My husband is having a hip replacement tomorrow, we would be very grateful for any advice please.
Hello, I’m not an expert at all and only had my surgery 3 weeks ago. There are others on here with plenty of experience who I’m sure will contribute. I just wanted to wish your husband all the best. I can say that I came round from the operation pain free and apart from a blip on day 13 that’s how it’s remained. Maybe be prepared for feeling down which is how I felt after a week or so. (Feeling great now!). He needs to be patient and listen to his body. I don’t think I rested enough as I was so euphoric. I’m now making sure I nap when I need to. I’m doing my exercises, trying so hard to be vigilant with the restrictions and walking. So far, so good. Hope everything goes well xx
Do the exercises!
Dear Deb
There has been loads on here so I suggest looking back at past threads to start with and ask if you have any specific questions.
Cheers
Hi Deb
Not sure where you are based but I am 2 weeks post left posterior THR carried out in Nottingham UK. I can't fault the clinicians and their support team for the way I was prepared before th op and the follow up contacts after being discharged.
At my pre-op screening we were given a Hip and knee teach in by the Occupational Therapy team which told us what to expect before during and after the op. We were also shown how to do various tasks like getting in and out of bed, climbing stairs and getting in and out of a car. I was also given a comprehensive information pack which again detailed what to expect and what exercises to do post op to get the hip and leg muscles active again.
I also has a consultation with an Occupational Health specialist who assessed my home environment and suggested appliances that would be essential like a perching stool, toilet frames etc. These were subsequently delivered to my home by the local Red Cross on a loan basis before I had surgery.
If your husband has had none of this then I would suggest you read up online and also check this forum to bring you up to speed.
Personally I think I have had great pre and post op care and am progressing well to date
Deb, cut your toe nails real short, have ice bags in the freezer ready to go. The stiff leg strap is very helpful getting into and out of bed. Have something to ellevate leg while in bed icing, a laundry basket upside down with pillow on top worked for me. Make sure you have some chairs with good arm handles to push to stand up, I put my patio chairs in the house with there big cushins. Use same cushin in car seat for extra padding. I had posterior approach. I wear work overalls while out side working so I don't have heavy belt pulling on incision. The sock tool is pretty good. Have a hand grabber near bed and one in bathroom. Toilet paper position in front of toilet. Make sure the walker fits easily around house. If you get home and husband feels great and wants to walk everywhere and do stuff. Tell him about the stupid guy in states that did just that and he swelled until his skin split. That first week should be in bed and ice! And ellevate. My swelling happened day 8 after surgery. Good luck
Exercise, exercise, exercise......elevate with ice. It doesn’t matter when you sleep as long as you get some. The time will pass quickly.
Hey Deb1205! The best thing you and your husband can do is follow the Dr.'s and therapist instructions. The healing process is long and arduous. But it will get better each day. Be kind and patient and give yourself permission to do nothing but think of yourself. Having a loving supportive spouse and family has been another great blessing. I set little goals each day. I'm almost 7 months post op my left hip and 3 months post op my right. I completed weeks if physical therapy and I continue to do the exercises they gave me. It does get better each day. I can play with my 2yr.old grandson and actually keep up. It does get better. Be encouraged. Blessings!Teresa
It will be a year for me on Dec 7. Do the exercises. Rest. Don't push yourself. Drink lots of water. Take Magnesium. Follow the restrictions. Don't be a hero. Ask for help. Do the exercises.
Daily Chronologue:
I am 80 years old and have had 3 stents installed-no heart attack. My only other hospital problem has been getting a new shoulder-good health otherwise. I am doing everything I have been told to do.
Posterior procedure.
I am using coumadin for blood clots. They take my blood twice a week to monitor the level. Since coumadin I have only taken 3 BP pills out of a possible twenty. MY BP apparently has been driven down by the coumadin.
Have not used pain meds yet
Day 9: Therapist showed. Walking getting better-went outside for a walk. Still no real pain just limping along.
While I still got up two times I slept much better-a good 8 hours. Still struggling with swelling but I am winning. This morn I was able to jog my leg off the couch while sitting up.
I have decided to do this chronologue because It might help. I will be glad to answer specific questions. I will do a complete update every few days.
Doctor office called and doubled my coumadin dose.
Day 10: Still not taking any pain meds or other OTC stuff. Therapist showed. Total walking inside and outside for day about ½ hour. Still struggling with swelling and winning but I am forgetting about the swelling at the top of the hip above my butt. I have to ice that once a week. It seems. While I feel more power in my leg I still can only lift it about 15-20 degrees above the floor while sitting. I was quite tired at the end of the day.
Day 11. Sleep was not great. Started the day dong ankle pumps, knee presses and hip squeezes before getting up. I also iced the calf and hip area before rising. No therapist today. I did exercises and then walked our circle outside my house. I skipped the BP pillls again because my numbers were in line. Later in the day I did the exercises again and also walked the circle two more times. Total walking for the day about 25 mins.
It appears that I now have a very sore op side butt. When I sit it hurts. I get up a lot and put a pillow on the side that does not hurt to ease the pressure. I am lying down now when icing. It is easier on my buttock.
At this point I cannot imagine I will have to use pain meds. But I have not eliminated the possibility.
Doctor called and increased my intake of coumadin again. He wants my blood to show a certain level.
Day 12: Slept well-only got up once. Did icing and exercises before rising. Completed standup exercises. Went for a walk on our circle. Later walked again on circle. Then still later did icing lying down and exercises. Again completed standup exercises. Later took a walk on circle. I wanted to go again but decided to wait another day. Did more icing lying down. Practiced quite a bit walking around house with cane staying close to things I could grab with free hand. Did icing and exercises before going to sleep.
Day 13: Sunday Slept well-up twice. Still sleeping only on back-not easy. Very similar to Day 11. My op butt is not hurting today. I am still getting up often. Swelling there but not bad. Therapist put me through exercises.
Day 14: Slept well on back-up once. Similar to Day 13. No therapist.
Day 15: Slept on back-ok not great. Icing and exercises before rising. Able to get out of bed by maneuvering my op foot. Therapist put me though entire exercises and added another where I move my op foot to the rear while standing. Marching exercise is getting better with a higher step. Walked circle 4x. And leg did not feel very much discomfort. Butt is not hurting very much. Practiced walking with cane and also on my own for short distances. Kept up icing and did the final icing while laying down ready to sleep.
Day 16: Slept on back-sleep ok Visited Doctor -xrays looke good. Stopped iron and vit C pills. Coumadin untill next Tuesday.
Similar day as before. But seeing a vast improvement in leg mobility. I can get leg into and out of bed without much effort. Swelling still there but getting more under control. Still practicing with a cane. I am also walking, albeit with a gimp, without anything, but only short distances and again able to grab on if necessary. Have to be very careful turning. Getting up and down on chair without any extra effort. Legs showing strength.
Day 17: Tried to sleep with pillow on non op side-fuhgeddaboudit. Still cannot sleep on op side because it feels bulky and uncomfortable-no pain. Any ideas on sleeping would be welcome.
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My previous post follows:
Day 1 & 2: in hospital
In the following days cited. I have not taken any pain meds yet
Day 3: Getting home no problem-just followed instructions-now that the hip was done tryng to understand how to organize the house needed changes. Which chair? How many pillows? What to use to get up out of chair? Where to sleep? These would all change as the days went by. I found out what better or worse means. My wife, always my hero, was awesome.
I did the basic therapy for the day and I felt fine. I am walking fine.
That night we got me into our bed which we thought would work well because it is like a hospital bed. The head and foot can be adjusted. No good. (I simply could not use the leg wedge provided in the hospital. It did not work in the hospital as I wound up in the chair every night.) So we decided to use the couch which would keep me on my back. We put some barriers next to the couch. I slept for three hours and had to get up. Yes, she was there to help. Anyway it was somewhat of a fitful night.
Day 4:Thanksgiving-The therapist showed up and we went through some extra exercises. I again felt fine.
Sleeping was about the same. I was sleeping during the day sitting up. I used an airplane pillow. I am still feeling only discomfort-not pain. Eating normal. No problem walking.
Day 5: My leg is swelled-the hip and calf about 11/2 / 2 inches larger. We were concerned because no where were we told to expect swelling. So we called the VNA visiting nurse association.A nurse was dispatched. We began icing and raising the leg.. In the meantime I looked on line and found this site which affirmed that some people had swelling-it was a relief. The nurse affirmed it was onl swelling and not a blood clot. Sleeping improved but still somewhat fitful
Day 6: Therapist shows up and we do some exercises and he also affirms swelling is just trauma.
Sleeping still fitful.Walking good. Struggling with swelling.
Day 7: Sunday Walking well. Icing leg a lot-keeping elevated as much as possible. Doing exercises.
Struggling with swelling.
Day 8: Therapist showed and we do our workout-helpful with ideas and knowledgeable about other folks problems. Struggling with swelling. Sleeping a little better but still getting up a few times at night. Sleeping during the day a lot.
Nurse took blood.
Good luck>
Have you checked out my website? Lots of ideas from other 'hippies' on this forum. The address is in my personal info here ...
http://patient.info/forums/profiles/rocketman-sg6uk-907025
and at the bottom of the moderator's "useful resources" page at
http://patient.info/forums/discuss/thr-useful-resources-487147
Best wishes
Graham - 🚀💃 🤸 ( ͡° ͜ʖ ͡°