 14 users are following.

I've been lurking on this wonderful forum for awhile, and have decided to share my problem. I am impressed with the compassion and knowledge shown here! I am 67 and had a right THR 22 weeks ago. Had bone-on-bone OA, and could walk without a limp despite the pain, was very active. Recovery has been mostly uneventful, except that I still can't walk unaided without pain and a bad limp. I am in the U.S. with excellent insurance, so can see my surgeon and any other doctor whenever I want. I had 22 sessions of physical therapy, and I did all they asked of me.

Surgeon did more x-rays and a thorough physical exam and doesn't think that the prosthesis is loose, says everything looks fine. So I am seeing a phsyiatrist (doctor of physical medicine), and had a steroid/anesthetic injection in my sacroiliac joint a week ago to see if that would help. No change. Still have nasty pain in right thigh/hip area, and complete inability to put all my weight on the surgical leg. Leg just gives out on me when I try to balance on it alone. Going back to doc in 2 weeks, and we will try other treatments/scans to try to figure out the problem.

I get around very well with a crutch outside the house and a rollator walker in the house, although I fatigue quickly. Don't have pain while sitting down or just standing on both feet. I am discouraged.

Has anyone had this kind of situation? I tried to search for similar threads. Any comments or links to other threads would be appreciated.

7 likes, 56 replies

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  • Posted

    AnnieK - have you got a leg length discrepancy, post surgery, sounds awfully like my problem, I kept saying something was wrong, but nobody was lestening to me.

    Do you have a partner, if so you can try this, tie a belt or tape around your waist and get your partner to stand back and look at you from behind, stand straight as you can both knees flexed back.

    Is one hip higher at the crest of your pelvis than the other, note which is higher, you need to compensate with a lift on the other leg.

    If you have a leg length discrepancy that would make you limp as your body is trying to compensate for the difference, also could add to your pain as you are twisting your spine with each and every step you take, my pain is in the top of my leg, and also the feeling of not being able to balance on new hip.

    Another simple test to do at home is to wear a flip-flop on the leg you might think is the shorter, or the leg with the lower side of pelvis, see tape or belt test as above, you need to straighten yourself up, use the belt again, to see if you are even to the floor.

    See how you go for a few days, it is just a matter of working out what works for you, a lift has helped me on my short leg.

    I have become somewhat of an expert (drip under pressure) on this condition, having been there and done this, but I have no medical training, just all my own experience.

    • Posted

      Lyn, thanks for your thoughtful comment! So sorry you have had continuing problems.  It is possible that I have differing leg lengths after the surgery. I understand it is fairly common, although my surgeon didn't say that was the case. I'll have my husband check, as you suggested. I'll also mention it to my physiatrist to investigate, and the surgeon when I see him again next month. Great idea!

      I've had some pains in my pelvis that can be caused by uneven leg length or unequal weight bearing, so I have been making a big effort to try to stay as straight as possible and not favor one side or the other when walking/moving around (aided), and most of those pains haven't returned or gotten worse, thank goodness. I do not take many steps without aids because the limping can only hurt me.

    • Posted

      AnnieK - what really gets to me - Is they flat out denied I had a problem. Wouldn't examine me to see if I had a leg length difference, even when I asked.

      I could feel it and see it the first time I stood up after my surgery, I had to bend my left knee to feel even across my pelvis, and or lift my right heel off the floor to feel even.

      Apparently, or so the Dr's tell me, only a small number of patients are bodily aware, well I am one that is.!!!!!

      Maybe its from my mother telling me to stand up straight, my entire life until I left her house, we lived in victorian spendor, never dined without the table being silver service set, never slopped on a chair, never left the table without excusing ourselves. etc. that how she was brought up, and I'm sure she was determined to pass it on to us.

      Her grandmother who lived with mums family, was considered the leading lady of the county, having being brought up in Oxford in England, and educated there.

      Mum was a tailor, did an apprenticship during the second world war, after local tailor's boy went off to war. and made the entire families clothes, beautifully tailored blouses, suits, trousers, what ever we wanted wedding dresses, and suits for the boys as well.

      The Dr's at the hospital completely dismissed my concerns, that I coudn't balance on my new left hip joint, it just coudn't find my point of balance, and could not undertand, as I had a previous THR 13 months previous on the other hip, and knew what I supposed to be feeling. GRRRRR how dare they treat me like I'm some kind of idiot.

      Even my own GP when i showed him the imbalance in my hips, said swelling, from the surgery, weeks when past with no improvement, so I started researching my condition, in the local library, found a book on congentital leg length discrepancy designed for podotrist, and it spoke about LONG LEG X-RAY for troublesome cases, and I tought thats me. So went back to GP (squeeky door gets the oil) and said i wanted a long leg x-ray, and I even had discovered a clinic that did it, lots of phone calls later, he again dismissed my concerns, I got cranky with him, and said lets just do it to prove me wrong if nothing else. He agreed, saying you are going to have to accept its all in your head. Yeahhh right, I thought. My LLx-ray is really interesting, I have 10mm below my knee, 12mm added to femur length from surgery, + and - other small discrepanies that deem me needing a 10-12mm lift under my right foot to make up the differences, the 10mm below my knee, because I have grown with it my entire life does not need taking into consideration from my understanding. Still learning, and still reading as much as I can find as even lift has not entirely soved my problems.

    • Posted

      What a journey you have been on. How disrespectful and inconsiderate they were for dismissing your concerns! Even when you had sailed through the same surgery on your other hip - shaking my head. Glad you persevered and got the LLx-ray and info and the lift. Hope it all resolves for you.

      That's fascinating about your history, so different from mine! Lovely images...

  • Posted

    Hi Annie, 

    Welcome to our hippies family -

    that doesn't sound good and I am so sorry to hear about your problem - 

    when were you told that you were 100% weight bearing? 

    what kind of exercises did you do for balancing ?   

    I am sure that your PT was aware of your inability to put wieght on your leg or not in balance ...

    I am sorry I can' t help you here - hopefully more of forum members might , just like Lyn -

    Hope you have a great night

    Happy Holidays

    big warm hug

    renee

     

    • Posted

      Thanks for the welcome! I was told that immediately after surgery I could put any amount of weight on the surgical leg that felt ok to me. I was standing up on surgery day, with help. Was in hospital for 4 days, using walker, then home.

      When I lift one leg for a step while walking, my other leg is supporting my full body weight. I am unable to do that except for a fraction of a second, thus necessitating a quick jerk of the good leg and a limp. I can balance on my good leg alone for a long time, but on the surgical leg, only for a fraction of a second during which time that leg is buckling.

      I do well when standing on both legs at the same time. Yes, the PT was aware of my inability, but no strengthening exercises, or stretching, or balancing exercises made any difference in my ability to bear weight on the surgical leg. He had me on a balance board (standing on both legs), side-to-side and front-to-back, doing it for minutes at a time. I did all kinds of things for balance, but always holding on with my hands.

      Happy Holidays to you, too! I am sitting in a quiet house, with my beautiful tree, waiting for my husband and daughter to arrive. Should be a good day.

  • Posted

    Hi Annie,so sorry to hear of your situation,I can sympathise with you because my situation is very similar to yours.Although my THR was due to a fall when I broke hip in two places while I was in Spain and had the op there.This was 10 months ago !! As soon as I returned to UK I saw my local consultant and had an  xray and seemingly my prosthesis was fine too. however,I was unable to walk unaided and could not weight bear to dress myself etc.Finally after many sessions of physio,I had an MRI scan which showed tendon and muscle damage which would explain why I have been unable to recover and am still hobbling about.I am due to have gluteal tendon reconstruction on 8 th Jan and hopefully I will be able to become  mobile again,fingers crossed.Maybe you could ask your surgeon for an MRI just in case you have similar damage , as you too are not recovering very well

    .Best of Luck to you Annie, I hope you manage to get sorted out.

    Merry Christmas

    Lin xx

    • Posted

      Linda, I certainly hope the gluteal tendon reconstruction helps you. I'll be thinking of you on Jan 8! Isn't this disability a wrench? I am so unused to being limited like this. Always was so strong before.

      Tendon/muscle damage could be my problem as well. I had asked the surgeon about an MRI, but he says that the areas around the titanium device come out cloudy because of the metal. Perhaps if the damaged area is far enough away from the prosthesis, it would show up on an MRI.

      My physiatrist did say that there are other scans that can be done if these treatments we are trying now don't help. I suspect that may be my next step. Will be seeing him on Jan 4, and will mention the possibility of tendon/muscle damage.

      Is your tendon/muscle damage a result of the surgery? Or possibly from the original fall?

      Merry Christmas to you!

  • Posted

    Annie,when I asked my consultant this question,he said it was done at point of surgery ???? He seems to think that although the Spanish medics have done a good job with the replacement,not so good with putting the muscle back together.There's no way I can know for sure if that's the case or if it would have happened anyway even if I'd been in the UK.

    I agree,it is very frustrating to be immobile especially  if you've been fairly active before.

    Hopefully we will both return to normal as soon as possible

    Take care and good luck 

  • Posted

    I am 25 weeks out now, unable to walk without a pronounced limp, and saw the physiatrist again today. The sacroiliac joint steroid injection did not help at all to make me able to put full body weight on my surgical leg. I do have fewer aches and pains in the pelvic area.

    Next step is an MRI of my lumbar spine, which is scheduled for next week. Still getting around well with the crutch or the rollator walker. Looking forward to being able to walk free.

    • Posted

      AnnieK - I too went and saw a private specialist, away from my hospital specialists. He examined me and said yes I have 20mm long leg, as above 10mm naturally below my knee, he seemed shocked at the possibility that the natural leg length difference wasn't recoginzed before my surgery and given some consideration, but agreed that is what it is looking like.

      He also has ordered up an MRI of my lumbar spine which is next monday night.

      I will bet you that it shows some problems, but and I kept repeating to him that I HAD NO BACK PROBLEMS before my surgery, although I am willing to admit that back problem may have been silently brewing and the LLD has only caused the problem to show up sooner than it would have given time.

      I have negative psoratic arthritis, or some form of rheumotoid also serum negative when tested, and we tend to get all sorts of bone spurs and abnormal growth, you should see my poor hands, not pretty, although better than my late grandmother's claws, only because I have been pro-active and got onto treatments early, more than a possibility yes.

    • Posted

      We are in this together, Lyn! Your situation seems much more serious though, with your extra length added with prosthesis in addition to pre-existing longer leg length. I feel your frustration and pain for the surgeon not having his head on straight before your surgery and taking note of that.

      The tendency to get bone spurs sounds difficult, to say the least. My sister has some on the bottom of her heel which makes walking very uncomfortable for her.

      I had no back problems pre-surgery either, aside from an injury I had 4 1/2 years ago that healed with no subsequent problems. I, too, am willing to admit that it is possible that my back is causing this, but will be surprised if it turns out to be the case.

      I think it really might be a tear in a gluteal tendon, like Linda has (see post above), so am asking to have an MRI for that, too.

    • Posted

      Annie - how old are you - sorry don't anwser if you feel uncomfortable. Apparently we all develop stenosis of the spine, as we get older, some of us more than others.

      I also have been reading up on this condition since my nursing director sister (sibling) she also holds the position of Tutor sister, but I'm sure this is the old description, told me about it she said look up stenosis, when I was complaining.

      She very good goes know what she is talking about, and gives me the correct terms so I can look up what I am whinging about.

    • Posted

      Lyn, I will be 68 next month. Old enough that I don't care who knows my age! I also had a recent spine x-ray and it said this: " 5 lumbar segments. Mild degeneration L2-L5; moderate L5-S1. No spondylolisthesis."

      I also have just crossed over into osteoporosis status in my lumbar spine. But I only have a little bit of lower spine pain, and that only when it's been a really long, strenuous day.

    • Posted

      Annie,

      I wonder if like me you lost weight before the operation.

      I lost so much, my muscles have shrunk, and so I need much more exercise to bring the muscle strength up to normal.

      Graham - 🚀💃

    • Posted

      No, Graham, not my situation. According to both of the doctors, my strength is just fine. I'll have that MRI of the lumbar spine, and if that isn't the problem, I'll request an MRI of my gluteal tendons. It feels like that is where the problem is. Whatever it is, I hope I don't have to have surgery again. I was so very uncomfortable for so long after the surgery that I do not want to go through that again.

      Thanks for taking time out right before your revision surgery, Graham, to reply to me! You are incredible! And I'm so sorry that they couldn't fix what was wrong with your prosthesis. It's hard to believe that using their tools the surgeons couldn't budge the part that was put in at the wrong angle, but it is not as easy when they are attached to living tissue. May you recover much more quickly this time, and not have long-term consequences from this. 

    • Posted

      Thanks Annie,

      Let's hope they get to the bottom of your problem, and that you don't need revision like me.

      The way I see it, I was given so much love and support with my first operation, I want to give some of that back to others in similar position

      This forum gives me faith that there are really good people out there.

      Graham

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