Managing post op pain
Comments
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Hi @BrandNewHip, welcome to the forum. I remember going through similar feelings after my op. For me the first couple of weeks was the worst, when I couldn't find any position that was comfortable for very long. But the painkillers the hospital gave me helped and I got used to sleeping for short periods and then getting up and stretching when it got uncomfortable, till the next dose. I propped myself up on pillows and also raised my legs with a pillow to help with the swelling.
I was afraid of dislocating my hip as well, and it felt very strange at first, but now, nearly 7 weeks since the op, I feel much more relaxed about it and can move more freely. And no longer needing the painkillers.
Follow the advice of your medical team, do the exercises the physio has given you, but listen to your body as well. I found one of the exercises too difficult and was advised to leave it out. And pace yourself, don't feel frustrated if you can only do a little at first, as gradually you will build up strength. It's important to rest when you need to.
I found some days worse than others in the first few weeks, but it does get easier. It was also really helpful to share with others on this site. So don't hesitate to shout out if you have any questions or concerns.
Jane
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Hi @Trish9556 Thank you for your kind advice, I really do appreciate it.
How far along the hip replacement journey are you? if you don't mind me asking of course..
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15 months and just referred for my other hip
Trish
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Hello @Jane18 Yes, day 9 today and it has been pretty tough, as a parent carer to my 25yr old daughter handing over my caring duties to my husband and our other daughters has been almost as tough, apparently I'm a good carer, but I think I make a terrible patient! ๐
I'm finding some of the exercises quite difficult, lifting my knee upwards and lifting my leg to the side whilst on the bed is a no go! The hospital physio said he was more interested in pushing people harder pre-surgey than post-surgery, as you said you must listen to your body.
On a positive, I'm only taking paracetamol and the standard blood thinners now, I am feeling less muscle pain and amazingly I can stand up straight - I've grown two inches practically overnight! I have less back pain and can put my leg straight on the bed! I'm taking it a day at a time, still using two sticks but moving a little more fluidly (according to my husband) but finding the extra energy to move to the table at mealtimes! ๐
But seriously, I think it's just about being kind to yourself (as we always should be) but a little more during this healing process and trying to look at even the smallest positives, not feeling alone on the journey certainly helps too, it definitely has helped me for the past couple of days.
Thank you for your kind words and support, this site feels like a good place to be.. โบ๏ธ
Lisa
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I hope second time around things go really well for you, Trish.
Best wishes
Lisa
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Hello @BrandNewHip, those were the two exercises I found most challenging after my op. The one moving my leg out to the side when I was lying down strained my back, so my physio said leave it and just do the standing one, which felt easier. With the one where I lifted my knee and drew it towards me when lying down, I used a strap to help me at the start to help my foot to move a little, until I was able to do it unaided. And to begin with I did fewer reps of the others that felt more difficult, although now I can do all of them without too much effort, so on my last visit I was given some more! You will find that even doing a few will help you to get stronger over time.
I remember the surprise at being able to put my leg straight out on the bed after the op, as before I had to keep my knee bent because it was too painful to flatten it out. I'd also had a lot of knee pain before the hip replacement and that vanished overnight. So although initially it is difficult to stay comfortable after the operation, there are also so many small benefits. And what encouraged me was that, rather than everything deteriorating as before, it gets better incrementally each day.
You're getting close to the 2-week mark since your operation and that was when I found that everything gradually started to feel more manageable, so I hope you will soon start to see more of the positives from having a new hip. I gather from others who have had this operation that it continues to improve over a long period, although even at 7 weeks post-op I feel so much better in myself than I did for many months before.
I read quite a few of the hip diaries on this site, which gave me an indication of what to expect in the early stages. And also got lots of support from other 'hippies', which really helped me through the process. It is a very friendly forum, so I hope it continues to be helpful in your journey.
Jane
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Hi again @Jane18 I'm glad to hear that 7 weeks in, you're feeling better in yourself. And yes! Each day it feels like I'm moving in the right direction. I have my wound check next monday and I hoping a shower will be on the cards afterwards! It takes at least an hour to get ready for bed each night after washing with a flannel (like going back to being a kid in the 70's ๐) and doing my skincare, my legs are growing hairier by the minute or so it seems!
Also can I ask, I don't know if you or any other fellow 'hippies' have encountered 'Restless Legs' in bed at night, I had it last night and it was horrible, I had to get up and walk about on my sticks, I was in and out of bed constantly! I'm looking forward to losing these sticks ASAP but I seem nowhere close to that yet, I wonder if this is normal as my physio leaflet says to start 2x20 minute walks after week two! I don't think I could manage 5 minutes at present.. ๐ข
Best wishes
Lisa
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Hi @BrandNewHip, I found in the first few weeks that I would get twitching in my legs, especially my operated leg, sometimes. The spasm in my hip was pretty uncomfortable whenever I woke up. But that has eased up a lot now and only happens occasionally, usually if I've been overdoing things.
I was using two crutches for several weeks and it's really only in the past couple of weeks that I've felt comfortable going out with just one crutch. Looking back over my notes, I didn't feel confident enough to venture out of the front door until a week after my op and could only manage a few steps. By two weeks, I was feeling quite proud of managing nearly 10 minutes on two crutches, with occasional pauses on my way round. Although I'm in my early 70s, I consider myself fairly fit. So 2x20 mins seems pretty ambitious! I'm sure that's only a general guide and just go at your own pace. I did find that taking breaks for a few seconds from time to time when walking was helpful and still do pause at times, even though my walking is now faster and I can go for longer. It's important to find your own rate of progress and it differs for everyone. So just do what you can, get plenty of rest periods between exercising and over time I'm sure you will find you can start doing more.
Hope that helps,
Jane
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Jane18 has given some very useful advice regards walking outside. I am now 3 weeks post left hip replacement and didn't start walking outside until about a week after I was home. I now do one walk a day and try and walk a little further each day. I don't really time myself but just go slow and steady, reminding myself that where I walk to I have to walk back home! I am still using two crutches outside when walking as I don't feel comfortable enough to just use one. I read somewhere that shorter walks are better than one longer walk, but each one of us is different, so listen to your body and remember to pace yourself. There's nothing like a good strip wash at the sink, oh those were the days indeed! Take care๐
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Hello again @Jane18
Thank you for your words of wisdom. Yes, you do sound like you're a fit person and it's lovely to hear of your personal progress, post-surgery.. ๐
I had a much better night last night, feeling very positive this morning, getting in and out of bed is becoming much easier which was something I dreaded for the first week or so. I do think a positive attitude makes all the difference, I'm rather good at seeing the cup as half full (most of the time!) but understandably that's not always easy for everyone, especially when you're in the early days of recovery.
Thanks again for your support and wise words, they have really helped me these past few days โค๏ธ
Take good care
Lisa ๐
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Hi @Fran54
Thanks for reaching out ๐
I am at day 11 post right THR and things certainly feel like they are becoming easier, the bruising has gone down tremendously, which as got me thinking about how the human body is absolutely amazing at healing itself (but that's for another thread I guess ๐ )
I lucky enough to live in a rural village with lots of beautiful scenic walks but getting outside my house to walk around is a bit treacherous as the path leading up to the village is full of stones and bit rough walk on, the other way out is up a hill! (physio told me avoid rough terrain and hills! ๐) so I'm simply pacing around the house, we do have a nice garden so I can still appreciate the outdoors.
Also grateful for the flannel strip wash but would much prefer a hosedown right now! ๐
Take good care
Lisa
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P. S @Fran54
Forgot to say it seems like your recovery is going well too, I hope that continues for you too.. ๐
Lisa
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BrandNewHip
Well done Iโm sure youโre already feeling a lot better each day brings its own challenges . Iโm almost 4 weeks post op and I noticed a real difference after day 14 must say . Still got dressing on wound and like you have been terrified of dislocation but be assured very rare if stick to plan. My worst thing has been reducing from the strong painkillers eg codeine and the side effects of that . 2 hour slots of sleep thru night and restlessness . Now have progressed to paracetamol 3 times a day And have even had a short trip out. Hate sleeping in my back but can now sleep short time on unoperated side with care and pillow padding . Helps to rest with legs up to reduce swelling of feet/legs never expected that ! Take it easy with exercise
cocoa1 -
Hi @cocoa Thank you for sharing your journey so far.
I was three weeks in Saturday just gone. I had my wound check today and I can shower tomorrow! Compression sock still on and still using two sticks but feeling better and definitely more mobile, one thing I did notice is an area of numbness today around the scar when the dressing came off but not worrying too much about it now..
I hope you are starting to feel better with the pain meds, I take paracetamol now and then, when I need it. Still not enjoying sleeping on my back and some nights are pretty dire but keep thinking it's not going to be forever. Had a chat with my physio and he was very reassuring re dislocation, he said the surgeon really does ensure the hip is well placed and will move it in every angle once it's placed during surgery.. Sounds grim but I'm reassured by that thought!
Best wishes..
Lisa ๐
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BrandNewHip
just occasional paracetamol now and managing ti sleep a full 6 hours overnight ! Obviously ciz Iโm doing a bit more wirk ! Physio tiday lots new exercises scar all healed but still lumpy . Foot/ankle still swollen no bruising tho! Apparently unlikely to dislocate now snd you would certainly notice if did ! so ok to sleep on either side and gradually bend diwn from seated to touch ankles with view to putting sox/ shoes on! I am 5 weeks post op .any numbness all normal itโs just nerve damage will get better gradually . Still canโt raise operated leg up or move to sude when lay diwn but nothing to worry about everyone at own pace . Saud surgeon measured length of leg befire inserting replacement so no discrepancy in length . Asked lots questions knowledgable physio !
keep postingCocoa
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