Walking post THR
Posted , 12 users are following.
I've had a lot of very useful info from this forum since I joined not so long ago - thank you all very much! I have a couple of questions:
1) Post LTHR op to exercise must I walk outside, or can I walk just inside the house (difficult terrains outside the house)? Has anyone in this situation just walked inside the house and got better?
2) Will I need to move the bed downstairs, or will I be able
to use the stairs? Does the PT practice stairs while still in hospital?
Sorry these may be elementary questions, I would really appreciate to hear about your exoerinces. Thanks, Jeremy
0 likes, 69 replies
Rocketman_SG6UK JeremySt
Posted
When is your operation scheduled for?
Inside or outside - well both are good, but it's surprising what extra muscles you use outside due to the ground being less than perfectly flat. Start off inside, and progress to outside as YOU feel able - don't pust things too far or too fast, go at the pace your body wants to, not some person's idea of when you 'should' do it.
If you're in UK, you should be able to 'do' stairs before they will let you out of hospital (it's a fairly standard discharge test here) - I was certainly doing them within 2 to 3 days of the operation (see my website blogs).
For other tips and advice, see my website. The address is in my personal info in here, and the moderator's 'THR Useful Resources' pinned thread, and in the graphic below. It is full of information gleaned from my own experiences and those of many others on this forum who helped me through my operations.
Best wishes
Graham - 🚀💃
JeremySt Rocketman_SG6UK
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JeremySt Rocketman_SG6UK
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My boss who last year had exactly the same op that I'll be having next month had the luxury of choosing between rather well known surgsurgeins (unlike me he had it done privately, under insurance). His analysis placed my surgeon in the 'good-ish' category while the surgeon he selected was graded as 'excellent'. All this based on his own research and
rather unscientific - but somewhat comprehensive - methodology. I know all very intriguing!
The long and short of it all is that he has advised me to postpone my op until such time when one of the 'excellent' surgeons becomes available to perform my op under the NHS.
My question: statistically, have the outcomes of hip ops performed by 'excellent' surgeons been better than those performed by 'good-ish' surgeons? I believe it will always be possible to create categories of competencies of hip surgeons?
Do I cancel the op and wait for the 'excellent' guy to become available (no guarantees!) or do I go with my appointed surgeon?
Rocketman_SG6UK JeremySt
Posted
My surgeon came highly recommended, in fact a friend had her hip replaced by him in the same hospital that I had, and she walked from the hospital holding her walking sticks in her hands - not using them, whereas I had the misfortune to have mistakes made in my replacement where my acetabular insert was put in crooked, and then not discovered for 4 weeks.
I think luck plays an important part, no two patients are the same, no two operations are the same.
Following my second surgery by the same surgeon, my recovery was fairly similar, but different in certain aspects. After the first operation I could lay on my operated side and not on the unoperated one. After the second operation it was exactly the opposite.
First time I had no 'waterworks' problems, second time I had to have a catheter fitted in the middle of the night due to excrutiating pain.
I don't think anyone, least of all me, can advise you on this one. It's a personal choice, and the outcome may well affect you for a long time. Would I trust the surgeon I had to do my other hip if I ever need it - possibly (!), I am sure he wouldn't make the same silly mistake on me twice in a row.
In many ways I am better off than many people who cannot bear weight on their new hips. I was up and walking in no time, and the muscle and nerve displacement seems to have been minimal. Judging from others on this forum, I know that the Physiotherapy I received was absolutely first class.
Graham - 🚀💃
JeremySt Rocketman_SG6UK
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Fernlady JeremySt
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JeremySt Fernlady
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Rocketman_SG6UK JeremySt
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You are very lucky in getting in there - I am trying to get referred there for my problems.
catrin46108 JeremySt
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Catrin
catrin46108 Rocketman_SG6UK
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catrin
sportsw4 JeremySt
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Rocketman_SG6UK catrin46108
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I have been referred to 'Mr.C' at RNOH, and have my appointment next month now.
Graham - 🚀💃
catrin46108 Rocketman_SG6UK
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Catrin 🚈
gloriajoy JeremySt
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You are lucky to be referred to Stanmore.
I requested Stanmore and was refused.
Reason given that it is a tertiery hospital and only accepts referrals ftom other hospitals because it specialises in difficult and problem cases.
You can check surgeons on the njr (National Joint Register) hospitals too,
Good luck
Joy
catrin46108 gloriajoy
Posted
i got got told the same but I'm a persistent so and so and I found on their website that it said they did accept referrals from GPs so I went back to my GP and persuad her. Might be worth a try if you haven't had your surgery yet.
Catrin
JeremySt gloriajoy
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JeremySt gloriajoy
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Best of luck. Jeremy
Rocketman_SG6UK catrin46108
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Rocketman_SG6UK gloriajoy
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catrin46108 Rocketman_SG6UK
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Rocketman_SG6UK catrin46108
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Graham - 🚀💃
linda38528 Rocketman_SG6UK
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Rocketman_SG6UK linda38528
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Graham - 🚀💃
Emis_Moderator sportsw4
Posted
I have added the NJR link to the pinned discussion, link below. Also there is no problem mentioning surgeon names. The only time we don't allow it is if it is a private clinic and users post names repeatedly.
https://patient.info/forums/discuss/thr-useful-resources-487147
Regards,
Alan
JeremySt sportsw4
Posted
Rocketman_SG6UK JeremySt
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HOSPITALS THE SURGEON HAS ACTIVITY RECORDED IN NJR
12-MONTH PRACTICE PROFILE (1 YEAR)
36-MONTH PRACTICE PROFILE (3 YEAR)
ABOUT THE HIP PATIENTS WHO WERE TREATED
HIPS – 90-DAY MORTALITY
USE OF ODEP RATED IMPLANTS
that's a lot of data to transcribe, let alone show graphically and clearly.
and to be honest, what does it show - that my surgeon did x number of hips in the last 3 years, but what I want to know is how many were successful, and how many were failures like mine.
No doubt my hip is shown in there as a primary and as a revision - with no detail that the outcome of the primary was a failure enough to warrant having a revision, and that the revision failed to correct the failure of the first operation.
Graham - 🚀💃
JeremySt Rocketman_SG6UK
Posted