I thought I would post this because the vast majority of peoples' accounts suggest they sailed through hip resurfacing with no problems at all and it seemed just like a minor inconvenience for a few days!
Now I've delved deeper into the various postings of personal accounts, I realise that some have been about post op pain etc., but, for the most part they are either written by fantastically stoical people or those whose memories are slightly impaired!
I write this as one who is 7 days post op; very pleased to have had a BHR done, but actually in more pain now than I was before - which I didn't expect.
I'm 60, 5'11", 82 kg and moderately fit.
Maybe I should add that, even though I'm a doctor, I have found this site incredibly useful. I'm not an orthopod, I'm a radiologist. So although I know what's going on with the xray, what I knew about the practicalities of having it done was pretty minimal.
No need to reiterate making a good choice of surgeon. Most of us won't have the opportunity to choose an anaesthetist but I was fortunate to have one who has worked very closely with the surgeon for 10 years and can give the "lightest" anaesthetic possible so you're able to mobilise the same day of the op.
Anyway, here are a few suggestions/some of the things I experienced:
PAIN: Well, it simply isn't true that you wake up pain free after the op - unless you've had an epidural and that's going to wear off! You simply substitute one pain for another. I did have some IV analgesia for 24 hours but started getting side effects so stopped it. My advice is to take as much analgesia as you are offered and can tolerate. Even then, others seemed to have exactly the same pains as me, though. So, it's probably going to hurt more than you expect and in different places. The new pain is due to the soft tissue damage inevitably caused by the major surgery you've had. By and large it's not harmful and it's very reassuring to hear the physios, nurses and doctors confirm that. But it is ####### sore!
The pain I have is partly due to the fact that virtually all analgesia makes me throw up so I don't take anything other than paracetomol. Most of you won't have this problem. In fact, I've been in so much pain since an episode of septic arthritis in the hip following an arthrogram earlier this year that the pain itself isn't the major issue. It's the worry it heralds some sort of complication when you have pain even on partial weight bearing. Being medical, I really should be able to look at that logically, but it's psychologically quite hard.
The other killer movement is the straight leg raise. Most people seem to have this to some degree. Tensing your glutes at the same time is said to help, but not much in my case. It's mostly getting into bed that it hurts and the trick is to really shuffle back as far as you can on the bed and that, in itself, tends to straighten your leg out. Presumably the pain's coming from iliopsoas and it seems to resolve in most people but can take many months.
BOWELS: I'm very British about my bowel habits and take great pleasure in spending a couple of sessions each day in the bathroom reading papers, medical journals and magazines about the antics of A list celebs and the British Royal Family. It was actually the anaesthetist who told me constipation would be a problem but I didn't really take that seriously as, normally, I need laxatives like Iceland needs more snow. Indeed, had never taken one before. So I cheated and didn't take all I was offered. Big mistake! Well, probably. There are two types of laxative. One softens the stool - which I did take. The other stimulates bowel movement. I took some, but not all, of these.The main problem was that it was (and still is) really painful to sit even on a raised toilet seat. Also, they are far too small! I don't have a particularly big arse, but, frankly, there was more chance of the toilet seat disappearing up my arse than something coming out of it! I'm going to research designs further. This isn't rocket science. Anyway, I had two or three days of really unpleasant stomach cramps but am ok now. When you get home, though, you won't have the grab rails like they do in hospital. I have a bath one side and have put a chair the other which provides the additionally needed support. It still hurts to sit down. The bowel problem was particularly irritating as the King Edward the 7th Hospital in London, has an outstanding menu every day; there's also a very passable wine list. I might add here that this Hospital is absolutely gold standard, with wonderful nursing care and physiotherapy. Apparently, they've admitted cases with MRSA but never has one spread, which is amazing.
CATHETERS: Girls needn't bother to read this - it only applies to boys whose prostates are beginning to enlarge. If you have symptoms suggesting you may have trouble weeing after the op, they will threaten you with a catheter! Well, it's not threatening, of course, it's just good practice. But I hate any thing being inserted into me and was keen to avoid it. It will be done when you're under anaesthetic, though, so it won't hurt but it can be pretty irritating afterwards. Having said which, it probably beats the hassle, anxiety and pain of staggering out to the toilet to pee in the immediate post op phase. So if they say you need one, just agree to it, would be my advice. If you don't have one and used to have to take your time preop, it's going to take you a lot longer post op! (but only for the first day or so).
GETTING DRESSED: This is not easy. I preferred to spare the nurses the ordeal of having to help me, so I developed a technique of putting my shorts or jogging trousers on myself. While sitting, I put the good leg completely through the one trouser leg first; then, using a stick or crutch, manoeuvre the operated leg partly into the other trouser leg. With some relatively minor wriggling you can do this without hurting your hip. I then stand up and insert the upturned stick into the 2nd trouser leg and use the handle to manipulate the waist band to a height where I can grab it without flexing my hip too much. From then on, it's easy. Did have one awkward moment, though, when I was just completing the manouevre and a nurse walked in. You can imagine the scenario, with the handle poking forwards through the trousers..............
Oh, and by the way, shreddies (underpants) are just not going to go on if you have much leg swelling. I'm still going commando and anticipate doing so for some weeks more. I guess boxers would be fine.
LEG SWELLING: This can be a bit alarming but is quite normal. It will likely track down your leg over the next few days and your ankle and even foot will end up swollen and bruised. All normal and expected, but a bit disconcerting when you look in the mirror and see half an elephant man. Quite reassuring to see others like this in the hydro pool. I really hadn't expected quite so much swelling, though.
TED STOCKINGS: Not sure if these are called the same in the USA. They are really important to limit the risk of DVT and my surgeon has you wear them for a month. (Tubular bandages simply won't do the job properly.) They are totally impossible to get on/off by yourself. You need the help of a loved one, friend or neighbour - the last two might be one person, of course. If so, best wait till their spouse is out if they have one.....
Tip - put your foot in a plastic bag. Easiest if you are lying down, with your quads tensed to raise your foot off the bed, toes pointing down. Your friend/lover/neighbour then pulls the whole thing over the ankle and the top part up your leg, your toes going through the hole in the undersurface then the bag can be removed fairly easily; then pull the foot bit back down over the foot.
I've found a few times at night that they caused me intense irritation on the back of the heel but a bit of wriggling usually helps.
SLEEPING: A killer problem for me! I simply can't sleep on my back. I maybe get one or two hours of fitful sleep. I've tried every combination of pillows under my head and legs. If I take sleeping tablets I get a few more hours sleep but wake up with such terrible neck pain from the awkward position in which I've passed into a coma, it really isn't worth it. Also, I tend to snore like a pig if I'm on my back and my poor, long-suffering wife has quite enough to put up with, without adding that. Luckily I only need 4 or 5 hours sleep a night, but even so I'm becoming really tired now. I have, however, caught up on many of those recorded tv programs I've been meaning to watch for months and months. Don't think there's anything much I can improve on this until such time as I'm allowed to sleep on my side, which I think is about 3 weeks away.
TRAVEL FROM HOSPITAL: You probably all know the technique for getting in and out of the car. Sit in the front passenger seat with it pushed back as far as possible. Have the window wound fully down so you can use the door frame for a support. Try and keep your operated leg as straight as possible, grit your teeth and be sure not to flex your hip or rotate it too much.
I had a 1 1/2 hour ride to the airport and a 45 minute flight home. I elected to revert to two crutches for the journey, which was a good move. You're very stable on these and it also alerts those around you to the fact that you're relatively incapacitated. The journey was a breeze - except for the security check! Yes, the new hip will set off the metal detector, which no-one had told me. I work with the local customs officers at home xraying suspects for drugs so I never give the guys a hard time, however testing they can be in some airports. Usually in the UK they're pretty pleasant, unlike the USA where they seem to go on some sort of course where they learn to elevate rudeness to an art form. Anyway, it ended up with me having to go into a cubicle and show them my scar. I felt rather sorry for the two customs guys, both of whom seemed a bit squeamish when they saw the operation site.....and discovered I wasn't joking when I told them I wasn't wearing any shreddies!
I realise I've gone on at some length but I hope those of you who don't "wake up without any pain" or other problems will find it useful.
You are welcome to contact me directly if there's anything I can help with.
Andy BC