LTHR 7th January 2019 at The Sire Hastings Sussex- Journey so far

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I thought it may help some to understand my journey to date. I will try to update as I hopefully progress further.

I am just approaching my 66th birthday and my left hip had been getting progressively over a two year period and was now seriously effecting my ability to work and my life in general.

I have private medical insurance and a much younger neighbour had recently had a THR by Mr Hugh Apthorp at The Spire in Hastings Sussex and had recovered so fast and so well he said it had changed his life and would highly recommend both the hospital and certainly the surgeon.

I therefore got a referral from my GP saw Mr Apthorp on the 12th November 18 and booked myself in for the op straight after Christmas. My pre op was on the 20th December 18 where i picked up my crutches and some post op exersises from the physio, had an ECG, blood test etc ready for the big day.

I was a little nervous but in all honesty I was more worried about my wife sitting waiting for two to three hours for me to come out of surgery having done it a few times for her I know thats not a nice wait.

On the day of the op I arrived for my 7:30am admission where we were very well looked after by a very nice nurse. The surgeon Mr Apthorp and the anaesthetist both came to see me, the surgeon drew an arrow on the correct leg and the anaethetist explained what was going to happen, I was having a spinal block injection and general anaesthetic.

Just after 10am I walked down to theater had a cannula fitted then I knew or felt nothing until I was in recovery. Soon after coming round I was taken to x-ray and the radiologist said I have a lovely new hip. Then back to my room almost exactly on time as my wife had been told that was around 12:30pm.

I cant quite remember the exact timings but what seemed to be an hour or so after I was offered a sandwich and cup of tea and ordered my evening snack. At around 5pm I was testing my new hip with a short walk in the corridor on crutches of course, amazing to think I had major surgery just a few hours earlier.

That night wasn't the best night I have had as I find it very difficult yo sleep on my back and it also did seem to take a little while to get pain under control though it wasn't as painful as I had expected it was enough to keep me from sleeping.

The next day was much improved and I sat out in the chair all day and had a much better nights sleep. I was able to walk to the bathroom and so didn't resort to a bed pan at any time, though the nurse needed an assistant to be sure I supported on the journey should I have needed it.

Day three was really a shower, breakfast, a blood test to be sure bloods were ok, physio to be sure I could walk up and down stairs and then going home meds and dressings and then I was away home by 11:30am with a follow up wound review and physio booked for two reeks later.

Arrival at home was a little scary at first as very I quickly I realised I didnt have the grab rails around the toilet or in the shower, my wife was concerned she would be able to look after me. By the next day though we were confident we were fine and every day since has shown an improvement over the previous day.

The most difficulty part of my recovery to date has been sleeping. I am normally a side sleeper and found it very difficult to sleep or even get comfortable on my back. I have also found that discomfort and pain has been worse at night than in the day time. In fact several days I have not needed much if any medication during the day but at night I have needed it so have been taking a couple of paracetamol at bed time followed by another two half way through the night with a back up of one codein if needed. Pillows, three behind me and one under the top of my legs. That said I am now beginning to see the night discomfort start to decline and am beginning to sleep better.

The discomfort I have experienced has been similar to sciatica with pain in my knee. I have also had a numb thigh on the non operated leg which in the night can also feel like boiling water on my leg, not sure if that is a result of the spinal block and how long it will take to recover hoping it will.

I have made sure I have carried out all my exercises during the day both standing and bed. I have also been walking outdoors from about day five, first on two crutches then after a week on one crutch. At the end of week two I am up to just under a mile outdoors each day with one crutch. Interestingly I am finding my hip works really well and that shows how unfit I got because I was not able to walk.

Today was my wound review and first physio follow up at the hospital since my op. I had changed dressings twice at five day intervals as advised on leaving the hospital, and a couple of days ago decided to leave the dressing off as it looked so good, just less than 4 inches long very straight and perfectly neat having been internally soluble stitched and skin glued, the scar will be minimal when healed. All was good with the wound.

My physio follow up went really well during which my exercises were checked and then I was given some additional exercises to carry out at home, then I was asked to walk down the corridor and back with one crutch then no crutch and it was then suggested using no crutch whilst in doors at home.

I am fortunate to be able to work from home so started doing that one week after the op though to be fair and unknown to my wife I was answering email the afternoon of my op! I continue to work from home this week but next week will be traveling back into London on public transport to work.

Hopefully my progress will continue as well as it has to date but I will keep you updated or please do ask if there maybe anything I can help with or put your mind at rest on.

My next appointment at the hospital is on the 15th Feb with Mr Apthorp and Physio, hopefully I will be running by then!

2 likes, 15 replies

15 Replies

  • Posted

    The header should say** LTHR 7th January 2019 at The Spire Hastings Sussex- Journey so far**

    Sorry don't know how to edit it!

  • Posted

    FANTASTIC, you are doing great and thanks for the share.

  • Posted

    Pleased that you are doing so well John. I was the same, side sleeper, hated the nights! Hope it's ok when you start back to work next week. Maybe worth having a stick or a crutch so that commuters give you a wide berth? I traveled around London whilst on crutches, and people were very thoughtful. Always was given a seat. (I had a v nice day trip to Hastings, bus, tube, train!)

    Wishing you all the best, Judith

  • Posted

    Thanks for sharing your experience, i'm waiting to have mine on the NHS, I had my pre op in December and hopefully should be within 4 months. They have delivered all the aids for after the op. Like you I think i'm going to have trouble sleeping, have you any tips that helped you to sleep and did you find it hard not to bend, i will find it hard as I have two young grandsons who love there cuddles.

    • Posted

      Hi Pmlfra,

      Sleeping is getting easier as I progress and have accepted I need to take meds when I need them and not be a hero. I have also found several pillows behind me and one under the top of my legs helps get me comfortable. The discomfort is starting to lessen and I am now only needing one lot of pain killers during the night.

      Not bending is something that becomes more difficult as I am at the stage where I certainly could get to my shoe laces if I was allowed but I am trying to be very careful as I dont want a dislocation. As you start to return to feeling normal and by that I mean before you had a hip problem the harder it gets to remember you shouldnt be doing that.

      Just take your time and dont push anything too far too fast.

      Last night I did sleep a little on my non op side with a pillow between my legs and that seemed to work ok.

    • Posted

      Thanks for your reply, I will keep everything in mind what you have said.

    • Posted

      If you have had your pre op you should have your op within three months or another pre op is required based on NHS rules I understand, so you may have your op sooner which would be good.

  • Posted

    Hi John

    Thanks for updating as i'm just one day after you and its great to see how you are getting on.

    My recovery after surgery wasn't as good as yours, i had reaction to all the pre meds and sedation, so spent nearly 2 hours vomiting when i came back. But a lot of meds make me sick so can really only tolerate very little.

    But the rest of your story is fairly similar to mine. It's 2 weeks today and i had mine THR done in Galway,Ireland with the fantastic Dr Bennett. He did my first THR 2 years ago and i flew through the recovery period.

    I also had my pelvis done as this was very thin, he grafted the bone from my hip onto it.

    My timeline back to work is 12 weeks but like you i was answering emails the day after the op, and I'm continuing to do the paperwork side of it at home but as my job is physical i have to take it easy.

    I don't get to see physio or consultant for another 4 weeks but did have my dressing changed with my nurse.

    I can sleep at night and i walk over 1 k a day. Leg is still swollen and yes pain at night is more than during the day, although i managed last night without paracetamol. I am still on 1 crutch as i don't feel comfy yet without it.

    My foot is still at an angle when i walk but hopefully this will revert back when swelling goes down

    It's amazing to think we had major surgery and we are walking around and getting on with it. My poor husband keeps telling me to slow down!

    Wishing you the best of luck going back to work but do take time to rest.

    And do keep updated as its great to know how you are getting on!

    Mary

  • Posted

    Hi John,

    I had my RTHR on the 3rd January 2017 at the Conquest hospital in Hastings. My consultant was Mr. Keast-Butler who was excellent. I was interested to hear your experiences at the spire. I was given the option of having the op done on the NHS at the Horder centre in Crowborough, but because I live on my own decided it would be easier in the Conquest hospital as they could arrange the follow up care more easily. They were great. Before admission they arranged for my toilet seat, bed and settee to be raised to the correct height, I was given crutches to practice using, advised to buy a sock aid and a grabber and told the exercises to practice. I wasn't allowed home after the op until I proved that I could walk up and down the ward, go up and down steps, then they took me to the kitchen to make a cup of tea.

    When at home they arranged for a nurse to visit to change /check my dressings and wound once a week. They arranged hospital transport for my physio and follow up appointments.

    I really couldn't fault the care and attention to detail from the consultant to every member of the team I came I contact with, both in hospital and during the after care.

    As a point of interest, it was Mr. Attenborough, one of the previous orthopaedic surgeons in Hastings who pioneered hip replacement surgery. This tradition of excellence has continued in Hastings and beyond.

    • Posted

      Hi Hippy28, That sounds brilliant and something I hadnt really considered was coping at home though fortunately for me my wife has done an excellent job of looking after me and making sure I stick to everything I was told. I would still be there though if I had to prove I could cope in the kitchen!!

      I hope you are continuing to progress and look forward to your future posts.

  • Posted

    thx for this . I'm recently diagnosed with severe arthritis to R hip. Awaiting first hospital appt and assuming they'll offer a THR . But it's heart warming to see how well you are doing post op 😃

    • Posted

      Hi Julie, I remember when i was diagnosed similar, i tried to put a THR out of my mind and thought exersise and losing weight would cure it. I even started taking cod liver oil and other such like. Two years on having met so many people that had THR and said it changed their life and seeing that in a few years time I could be almost chair bound without surgery having lost vital years of my and my wifes life so I bit the bullet and saw a consultant. How glad I am as already i can see how this will change my life.

      Good luck with your journey I hope it moves swiftly.

    • Posted

      I've had problems for a good 4 years. Just adapted my life around it. Been using a stick outside for a good 2 yrs.iyrs.im a retired nurse and we are out own worst enemy. I've been self medicating on glucosamine ( only for a short time as it gave me nightmares) tried vit b 12 as thought joint pain could be linked to pernicious anaemia ( only took for abt a week as made no difference to the pain just gut whizzing ) .then in Feb last yr got diagnosed with gallstones so waited 6 months for that to be sorted and thought increased pain was linked to that. Any excuse really I think on hind sight. My only thought now is if I'd presented originally 4-5 Yes ago they'd have told me it wasn't bad enough lol.

      I can't wait for the op to change my life and for me to regain my life back - used to love going out walking etc.

      Anyway thx for your reply. I'll keep everyone posted as to what happens

  • Posted

    Hi John,

    Thank you for sharing. I read your experience with great interest. How are you doing now after 12 months? Have you recovered 100% or there's some minor issues that you have to learn to live with?How would you rate Mr Apthorp? Sadly, I am researching as to who is the best THR doctor for me.

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