Smith & Nephew BHR Brimingham Hip Resurfacing

Author Topic: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!  (Read 742 times)

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surratt

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Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #20 on: December 29, 2017, 06:50:57 PM »
Awesome Blinky...ive read your entire thread and post!  I can very much relate to your two week experience.  Its weird in the last 3-5 days ive gotten so much better its crazy.  Im at the two week mark today actually and im able to walk short distances with no assistance, like you said it feels week and unstable but i can do it.  No longer getting exhausted or light headed.  Im doing lots of pullups and dips as well as forearm exercises for my upper body...band stuff as well.  Keeps my mind healthy more than anything i dont like feeling sedentary.


Im not sure how much i should be trying to walk on crutches bc you hear so many people try to push the walking and their results arent much better than the people who chilled.  So im trying to find a middle ground, make sure i gou outside on crutches every day to move my muscles around but not try to kill myself.  From what ive gathered its all about letting your body heal itself this first 6 weeks.


Taxicab confession...i shouldnt have but i drove yesterday bc i had to make a quick trip.  Prolly not the best idea at 2 weeks bilateral but i used 2 feet and it felt fine.  It was a short distance and it did feel good to get out of the house but my girl was pissed when i told her that lol.


Thank you for all the words and input guys its a huge help
Bilateral Hip resurface Dr. Gross
12/13/17
12/15/17

surratt

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Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #21 on: January 03, 2018, 12:38:47 AM »
little update...tomorrow will be the three week mark for my first hip.  Man Im feeling great, i just got done crutching outside about .6 mile.  Im putting less and less weight on the crutches at this point...i could have walked alot further than .6 but im trying to not go crazy and gradually build up.  Not really experiencing a ton of soreness afterwords either.


My exercises they gave me are boring as hell at this point.  Im doing lots of pullups dips and forearms exercises to try to keep my upper body in decent shape.  Im breaking that 90 degree rule wayyyyyyy too much lol.  Not terrible but sometimes my feet itch or something and i reach past.  I cant wait for the 90 degree thing to be over.  What is the danger of that anyway?  Is it dislocation or just tearing muscles?


Im walking alot around the house not using my crutches...its a super gimpy and very slow walk but its nice to be able to carry stuff without making 50 trips.


Similar to blinky i think at about the 5 week mark ill head to the gym and start trying to swim and hitting the sauna that I miss so much.  My 6 week check up Im going to drive up to see Dr.Gross ,  man i cant wait for that.


Also I know im not suppose to and my girl gets pissed but i drive to the store and do small trips.  the way my pedals are setup i dont have to lift my leg to change pedals i can just pivot on my heal or drive with 2 feet. 
probably not the best idea but i dont feel my driving ability is hampered, but i do keep driving to a minimum.


Im eating good food but im simply eating too much!  Sitting around the house all day i just munch too often.  I was 182 before surgery... 3-4 days post surgery i was 200 pounds from all the swelling and now 3 weeks later im at 185-186 and its hard to keep my weight under control.  At the 6 week mark with swimming and using the elliptical and bike it will be easier to keep the weight down.


anyway thanks guys for the words and getting me past that first 10 days full of uncertainty...it feels like smooth sailing from here
Bilateral Hip resurface Dr. Gross
12/13/17
12/15/17

surratt

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Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #22 on: January 08, 2018, 07:48:52 PM »
anyone ever experience lower back pain and stiffness during the first 6 weeks.  i have no issues as far as my back health but i feel like being unable to stretch my hamstrings and back due to the 90 degree rule have left my lower back a bit tight.  i just started doing a couple of stretches that may help but i cant wait until week 6 where i can start stretching more and doing more exercise.


I have an inversion table i use as well that gives me lots of relief but im not using it the first 6 weeks.  Ill discuss it with Dr. Gross at the 6 week mark but im willing to bet he says leave the inversion table alone until the 6 month mark.


Also my walk without crutches is way better... I use no assistance around the house now but i do notice im still going side to side to compensate for hip weakness and ive noticed me oblique side muscles are sore from that.... walk is slowly getting better though
Bilateral Hip resurface Dr. Gross
12/13/17
12/15/17

John C

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Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #23 on: January 09, 2018, 12:05:56 AM »
Hi surratt. I am willing to bet that your low back is doing its job right now, which is too protect your hip area by keeping you stiff and somewhat immobilized in the surrounding area. Our bodies evolved for tens of thousands of years before the invention of casts and splints to protect an injuries area while it heals. Our bodies do this by making the area around an injury stiff and sore enough that we don't do anything stupid and overdo it. I would suspect that as your body heals, it will ease up on the stiffness and soreness around the area, including your low back, so that you can start moving and regaining motion again. The rehab process is constantly treading a line between letting the pain and stiffness protect the area from further injury, and finding subtle movements that are safe and beneficial. It sounds like you are doing a great job with that so far.
John/ Left uncemented Biomet/ Dr Gross/ 6-16-08

blinky

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Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #24 on: January 09, 2018, 05:37:57 PM »
Hmmm, I didn't think of myself as having lower back issues until pretty far out, like a year and a half out. My observant PT, however, pointed out that my SI joint was weak and noisy on one side about six months out and she worked to fix that.


I did notice some strange lower ab weakness a year out when I discovered I couldn't do some lower ab exercises like mountain climbers very well. (Two years out I can do them.) Maybe that's part of what you feel? Some subtle ab weaknesses? Hip flexors and psoas are traumatized by the surgery and by the time you spent compensating with a bum hip, too.


The real lower back stiffness and weakness I didn't feel until I was doing a lot of walking and standing (of all things). When H and I were exploring new cities, walking everywhere, going to museums, standing and staring at exhibits, at the end of the day my back would be very stiff. This was as recently as a year and a half post op. That has gone away, too.


I'll agree not to push too hard this early. Let yourself heal. Yes, do keep a list of weaknesses and watch how they improve or don't improve. Some stuff goes away on its own, some new stuff pops up when you think you are fine. You can ask Dr Gross about them at your check ups. At three-four weeks, I wouldn't worry about lower back stiffness.


(Something to look forward to: I was so excited to bend over at six weeks. I envisioned myself sitting on the floor and picking things up off the floor with ease. Ha! I was still stiff and weak. Yeah, I could do it, but it wasn't pretty. Lee had to coach me on getting down on the floor.)

surratt

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Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #25 on: January 09, 2018, 09:41:56 PM »
yeah i think you guys are right....i actually feel a bit better today just doing those stretches.  Also not being able to do any ab exercises likely contributes. Over the years ive found that hamstring flexibility has alot to do with lower back stiffness and like John said the body compensates in ways when things arent working right so its really not that big of a deal.  But im super excited to hit that 6 week mark so i will be able to attack this more with exercise and stretching.


Ive got one little stubborn scab that is keeping me from getting in the pool.  It is the size of a dime and taking forever to fall off.  It feels healed underneath so i think im going to pull that badboy off and apply bactroban, hopefully it will be ready at the 5 week mark for the pool.  (will be at 4 weeks on friday)


I know you arent suppose to pull scabs but i read that sometimes they can actually slow the healing process and it can be appropriate to remove it.  At 3-4 weeks out i feel its pretty healed under it.  Im ready to start swimming next week so Im going for it.


As far as walking...I crutched 1.4 miles yesterday and .2 was without crutches.  Not really sore after it either or super tired.  So my goal is to be able to walk a mile without crutches at the  6 week mark so I made a chart where every day I add .1 mile to my over all walk until i get to 2 miles then i add .1 every other day to my walk without crutches.  The idea being i slowly get to walking 1 mile at the 6 week mark. 


Lol if you reference my earlier posts I didnt see how i could possibly walk a mile at 6 weeks but things are healing very fast at this point and now it seems very reasonable.
Bilateral Hip resurface Dr. Gross
12/13/17
12/15/17

rickgassko

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Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #26 on: January 10, 2018, 06:50:53 PM »
Hey Surratt - I was in there with you for PT class, got my left hip done the same day you did your first surgery.  My wife and I were thinking of you and it's good to see the progress.  I'm 4 weeks tomorrow and it's been up and down but generally moving in the right direction.  At 3.5 weeks for no apparent reason I started "clunking" and could feel some movement so may post to the "clunking" thread to see what others' experiences have been.


Dr. Gross's office says it's totally normal and the implant hasn't moved, so I'm trusting them.  I'm also excited to get in the pool and have one last scab that I'm dying to lose so I can swim!


Hang in there. 

surratt

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Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #27 on: January 10, 2018, 08:05:57 PM »
Rick!  Yeah buddy same here with the clunking and shifting.  I felt that as I started moving more as well, but after reading and talking with Nancy everyone has that issue early on just due to a compromised hip capsule and surround muscle.  Mine is actually getting better and from what I read its gone for most people after a couple of months which makes sense. 


I dont know about you but that first week or so was rough as hell lol.  Im glad I did both at the same time though bc the worst is over now at almost 4 weeks.  I would be in the pool already but my left hip still has a little scab left so im going to wait a bit longer.


Keep me updated as to how you are doing, its nice to stay in touch with someone who is literally going through the exact same thing I am at the same time.
Bilateral Hip resurface Dr. Gross
12/13/17
12/15/17

John C

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Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #28 on: January 11, 2018, 01:46:31 AM »
Just a note on clunking; I had a fair amount of it in the first few weeks, and at the time it was hard not to be concerned. Dr Gross and Lee both assured me that it was common and normal, and that it would go away with time. As usual, they were right. In my case it did not magically disappear overnight, but was a gradual process. It was much less after six weeks, only during certain movements or stretches for the first year or so, and now only happens very rarely with certain stretches. To quote Dr Gross; "It must go away, because patients stop talking about it after awhile".
In my experience there were two variations. In the beginning I think that the muscles and joint capsule do not do their job of keeping the two articular surfaces in constant contact, so they separate and "clunk" back together until the muscles and capsule heal enough to regain constant contact. The other clunk is a much more subtle feeling that takes longer to go away; it feels like the two surfaces make a very tiny slip against each other and "clunk" into a new contact point. I think that it is because the metal surfaces are not quite as perfectly frictionless as a natural hip, so the two metal parts sometimes bind slightly before sliding into a new position against each other. It is very subtle, rarely happens, and is definitely not a problem.


John/ Left uncemented Biomet/ Dr Gross/ 6-16-08

surratt

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Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #29 on: January 13, 2018, 08:20:27 PM »
At week 4 Im able to walk about .3 without stopping using no crutches, ill finish up the walk with crutches at around 1.5 miles.  Im still limping and compensating without crutching, Im wondering with you bilaterals that had them done at the same time, at what week did you notice your limp had diminished?


Also im finally able to go swim this Tuesday so im excited....im wondering also if leg extensions and curls are a good idea at week 4-5.  its not putting any stress on  my hip so i dont see how it could hurt.
Bilateral Hip resurface Dr. Gross
12/13/17
12/15/17

Hip Talk About Hip Resurfacing

Re: BILATERAL HIPS 12/13/17 COMPLETE! ANY GUIDANCE APPRECIATED!
« Reply #29 on: January 13, 2018, 08:20:27 PM »

 

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