Walking post THR

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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

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  • Posted

    Hi Jersey. I'm 4 weeks post op and live in the UK.

    I had my THR done in a private hospital funded by the NHS. I too wondered about the success rate of my surgeon. When my appointment came through I googled him. It appears he did his training in Canada. He works both in private and NHS hospitals. Also the fact that he is a Consultant means he must have been practicing orthopaedic surgery for 10 years according to a nurse I spoke to at the hospital.

    When I met him I asked him if he had done many operations. I asked him if he minded me asking this question he smiled and said he would do exactly the same if he was me. He confirmed that he specialised in this type of surgery. I didn't find out his success rate though. Not sure whether that information is available.

    I know this doesn't answer your question but I think the most experienced surgeon can still make mistakes so we just have to go along with the choices which are made for us.

    I'm really happy with my recovery I had one leg longer than the other post op which seems to be rectified now. I am walking without a limp , which I havnt done for years and I am pain free. I had the posterior approach and my scar is only around your inches and is very neat.

    I meet my surgeon in 2 weeks and can't wait to thank him for my new hip.

    I wrote a list of questions pre op and will do the same in 2 weeks time.

    To be honest most questions and answers are on this brilliant forum.

    Wishing you all the best for your operation.

    Sue x

    • Posted

      Sorry Jeremy predicted text spelt your name wrong.
    • Posted

      Hi Sue, while replying to you just now I was cut short by the system and can't see my reply.

      Thanks for your views, and I am glad that you are satisfied with your surgeon. I wish you a successful continued recovery.

      I wonder if you would mind sharing your ore and post op lists (ok if this is not possible, would understand). Thanks, Jeremy

  • Posted

    At the outset, I looked for info on my surgeon ... word of mouth ( an astounding 8 people in my own network had had THR surgery by him and loved him. During my consult I asked how many THR he had done and how he decided which approach to use. He was not offended in the least. He does ~ 150 THRs a year and knee replacements as well. He had been doing them for 16 years. As for approach, he feels strongly that the surgeon's training determines approach as skills with a particular approach is the biggest predictor of success followed by patient commitment and compliance with post-surgery protocols.

    At my 6 week check-up, he took care to ensure all questions were answered, showed me the xray of new hip, agreed to give me the full specs of devices inserted and actually gave me a copy of the operative report. He also listened and agreed to check with colleagues engaged in stem cell research to get me a consult with them ... if they felt their patient trials had proceeded far enough for this to be a viable route for my 2nd hip (tentatively scheduled for late summer/fall.

    Listening to several experiences here, I might encourage others to request the operative report as well.

    Good luck.

    • Posted

      Thank you for the valuable information and the insight. You seem to have an excellent surgeon, congratulations! However it intrigues me to read that you are considering the stem cell route for the second hip. There you are definitely more brave than most! But I wish you best of luck with it, U am sure you will be doing thorough research before committing. Jeremy
    • Posted

      I asked my surgeon if he would consider stem cell cartilage as a viable alternative to THR. He did not feel it had progressed far enough in Cdn trials to be viable. However, stage 3 trials are being done in the both UK and AU and the US already offers this approach at a number of key centres for both hip and knee. The challenge of course is that t we know next to nothing about longer term outcome or impact.

      So .. I am not likely brave enough to give this a try although ... support and follow-up in patient trials is usually gold standard. I am interested to hear the 'pitch' though esp if there is a local trial underway.

      The results showing up in the research are pretty phenomenal and the potential of this field is extraordinary for not just hip and knee but also back issues. If they truly crack this, it will be an entirely new world for people w OA and chronic back pain problems.

      It is a good thing to keep an open mind. My husband got involved w a trial for RA that changed his life dramatically for the good 10 years ago.

      Regards,

    • Posted

      Always good to be aware of the latest development - just in case. I heard someone at work is going through stem cell treatment (they said it was a 'last chance saloon'). His is not a hip or spine issue - much more serious than that. In fact it's life threatening. I heard he is in complete isolation and is likely to remain in that situation for another 2 months plus. I understand his partner is being given ongoing support (including emotional) by the company. I know things are more advanced in the US in this field. I suppose other countries will actively follow the US in due course. Jeremy
  • Posted

    Hi Jeremy my questions pre op were mainly about the procedure, how long the operation would last,success rate, how long the hip would last , restrictions on movement, why i had to sleep on my back for 6 weeks , when could i drive again, and what type of hip I would be given, how long I would be in hospital for and when I would be expected to return to work (I drive for a living). Also as I had one leg shorter than the other I asked if it would be possible to make them the same length. I questioned why I would need to be awake for the operation as I was terrified of the thought. I was awake and needn't of worried as the sedation I was given made me feel calm like I had no care in the world.

    Post op questions are quite similar. When to return to work, when restrictions can be lifted I believe my surgeon keeps them in place for 12 weeks instead of the usual 6??,I wonder what evidence he has to extend the restrictions, when can I exercise safely again and is there any exercise I cannot do, are my legs the same length they appear to be, what hip I was given, I used to swim but I've heard breaststroke is out of the question for 12 months so I'm going to clarify that, most importantly I'm hoping he is going to tell me the operation was a success and I'm interested to know how my other hip looks on the x ray. I believe it is ok as I have no pain but it's something I've never asked before.My hip was replaced as I had osteo arthritis which was bone on bone is it likely to affect my other hip in the future.

    I see the surgeon in 2 weeks so will share on here.

    Sue x

    • Posted

      That's very comprehensive, Sue, thank you. I will bullet your questions adapting them for my situation. Will let everyone know how I get on. Jeremy.
  • Posted

    Hi Jeremy,

    It will soon come around, I just went with the surgeon I got, never even thought about whether he was excellent or good, but they must of all gone through the same training.

    I walked outside, very short walks to start, a few houses at a time, our pavements are really bad, and when I get out of our street, it's all hills.  Have someone with you if to start with if you can.

    As the others have said if your in the UK you will have to do stairs before they let you out of hospital.  That is the one thing I was terrified of because ours is an old house with steep, narrow stairs (would be illegal in a new house) but it was a lot easier than I expected.

    Lynn xx

    • Posted

      Thanks for the facts and encouragement Lynn. No matter how I try to pretend to everyone that I am not worried or anxious, in reality I am as the day gets closer! So much to do before the big day and the long lay off! I am not afraid of the pain that will surely be there from what I have read (may be I should take the inevitability of the pain more seriously?). I'll be happy as long as I can have control over essential, day to day activities - with some help of course. That's my biggest concern. Jeremy.

    • Posted

      Well it is a big op, I admit i cried for two weeks when I found out, then I sort of settled to it.  Warned the anethetist, I cried when I woke from a general before, so when I woke from this (spinal and sedative) I cried again lol he had tissues ready, probably some of that anxious feeling coming out.

      I think a lot of people get nervous about it, nothing to be ashamed of, but you will feel better for it. You will get painkillers, in the hospital and to come home with, so don't worry too much.

      Are you by yourself, there are people on here that have done it by themselves, I have help, but they will help you a lot. Cels is one of them.

    • Posted

      Hi Lynn, yes I have friends and family who I am sure will help, but I like to be able to manage this challenge with minimum inconvenience to others. Jeremy
    • Posted

      You sound like me Jeremy, stubborn and proud I have been called by my friends but I'm afraid that is me, I hate being dependent on anyone.

      I managed on my own.  Just needed someone to do shopping for me for a couple of weeks but you could always do that online if you wanted.  If you get those pesky TED stockings though, they're impossible without help for the first couple of weeks.  After that, when they had stretched a bit I managed to put them on with the sock aid.  You might not have them though.  Family and friends on the end of a telephone line if you need them gives you a nice, secure feeling.

      I tell you what though, managing on my own I feel has speeded up my recovery because I have made myself do the necessary things.  Just make sure you respect the restrictions.

      Cels x

    • Posted

      You're right! And good advice Cels, thank you. I hope your recovery continues to go well. Jeremy
    • Posted

      Yes, can understand that, you and Cels are a chip off the old block lol

       

    • Posted

      Yes Lynn! 👍! Cheers Cels 🍷(To kind of paraphrase 10cc, I am not nervous at all😕)

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