Thanks to all that have posted on this site. It has been a great resource for me while taking this journey.
I am 40 yrs old and 5 days post op from HR on right hip with Dr Gross. After reading through the site I realized that everyone has different recovery's so I really didn't set any expectations for myself. Surgery went well, doctors, staff and hospital were excellent. I was in the 12:00 slot so I was in the hospital bed until 9:00am the following morning when the nurse came in to get me up, walk around and take a shower. I can honestly say that getting out of bed for the first time was probably the worst part of the whole process so far. I say that because I really didn't know what movements would hurt, the pain killers were in full effect and I hadn't really moved for 24 hours at that point. Once I took the first few steps I felt much much better.
The first day out of the hospital it was hard to get around. Getting in and out of the car was difficult, sitting and getting up was hard and sitting on the toilet was scary. Getting in and out of bed was probably the worst, I didn't sleep well but managed about 5-6 hours.
The second day I felt much better, I was able to manage unassisted for most things like stairs, bathroom, shower and walked without pain on crutches around the house. I did take a trip to the new Cabellas and tried to walk around the store but realized that wasn't working out so well so I sought out a zero gravity chair and took a break. Then I got myself one of those little scooters to finish up my experience. Once I returned to the house I was feeling like I over did it a little. Taking the normal regimen of pain killers.
The third day I took it easy. Went for a couple of short walks up the street, iced and rested. I felt better than the day before. No pain in the hip joint only muscular pains. No ROM...log leg. Taking normal regimen of pain killers.
The fourth day I traveled back home by plane solo. Once getting to the airport the wheelchair was ready and they took me through security and to the gate. I walked down the jetway to my seat for my first leg of the trip. Another wheelchair was waiting to bring me to my connecting flight. Again, I walked down the jet bridge to my seat. During my layover I was able to get some food and walk around a bit and felt pretty good. I was very happy to finally get home to my family (I was at my brothers house in North Carolina for the last few days) and get set up in my recliner with wife and polar car machine. I slept like a baby and woke up feeling great. Taking normal regimen of pain killers.
The Fifth day my hip was a little more swollen and I had some pins and needles on the top of my right foot for most of the day but it's gone now. My stitches are really itchy as well. I only took a couple of pain killers today and I probably didn't need them. I am walking much better and have used one crutch a couple of times because I needed to carry out some water and a bowl of soup. It feels fine but I'm not sure if I should be doing that.
Tomorrow (6th day), I may try to get off of the pain killers and take a drive. We will see how that plan works out. To be continued.....
8 day update and answers to your questions
-Yes, Ice and Polar care are my best friend! I ice whenever possible. Only stayed one night in hospital. I took pain meds for 5 days and only had 5 extended release pain and 25 short acting pain meds left.
-The status of my hip before surgery... I was in minor pain while walking and as activity increased so did the pain, always walked with a limp, ROM was horrible, work outs were a joke and was limited to mostly upper body stuff, hard to get a good cardio work out either on stationary bike or elliptical, hard time tying shoes and bending over to pick stuff up. The worst part was not being able to run around with the kids, my 6 year old daughter could outrun me handily. The deciding factor was when I was at a convention in Vegas walking to and from the classes and back to my room, basically limping for what seemed like miles over the course of 3 days and coming really close to renting a little rascal scooter. Oh, my wife was changing jobs and had to sign up for Obama Care so that was another good reason to get it done before that nightmare. I was definitely not confident that I was making the right decision in getting the surgery and I guess time will tell. As long as recovery continues to go well and I'm able to walk without pain and resume most activities (skiing, golf, motorcycle) and run around with the kids I will be happy I did it.
Day 6 - I went off of the pain pills cold turkey, only taking a few Tylenol today, I'm not in pain unless getting in/out car and bed if I move the wrong way. I was planning on going for a short drive with me behind the wheel but decided against it. Instead I had a driver and went into town for a walk around the mall, tried to figure out how much walking I did, probably a little less than 1/2 mile. Feeling stronger but still a long way to go.
Day 7 (bandage removal day!) - Today I felt stronger yet again, was planning on taking a walk and relaxing but I was needed at work (self employed, needed the boss to make executive decision) so I took the maiden voyage behind the wheel and drove about 1.5 hrs round trip to look at a job, did some walking, went out to lunch and made it back to my lounge chair unscathed. It did start to get a little uncomfortable sitting in the drivers seat toward the end. When I got back I took the bandage off and that felt good, scar was healed nicely but it still looks ugly. Went for another walk with the kids, really trying to walk "normal" and went about 1/2 mile. It Felt like I was starting to get a charlie horse about halfway through so I turned around and went back to ice. It was a good day.
Day 8 - Today I dropped to one crutch when not going on a "walk". Went to a morning meeting at work then drove around for about 2 hours. Went home to ice and then out for a walk about 1/2 mile, it was a little further than the day before. Charlie horse started just as I got back to the house so I figured that was perfect timing. Again, feeling stronger but again still a long way to go. The Charlie horse is probably my IT band, I need to be careful to not lean into the IT band for support when walking.
Thanks for all of your comments and encouragement! I wish you all the best in whatever stage of recovery you are in.
All sounds good to me! The only thing missing is ice? I swear by it as do many others on here. I had very little swelling after two weeks of 24/7 icing!
Glad to hear how you're doing. I am 8 days from surgery with Dr. Gross. Did you just stay the one night in the hospital?
Take a drive? Do you mean you plan on driving yourself?
I'd recommend waiting a bit longer, maybe you can drive a short distance if it's necessary but if not then hang on a bit longer.
I understand wanting to get off the pills but only do that if you are pain-free. If it hurts take them for a few more days.
Sounds like overall things are going well but you might have a tendency, like so many of us, to try to do too much too soon. Remember, it's a marathon, not a sprint.
Very encouraging and consistent with the younger patients recovering more quickly consensus. Good luck with it, hope it continues smoothly.
I'm 4 weeks away today. Gulp. Had a day yesterday where I thought, because my hip somehow seemed ok on morning dog walk, maybe it is too early. Then I swam in evening and realised this morning, after a restless night and general "buzz" in hip all through despite paracetamol, that no, it is good timing.
Keep us posted on progress. What state was your hip in before you proceeded? Presumably a doubter like me and many others, not sure if too early?
How many days/weeks of painkillers did Dr. Gross prescribe? I can't remember what he prescribed me. I'm gonna guess it was about 10 days, because I seem to remember both times I had surgery (both on his Wednesday) that on Friday of the following week I still needed the meds, was concerned about the weekend (and not being able to get any) getting a new prescription, and then only using like one or two pills (because Dr. Gross's painkiller regimen was so well tailored).
If my recollection above was true, I know that I would not have been able to stop meds at six days. The one piece of advice I generally always give on this site is to take the meds, and stay ahead of the pain.
I wish you well in your continuing recovery!
Mike
Congrats, Jake! Sounds like you're doing great. Heed the advice of others here to not push it. By the end of the second week you'll feel like a new man. And by the end of the third week even that much better still.
8 day update and answers to your questions
-Yes, Ice and Polar care are my best friend! I ice whenever possible. Only stayed one night in hospital. I took pain meds for 5 days and only had 5 extended release pain and 25 short acting pain meds left.
-The status of my hip before surgery... I was in minor pain while walking and as activity increased so did the pain, always walked with a limp, ROM was horrible, work outs were a joke and was limited to mostly upper body stuff, hard to get a good cardio work out either on stationary bike or elliptical, hard time tying shoes and bending over to pick stuff up. The worst part was not being able to run around with the kids, my 6 year old daughter could outrun me handily. The deciding factor was when I was at a convention in Vegas walking to and from the classes and back to my room, basically limping for what seemed like miles over the course of 3 days and coming really close to renting a little rascal scooter. Oh, my wife was changing jobs and had to sign up for Obama Care so that was another good reason to get it done before that nightmare. I was definitely not confident that I was making the right decision in getting the surgery and I guess time will tell. As long as recovery continues to go well and I'm able to walk without pain and resume most activities (skiing, golf, motorcycle) and run around with the kids I will be happy I did it.
Day 6 - I went off of the pain pills cold turkey, only taking a few Tylenol today, I'm not in pain unless getting in/out car and bed if I move the wrong way. I was planning on going for a short drive with me behind the wheel but decided against it. Instead I had a driver and went into town for a walk around the mall, tried to figure out how much walking I did, probably a little less than 1/2 mile. Feeling stronger but still a long way to go.
Day 7 (bandage removal day!) - Today I felt stronger yet again, was planning on taking a walk and relaxing but I was needed at work (self employed, needed the boss to make executive decision) so I took the maiden voyage behind the wheel and drove about 1.5 hrs round trip to look at a job, did some walking, went out to lunch and made it back to my lounge chair unscathed. It did start to get a little uncomfortable sitting in the drivers seat toward the end. When I got back I took the bandage off and that felt good, scar was healed nicely but it still looks ugly. Went for another walk with the kids, really trying to walk "normal" and went about 1/2 mile. It Felt like I was starting to get a charlie horse about halfway through so I turned around and went back to ice. It was a good day.
Day 8 - Today I dropped to one crutch when not going on a "walk". Went to a morning meeting at work then drove around for about 2 hours. Went home to ice and then out for a walk about 1/2 mile, it was a little further than the day before. Charlie horse started just as I got back to the house so I figured that was perfect timing. Again, feeling stronger but again still a long way to go.
Thanks for all of your comments and encouragement! I wish you all the best in whatever stage of your recovery you are in. Being a hippy isn't as bad as I thought ;)
To be continued........
Alternative Bearing Surfaces (Hip)
Presented at AAOS by Dr. Peter J. Brooks on Tuesday, March 24, 2015 7:00 AM
Author(s): Carlos A. Higuera, MD, Bay Village, Ohio; Kurt P. Spindler, MD, Garfield Hts, Ohio; Gregory J. Strnad, MS, Lyndhurst, Ohio; Peter J. Brooks, MD, FRCS(C) Cleveland, Ohio
INTRODUCTION:
Hip resurfacing has been proposed as a suitable procedure for young, active patients. Given the concerns with metal-on-metal bearings, and the recall or withdrawal of certain devices, it is appropriate to review our results using a resurfacing device with a relatively good clinical record. As our experience and understanding of these bearings grew, we now describe changes to our preferred component position, and have used additional imaging to narrow our indications for this procedure, which we continue to perform in significant numbers.
METHODS:
We performed 1,333 hip resurfacing procedures, with minimum two-year follow up, at a single US institution following FDA approval in 2006. All patients were followed using a validated prospective observational registry, and an IRB approved database. All surgery was performed by a single surgeon, using an antero-lateral approach. The average patient age was 53.1 (12-84), and 70% (938) were male. Patients were seen at six weeks, then one, two, and five years after surgery. Our weight-bearing protocol was 75% partial weight-bearing for six weeks, then avoidance of strenuous exertion for one year, then unrestricted activity. Over time, and in response to reports of poor outcomes from other centers, we modified our target socket inclination from the traditional 45 degrees to 35-40 degrees, and introduced previously undescribed imaging strategies for patient selection. Metal ion levels and cross-sectional imaging using MRI were utilized only in symptomatic patients.
RESULTS:
The average femoral component size in males was 51 mm, in females 45 mm. Less than 1% of cases were < 42mm. Preoperative Harris Hip Score was 59.6 + 10.6, and postoperative score was 98.7 + 3.3. Hip-related Physical Limitation score improved from a baseline of 2.6 to 6.6. There were no dislocations, no femoral component loosening, and one socket loosening (0.08%). We had two femoral neck fractures (0.15%), three deep infections requiring component removal (0.23%), and one late traumatic acetabular fracture requiring revision. One patient was revised for unexplained pain, and continues to be symptomatic.
There were three cases of excessive metal debris (0.23%), but no destructive pseudotumors. Two of these were attributed to socket malposition. The third was a small female (40 mm head) with dysplasia, accurately resurfaced, but with excessive femoral neck anteversion, and a pelvis which tipped backwards 14 degrees in the standing position. Retrieval analysis showed anterior edge loading. This case led us to modify our patient selection criteria and recommend new imaging protocols. In total, five males and six females required revision. Overall survivorship was 99.2%, at 2 to 5.7 years follow up. Aseptic survivorship in males under the age of 50 was 100%.
CONCLUSIONS:
To our knowledge, this is the largest US series of hip resurfacing involving a single device, by a single surgeon. Hip resurfacing can be highly successful in the mid-term with careful patient selection and attention to technical detail. Metal-related complications in our series were rare, and could be explained by either inaccurate surgical technique, or by patient characteristics which we would now deem unacceptable for resurfacing. We have had very few complications, but based upon this experience we have the following recommendations:
1.Aim for socket inclination of 35-40 degrees.
2.Avoid resurfacing patients with head diameters less than 44 mm.
3.Obtain CT scans of all females, and males with apparent hip dysplasia, in order to avoid esurfacing patients who have excessive femoral anteversion.
4.Obtain preoperative standing lateral pelvis x-rays, and avoid resurfacing smaller patients whose pelvis tips backwards, risking anterior edge loading.
Disclosure: C. Higuera: 5 - KCI, Stryker K. Spindler: 5 - KCI, Stryker G. Strnad: 5 - KCI, Stryker P. Brooks: 5 - KCI, Stryker
When can you start walking up and down stairs with the operated leg. I don't think I am able to do it yet but I could at least start trying. Is it best to wait or is it better to engage those muscles. I'm 10 days post op.
Thanks
I was using stairs the day I got home from the hospital. PT showed me how to use them while using one crutch for support. By day 10 I was probably just using the handrail -- just go one foot at a time and remember going upstiairs with the good foot first and when going down you using your operated foot first.
Good luck.
I had PT at the hospital, they showed me the right way to go up and down stairs.
Matter of fact, they wouldn't release me from the hospital until I could do three stairs up and down.
Make sure you know the right way to go up and down before you do it.
Up with the good and down with the bad
http://www.upmc.com/patients-visitors/education/rehab/Pages/stair-climbing-with-crutches.aspx
So use the stronger leg to pull you up and to control things on the way down.
Be careful now, I'd practice with a home PT person or a friend at first.
At about ten days, I was walking and doing some steps up and down regularly.
If you mean leading with the operated leg, it probably took me a couple of weeks so you must be getting close by now...
Quote from: petemeads on April 06, 2015, 11:19:51 AM
If you mean leading with the operated leg, it probably took me a couple of weeks so you must be getting close by now...
Up with the non operated leg,
Down with the operated leg and the crutch(es).
I presume Jake is asking about when one can begin using the operated leg in a normal stair climbing mode!?
Was about three weeks out for me this time around!
Yes, sorry for the vague question. I meant walking up and down the stairs like a normal person using both legs. I just wasn't sure if I had to wait a certain amount of time, it was never really mentioned in the post op packet. Thanks for your comments.
Ah.
I don't think there's any set time or schedule. I waited until if felt right and strong enough, and did it with one crutch in hand in case I needed assistance.
I'd take all timelines off it and do it when you feel strong and confident with it. No need to rush anything.
I had bilateral resurfacing 10 weeks ago. The left hip is doing great but I still have some pain in the right leg, which was the worse hip one prior to surgery. At first it was the groin that was sore, which is normal from what I was told.
The pain has moved lower to the adductor area (which was extremely tight prior to surgery) and also more recently the inner hamstring. It's mainly a problem after I've been sitting. When I'm up and moving around the pain lessens and/or goes away.
I've been going to the gym but taking it easy on the legs, not trying to push it too much. Is this normal at this stage of recover?
Hi there,
you learn from this site that there isn't really a 'normal' recovery, everyone has their own variation. I'm too long past the procedure to remember specifics but I do remember that for a while I would have pain or discomfort in one place that would go away only to be replaced by pain and discomfort somewhere else. My non-professional opinion is that as long as it's not persistent - ie it only happens in some situations, you're probably OK and just need to give it a bit longer. As always if you are really concerned your best resource is the surgeon. Do you have a post-op checkup scheduled? Mine was at 12 weeks and was a good time to raise any concerns.
All the best.
I'm about 6 weeks out from my second resurfacing (had right hip done in January, left hip in March) and have similar pain on the "inside" of the hip that's pretty persistent. It feels like the groin and adductors and is worst when I first get up from sitting or lying down, but is always there to one degree or another. I feel like I could mostly walk without a limp at this point after the first hip, but now I'm still swaying to the left when the left is my plant foot, to get my weight vertical over it rather than leaving it "offset" as in a normal gait. It's still early for me, so I'm hopeful it'll resolve over the next couple of weeks.
That sounds very similar. My groin and adductor have been feeling better the last few days. The pain has moved and it's mainly the inner hamstring that hurts now. Still similar symptoms, it hurts more after sitting and feels better when I've been more active.
I'm hopeful that it's gradually improving. It doesn't hurt to put pressure on these muscles with my hand so I think the pain is originating higher up in the hip.
Hip Resurfacing: To Cement or Not to Cement - that is the Question!
By: John S. Rogerson, MD April 2015
http://www.surfacehippy.info/cemented-uncemented-hip-resurfacing-dr-rogerson-2015.php (http://www.surfacehippy.info/cemented-uncemented-hip-resurfacing-dr-rogerson-2015.php)
We have received a number of inquiries in our office regarding the merits of cemented versus non-cemented femoral head components in hip resurfacing arthroplasty.
Bear in mind that my experience with hip resurfacing to date has essentially been associated with the Smith and Nephew Birmingham hip resurfacing system as designed by Drs. McMinn and Treacy.
The system utilizes a line to line fit on the femoral head component with a very thin thickness of cement. A small amount of liquid cement is poured into the hollow inverted femoral head component and then extruded (and cleaned off as necessary) as it is gently impacted onto the milled head/neck.
This contrasts with the technique for a non-cemented femoral component where the femoral head is reamed to a raw cancellous surface which then abuts the porous coated inner surface of the femoral head component and grows into the porous coating, similar to what occurs on the acetabular socket component.
Why do I prefer the cemented technique as developed by Dr. McMinn?
1) The BHR has the longest experience and most successful results globally of any of the presently used hip resurfacings and utilizes the cemented technique.
2) None of the currently available porous coated femoral component prostheses are FDA approved.
3) Many of the most severely involved arthritic hips have very oblong and sclerotic (rock hard) bone on the top of the femoral head that even when reamed has poor ingrowth potential and may be more susceptible to stress shielding and/or loosening. In order to compensate for this sclerosis and lack of sphericity, there is a tendency to ream the head to a greater depth, resulting in shortening and/ or injury to femoral circulation and possible avascular necrosis. Cement utilization decreases the above risks.
4) A thin cement mantle can compensate for asymmetric sclerotic heads and allows one to place fixation holes or use small cysts in the femoral head for the cement to lock into.
5) The most common femoral porous coated system on the market has a round on round bone/metal interface which is less resistant to rotational forces biomechanically.
6) Porous coating on the available non-cemented systems is applied to the femoral component with heat treatment which affects the metal carbide size and ultimate wear characteristics.
7) Porous coating on the femoral side appears to be "fixing" a problem that doesn't exist-we have not experienced femoral component loosening in our series or those previously referred to Europe.
8) If loosening did occur, there would be no difference in ease of revision between cemented vs. non-cemented prostheses.
In summary, there are numerous factors, as noted above, that convince me that the BHR (with a cemented femoral head component and a non-cemented porous ingrowth "as cast" acetabular component) is the most successful hip resurfacing option with the longest track record on the market today.
Very interesting read thank you Pat
Well I am now 9 weeks post op from my second BHR. The first 7weeks were very very slow going for me. However last week at 8 weeks post op I joined a local gym to try and do some of my own rehab. I have now built up to be able to do an hour comfortably of cardio on the bikes and cross trainers as well as some light weights to help strengthen the muscles.
Since starting back at the gym my ROM has drastically increased and I am getting stronger. I still have reasonable start up pain/stiffness in the morning and if I've been sat down for several hours but from memory that will go in the coming months.
I am really looking forward to using this new bhr when I'm cleared to get back into impact sport again :)
Danny
Great that you are doing good. Just had my second BHR on 30 MAR 15 and can't wait to get into the gym.
JW
Glad to hear you're doing good. Yea the stiffness goes away, mine is almost completely gone and barley noticeable when it happens.
Great news and great progress. Best wishes for a speedy recovery.
Mike
Thanks guys really appreciate the positive vibes :)
I am certain I am not alone which is comforting, and I also take comfort from the many pioneers here posting messages that I have found very helpful over the past couple of months.
I am one week away from RBHR in Birmingham with Mr McMinn. A week tomorrow in fact.
I will try to post regularly how things are going. Thought I'd put a few pre-op factoids down to give me something to reflect on in the months ahead.
1. Height/weight, about 5'8", 11st3lb (157lb)
2. Age 45 (and three quarters ;o)) But feel about 70 some days.
3. OA triggered in soccer injury in 1996 but have managed to stay relatively active despite pain
4. Been walking dog avg 45mins daily, sometimes less sometimes more, been swimming once a week, or more, for past 12 weeks. I am fit, but nothing like my glory days! Resting pulse about 50.
5. After playing golf (warm up on range, then 18 holes) I am whacked. Aching back, sore hip, really knackered next day. I have been using painkillers now for a couple of months for golf, and usually for sleeping that night, and perhaps two more times a week. Been playing around my golf handicap of 6.5, but can't see improving whilst hip is so sore.
6. I gave up rowing last Sept (always knee outside right elbow!) due to calf injury arising from that motion. That has led me to where I am.
7. I have no grand ideas about hitting a 36min 10k or sub-3 marathon. No running actually. Will be delighted if I get back to pain free golf and can have a go at handicap of 3.4 or better. Walking dog pain free, rowing. Maybe being able to surf (snap up) again. Not asking for more. (Will my appetite change once healed?)
Judging by my reading here, I think this is credible. I hope to golf again in Sept or Oct.
Any other pending hippies in this "class of late April"?
What are your hopes at this stage?
Fingers crossed we all realise them!
Hi and good luck for next week. You won't regret it. I'm 14 weeks post op, back in work, exercising as much as I want, swinging a golf club is no drama and zero pain. My hip feels really strong, just continuing to stick to the 'no impact until 6 months' rule. You'll be fine, good luck!
You'll be swinging a club by mid-June, and probably golfing as well. I believe they recommend a cart for awhile (six months?) and frankly that's just good advice, but you are gonna be golfing way before September.
Good luck next week! First two weeks (especially days 3-5) are tough, but it gets better after that fairly steadily.
Mike
It was day 11 for me. That was when I realized it was easier than using the crutch at all. And by 13, I didn't even need handrail support.
I am part of the Class of April (the 8th), and I am a 35 yr old rock climber and powerlifter. Had legg-calve-perthes, leading to needing the hip work. I have grand aspirations with mine. I want to lift heavy and have increased mobility. I used to run a lot, but can take it or leave it, honestly.
10 weeks today and progress has plateaued a little. I have worked up to being able to do an hour and a half of cardio in the gym on the static bikes and cross trainers. ROM improvement has stalled but that's to be expected so I'm not beating myself up about it!
It sounds solid Danny, especially after your inauspicious start with this one, and is great progress really. Inspiring.
I'm curious, a few days to go now, tying up loose ends at work etc today, what kind of atrophy should I expect?
When I had an Achilles sheath stripping op in 1991, I had plaster for two weeks. I was amazed at how my leg wasted. Never seen my right calf so skinny, and my thigh also wasted a lot.
Right now, I'd say my legs are pretty even. Should I expect similar like having had a plaster on, even though I'll be up and trying the next day?
Matt - about 20 yrs ago I broke my leg while I was .... well you can guess what. I was in a cast for 3 months and the leg atrophied seriously. There was nothing like it after the HR. A few days post op there was swelling and discoloration (the "log" phenomenon) on the operated side but that only lasted a few more days. The most bothersome after-effect was the loss of mobility, it was several weeks before I could bend over to put my socks on.
The leg on the operated side, while not visibly thinner, was weak for a while. I went back to soccer @ 6 months post op and for a while it was OK for running but useless at kicking. Now coming up to 2 years with the new hip it's better than it was before.
I must say ive never noticed any atrophy of eithereg after the surgery.
Hi Danny, for some reason I missed your earlier post(at 9 weeks)-really pleased to hear that things are going well. Yeah as you said yesterday you've been there before and know progress doesn't simply happen week by week but it sure happens over time and you're doing great at this early stage.
Best
Toby
I'll be right there with you Matt, one day later on April 29th. At age 67, I'll probably be one of Dr. Gross' oldest resurface patients.
I've been lucky to have lived this long without major pain. I only became aware that I have hip issues when I retired and began taking long walks on a regular basis. I began to notice pain in my right groin. I never thought for a minute that it had anything to do with my hip until my lower back specialist showed me the Xrays.
I got along very nicely for 2 years after receiving a cortisone injection, but I'm now bone-on-bone. Even though I'm still not in much pain as long as I limit my activities, I want to return to a more active lifestyle. That's why I chose resurfacing over THR, even though as a Medicare patient I have to self-pay for the surgical part of the procedure.
This website has been extremely helpful and a constant source of encouragement. I wish you the best of luck and hope you will keep us updated.
Best wishes for a great result CN. I'm surprised that I'm not feeling more nervous right now, just thinking I'll go to sleep, then have a tough few weeks and then the recovery will take shape. I think this confidence I have (relatively speaking, I'm a little nervous for sure) is as a direct consequence of reading the many stories and progress reports on this site, from contributors who have experienced it, and have been good enough to share and support. Even some of the tougher situations seem to have turned out as positive cases. Good luck to all.
Hi there....I too am having my RBHR done by Mr McMinn on Tuesday 28th April, we'll have to have a race down the corridor on our crutches....or have a surface hippy convention. I had my LBHR done by Mr McMinn in October 2014 and it has been really great.
Good luck for Tuesday.
Hello Carlos, ha ha, look forward to the race :o)
Good luck also, I'm checking in Monday, so will ask staff to let you know where I am.
Quote from: MattJersey on April 24, 2015, 02:46:49 AM
It sounds solid Danny, especially after your inauspicious start with this one, and is great progress really. Inspiring.
I'm curious, a few days to go now, tying up loose ends at work etc today, what kind of atrophy should I expect?
When I had an Achilles sheath stripping op in 1991, I had plaster for two weeks. I was amazed at how my leg wasted. Never seen my right calf so skinny, and my thigh also wasted a lot.
Right now, I'd say my legs are pretty even. Should I expect similar like having had a plaster on, even though I'll be up and trying the next day?
It's not any atrophy caused by the surgery, but any that developed over the years as your body responded to the arthritis. In trying to deal with it, sometimes the body assumes new walking patterns and compensations that put more stress on some muscles and don't use others.
The need for that is gone once the surgery and proper bone annealing with the device is done. WHat you're left with is that your body has gone back to a healthy architecture, but your muscles are still at their previous, compensating state. With some muscles stronger than others, and some not quite strong enough.
That's why (I think) there is so much emphasis on walking and getting back to activities, to have those muscles that were abused over the years to get back to normal function.
Good luck to you pair tomorrow - strange to think you are only a few miles down the road from me - from a member of the class of November 2015. This morning was so beautiful I went for a run down the canal towpath, 6.6 miles at 9 minute pace, and had no problems at all with my new hip which is going to be 23 weeks old tomorrow. I hope you both get to do as well as I have, not that I am suggesting anyone should follow my example but my surgeon is happy with my progress and activity levels. Cheers!
Thanks Pete. Positive stuff.
All pre-op stuff done, brief meeting with Mr McMinn who inspires quiet confidence (although not enough to neutralise my nerves! I liken this to having a root canal appointment in about 4 hours, although a root canal is a rather more unpleasant experience to undergo, for the time you're being operated on!).
Met Carlos, we should be racing on Thursday!
One comment to make at this stage is my deflation at the discipline of Mr M's first six weeks plan. I had a good chat with his research assistant yesterday and fully understand why, so I'll be sticking to it. 97% at fifteen years is why, so what's six weeks in that context? It's not as much to do with the bone and implant, but more about not overstretching or tearing a muscle that's been stitched and should be holding it in place. If that happens, the risk of dislocation or other issues with the implant increase. So, a cautious six weeks ahead.
Few hours to go, will update when able in next few days.
Yes here we are waiting next door to Matt. Like Matt had all pre op stuff done....looking forward to tea this afternoon and getting over the first hurdle. Then the fun will begin.
Matt says Thursday for racing but I'm getting some practise in tomorrow. I have a few years handicap, so I need all the help I can get. Then again I have already got a head start with the LBHR done in Oct 2014 and the right is being done today.
I did ask if it was buy one get one free only to be told no, it was buy two and get one free!
You guys are a hoot! Tag-team hippies no less. I hope Dr. Gross is ready for me this time tomorrow morning. I've already got my Pink Floyd arrangement prepared for the OR. We start with "Comfortably Numb" move to "Breathe" and end with "High Hopes" and "Run Like Hell".......
Good luck to you both!
I'm back....can't say I'm ready for racing right now at only 4 and a 1/2 hours after surgery. All good but hip was pretty bad. All went well and sitting up drinking tea and noshing biscuits....I have to build up my stamina for Thusday's race!
Saw Matt also in recovery very quickly but he didn't see me...he was still fast asleep and I was on my way back to my room.
Good luck tomorrow Comfortably Numb..we will be rooting for you...now I know why you chose that username....I'm pretty much like that myself right now. I don't intend to be back for a third time.....thank goodness. Looking forward to getting up on my feet tomorrow.
Yep, racing will have to wait. All good as far as I am told, felt a bit sick for a while afterwards, and naturally one thinks the worst (well naturally for me!) but, a few burps (sorry Carlos, I have been like Barney out of the Simpsons http://en.wikipedia.org/wiki/Barney_Gumble) sorted me out.
Suddenly my renowned (in my house) biscuit appetite returned and I'm now in proper recovery mode.
It's difficult to imagine the hero stories right now, and how some of the notable co-hippies here are up and putting miles on the clock 9 days post op etc. but, I guess it's just a series of improvements. I hope to wake up much better tomorrow. I'll dust off the spikes and get some training done for when Carlos and I go Mano a Mano Thursday. I hear Sky, HBO, and Showtime are putting us up on box office, tickets for the race outstripping Mayweather Pacquiao!
CN, best wishes for tomorrow, sincerely hope you feel as well as us both after a few hours.
Carlos your buy two get one free offer made me laugh. If/when I need number two, is your third transferable?!
Matt
Glad you both made it through OK. I won't have a way to update my situation from the hospital, so I'll have to wait until I get back home--probably late Thursday, provided I can learn to urinate on my own again :'( You guys hang in there and enjoy the good medication while it's still available 8)
Hi CN, I figure you're probably not far out of recovery. Hope it went well and runs smooth.
Personally speaking I had a few minor issues:
- felt nauseous when I awoke, passed after two hours.
- had rough first night, took a while to get pain sorted. No,idea why as was on epidural.
- had more nausea getting up to try Zimmer frame. Managed ten steps in afternoon, surprisingly hard work! But was also dizzy and nauseous.
- didn't have best night second night, but much better.
- would advise taking offered laxative as soon as. Last night I was bloated, and uncomfortable. Once I had the laxative I was burping when I sat up, and then farting like ten second farts! Feel much better on that front now.
- i don't feel well prepared for race with Carlos today ;o)
- but I do feel incredibly positive. The progress from not being able to move one way in morning to getting it in afternoon is really encouraging, and I have awoken feeling ready to try crutches etc today.
In the context of what the op entails, it's really no massive deal.
Looking forward to a shower today too.
M
Hi Comfortably Numb.
Yes I too hope your BHR has gone well...remember every day gets better.
We can all now sing in true Roy Orbison style that "It's Over, it's over....."
Good luck with the rehab to all.
By the way, we now have 3 in the race up the corridor this afternoon, 2 bilats and a RBHR.....wagers now being taken.
Best regards Carlos
Videos of the races or it didn't happen ;). Seriously, glad you guys are doing great. And hopefully Comfortable Numb is doing great as well.
Hey Matt
Good to hear you're on the road to recovery. Look forward to see how you make out the next few days and when you will be allowed to fly home. I am now in the Canadian medical system (means my Canadian health care pays the cost) and off to Calgary Alberta for surgery May 22nd. It is a little shorter flight, just over 1.25 hours but they want to keep me there minimum 10-14 days. I guess each surgeon has their suggested protocol.
All the best,
Kevin
Well, there was a gathering at a start line but I had to withdraw due to light-headedness. The two bilats revving their engines frightened me!
Shortly after that I had aspirin on empty stomach and ... Had an even emptier stomach. Seems to have steadied my ship though. Managed with cocodamol only at 1230 yesterday, one paracetamol during the night, but will go back on cocodamol this morning. A little worried that it is causing the dizziness, but probably had morphine still sluicing around system. Will see this morning.
I've had a roller coaster week really, relatively speaking more like the kiddies rides when compared to some stories, but some great highs (wow, I can move my leg like that now!) and a couple of lows (nausea and puking is never nice) that are not really serious in the great scheme of things.
Feel much better today, shaved, will shower too, yippee. And will eat normal portions today instead of treating it like an all-inclusive holiday resort, don't think that helped.
Hope ComfortablyNumb is going well, and good luck to you Kevin. I'm optimistic of getting the green light to fly home tomorrow.
Best wishes to all.
M
Hi Matt and Carlos congratulations on your new UK implanted BHRs-and to CN over the pond for all of you guys your new shiny hips are just gonna get better and better and aint no doubt you will all be racing in the near future.
Best Wishes
Toby
ps Matt shame your jetting out and not maximising our lovely spring weather!
Well, I made it through without any major problems. Escaped the dreaded in-out catheter but just by a hair. The nurse went to get the ultrasound and while she was gone, I had my wife guard the bathroom door. I stood in there about 15 agonizing minutes and produced 22 oz. Very painful as most of you know. When the nurse saw the urinal, she said I'm good to go. My main problem now is getting in/out of my bed and chair. Also, beginning to feel some nausea for the first time. I wish you all continued success in your recovery.
Cheers Toby, only jetting South to Jersey, and I hear the forecast is similar. Right now I feel so positive and excited for future I'll feel it's sunny all the time! Had a quick chat with Mr M's research director/assistant surgeon earlier. It lifted me still further to hear the word "textbook" with reference to my X-ray.
Comfortably Numb, I have had an up and down week, nausea I think was the pain meds, I simply didn't need all I was given and couldn't process it all. It was tough during the lows, easy to get down, scared, with over-analysis of the worst! In a few days you'll be past the rough stuff. Best wishes.
MattJersey and Carlos -- you are now both experiencing your first weekend post-op. I hope all is going well at this point. You are both approaching the one-week mark, which felt like a milestone to me and I hope you both feel the same. I confess that I had a lot of strange dreams that first week - along the lines of knowing (in my dream) that I had surgery, but being able to move as if I didn't. Then I also had other dreams that were just so strange. I would find myself in a situation (in my dream) where I was stuck or stumped and could not work my way out of the situation and it was very frustrating. My wife thought that was my frustration over a lack of control in real life. But truly, after the first week, I really felt like I was improving my leaps and bounds.
I am 16 days post-op and feel pretty darned good overall. Can walk decently well (obvious limp) if I don't push it, although the "startup" when just getting out of bed or chair is still frustratingly awkward. And it seems impossible to find a decently comfortable sitting position still. Sure makes it easy to get up and walk around frequently!
I hope both of you are feeling positive and optimistic. I loved your attitudes as you were approaching surgery and if you maintain those, you will do phenomenally! Please keep us all posted!!!
I've been taking walks around the house (inside) ever since I arrived home Thursday. Just returned from an 800 ft. round trip to the mail box without any problems. I think I'm more surprised at how physically weak I am than anything else associated with this. I expected pain but that weak, lightheaded feeling sucks. I'm going to get off of the Nucynta very soon if not today. My pain seems to be confined to the groin and the incision, along with a very tight muscular-spasm pain in the glute. I was having a lot of trouble getting in and out of my LazyBoy. My son came over yesterday and built a platform out of 6X6's and plywood. Then he temporarily screwed the plywood to the rockers of the chair. This has made a tremendous difference. Best wishes to all.
CN, my first three days post op were tough, and only after a horrendous vomiting session and a better nights sleep did I awake Friday feeling like everyone else! I tried walking, I tried sitting up, and it seemed any "upright" time would make me dizzy and sweaty. I as weak, tired. But after the vomiting and getting pain meds under control, much better. I think your idea of getting off the hard stuff on to some less hard stuff (but hard enough) is a sound one.
But I have further learning. I tested the other night and today, is one 500mg paracetamol or cocodamol enough? No, feel tender, exercises feel too hard. Going to try two paracetamol this evening and see, but will continue on two cocodamol at midnight for sleeping. Will let you know how it goes.
Seeing others' rates of progress makes me envious but I've decided I'm not going to get upset if I have to take a day or two rest. I remain very confident that at my six week check I'll have reached the goals.
Sorry you had such a rough go of it at first Matt. Sounds like a reaction to the anesthesia. I had a spinal block and then propofol all the way. Second time in my life I'd had propofol, and I have to say there is nothing like it in terms of near-instant recovery. I really didn't start to feel nauseous until I began to willfully withdraw from the opiods. They gave me Oxycontin in the hospital and Nucynta ER and regular to take home. I came to the conclusion yesterday that I needed to make a choice between hip pain and constipation. My bowels have quickly become my top priority.
Each of us goes into this surgery with a different set of physical circumstances. Obviously that has a lot to do with the level of post-op pain and the rate of recovery. Unless someone else is exactly like you, then progress comparisons are probably meaningless. Bottom line is we will all begin to get where we need to be when we're finally able to get away from the hard stuff, begin to sleep, and have regular bowel movements. Good luck and keep us posted.
Quick update on my pain med "research". 2 paracetamols isn't really enough for me either, just feel a little too tender. I'll give it another try mid week.
Got a "seeking reassurance" question if anyone can help?
Probably a total of 5 times since the op, I have suddenly moved or twisted or jerked and had very sharp pain. Twice this happened whilst drifting off to sleep, couple of crazy dreams, one where my brother swung a golf club at the dirt and a divot came flying at me, so in my dream (and in reality in bed) I twisted my face/head/upper body away from it leaving my hip behind. Ouch!
So I have had a few of these, that was worst. Worrying I've broken something, stitches or whatever. Then of course, I link any clunk or pain back to those incidents, and so start a pointless worry cycle.
Any one else managed to have such twists etc and think they may have ruined everything?
And of course, I've had my share of more minor twists etc getting in or out of bed, sudden pain, whoops, readjust and try that move again!
Matt - I didn't experience those particular signs but I think just about everyone on this site has been through the post-op anxiety especially in the first few weeks. Every time you feel something unusual you worry about whether something serious has gone wrong. Keep reminding yourself that as long as it isn't persistent pain or discomfort then it's almost definitely a part of your body's temporary reaction to the surgery or realignment. It sounds like you are making some involuntary movements that your hip isn't ready for yet.
If the symptoms are there all the time or if you just need reassurance your best resource is the surgeon's staff. Hope this helps. From what you describe it sounds like par for the course.
Thanks to everyone for their good wishes. I am now 5 days post op and like RAGraham I also have real stiffness in the thigh and groin area when getting up. It is a real trial getting up. However, once up it all starts to stretch and walking and post op exercises really help. There has been much said on this website about positive thoughts and nothing could be more crucial in the recovery from BHR. It takes dedication, motivation and a real want to succeed. If my right hip comes out anything close to my left BHR, then I shall be absolutely over the moon.
Matt - Having been operated on the same day as you, I am wondering why I haven't been having any of the dreams you talk about, perhaps they gave me the wrong medication! All jokes apart, I have had my longest walk of about half a mile today and felt good. A bit of post op swelling which is to be expected - nothing the ice gel packs can't handle. Everyday gets better.
Glad to hear it Carlos.
Positivity is key, you're right. I have now had two really good nights at home, have got a little walking in outside, find walking with the alternating crutches very easy, but also easy to lapse to poor form. It gives me the confidence that in a few weeks one crutch won't just be easy, it'll be nearly pointless.
Going much better now, oldsoccerplayers wisdom above is useful: I should stop worrying minute to minute. Twinges will come and go. If they stay, then look into it.
Cheers all.
Hey Matt
What day were you ok'd to fly and how did everything go on the flight?
Kevin
My op was Tuesday, flight Saturday. I would probably have been ok Friday too. My flight was a short one though, Birmingham to Jersey, about one hour. It was ok. Airport assistance was really good too.
Hey Matt, for some reason I thought you were travelling from New Jersey in the US!!! My flight from Calgary to Vancouver is on 1.25 hours and the surgeon wants me to stay in Calgary an additional 10-14 days before I fly home. Good to know that a short haul flight should be ok.
Hope your recovery is going well.
Kevin
So, it's been 9 days since the op, and I'm improving daily.
Summary so far:
Avoid too much of the heavy pain killers. In my case they were not necessary, I was simply after sleeping! But I should have been prepared for little sleep on first night, and general soreness. I am a light sleeper and it was always going to be hard sleeping in a hospital!
Take the laxative medicine if offered. I declined initially and ended up struggling and regretting my choice. However, my choice was because I was feeling sick (from other medication), so a problem of my own making.
Exercises from physio are crucial. In first week since op, I have managed to re-activate some lost muscles. My arthritis was such that adduction of my right leg was a no-no. And it was clear these muscles to control that had wasted over the years. But even after just one week, I can now move my leg a little (from being literally unable to move it!) and feel strength returning.
Walking is the only other requirement, on two crutches for six weeks. However, they are already just hiking poles, and I could easily have discarded one even at day 7. But I will stick to the protocol, they are a reminder not to do something "natural" and upset progress.
Yesterday, op+8, I walked 2k by accident. I am supposed to build up to a mile after six weeks. I just didn't realise how a few little walks quickly added up. I feel fine, but muscles around hip were definitely tired as a consequence. Hip itself continues to be quietly pain free!
On op+2 the physio showed me an adduction exercise (well, move really). Just laying on back, legs bent 90degree at the knee, open the knees slowly until tension. I was scared doing this, but needn't have been. This would have been like being electrocuted had I tried it pre-op, and I was delighted, nearly tears of joy, at having regained a motion lost nearly twenty years before.
So far, so good. Plan to stick to the protocol now to six week check up. Painkillers so far, 2x cocodamol every six hours, sometimes seven or eight hours pass. And one aspirin twice daily. Walking a few hundred metres each day plus whatever pottering about the house I do.
Should be back to work Monday, op day+13, but would expect a few early finishes and flexible working in amongst this for a week or two whilst I continue to recover. Have been having a nap each day for up to an hour which will make for a test come Monday at work!
Amongst all of this, I should note that every member of the team that I met or who was treating me, as well as other patients in my cohort, were all wonderful. Positive, supportive, responsive, caring. You couldn't really ask for more. Coupled with the supportive and informative forum here at surface hippy, I can't imagine any other orthopaedic operation being so ... Easy.
In detail ...
Clerking in day, Monday:
Arrived in afternoon at hospital, and was processed in. I had travelled alone, figuring my family life would be disrupted enough when I got back to warrant not putting them out through the week. Also, I imagined it would be quite boring waiting around the hospital, and expensive too, time off work, travel and accommodation costs soon add up. I knew the hospital had good wifi, so video and voice calls home would be (and were) easy enough.
I think I made the right choice in travelling alone given circumstances but if all practicalities could be ignored then having someone there would be nice. Met Carlos too today, which did compensate in a small way. His experience of having had one already was an inspiration and reassurance.
Surgery day, Tuesday:
A bit nervous, walked up to theatre, anaesthetist offered me a large Margarita at 2pm, and I awoke at 4.45pm. I couldn't tell whether I'd had any surgery at all, never mind whether it went well. That was some Margarita! Felt nauseous and lapsed in and out of sleep, sipping a little water offered by nurse. The surgeon's assistant passed through the recovery room and noted it had gone well. I went back to my room about 6.15pm and by about 8pm had a sandwich and started to feel better.
Muscle pumps were installed to help lower limb circulation so as to minimise risk of blood clots, and these were mildly irritating: noisy, and, well, just annoying. Still, if the surgeon says they're important, who am I to oppose, what do I know?!
Through that night I got little sleep, and by about 2 or 3am asked for more pain relief. Had some oral morphine, and managed a few hours of fitful sleep. Later, I had some tramadol too, and I think all the medication was getting too much for my system. I felt feint and remained so, and a little nauseous, for the two days after surgery.
Wednesday, post op 1
On this day I tried a few steps with walking frame, but got too dizzy after ten steps, and had to lie down again. Went through the bed exercises with physiotherapist, and managed to do those.
The pumps remained on my legs, irritating and helping, alongside all the other foreign noises of a night in a hospital, to prevent any good sleep. So, I asked for some help sleeping and I think that night had tramadol and oral morphine again. Still didn't sleep much at all.
In amongst all this, I felt very positive though, my hip operation had gone 'like clockwork' the surgeon advised. I had made ten steps, and felt good about how things would be in a few weeks' time.
Thursday, post op 2
My co-patients were all getting about on their crutches and I was having a hard time, it felt unfair. But I think a matter of the medicines and eating a lot (it was like being at a five star all inclusive resort!) were my downfall.
I tried to walk again today, but still a bit dizzy. Managed a little using crutches. Physiotherapist was surprised, as she felt I should be doing best of all the patients under her care given my age and physical condition.
In the evening, I decided to have only a light dinner, but before that had the usual medicine (aspirin) and proceeded to vomit. Whilst a very unpleasant episode, it was also cathartic and I did feel much better once cleaned up.
During the day the surgeon and his assistant visited, and noted again it had gone well. So, I was still feeling like I was lagging in my progress compared to my compadres, but felt very positive. The many stories I had read previously were a useful reminder that different people recover at different rates, and in lots of cases, the first week or two are tough. So I tried to think beyond the immediate, and relatively minor in the context of some stories, issues and remained positive.
Friday, post op 3
Awoke after a fairly good sleep (insisted no leg pumps as I felt they were preventing my sleeping) and felt much better. I shaved, used the facilities, and did my exercises all pretty good.
Eventually had a shower.
For some other patients, including my buddy Carlos who was having his second one, it was discharge day. Thankfully I was staying until Saturday, as it was necessary for me!
We were all due X-rays and ultrasound checks. I was lucky enough to be around long enough to see the surgeon's assistant again in the afternoon. He looked at my X-ray and noted it was 'textbook positioning'. This gave me a real lift, and I felt on cloud nine having also overcome my other nausea and dizziness issues.
Saturday, post op 4
This was my intended discharge day. But, I was of the impression that unless I had a bowel movement I wouldn't be allowed to go. So, it was all about trying to have a poo for the first hour or two of my day. It was very difficult, but eventually made it. Annoyingly, as is the case usually with such "traffic jams", when I got home in the afternoon my motions were restored to their former glories like I had never had a problem at all. Note to self: after operation, take the laxative immediately it is offered!
So, Saturday allowed me time to do some walking, pack, have dressing changed and so on. A busy morning, then I was released, out in to the world by myself with my new hip to get flight home.
Everything went smoothly.
I then had a great night's sleep, interrupted, but feeling stronger again.
By now, I was operating my crutches alternately, more like hiking poles, and it was clear I could move around quite easily with just a single crutch. But, it was important not to get carried away and have an accident.
Sunday to Wednesday, post op 5 to 8
Progress continues. Have been taking cocodamol roughly every six hours since Thursday last week, but have times when I just feel I don't need any. Have mixed in the odd paracetamol instead but mostly two cocodamol. They are lasting longer than 6 hours now though, so I am gradually stretching them out, as I'd like to stop soon.
Today, Wednesday, day 8, I walked a bit further than I should and really felt it, tired and sore muscles. Will take it easy tomorrow.
Have been able to do all my exercises easily enough, even when painkillers have nearly worn off. So, gradually, things are improving. I can easily hobble with no crutches, but this is pointless and risky. Best to be using crutches and developing good walking form, re-learning to walk properly without a limp.
Feeling very positive now, getting back to work will be a test on Monday (day 13), but by end of May I will be very surprised if I am not nearly back to normal, apart from carrying two crutches for no obvious reason (other than to remind me to take care!).
Outstanding summary Matt! Thanks for the information. It definitely sounds like you've made substantial progress since the first few days.
I'm going to throw in some of my own thoughts and experiences--not for comparison--but to help others who may be following this "Class of April-May 2015" thread.
--I am 8 days post-op and can't say enough good things about Dr. Gross, his surgical team, and Providence NE Orthopedic Hospital. I was particularly impressed with the anesthesia protocol (spinal block + propofol) which left me clear headed and without a trace of nausea.
--My first day home (day 1 post op) was the most difficult mainly because of problems with getting in/out of bed and recliner. Pain levels were otherwise very tolerable, but I tweaked myself many times when trying to move from one location to another. I addressed mobility problems related to the bed by starting to slide in/out on a large garbage bag. Remarkable improvement! Also, my son built a temporary platform base for my Lazy Boy recliner out of 2x6's and a small piece of plywood. Took him about 15 min. and turned my chair into an easily accessible throne!
--On the morning of my 3rd day post-op I decided to stop the only pain medication I was taking (two types of Nucynta) and began to focus on getting my bowels to function. Fortunately I had been taking 3 stool softeners per day and eating a vegetable heavy diet for one week pre-op. I drank two 6 oz. cans of prune juice on an empty stomach and waited. It wasn't long until nature called. I have continued with the stool softeners and one 6 oz. can of prune juice to this day and have had no problems. I highly recommend this type of pre-op approach for everyone. I realize that some will not be able to stop pain meds as quickly as I did post-op, but the sooner the better.
--I spent post-op days 1 and 2 walking around the house with two crutches trying to focus on proper steps, gait, use of stairs, etc. On post-op day 3, I went outside and did an 800 ft. round trip with two crutches to the mail box and back. On post-op day 4, I transitioned to one crutch and increased my walking distances to about 1400 ft. round trip on my long walk and 800 ft. on the second shorter walk. On post-op day 5 I transitioned for part of the day to a cane and have continued to this day using my cane for the most part.
--My pain is confined to three areas: the incision, the glute, and my groin. I have had a couple of instances where I somehow caused a spasm in the groin. This has been temporary but the worst pain of all. Really breathtaking. My glute pain feels like a tight sprained muscle, it is constant and is mostly a nuisance. Pain around the incision is usually only noticeable when sitting in a chair.
--My main concern at this point is swelling around the incision and between my knee and foot. I have a family history of DVT so I contacted Dr. Gross' office and asked for more detailed guidance on how to evaluate my leg swelling. I think most of it is exercise related as fluids are responding to gravity, but I am keeping a close eye on things.
Best wishes to everyone for continued progress!
I had swelling earlier on, around day 4 post-op. Keeping the leg elevated helped (you probably already know that)
I just had right BHR on 5/5/15 with Dr. Feldman. I am 30 years old and I am pretty happy how things are going. I am only on day 6 but I am ahead of where I thought I would be. I remained as active as possible up untiil the day of the surgery. This will be the longest period of my adult life without being active and lifting weights but it will be well worth it to get back to being as good as new. And because my hip was so messed up I believe I will be as good as new. I started a blog to track my recovery that I hope will help other people suffering from hip problems. 30yearsoldhipresurfacingjourney.blogspot.com
I look forward to reading about other's progress as well.
I'm now coming up 13 weeks and today I cycled to the gym. I'm no where near what my ROM will be in time but it was already far easier to swing my leg over the bike than the lay time I rode about 6 months ago!
Also I'm back to work tomorrow :(
Well, here I am at 14 weeks and two days post op. Been on holiday past couple of weeks. Played golf two times, carried once (tiring) and pull cart second. Hitting the ball better than ever, and pain free. Looking forward to an exciting golf future for sure.
Over the past two weeks I have done pretty much everything I have wanted except on the odd occasion reigning myself in when tempted to chase after my daughter or run otherwise. Biking, walking, swimming, climbing the stairs to the pool slides countless times. One thing I haven't done is rope climbing in the trees and zip lining. Maybe next year for that.
Have managed to put my leg up, hip flex, and over my bike's crossbar, and today (well last night on getting home) I rowed for a minute, and five mins this morning. I am back!!!!! Not quite cranking my old level, but I can row with my knees inside my elbows. (Indeed, I think it will be a great exercise for gradually reestablishing the full hip flex ion range.)
All in all, I am a very happy bunny today. And it's only 14 weeks. I read stories on here of people forgetting they had the op after a year or two, and I can well believe it. Fingers crossed things continue on this current course, no reason to think they won't if I go steadily.
Anyone thinking about the op, and wondering is this all hype? Well, I'm only 14 weeks in but it all is consistent with my best hopes so far, and if you are a candidate, and you need some kind of op, you shouldn't hesitate if an experienced surgeon offers you this. (But do hesitate if the surgeon has no knowledge or no/only limited experience of this, and go see someone who has!)
nice!
Saw Petenmeads update on another thread and figured I'd update.
I'm sixteen weeks now, and I am just so happy that I had this op. I really don't think much about my hip at all other than how happy I am about it. Like night and day the comparison. My rehab includes swimming. I was doing some pre Op and breaststroke would leave my hip sore afterwards. Not any more. And my golf ... Oh my gosh, why have I been struggling with erratic form for the past 19 years, thinking I'm just rubbish at times and great at others. I always suspected/knew it was my hip, and that is absolutely a certainty now.
I can't thank Mr McMinn enough at this stage. At about week 8-10 I recall getting worried about my good hip ... But it seems to have passed the little niggle I had and I just feel fantastic at the moment. Long may it continue! I am definitely one of those "wish I'd known about it and had it sooner" people now.
Update approaching two years here, on 28 April.
Been skiing today for first time in a while. Was tentative at first, but all fine, and going full steam by end of session, hip not a problem. Feels strong.
Left hip is another matter. And knee. Happy knee is ok really for skiing and golf at present, but golf aggravating left hip. Can easily see second resurfacing end of 2018 through the winter. Maybe I will last a year more into 2019 we will see.
But cannot fault my right hip. I hope I will be posting on here in another 10 years like some of the other long term hipsters.
To anyone needing this op but worried, I can wholeheartedly recommend it this far, life is so much better post op.
Good luck, and best wishes to all.