Total Hip Replacement (anterior Right)

Posted , 8 users are following.

 I’ve had three arthroscopic surgeries on my right hip since July 2015.  My original diagnosis was bilateral quad tears, bilateral hamstring tears, bilateral bursitis, bilateral impingement and bilateral labrum tears. On November 29 of this year, I had total hip replacement. I have a huge tolerance for pain, which unfortunately, led to me ultimately needing THR.   With all of those injuries, I still ran the Boston Marathon in April 2015 and hiked the Grand Canyon rim to rim to rim in May 2015. Then my first surgery.  My question for anybody out there is, I’d be curious to hear what everybody is doing this soon after surgery. Obviously, like many of you, I was up and walking the day of surgery. I’ve been walking daily since, however in the first few days, or week, my walking was not very much at all.  By the ninth day, I had progressed to a total of about 1 1/2 to 2 hours of walking throughout an entire day  but have now spent much more time upright and ambulatory throughout the entire portion of the day.   I’ve done limited exercises as a relates to upper body, mainly just trying to maintain some muscle cemetery and upper body strength. I’ve done nothing specific to isolate any lower body exercises outside of walking.  From the day of surgery to present, the pain and swelling from the surgery have been far worse than I could’ve ever imagined.  For the record, my surgery was not a result of bone on bone nor did I have arthritis. I had many other factors going on with the hip and soft tissue around the hip -  my surgical teams felt that replacement was the best answer.  My thigh and hip both feel so extremely tight and sore. Like many THR patients out there, I swear at times I can feel the implant, however, I know it is the muscles and nerves  I am feeling. The thigh pain is ridiculous. Last night throughout the night I got up probably three or four times to use the restroom. I did not use crutches and, while tender, I did not feel like I was overdoing anything. This morning when I woke up, my hip was so tight and so sore and the feeling of impingement has just been crazy all day.  I just don’t know if I’ve been on my feet too long throughout the days or if I’ve been walking too much or if I should have never attempted to not use the crutches. I apologize that this post is all over the place as far as my detailed explanation, but I’m hoping to get some insight from others out there who may be feeling some of the same things or who are questioning whether not they are overdoing it. I am a 54-year-old fit woman who by trade is a personal trainer and fitness instructor. I am a runner and a hiker. Well, pre-injuries I did those things. I will again, in time!!

0 likes, 11 replies

11 Replies

  • Posted

    Hi there, I had no weight bearing for 8 weeks. Then started physio to stretch all the tendons and warm up muscles. I over did it and the tightness was unbearable. I am now 1 yr post left hip resection, biking for 30 min every day, walking on treadmill for 15 min. Backwards walking, sideways walking, marching and squat walking. I also do one hour of movement enhancement in a therapy pool and I have no pain

    I hope to be doing the 40 k MS bike tour in Sept 2018 and the madmoiselle Mud thing. I try to push a little bit more every week. I listen to my body and work specially the hip abductors and the glutes and always stretch. Good luck and the tightness is supposed to ease off

    • Posted

      Thanks for your response. I am praying that the intense tightness doesn't last a year!! But looking forward to resuming activities. I will also send good thoughts and prayers your way in hopes that WHEN YOU do the MS bike tour, you will finish with a smile on your face and minimal - to none- pain in your hip. My sister has MS - so thank you for riding for her! Best to you.

    • Posted

      I am so lucky to lead a team of patients that are my inspiration. In the 7 years I led the team, altogether we raised over 39000 for research. We will find a cure.
  • Posted

    Am I right that this was fine through the direst Anterior approach? I'm am having my left THR that way this coming Monday , then the right one 8weeks later.

    • Posted

      From everything I've researched and heard, Anterior approach is the BEST WAY to go. The risk of dislocation this way is so far less and the muscles, tendons and ligaments do not have to be cut - simply moved out of the way while the surgery is performed. Good luck to you.

    • Posted

      The downside of the anterior approach is that you are open to nerve damage and that it is more difficult for the surgeon as he has less space to do the operation. In fact nowadays after six weeks the results are much the same of both approaches if things go OK. I had posterior and had no restrictions after the operation. I could have touched my toes if I had wanted to. I was worried about the nerve damage and that was why I went for posterior. 
  • Posted

    I was at the gym on my hospital release day. I am exactly 8 weeks anterior. I am running again. 
    • Posted

      Wow....While I am excited to hear your news, it's almost amazing to me that at 8 weeks you are running. Stay safe and uninjured. Were you bone on bone and arthritic? Thanks for your response.

  • Posted

    I had both hips done at the same time ....Anterior approach...4 weeks after surgery I was back teaching dance classes. I am now 20 weeks from surgery....I am still numb where the incisions are but I'LL totally take that over the arthritis pain! A bit stiff in the mornings but I am teaching dance 5 hours a day or more!

  • Posted

    Had posterior approach so different initial restrictions. Physical Therapy, Ice walk, rest. Was told that running is not suggested but do walk a lot. Sounds to me that perhaps you are pushing a bit too hard. Don’t want stem pain from micro erosion and it sometimes takes a year or longer for everything to totally. I also stopped jumping out of planes. 
  • Posted

    You sound like a normal patient to me, whatever that is right?  I had similar surgery than you and am about 5 weeks out.  The main thing I am learning is patience and going slow for now, it will take a while.  your exploits sound exciting, always wanted to do the GC.

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