what to expect

gordyw
gordyw Member Posts: 6
edited 4. May 2010, 16:23 in Living with Arthritis archive
Hi Everybody,am new to the forum,at the ripe old age of 48 I've been diagnosed with moderate/severe arthritis in the hips.I've to get physio at my local medical centre,can anyone tell me what to expect.
thanks, Gordyw

Comments

  • elnafinn
    elnafinn Member Posts: 7,412
    edited 30. Nov -1, 00:00
    Hi Gordy :)

    Welcome to the forum. I am sorry to hear your diagnosis. You are amongst many here with similar problems. :roll: :) Usually physio is the first port of call after a diagnosis of arthritis. Usually about 6 sessions are offered. I take it you have Osteo Arthritis (OA). If physio does not help then you will more than likely be referred by your gp to a consultant. Have you had xrays taken? Has your gp put you on any inflammatory and painkillers to ease the pain?

    Look after yourself,

    Luv
    Elna x
    The happiest people don't have the best of everything. They just make the best of everything.

    If you can lay down at night knowing in your heart that you made someone's day just a little bit better, you know you had a good day.
  • speedalong
    speedalong Member Posts: 3,315
    edited 30. Nov -1, 00:00
    Hi Gordy - I have the same - OA in the hips.

    The physio will take a detailed medical history and ask you about your pain - exactly where it is and what sort of pain it is and how much it hurts on a pain scale of 0 to 5 or 1 to 10. If you have been trying to ignore the pain for ages - then it might be worth working out your answers to these questions in advance. The physio will then check you range of movement and the strength that you have in you leg. They will use all this info to devise you a physio programme and will teach you the exercises and send you away to practise them at home ...

    If the physio doesn't help other options are hydro (if offered leap at the chance!) pain relief etc If all else fails you may be offered surgery.

    Welcome to the forum by the way - let us know how you get on.

    Speedalong

    PS have you tried heat bags/wheatie bags and/or ice as they help most peeps.
    I have had OA since mid twenties. It affects my hips and knees. I had a THR on the left aged 30 and now have a resurface-replacement on the right - done May 2010.
  • gordyw
    gordyw Member Posts: 6
    edited 30. Nov -1, 00:00
    Hi ,thanks for the replies,I did have x rays done and thats how they found out how bad the OA was.doc put me on diclofenac but I dont think they're working very well.I'm ok when I'm on my feet but when I sit down and go to get up again omg does it hurt,also when trying to get into a comfortable sleeping position.Doctor suggested hip replacement as a worst case scenario but will try all the options first.Heres hoping the physio helps.
    gordyw
  • dorcas
    dorcas Member Posts: 3,516
    edited 30. Nov -1, 00:00
    Hi Gordy!

    sorry can't help with the physio hip question, but just popped by to say welcome to the forum. :D

    hey, at 48 you're considered a youngster here!

    Irisx

    ps...have you had an OT assessment at home to look at any aids etc that might be helpful?
  • speedalong
    speedalong Member Posts: 3,315
    edited 30. Nov -1, 00:00
    gordyw wrote:
    Hi ,thanks for the replies,I did have x rays done and thats how they found out how bad the OA was.doc put me on diclofenac but I dont think they're working very well.I'm ok when I'm on my feet but when I sit down and go to get up again omg does it hurt,also when trying to get into a comfortable sleeping position.Doctor suggested hip replacement as a worst case scenario but will try all the options first.Heres hoping the physio helps.
    gordyw

    Hi Gordy there are other alternatives to diclofenac - so go back to GP and ask for something different. Arcoxia works best for me - but everyone is different - so it is worth it to keep trying until you find the best anti-inflammatory for you.

    Keeping still for too long is a problem - whenever possible get up and go for a quick stroll ....

    Re sleeping - this is mentioned a lot on this site!! There are quite a few threads on it if you scroll down. Personally a memory foam mattress topper and a maternity pillow/bolster to support my top leg when sleeping on my side have worked for me. Whilst staying at friends sleeping on top of a thick duvet has helped too. Sounds like you need pain meds at night.

    Speedalong
    I have had OA since mid twenties. It affects my hips and knees. I had a THR on the left aged 30 and now have a resurface-replacement on the right - done May 2010.
  • elnafinn
    elnafinn Member Posts: 7,412
    edited 30. Nov -1, 00:00
    Hi Gordy

    I hope the physio helps you too. OA does not seem to like too much of being in one position, as you say, after sitting it is not good when first standing and starting to get mobile again. Regarding getting into a comfortable sleeping position at night, peeps on here will be able to suggest things that help them. Why not post a separate thread asking that question? I find a heated wheatbag (heated in microwave) very comfortable for aches and pains.

    You could take painkillers too as well as diclofenac if the latter are not helping too much. You could ask your gp.

    I am prescribed anti inflams (similar to Diclo) and also cocodamol 30/500 when required (one or two four times a day)

    I wish you well,

    Luv
    Elna x
    The happiest people don't have the best of everything. They just make the best of everything.

    If you can lay down at night knowing in your heart that you made someone's day just a little bit better, you know you had a good day.
  • speedalong
    speedalong Member Posts: 3,315
    edited 30. Nov -1, 00:00
    PS Experiment where possible with chairs - some will suit you better than others. I have put a non-matching chair at the kitchen table as the chair I sat on at mealtimes was making me much worse after sitting on it. And in the staffroom there is row of particulary chairs with my name on (hypothetically!!) as they are most comfy for me and peeps always make sure I can have one.

    Speedalong
    I have had OA since mid twenties. It affects my hips and knees. I had a THR on the left aged 30 and now have a resurface-replacement on the right - done May 2010.
  • hileena111
    hileena111 Member Posts: 7,099
    edited 30. Nov -1, 00:00
    Hi and Welcome to the forum....I have OA in both hips as well.
    Diclofenic didnt work for me either...there are lots of others...go back to your GP and tell him and ask him for a different painkiller.
    Sitting too long or walking too long I found was bad.....I used to say "I have to hit a happy medium" to which my husband would say....DONT....she might hit you back LOL...but seriously you do have to get that happy medium. Sitting, getting up and moving etc.
    When you see your GP and ask about different painkillers tell him about lack of sleep and ask is there any painkiller youcould take that would help you sleep {not waken up with pain} I'm taking codeine....I've just had one hip replacement and still have arthur in the other hip as well so I'm taking 2 codeine at about 6pm and 2 at 10pm and take one up for the middle of the night if I waken but so far {apart from the first night} I havent n eeded that
    Hood Luck
    Love
    Hileena
  • woodbon
    woodbon Member Posts: 4,969
    edited 30. Nov -1, 00:00
    Hello
    I'm glad that you've found the forum, which is a very good place to get tips and information.

    OA can often be a very painful thing to have, but hopefully the physio are able to give you some exercises that will help strengthen the muscles that support the effected joints and therefore allow them to be less painful.

    As for sleeping, I found that it caused me lots of problems, I'd get off alright, but then wake up when I tried to turn over in bed! :shock: My problems are in my spine, hips and several other joints. My GP sent me to the pain clinic and they changed my tramadol from the ordinary type to the slow release sort, which last through the night as well as amatriptylne. I have got used to sleeping on my back, which helps, and I have a memory foam pillow and matterris topper, too and they make me more comfortable. Its really a question of trying things and finding out the best thing that works for you. We are all different.

    Have you seen and occupational therapist? They have things that can help you and can offer advice that you may not have thought of. I'm sure your GP will refer you if you talk to them.

    Love Sue
    PS a pillow under my thighs sometimes helps on the most painful nights as it takes the pressure off the hips.
  • frogmorton
    frogmorton Member Posts: 30,057
    edited 30. Nov -1, 00:00
    Hi gordy

    Very pleased to meet you :D

    Just wanted to welcome you to teh forums from me.

    Sorry about the diagnosis but i am glad that you have found us :)

    Love

    Toni xx
  • gordyw
    gordyw Member Posts: 6
    edited 30. Nov -1, 00:00
    frogmorton wrote:
    Hi gordy

    Very pleased to meet you :D

    Just wanted to welcome you to teh forums from me.

    Sorry about the diagnosis but i am glad that you have found us :)

    Love

    Toni xx

    Hi,Thanks to everybody for the welcome,I'll be going back to the gp to see about new tablets.I'll also be giving the wheatbags a go and see if they work for me.I've got my appointment for physio this Friday but I'm not sure if its an assessment first then decide on the treatment,hers hoping.
    Cheers Gordyw
  • dreamdaisy
    dreamdaisy Member Posts: 31,520
    edited 30. Nov -1, 00:00
    I suspect assessment first - answer all questions honestly, don't put on a brave face. Only if they know the whole truth can they devise a suitable plan for you. Good luck, let us know how you get on. Dreamdaisy
    Have you got the despatches? No, I always walk like this. Eddie Braben