L BHR with Mr Treacy

[Dannywayoflife]

Congrats Danny!  So, Dr. Treacy thinks that PT too soon may be a contributing factor?  Did he say when it would be most appropriate to start?  I'm due under the knife in about 4-5 weeks, so that is an interesting thing to hear.

He basicly said the physio that i was having Ie assisted streching at 3 weeks almost definatly put my progress back. I spent the next 2 days pretty much solid not moving as i felt it had done something. I did say to the physio should i be doing this and she said so, i just took her at her word.
He basicly told me i really didnt need to see a physio and that he just really thinks that walking as much as possible and getting into a hydrotherpy pool were far better. He also said he would like me on an exersise bike with the seat as high as i could safely get it just to gently increase my rom. To be honest and i know this is very generalised but in 15 years of martial arts and 12 years as a night club bouncer i have had my fair share of bad injurys and i have seen i think around 20-30 physio's and EVERY SINGLE ONE has been a total waste of skin!!!!
Im informed GOOD physio's are out there but i am yet to cross one of there paths!!!
It may well be differnet in the US but our NHS is just like a cattle market and i think a money drain!!

[stevel]

Hi Danny,

Thanks for the post about Mr. Treacy's opinion about the longevity of the BHR.
I notice your hip device is the same size as mine 60 mm/ 54 mm.
I'm 5 ft 11 in, 200 pounds but if I was in shape I would weigh about 175 pounds.
You stated you have 28 inch thighs.
What is your height and "fighting" weight?

[Dannywayoflife]

Hi steve,
            No problem. I have a list a mile long of more questions I intend getting Mr Treacy to answer!
I am 5'9" tall and when I was actively fighting I was generally circa 185 but fought as heavy as 200 as a one off when I was badly out of shape and a fighter pulled out.
I intend on trying to get down to 170 when I am back doing fitness so as to take as much stress off the implant as I can. I do intend to return and fight again but not muay Thai just normal boxing. But I first have to walk before I can run so to speak!!

[Dannywayoflife]

Well I'm nearly 5 weeks post op now and I'm really really struggling. Mr Treacy told me I was behind where he thought I would be last week and I dont really think I'm improving.
I'm now thinking that my post op spasam fits might have done some damage. Im going to give it a few more days and then book a private appointment with mr treacy rather than wait till my scheduled one in mid January

[hernanu]

What are you struggling with, Danny?

[Dannywayoflife]

I'm struggling with walking weight bearing and my rom is horrific.

[hernanu]

Walking without aids? I had trouble with walking without a limp by 5 weeks both times.

My ROM measurements by the PT were about 15 degrees away from normal when I started PT at 5 weeks, much better after about two months of PT. Is that what you're seeing?

[Dannywayoflife]

I struggle to walk with a normal gait with crutches. I have been advised by my surgeon the physio I was going to was doing the wrong things which possibly have caused damage and not to go back. He advocates just walking, pool exercises and stationary bike. To be honest as ive said before I have yet to meet a good physio!
My rom is totally horrific it will flex to a point and it's as though it hits an iron bar it will not move any more.
I've spent hours comparing my x ray to those I can find on line of perfectly placed devices and I must say I'm no surgeon but the placement looks perfect.
I may be worrying about nothing but I've got my entire life depending on a good outcome from this it's hard not to.

[hernanu]

Like I said, my ROM was bad when I first started. The place where I stopped sounded like what you mentioned, it just did not move farther.

Mr Treacy looked at your device, and found no problems, right? so if there is something that is holding you back physically, it is probably muscular and something you need to be patient with. Sorry if you ran into a bad physio, I did have good luck with mine, but there are different quality people out there.

My home PT person didn't work too much on ROM, being content to work on strength and some very light stretches. I know you'll be better once the hip gets strong enough.

[Dannywayoflife]

Now 3 totally separate orthopaedic surgeons including Mr Treacy have seen the x rays and all have said the same thing it's in there spot on so I'm guessing if it wasn't as it should be one of them would have said so.
The assisted stretches my physio did were agony and I did say to her im only 19 days post op. But this was the woman who had never heard of hip resurfacing but knew exactly what to do!(good old nhs!!)
I do suspect that its soft tissue related but surely I should be gaining progress by now?!
One of tge weird things I've only just noticed is that my outer quad muscle seems to have moved further around my leg to my hamstrings. There's no muscle where there was pre op and it's moved round the leg and this outer area of my quad is one of the weak spots when I try to walk. 

[Cantab]

My PT has told me on more than one visit that he won't do any assisted stretches until after my 6 week appointment with the surgeon.  The exercises that I am doing are helping and there will be plenty of time to stretch it out later.  My ROM is   still narrow, but before surgery I had problems with putting on socks on the bad leg.  Good luck with the leg

[Dannywayoflife]

Yeah pre op I couldn't put my socks or shoes on and struggled putting trousers etc on, so still in the same position really!

[imgetinold]

Danny,

I really hope that this is nothing serious.  If the device is in the right place, then hopefully all the rest of this will resolve itself.

[Dannywayoflife]

Mr Treacy seemed confident I would just be a late bloomer and from my judgement of hi
I think he would tell me if he thought otherwise.
I may just be expecting too much too soon but like I say my entire life rests on the out come of this so it's hard not to fret slightly when things arent going totally to script.
I will leave it a few more days then like I say pay to see him privately.
Danny

[hernanu]

I think you're good, Danny - it sounds like the device is fine, there may be some tissue that needs to heal more. You're still early and like all of us, get anxious and rightly so.

Ice that, relax and do your walking, etc. Maybe get a friend or family member to look at your gait and see how it seems to them, we are sometimes not the best witnesses. Late bloomer or not, you will bloom, Danny.

[Dannywayoflife]

Thanks hern.
Danny

[Luanna]

Hi Danny,
You remind me of me. I'm at almost 15 weeks and I'm still struggling with sore soft tissue and muscle aches and pains and I'm sure half the time that the implants are in the wrong place or slipping. But - it's just that I'm healing at my own pace and it seems soooooooooo slow and like something must be wrong. I overdid a few weeks back and it really slowed me down. So, be careful and let your hip capsule heal as much as possible before attempting any major activities. I agree with the idea of walking, stationary bike, and pool exercises, and resting a lot.

Remember all that muscle that they had to cut through to get to your joint! That's gonna take some time to heal. My hubby has huge quads and I can't imagine what he'd be feeling if he'd had HR surgery. Ouch!

I take each day as it comes and try not to get discouraged when I have trouble with my gait or can't quite reach my toes to put on socks and shoes easily. I've thrown out the original script and am writing a new one. Keep your 1 year goal in mind Danny. When you set that goal it really helped me keep a longterm perspective on recovery.

Luanna

[Dannywayoflife]

Thanks luanna,
                     You are of course right. I firmly belive that the 12 month recovery period is the way forward. It makes sense to allow the bone time to fully recover and heal before starting impact activities.
I think my gut feeling that my progress is stunted due to soft tissue issues is correct I mean like I've said before my quads are rather large!
I really am finding recovery more of an emotional battle than I thought I would prior!

[rbt2011]

 Danny,
Really sorry to hear you have been having a rough time of it lately.  I do however understand your concerns.  I understand first hand how frustrating and downright frightening it is when things don't seem to be going according to plan.  Especially with something like this where it quite literally will affect the rest of your life.  I have been having my own struggles of late so at least your not alone.  :D

The fantastic news is that 3 surgeons, including your operating surgeon who is arguably one of the best, most experienced BHR surgeons on the planet, confirmed your device is placed perfect.  Perfect is a rather nice description, don't you think?

Hernanu is right.  It sounds like things are good and while it may take a bit longer, you will get there.  Just from a layman's perspective, it would seem that your freakishly large enormous 87" quads would take longer to heal than normal human being size legs.  That's a lot of meat to get through. :)

While everyone in the recovery process probably has similar feelings I do know that the most important thing to focus on is the things that you have control over.  Most importantly, in my opinion, is your attitude.  You have to believe that you will get better.  Believe and imagine yourself walking again, pain free, in the direction of your dreams.  I know that you are going to be do it and I will too. 

Keep the faith my friend.  This too shall pass. 

[PistolPete]

Hang in there Danny you will be fine.  As others have said your massive quads are going to take longer to heal than others.  There is more tissue, muscle, fat, etc. that was cut thru so just hang in there.  Do things as you can and keep your head up.  Walk as much as you can and I'm confident you will be fine.  You knew it was going to be a long recovery so hang in there.  You're on the right track.  We've all had some setbacks so keep your head up and charge forward.