Frustrated with physical therapy
Posted , 12 users are following.
Is anyone else having trouble with physical therapy? I am at 4.5 weeks and after finishing four weeks of in-home PT I'm now visiting a PT clinic for more advanced help. I have my set of exercises to do once a day and most of them I can manage. But I absolutely cannot lift my surgery leg in a straight leg lift when lying on my back. So now I have to use a strap under my foot for assistance which seems like cheating! I had the anterior method so no muscles were cut, but they were roughed up a little! And I did pre-surgery exercises in hopes that post-surgery PT would be easier.
1 like, 52 replies
carol26733 Anne68156
Posted
Hi Anne. I am 3 weeks post op and also have trouble with the same thing. You may already know this but thought I would let you know how my therapist had me do it. He had me pull my good leg up and bend at the knee. Then when lifting the bad leg, push my foot down with the good leg for leverage. It gave me a little extra boost. It's still hard but without that little extra leverage, I couldn't do it at all. I hope that helps a little and that I explained it right. Hope we all get better fast.
Anne68156 carol26733
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Hi Carol. I'm not quite sure what you mean by "push your foot down with the good leg for leverage." An extra boost would help if I can picture what it is that you do!
cormacrobert Anne68156
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Hello Anne, you're doing fine and this is not anything abnormal. It's going to take some time for those muscles to not only to heal but to strengthen. I find it interesting that that people are prescribed PT with anterior approach when I wasn't prescribed any at all. My doctor told me to just walk for the first few weeks. That's all. Walk as much as the pain allows you to. So that's what I did and I've recovered very nicely at over 9 1/2 weeks now. I never had to use a strap, just my hands to help lift the operated leg. That seemed to be enough for me but if the strap helps, use it. There is no one size fits all when it comes to this type of surgery and recovery. Best of luck to you.
Anne68156 cormacrobert
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cormacrobert Anne68156
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I can relate to your heat issue...I live next door to you in S. Carolina. Everything is improving with time and exercise. It's not easy but the end game is worth it! Mornings and evenings with the cicada's. What could be better?
RichardKen cormacrobert
Posted
Twenty years ago at age 55 I had my hip joint replaced using the posterior approach and made a very quick and easy recovery by just walking. No physio and not given any exercises to do. I really did not spare my hip during those twenty years doing heavy building and farming work and it was fantastic.
A few months ago due to the poly cup having worn through I had a revision using the same approach. Apart from a accident where I was thrown into the floor of the passenger ambulance taking me home from hospital that was thought to have caused a crack to my pelvis and meant bed rest for five weeks I've made a quick recovery.
I was sent home with sheets of exercises to do and the offer of physio which I declined.
Cheers Richard
Anne68156 cormacrobert
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carol26733 Anne68156
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Hi Anne. I knew I wouldn't be able to explain myself right. I'm sorry for that. So, let me try again. From a,prone position, move your good leg up til it is bent at the knee. Now, with the good leg, you can push down while trying to lift bad leg. I'm so bad at this. Hope you are better soon along with all of us.
Anne68156 carol26733
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carol26733 Anne68156
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Anne you are so right. This is my 2nd thr and I keep telling myself the other leg is great now so I know this one will be great too. Sometimes I think the therapist pushes us too hard. I still have to have my husband's help getting dressed. I just can't lift that leg up enough to step into my clothes. It's so frustrating. Today I was determined to do it myself and I guess I pulled or strained something. Got a pain in the groin area that has bothered me all day. Well tomorrow we start over again. Let me know how you are doing after a good night's rest.
Anne68156 carol26733
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carol26733 Anne68156
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Hi Anne. If it makes you feel any better, I can't do it either. Lol. Gotta laugh or we might cry! (And yesterday I did cry a little) When I left the hospital, I was given some kind of contraption for putting socks on but I haven't figured it out yet and just do without socks. I feel so helpless having my husband dress me.
Got to keep thinking it WILL get better. My other hip is great and was replaced 5 years ago. I'm not sure whether to do pt today or not after my mistake step yesterday. Still getting my first cup of coffee. Let me know how your day goes. Keep smiling. 
Desire64 Anne68156
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Dear Anne,
I lived through a similiar situation.
I have bilateral THR , my first operation was 2 years ago. Everything went well, i had no problem with my hip and could do the straight leg rising with some effort. After two years I had another operation this time from my right hip.
I'm 10 weeks post op and going to physio for two weeks. Unfortunately my previously operated leg can not do the straight leg rise((
Other than that everything is ok, my doctor said everything will be fine in time and I shouldn't push myself too much.
As somebody has mentioned physiotherapists can push the patients too much for good reasons but this can give us fall backs as in my case.
Take it slow, and dont try to do everything soon. I really dont care if my
Only problem is not being able to rise my leg straight😉
Wish you a healthy recovery,
Desire
Anne68156 Desire64
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Desire, I dread having that second hip done! I am taking things slowly, but only because that's the only way I can move! My lack of patience with the whole process is the real problem. I'm glad that your second hip recovery is going well.
sandymrs1992 Anne68156
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Hello All. My name is Sandy 63 Live in USA, state of Georgia.
Today and the last 10 days after hip replacement surgery on right leg, I continue to feel sorry for myself.
I was terrified of the additional pain in the iliopsoas? tendon ( groin pain) which the Dr. said not to worry about, but yes, it is still there.
I do the physical therapy exercises and walk around my living room. We live on a hill , so I cant walk outside.
I was not prepared to see the 20 staples in the 6 inch scar, and feel like I look like Frankenstein.
I am afraid I will never be back to normal, and have a really crappy attitude, and feel so sorry for myself, and cry most days. Sob , really.
Many years ago, I was a cheerleader and gymnast at Oklahoma State University.
I feel like I am being punished.
It is so painful, I don't feel like even trying to sit with my family to watch TV, so I lie around watching TV, and get up only when I need to do the walking every other hour, and the exercises.
Like everyone else, I was told I couldn't drive for 8 weeks, It would be too painful to try to lift my right leg to get in the car anyway.
Can everyone who reads this please tell me (honesty) what they are feeling emotionally, and what they can do or not do physically around 10 days to 2 weeks post op?
Anne68156 sandymrs1992
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Sandy, I'm at 4.5 weeks now, so I'm starting to feel a lot better. But I do understand how you are feeling. I would cry every morning when I woke up and had to struggle to get out of bed. And getting back to normal seemed like an impossible dream. I'm still far from normal, but I do get out and walk half a mile. If I don't walk uphill I won't make it home! But it is a lot of work.
I have groin pain so I use an icepack placed right there after exercising. My other hip needs replacing, too, so I have double groin pain!
I had 22 staples in my incision and at two weeks I was so happy to have those things removed. I think my scar is ugly, but everyone tells me that it looks fine and that it will eventually be a white line, barely noticeable. I have been massaging that area with Vitamin E oil as my muscles are rock hard and need to loosen up. When my staples were removed the nurse put on strips to keep the incision closed. They were supposed to slowly fall off, but they did not so I eventually used a lot of oil and removed them, which then left lots of sticky adhesive! So much fun.
I did a lot of lying around too and I felt very fatigued most of the time. Now at 4.5 weeks I'm beginning to get some energy back.
Apparently attitude is very important! And mine has not been that good. I haven't cried in a few days, so that's an improvement!
Are you using a walker, walking cane? I was able to ditch my walker fairly quickly. I did not want to be seen using that thing! I now walk without a cane, but I still have a lot of stiffness in my hip.
I understand how you are feeling and I was where you are at ten days. Try to look forward to getting those staples out. That felt like a landmark for me. I was not allowed to drive for four weeks as it was my left leg. I still have to help my leg when releasing and applying the emergency brake.
Post-surgery depression is very normal, but I usually felt better after a good cry. Hang in there. It will get better.
Where in Georgia are you? I live in Warner Robins.
sandymrs1992 Anne68156
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thank you sooo much for commenting...I am about 40 miles North of Atlanta near Alpharetta.
So many of the comments said you will have less pain after 2 weeks, but i am 10 days, as mentioned, and cannot see the pain subsiding that much.
Yes, I think the staples are pulling. But it is scary to think they come out so quickly and that the skin could stay together. I tried my best to not look at the incision, but the bandage fell off. I knew I would do a little freak out...I cannot even cut up a raw chicken from the store.
I have read so many people complaining about the tendon next to the hip surgery and the groin area ( iliopsoas?) not getting better, and I am scared about that.
Yes, I am very tired, and my house is filthy. My husband of 28 years has been babied by me way too much, and just doesn't see dirt.
Whoo boy.
sandymrs1992 Anne68156
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Anne68156 sandymrs1992
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That's been fairly recent, so probably in the last week or so after I was done with in-home PT, close to the four week mark.
Anne68156 sandymrs1992
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I have been fortunate that my husband has been an angel about taking care of everything. But he's also been good about letting me take back the things that I can do. Are you taking pain medicine? I wasn't able to take the heavy duty stuff, but I did take extra-strength Tylenol. I also take Tylenol PM to help me to sleep at night.
The skin does stay together after the staples are removed, but they do put those strips on just to be safe. I did not like seeing my incision either, but it really does look a lot better now.
Did you have the anterior method or the posterior method of hip replacement?
Tell hubby what you need done around the house. You will feel a lot better if your surroundings are cleaned up.
sandymrs1992 Anne68156
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Had the surgery that is on the front, they use a special table called a "Hanna" table. Researched the doctors for almost a year , and probably waited a year too long.
But a pipe had just broken in our basement ceiling, and I was in charge of the basement renovation as the general contractor, so I kept pushing the surgery later and later By the end of the construction about a week before the surgery, I couldn't even take one step.
Yes , I am taking Hydrocodone. I was taking it for the year before the surgery because of the pain. Tylenol, Aleve, Advil dont do a thing.
In fact, I have been having to double up on the pain pills the last 10 days, and need to cut that down, but jif I let it go 30 minutes past the 4-5 hour mark, I can feel the surgery really really bad.
And yes, I have to take an Ambien to get to sleep because I am not a back sleeper, so sleeping had been incredibly hard.
I have had 2 children , one without pain medicine, so I feel like I can tolerate some pain. With that pain, however, it has a definite end date. ( Until they come back home to live with you) ha.
Having started the day in so much pain , and having started the chat with you, maybe because of you, I feel a tiny, perceivable it better...So, thank you.
Anne68156 sandymrs1992
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Sandy, why are you sleeping on your back? With the anterior method you don't have that restriction. I tried it for a couple of nights just to be extra-protective, but I couldn't sleep. Now I sleep mostly on my non-operated side which is my preferred side and I have a pillow between my legs because I feel more comfortable that way. But I can now also sleep on my surgical side without difficulty.
The first thing the surgeon said to me after surgery was "No restrictions!" But I've still been very careful about bending over, etc.
sandymrs1992 Anne68156
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Hello all. 9/29 and 15 days out on right knee replacement. Pain is still a deep pain , sometimes sharp if I take a sideways step...Seems a little less big not a big change at 2 weeks like alot of people say . BUT before the surgery, it was getting so bad, I couldn't even take one step with out screaming pain in right hip. I am still mad that I didn't have a choice of what to do...Fix the hip or wheelchair or bed bound.
But problem is my attitude and feelings again.
Daughter returned back to New York last week, I received very good care from her and emotional support. Husband works 15 hour days, so now I am alone alot. Kind of rural, so no friends dropping by . All I would do is complain, I don't see the bright side yet, so why would anyone want to be around me?
PT says progressing normally.. 20 Staples out, 20 x pulling out what felt like thorns...
But I can get up and walk around and do a few house things, then leg/incision seems to tighten up so I have to go lay back down.
I am doing the 3 page of exercises 3 x per day.
The only thing that helps is lying flat in bed, and even that is not comfortable.
I am so sad, and just cannot see the end to this pain and restriction.
I am trying to cut down on the hydrocodone, but, when i take it, that seems to lift my mood, so that, in itself is scary. Does anyone have a natural type pain or mood lifter "pill"?
In the evening, when my husband gets home, I can sit on the couch for about an hour and watch tv, then I get stiff, and have to move around.
I can't get comfortable in bed, to sleep, so I have to take an Ambien just to get to sleep, or i just lay there shifting around, not being comfortable.
I feel so sorry for Hurricane people, and feel so guilty for complaining that I even have a bed to be uncomfortable in.
I can't bend over which limits trying to get anything around the house done. 15 days into a 56 day recuperation. Counting the days, and hoping , praying and talking to the big man in the universe that sometime I will feel normal again. Kind of hopeless right now.
Going to use this forum as sort of a diary, thank you all who read for this site, letting me put my feelings in writing.
Mostly hope that when I can get further down the road, I can help someone else with these insights.
Entertainment: I did just read "The Immortal Life of Henryetta Lacks" , an Oprah recommended book. It is a bit scientifc, a bit folksy about a lady who had her cells for DNA taken, and sold without her permission. Free e book from library.
I rented an older movie 'Under the Tuscan Sun" with Diane Lane. About a lady who got a divorce, went on a trip to Tuscany, bought a 300 year old fixxer upper, and found a new family and friends.
Thanks for listening.