uneven leg length after THR

Posted , 15 users are following.

2weeks post op I am doing well with my exercises,although still dependent on tramadol for pain relief.

I cannot come to terms with being told my op leg is half in longer.I am 63 and very active. Could have waited longer for the op but

decided to go ahead to give myself more active years.I love to walk and cycle.

Now I will limp or wear heel raises.I am afraid this will strain my other hip which,although stiff gives me no pain.

The surgeon says he will put it right when he does the other hip!

I had no intention of having another operation for years yet.

Has anyone experienced this situation.I could really do with some positive support

0 likes, 26 replies

26 Replies

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  • Posted

    Hi Janet,

    How much longer is the discrepancy, I'm 51 and am 4 weeks post, I haven't noticed a length difference,

    I think your surgeon should have explained this to you before the surgery, I am also struggling a bit that a part

    of my bone has gone. Good luck

  • Posted

    Hi Janet,

    After my RTHR my operated leg 'felt' longer, but after the swelling had gone down they were the same length.  However, if your surgeon has told you yours is 1/2 inch longer perhaps he has allowed for the swelling?  Anyway, I can assure you that things feel very different after the swelling has subsided.  Yours probably feels much more than 1/2 inch right now!   

    I think the only thing you can do is wait and see how it affects you and my guess is it won't be as bad as you think.

    Cels Xx

    • Posted

      Hi Cells just been reading your reply and wondered how long ago your op was ,and how long before your swelling went down I no we're all different.

      I had a leg length diff before my op I either stood with a bend at the knee bad leg or tryed to straighten the other one that just swung off the floor.

      Since my op 4weeks ago I've noticed I still

      stand with my op leg bent when not thinking

      about it.

      I hope things will work out hurting today I think I did to much yesterday it's so difficult to get it right.would love some advice many,many thanks Anna xxx

    • Posted

      Hi Anna,

      My op was back in March and it took a few weeks for both the swelling to go down and the stem of the implant to 'bed down' into my femur.  So, 5 months now and I would say I'm practically back to normal.  I did stand just like you in the early weeks and was convinced my op leg was longer. When I went for my check up at 7 weeks they were equal lengths.  Four weeks is still very early in yor recovery.  

      I hope that helps.  WIshing you well.

      Cels Xx

       

    • Posted

      Hi Anna,Sorry you are in pain today.It is hard to get right but zIm sure we will get there in the end!I didn't take my tramadol one day and it was a mistake.Was crying and depressed.Now back on meds and feel much better.Everyone is different so go at your own pace.Its so easy to think others are doing better!!

  • Posted

    Same here, 2 weeks post op today.  My right leg is a bit longer, than my left (THR 1/2013).  I think mine is a bit less longer than yours is.

    I am going to see the surgeon on Tues and mention to him.  I am hoping the new hardware will settle in.  

    Its not affecting P/T or rehab, I am way ahead of the game on that.

    I will let you know what he says.  biggrincheesygrin

    Have a great DAY !

  • Posted

    Janet

    I think things will settle down in time. My left leg has always been 3/4 inch shorter than my right and my body adjusted to this. I didn't walk with a limp and I could wear heels. I had my hip replaced at 40 and they have now made my legs the same length, however I really struggled with this after surgery as the difference felt massive. I honestly thought I would never be able to walk 'normally' again. I am now 10 months post op and things have settled down and I walk without a limp. I have had difficulties with my knee and back adjusting to the change as my positioning is different now, but I have managed to wear heels and dance in them. 

    I know now this is the opposite way around to your situation, but in my experience your body will adapt in time, it just may be a slower recovery than you would like.

    Good luck. 

    Sarah x

     

    • Posted

      Super reply Sarah. You are right on the money in my experience.

      Hugs,

      L

  • Posted

    Hi Janet,

    I hope the other replies have reassured you a bit.

    My experience is similar (except there was no option really to wait for the surgery as both hips were 'shot' (surgeon's descriptor)). I was pretty shocked as like a surprising number of us - I thought it was all part of long-standing back problems!

    Re LLD - mine left is shorter by 1/2 after close to 6 months. I just had my follow-up and set the date for my second hip and the surgeon noted the difference, promised to adjust for it with the 2nd hip and suggested that I purchase an orthotic lift that one can get from the pharmacy to compensate for the difference until my next surgery in 6 weeks.

    This helps although I was already able to walk without a limp most of the time. It helps most with allowing other joints to readjust to my post-surgery posture and gait (straightened and smoother) ??.

    It may be worth giving this more time - the degree of swelling and healing underway is impressive by any standard and the difference may in fact reduce as these take place.

    Wishing you well with your new hip and recovery.

    Linda

    • Posted

      Predictive text is a pain!

      My LLD is 1/2 ".

    • Posted

      Hi Linda,

      Thanks for your reply.I am walking unaided in the house now.Turned a corner at 2weeks post op.I am wearing a pink Crocus style clog on my short leg in the house.It evens things up nicely.Easy to slip on too..Hoping to sort out insoles or raisers for my trainers etc.

      Best wishes to all who replied to my post

      Janet xx

  • Posted

    Hi Janet

    I'm 2 weeks tomorrow and also feel a leg length discrepancy that my doctor told me will start to be less noticeable the more I walk. So far have not finding that to be true. I'm only 2 yrs older than you and also was quite active and did this surgery early to get it out of the way as I was only just starting to experience pain because of no cartilage in hip at all. I'm not needing another HR now either. I also still take a pain killer every 6 hrs and am out walking on my own unaided and doing exercises.

    Im REALLY hoping I don't have to wear a lift insert and will just try and see if the walking helps to normalize how I feel. Stay in touch. Sorry for ur problem.

    • Posted

      Thank you for your reply.Like you I chose to have the THR even though I could have waited and become progressively less active.I love to walk and cycle and I believed a new hip would allow me to enjoy this again.

      With the leg length discrepancy I felt I had swopped one problem for another!

      Starting to come to terms with this now and hoping insoles and heel raises will enable me to walk reasonable distances again.

    • Posted

      Janet. I'm a walker too.....So our discussion got me going and I just took a mile walk with my niece to see if the discrepancy became less noticeable. Answer is..... It was less noticeable because all I could notice was that I was getting tired??

    • Posted

      Hey Janet,

      Is your leg length difference bothering u more barefoot or with shoes?  I went for a longer walk today (2 miles) and wore my walking/running shoes.  (3 inches from being able to tie my left shoe myself..but son did it for me).  The shoes I have been wearing since the THR were new Merrells so the bottom of the shoes were even.  Today the shoes weren't.  My left leg used to be slightly shorter 1/8 to 1/4" than the right so the bottom outer right side of the right shoe was more worn. Now my left leg is slightly longer (and that shoe less worn). I really had to work hard not to be a heavy right foot striker in these shoes. I will definitely have to by a new pair and break them in according to the way I walk now. Try on your walking/hiking shoes and see if it helps or makes the difference worse.  I'm thinking that my body will just learn how to compensate if I make sure that all of my shoes are level to begin with.

      Not sure if that helps...sending lots of hugs ur way.

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