Managing post op pain

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Lisbeth
Lisbeth Member Posts: 50
edited 12. Jul 2025, 20:32 in Surgery - Pre and Post

seven days post total left hip replacement

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  • Lisbeth
    Lisbeth Member Posts: 50

    hi everyone

    I received my total left hip surgery on June 28th, I was discharged on the following day.

    I’m struggling to get out of the chair, the mornings are not a problem but the afternoons are painful.
    am I just on a pity party journey? The bruising is spreading down the back of my leg, past the calf towards the heel.
    yesterday I had awful diarrhoea, I practically had to run up the stairs multiple times and sitting on the toilet seat, made me cramp up along the back of my bad leg. I feel really unwell but I’m scared to eat as I don’t want a repeat of yesterday.
    living alone is not much fun, I don’t know what to do with myself!!

    Am I just being a big cry baby? I had my right hip replacement two and a half years ago and all I remember was Ho everything went so well at that time.

    HELP please.x

  • Trish9556
    Trish9556 Member Posts: 898

    Hi @Lisbeth

    The first few weeks post total hip replacement are hard - I had mine done 13 months ago.

    What pain killers did the hospital give you?

    Are you on blood thinners?

    Were you given any antibiotics?

    I had terrible diarrohea for about 10 days after my surgery and dosed up with immodium but I did also use pads for a bit more relief just in case. I also ate a very bland diet and drank plenty of water and sipped on lemonade. Lemonade is better flat but it does keep you hydrated. It was recommended to me many years ago when my toddler had really bad tummy at both ends and wouldn't have the sachets he was supposed to have. Works perfectly for hangovers as well lol. Don't drink it, just sip it.

    I would also recommend you ring your hospital ward number (I presume you were given a number to ring?) and tell them about it just to reassure you. Sometimes the medication they give you in surgery can take a while to get out of your system and some stuff can cause reactions. I was taking PPI's at the time and when I looked them up they have a reputation for causing this side effect so I said no more. I now take Gaviscon liquid to help with reflux and to protect my tummy.

    If you need painkillers then usually paracetamol helps but just take it regularly. If it's really not helping then ask your GP. I was already on prescription codiene so I continued with that with the paracetamol inbetween to keep myself topped up. After a while I weaned myself off the codeine then the paracetamol

    A bag of frozen peas wrapped in a tea towel will help with the swelling - I keep a bag of cheap and cheerful ones in mine just in case but those were a godsend in the early days.

    I was lucky - I didn't have any bruising at all but witch hazel helps and feels very soothing. Keep it away from your scar though.

    You're not a cry baby - we all feel the same in the early days - do you have a friend/relative that can pop in and give you a bit of tlc every day?

    Please don't beat yourself up - it will get better, honestly and when you're down then just shout out

    Trish xx

  • Jane18
    Jane18 Member Posts: 50

    Hi @Lisbeth, I am nearly 4 weeks post-op and agree with @Trish9556 that the first few weeks are the worst. I found in the first 2 weeks that I got really tired in the afternoons, but also found it hard to settle for long in one position because of the pain. It can get you down at times, but it does start to get better gradually.

    I was on paracetamol and codeine for the first 2 weeks, but since then am just on occasional paracetamol. And while I still get uncomfortable sitting or lying for long it's nothing like the first 2 weeks.

    Ice packs wrapped in a towel can help with the swelling and as Trish has said, keep hydrated and eat a light bland diet for a few days. And do the physio exercises you've been given, which can help with the pain, although don't overdo it for the first few weeks.

    It can be nice to have a friend or neighbour popping in to give some support, although I found at first it was tiring as well, so really valued online communities such as this for support and advice. So do please shout out when you want to and don't feel bad about getting low at times - we have all been through it.

    Jane x

  • Lisbeth
    Lisbeth Member Posts: 50

    hi @trish & @Jane

    Thank you so much for replying, I was given oramorph and aspirin to come home but I don’t recall antibiotics, unless they were given through the IV, there were a few different meds administered that way.

    I don’t recall feeling this unhappy even depressed after my first hip replacement but I’m positive that bruising was a lot less.
    I am thinking that I have been dehydrated, I was afraid to drink too much in case I would be back and forth to the loo (it’s upstairs) it sounds so daft but sitting on the toilet is painful, probably due to having the bruised bum cheek🙈

    When I wrote my post yesterday, my fear is that I’m not doing enough to aid recovery, telling myself that “tomorrow will be better” thinking I am not doing enough to help myself.
    I am going to take your advice, I’ve got frozen peas to use, thanks for that👍

    Thank you for your support, I really appreciate you took time out of your day to offer help.
    if I have missed any of your topics, I’m sorry, my head is all over the place, I’m experiencing a bit of a wobble🫨. I need to get up and start moving around.

    Stay well and look after yourselves.xx

  • Trish9556
    Trish9556 Member Posts: 898

    Hi @Lisbeth

    If you have a big shoulderbag bag you could take some drinks/water/thermos upstairs? You really should keep hydrated, nothing wrong with spending time upstairs - my husband moved a dining chair to our bedroom so I could sit and watch TV upstairs in the early days. You can sit on your bed and use your laptop, drink, do your exercises, all while staying close to the bathroom. Make sure you remember to go downstairs to eat though.

    Don't forget to replace your bag of peas and label the bag you're using for ice pack use only.

    Shout if you need anything

    Trish xx

  • Lisbeth
    Lisbeth Member Posts: 50

    ahhhhh @trish

    Thank you, I can definitely do that.
    And it’s much appreciated to know you are here if I need some help💞xx

  • Jane18
    Jane18 Member Posts: 50

    Hi @Lisbeth, I know that feeling in the bum cheek too well. I've had similar since the op, but find the ice packs and moving do help to ease it. When I get stiff lying down I get up and do some of my physio exercises and light stretches and that seems to help - even if it's 4am! I had times when I felt really low, especially in the early stages, so had to find ways to distract myself, even if it was just standing up and walking a few paces.

    Do you have a raised toilet seat? Some of those can be quite uncomfortable and I got one online with a memory foam filling, which is a bit easier to sit on.

    I was given aspirin as a blood thinner to take every day after the initial injections, but it's compatible with paracetamol, which I now use occasionally for pain relief.

    Hope things start to get better soon and just do what you can. Don't feel bad if some days you can't do as much as you want, as it's important to pace yourself and listen to your body.

    Jane x

  • cocoa
    cocoa Member Posts: 40

    hi @ Lisbeth had rt hip op 9 th July home yest am. Was ok in hosp on strong painkiller but now home just on paracetamol and low dose codeine and am struggling to get into bed sit in a chair and even do exercises awake at 4 am and in heat have git cold pack which is helpful wrapped int towel 20 mins at time .hosp I went no longer provide high toilet seat but did purchase a toilet frame thanks to @ trish recommendation. Like you beating self up ciz if pain and can’t complete exercises! But am taking short walks with crutches inside only. We’re all in same boat and just pleased it’s over with and don’t feel ill . My bum is still numb so prob nerve damage . Worse thing getting in and out bed and shuffling around to lay flat if any tips ? Keep spirits up can only get better. PleSed trained my husband a bit ?!! X all best

    Cocoa

  • Jane18
    Jane18 Member Posts: 50

    Hi @cocoa, good to hear you're home and that the op went well.

    I found I really needed a leg lifter to help me get into bed for the first few days. If you haven't got one, a dressing gown cord or similar will do to put round your foot to help lift the leg up. It gets easier after a while.

    I can't sleep lying flat on my back, so propped myself up on several pillows which helped with back pain. The leg lifter also helps to shift position. And after 4 weeks the pains have eased up, so hope yours do as well.

    Don't beat yourself up about not doing all the exercises in this weather. I think we're all struggling at the moment, so just do what you can when it's not too much.

    Take care and let us know how you're getting on.

    Jane x

  • Trish9556
    Trish9556 Member Posts: 898

    @cocoa

    Hi

    You seem to be doing remarkably well in this heat - don't beat yourself up too much. Don't worry about completing each and every exercise in the early days, repeating them frequently is the key - you might do five reps of one and struggle to do the same exercise next time. Just keep trying, it will get better :)

    Sleep will come - I rarely sleep through the night and find myself getting up and coming downstairs at 4 am to make a drink and move around, especially when it's hot.

    My hospital physio taught me to get into bed using this method

    Sit on the side of the bed you need to get into.

    Shuffle your bottom back toward the centre of the mattress and keep doing it. I found that my leg got quite a way up (but I'm less than 5' lol)

    Once you're as far back on the mattress as you can, shuffle your bottom around so you're facing the end of the bed and your leg should follow quite easily.

    I found I was getting in and out of bed fairly easily about 24 hours after coming home. No leg lifter necessary. It was a relatively easy movement then to roll onto my unoperated side to lay down and reverse this to get up.

    Remember how far you've come since going into hosital and remember that recovery is not a sprint race, it's a marathon and everyone recovers at their own pace.

    Trish

  • cocoa
    cocoa Member Posts: 40

    jane18 and Trish9556 stil trying to perfect the art of getting in out bed without getting stuck! Have tried using lift strap but just seems to twist my groin if can’t move at same time upper body tho niw I am on stronger cocodamol befire gp shuts down fir weekend May help. At least managed 4 hours sleep and usual ( join the club!) 3/4 am night walk to loo and sit in chair . Struggling with crutches mid night to get loo in time ! Slightly better each day tho I am on day 4. Managed get dressed but why is there always a piece of crucial equipment other side / or other room !!festival here in town don’t think manage that yet 😂 thx fir helpful tips do think discharged too early from hisp really strong painkillers in there then diwn to paracetamol ( buy your own!) supply own high loo seat no walking frame fir early days after full hip op? Wonder how some folk manage !!

  • Trish9556
    Trish9556 Member Posts: 898

    Hi @cocoa

    You'll be fine - the first few days are the worst but you're on the upside now.

    I never used crutches when I got home - I had a stair rail on both sides and the physio agreed that I could use two walking sticks instead so maybe speak to your physio about this if you're struggling with the crutches? I have a problem with one of my wrists which means I can't weighbear easily but check first before ditching them please.

    I didn't use a toilet seat or a frame - told them I didn't need them but I'm a stubborn taurean who likes her independence. The only thing I found useful were my grabber, which was useful for dressing as well, a long handled shoe horn and elastic laces in my trainers.

    We are all usually discharged two days after surgery and I think that makes us move and not sit and mope.

    Take your painkillers at strict intervals - even if it means setting an alarm. It also helps to time your physio about half an hour after you've topped up your painkillers.

    Don't get paranoid about walking - lots of little trips to and from the bathroom, kitchen, bedroom etc all help in the early days. My husband put a dining chair in our bedroom so I could just sit upstairs and watch the telly in the bedroom in the first couple of days - soon put a stop to that though but it was handy for sitting on and getting dressed and just catching my breath after moving.

    When you're in doubt, remember where you've come from leaving hospital and much more you can do since day one. You'll surpise yourself.

    Trish

  • Jane18
    Jane18 Member Posts: 50

    Hi @cocoa, as Trish says, the first few days are the worst and you are already doing well. I only used the walking frame for the first two or three days and then kept it for doing my standing exercises. It takes a while to get used to the crutches at first. I found that standing upright using the bed to lever myself up with my arms worked, only using the crutches when I was standing. But we all develop our own techniques.

    I struggled with getting in and out of bed for the first few days, even with the lifter, but you will find it becomes easier after a while. Now the leg lifter has become the cat's toy!

    I was glad I got the raised loo seat for the first few weeks, but now think I can ditch it and go back to normal height.

    It sounds as if you are making progress already and each day will feel a little bit better. And just a little walking from time to time helps, even if it feels very slow at first. With plenty of rest intervals as well, especially in the early stages.

    Good luck with your continued recovery. When you look back in a few days you will be surprised at how far you've come.

    Jane x

  • Fran54
    Fran54 Member Posts: 320

    @cocoa

    Hi there. We are both in the same boat as I had my Left Total Hip replacement done on Tuesday. As for getting in and out of bed I use a technique where I sit back on the bed, put my operated foot on top of my good foot then swing myself round legs straight onto the bed making sure I lean on my good side. I used this technique for my Right Hip replacement last year and it seems to work for me. I too am struggling with the heat and managing to do some exercises but earlier in the day when the heat is more bearable. Also the grabbers are a god send, I have 3 and would not be without them. It is very early days so just take things slowly and be kind to yourself. Keep positive as each day brings a little improvement. Take care.

  • cocoa
    cocoa Member Posts: 40

    thank you fir all your comments and help have spent bit more time out bed tiday and persevering with do able exercises taking care to take meds regularly niw found right potency and actually managed to get dressed with help of grabbers . Funny how you find paces to lodge the crutches and stop doors shutting on you.! Feeling much more positive now have help from this group should have tuned in much earlier ! Managed to instruct my husband on re heating dinners I had in freezer very good first try and I resisted entering the kitchen . Such a relief not got op hanging over me any more and feel blessed xx actually had couple home grown beans off garden he cooked today but not been good year as yet !!
    Cocoa

  • Hi Cocoa i live alone too, so I understand it's a huge challenge when your ill. I hope things continue to improve, one day at a time is my mantra. I'm heading for a shoulder replacement, and stressing a lot about how I'll manage at home. Take care Xkaren

  • cocoa
    cocoa Member Posts: 40

    had a visit from my brother tiday who recently had a hip replacement and joy he brought me a raised loo seat he no longer needs , made my day ! Funny things you appreciate as get older 🙄he’s had no trouble getting in out bed but just had epidural and Watched his o. That would have been nightmare in the day to me . Good to rest and walk when get too restless and in pain just got to master visiting the toilet. Latest thing foot swelled up tog with hip but using the cold compress regularl. What next ! Granddaughter aged 8 yrs visited me and showed me how to use the crutches snd ‘‘‘twas fascinated with loo frame and high seat . What a tonic!!

    Read all your comments again reg keeps me sane!

    Cocoa

  • Jane18
    Jane18 Member Posts: 50

    Hi @cocoa, I found the raised toilet seat so helpful in the first few weeks. Had to buy my own as the OT said they didn't have any that fit a square seat, but very glad I did. And took it off today as I now feel ready to go back to normal height. Just have to remember when I get up in the night that it's lower again!

    You will find the leg swells for a while, although it's helped by the cold pad and raising it. Mine tends to go down overnight but then still swells a bit by the end of the day. But it's quite normal after the op and is all part of the healing process. You should have had some guidance on any symptoms to watch out for, but if in doubt do contact your doctor.

    Having visitors can certainly raise the spirits. A friend today brought me some wicked cookies from the local cafe, so I suppose I will just have to walk them off tomorrow!

    Sounds as if you're making steady progress, so hope it all continues to go well.

    Jane x

  • Fran54
    Fran54 Member Posts: 320

    @Lisbeth

    Hi just wondering how you are getting and I hope that things are improving for you . Please keep us all updated if possible as we are all here for one another. Take care.