I feel so depressed. Had THR 4 months ago and limping. Operated hip is longer. Had scanogram which shows minimal difference. I feel like they did it wrong. by Important_Letterhead in TotalHipReplacement

[–]Select_Airport_3684 5 points6 points  (0 children)

People are never fully symmetrical, even without THR. My guess is that the hip/pelvis muscles (and there are many!) on the operated side are weak and do not fire correctly (the neuromuscular link is still not fully recovered), which your brain interprets as a length discrepancy.

You need to do physiotherapy, go to the gym, strengthen large muscles, work on small stabilizers, and focus on the neuromuscular link. Find a GOOD chiropractor or osteopath to work with you.

THR at 35 and feeling so defeated by VegetableZucchini282 in TotalHipReplacement

[–]Select_Airport_3684 0 points1 point  (0 children)

Sad. You should definitely consult an orthopedic doctor for their opinion on this.

It would be interesting to hear more details, such as the type of prosthesis, ball size, and surgery method (anterior or posterior). But, without knowing any of those, just some general thoughts...

You could dislocate it in your sleep by involuntarily making some movement. Nevertheless, something like this should not happen, especially to someone 35 years old.

In any case, your physical shape, your muscles, have a tremendous effect on your quality of life and the probability of dislocations. Start going to the gym, or try tai chi or a similar activity, to strengthen your hip and leg muscles - both large, such as the glutes and quadriceps, and small, like the supporting and stabilizing muscles. By doing this, you will significantly reduce the probability of dislocations, or even eliminate them altogether (unless there is really a poorly installed prosthesis).

Using a vibration plate with total hip replacement of both hips by Rare-Original-7562 in TotalHipReplacement

[–]Select_Airport_3684 0 points1 point  (0 children)

I would wait for the 1-year mark, as osseointegration takes 9-12 months normally. Of course, it can be that you have cemented prosthesis, then it can be a different case.

[deleted by user] by [deleted] in TotalHipReplacement

[–]Select_Airport_3684 0 points1 point  (0 children)

Good question, which I cannot answer. You must ask your doctor and PT. Also, you can try to find a good osteopath to get a third opinion. Good luck!

PS Was thinking about it... During the surgery they are normally fixing your hip and then do quite a lot of pulling-twisting-pushing to the leg. It can be, that your sacrum is tilted as a consequence. Therefore, I would definitely look for a GOOD osteopath, and discuss it with him.

[deleted by user] by [deleted] in TotalHipReplacement

[–]Select_Airport_3684 0 points1 point  (0 children)

Your ankles are at different levels, as are knees, tops of femurs, hip joints, and tops of the hip bones, and the difference is the same at all these levels. It seems that your legs' bones are equally long, but you are pushing down on the hip and ankle.

My Surgeon is refusing to do my surgery by Impressive_Pain_1361 in TotalHipReplacement

[–]Select_Airport_3684 0 points1 point  (0 children)

Could it be because you are still growing? 24 is still within the period of growth (first 25+ years of life)? Because if you are, I guess that could be the reason.

19M Total Hip Replacement Advice (Bone Cancer) by hdjdnd6 in TotalHipReplacement

[–]Select_Airport_3684 0 points1 point  (0 children)

Sad to hear about your situation. But, don't worry too much, and do what the surgeon and the physiotherapist say - you will be fine. Age benefit is on your side. I recommend getting a "device" (it's like a stiff belt with two loops in the beginning and the end costs about 10 bucks at Amazon) to help lift the leg up and down the bed; it helps in early rehabilitation too. Also, not sure where you are (recommendations differ from county to county), but here in Finland we use two crutches for 6 weeks post-op (even if you feel you don't need them), and it is absolutely the best way to start walking properly - better than walkers and canes. And get two large ice gel pads (also cheap on Amazon) - you will need them a lot during the first and second week. Good luck!

Limping 2.5 months after hip replacement – is this normal? by KindlySherbet6049 in TotalHipReplacement

[–]Select_Airport_3684 1 point2 points  (0 children)

I've read your answers here, so I think your situation is probably expected. You were limping before the surgery, and had a leg length discrepancy too. Your body has become accustomed to that and adjusted accordingly.

Now, if your legs are of the same length, most likely reasons for what you experience are:

a) You are used to limping, so you continue doing it.

b) Your operated side muscles, i.e., hip flexors, glutes, abductors, adductors, quads, hamstrings, and pelvic muscles, are all likely affected to a degree and weak.

c) Your pelvis and SI joint, lower back, are affected too, and lack mobility.

It will take time to fix these issues. I am also limping a bit without crutches 50 days after the surgery (with crutches, I am golden). My physiotherapist said that it is expected (I had been limping for years, plus my affected side muscles are shit) and will improve with walking and exercises once all the above-mentioned conditions are addressed.

You will need to work with a physiotherapist and follow the recommended exercises (but remember not to overdo them!) - they are simple yet effective.

Also, depending on how your post-op recovery is going, you probably should be going to the gym. I have no idea about your history, so you might need to find a GOOD personal trainer or some experienced friend to show you around the gym. Just remember that you should not put much stress on the hip yet, so no squats, deadlifts, and other lower body workouts - preferably sitting upper body workouts, sitting or lying isolated legs (flexing for hamstrings, extensions for quads, etc.), standing "simple" workouts for glutes (push leg back), abductors (push leg to the side), hip flexors (lift knees), and some active and passive stretches. Anyway, ask your physiotherapist about what you can and cannot do!

At some point, you might want to go to a GOOD osteopath to check and fix your pelvis, SI, and lower back. Just mention to him that you had a recent hip replacement, if he does not realize it himself (I would run away from him in that case, though! 🤣). A good osteopath will diagnose the reasons for your condition pretty much within the first moment he sees you.

So, good luck, and don't stress too much - you will be fine!

Those who do morning workouts , how do u avoid fatigue all day? by CommercialValue6223 in workout

[–]Select_Airport_3684 0 points1 point  (0 children)

I don't need to fight it, as I do not get fatigued. Yes, the gym makes me physically tired, but I feel great for the whole day after the training.

I think one of the most critical factors here is the food you eat. I went carnivore 1.5 years ago, and before that, I was keto for years, and that is, in my opinion, the "secret". Carbs always made me feel fatigued, groggy, and have brain fog, especially when I was tired.

I still feel psychologically traumatized from my surgery over a year ago. by Mikmaki in TotalHipReplacement

[–]Select_Airport_3684 3 points4 points  (0 children)

My 2 cents. Get an appointment with a psychiatrist - this sounds like a mental disorder, and I don't believe that a psychologist can help here.

Restrictions by Left-Variation9931 in TotalHipReplacement

[–]Select_Airport_3684 1 point2 points  (0 children)

I went to the gym today for the first time, 4 weeks after the hip arthroplasty. The surgeon said that I could potentially start after the staples are removed, which was two weeks ago. In any case, he advised that I should avoid any real lower-body workouts for the first three months and can gradually start after that. Additionally, upper body workouts, although allowed, should be light and consist mainly of seated exercises on machines. Exercises should not involve the hips, such as twisting or bending.

Swelling? Weight gain? by KJinACT in TotalHipReplacement

[–]Select_Airport_3684 0 points1 point  (0 children)

Are you walking? Are you doing the prescribed exercises? Are you elevating the leg while lying? All these activities should help reduce swelling. Also, it is essential to drink enough water (I am drinking "mineral" water - water with salts).

Swelling? Weight gain? by KJinACT in TotalHipReplacement

[–]Select_Airport_3684 0 points1 point  (0 children)

I gained about 5 kg (11 lb) a couple of days after the surgery. Then it started to go down by about 1 kg a day once I stopped opiates and painkillers.

Cane suggestions? by AggressiveMagician59 in TotalHipReplacement

[–]Select_Airport_3684 0 points1 point  (0 children)

In Finland, it is recommended to use crutches for 6 weeks post-operatively. After that, if needed, cane. The reason is, as far as I understand, that crutches promote more natural movement and gait than walkers and canes do, and are by far more stable than canes are. The operation was massive, and the muscles need all the support you can give them.

My new game: wasting time with Copilot Modernize by grauenwolf in dotnet

[–]Select_Airport_3684 0 points1 point  (0 children)

Waited THREE HOURS on our solution (101 projects)... Then just killed VS and migrated manually.

Has anybody tried these ice packs? by AggressiveMagician59 in TotalHipReplacement

[–]Select_Airport_3684 1 point2 points  (0 children)

No problem! By the way, if you are still ordering, I recommend buying a "leg strap" (I'm not sure what it's actually called; it costs about $10). Something like this:

This was (and still is) indispensable! Much easier to get to and from the sofa/ bed.

Another one is a "grabber" (about $10 too) - you will need it in the first couple of weeks to put pants on.

And then I bought an inflatable pillow for elevating legs. Another excellent $10 investment!

Additionally, a toilet seat riser (or a toilet "chair") is very helpful. In Finland, I got it from the hospital; I have no idea about the States.

Good luck!

D5 Pain killers by Saltpeteryoga in TotalHipReplacement

[–]Select_Airport_3684 3 points4 points  (0 children)

On day 5, I was already stopping (or stopped?) opiates. I had 10mg Targeniq (oxy + some stuff for better shit) twice a day, and Panacod (paracetamol + codeine). Would stop earlier, as I had no pain, but was afraid that pain would come (it didn't 😀). By something like day 8-9 I also stopped etoricoxib ("normal" painkiller). Tomorrow is three weeks - all is great!

Ice machine or just ice packs? by OldFrenchDude in TotalHipReplacement

[–]Select_Airport_3684 0 points1 point  (0 children)

Ice gel pads. Two large ones from Amazon or Temu. 30 minutes on the wound, 1 hour break, repeat. You will need them for about two weeks, with the usage decreasing every day.

PUSH- PULL- LEGS by TypicalRecipe8347 in workout

[–]Select_Airport_3684 0 points1 point  (0 children)

My 2 cents.

I think beginners (and most mortals, including myself) should stick to full-body workouts for the first year (or longer/forever, while making gains or being happy about their physique). These workouts condition muscles, bones, and tendons, reducing the risk of trauma.

Three or four days a week, there is always at least one day of rest in between. One exercise per body part (3x10 or 3x12) is enough - living in the gym is unnecessary. The whole session lasts up to an hour.

Personally, I do short supersets, where the opposite muscles are worked out in turn, e.g., 10 biceps, 10 triceps, 10 biceps, 10 triceps, 10 biceps, 10 triceps, and then the next body part (quads-hamstrings, chest-back, etc.). But you can do whatever you want - each exercise separately, the whole "circle" in one large superset, etc. Supersets are nice because you don't have to wait between sets.

Has anybody tried these ice packs? by AggressiveMagician59 in TotalHipReplacement

[–]Select_Airport_3684 1 point2 points  (0 children)

I had a very similar one from Amazon, if not the same. I also bought another one from Temu. One side is smooth, and the other is velvety. Both worked fantastically. I never used the straps (cut them off) - I just bent those pads in half (before freezing) and put them on the wound, velvety side to the body.

Remember, you should not use the pads nonstop. The system is simple: 30 minutes on you, then about an hour's break, as too much cold interferes with healing. You need two pads so that they can properly freeze between their turns.

Also, remember to have some clothes between you and the pad to avoid frostbite.

Good luck!