If this lengthy I do apologize. I am at wits end on how to deal with this. I went to the Dr. about 4 years ago with the complaint of groin pain. She recommended physical therapy which helped a bit. Over the years the groin pain continued to get worse, traveling to by hip and down my leg. Last November, I was told after an MRI that I needed a THR. The MRI showed wearing of the cartilage in the hip, bone spurs and cysts in the joint. I had a couple of friends that had the anterior hip replacement and were please with the results. The problem is that I had to lose about 70 lbs. to get it done. We moved to another state and I proceeded to set up getting the work done. The Dr. I found said that I also needed to lose the weight and referred me to a bariatric program. With the bariatric program, I have lost 55 lbs. I was also told by the Orthopedic Dr. that I need to get a panniculectomy (removal of the lose skin) that would be in the surgical area to reduce the risk of infection. I was asked by the bariatric Dr. to follow up with the Orthopedic Dr. as I am close to where I need to be and he is doing the required panniculectomy surgery next week. I also alerted the Nurse of the Orthopedic Dr. and she said she consulted with him and I needed 6-8 weeks after the panniculectomy procedure before he would do the hip replacement.
She told me to schedule with their department and I had a date.
Two days ago, I followed up with the Ortho Dr., at the recommendation of my other Dr.'s and he acted like I should not bother him as yet as I have not reached the goal weight he set. He cited the need to be at a certain BMI to reduced the risk of infection. He would not discuss my pain medication, which at this point is one tramadol in the morning and two at bedtime. He said I should talk to my family Dr., who actually said I should talk to my Orthopedic Dr. After waiting 1 hr. and 45 minutes to see him in the office he could not offer me anything. I suffer constant pain, I can only sleep on my back, I am using a cane to get around and not sure what I can do. I definitely plan to get the weight off to get the surgery but an really upset about the attitude of the Dr. He has stellar reviews online but an not sure about his bedside manner. I would appreciate any suggestions on what I might do to relieve some of the pain, any exercising that might help (as most is pretty painful) and any insight anyone might have to get through this period. I will definitely work on the weight loss issue as I have to get this done. The sooner the better. Thanks You-
Wow I would find another surgeon. When I had mine done in U.K., my weight was not an issue. Surgeon said I needed it done quickly after another 6months earlier told me I was too young and would review me in 12 months. My BMI was 38. My surgeons view was how can you lose weight and exercise when in so much pain and movement limits exercise. Good luck x
Jmariejo
Parabéns por perder todo esse peso. Tenho certeza de que a tia auntiebeanie está certa ao dizer que perder peso quando você não pode fazer muito exercício é muito difícil.
Imagino que o seu médico esteja certo ao dizer que a pele solta representa um risco de infecção. Mas pode ser bom buscar uma segunda opinião sobre quanto peso você precisa perder. Claramente, carregar peso extra é um contribuinte para problemas nas articulações e um fator nos resultados, mas você já perdeu muito peso. Veja o que outra pessoa diz.
Mike
Uau - parabéns por perder tanto, você fez muito bem. Agora de volta a você, Hips, peça ao seu médico para lhe dar outra indicação para um médico diferente, ele deve conhecer vários cirurgiões.
Cirurgiões, como meu médico me disse que eles não precisam lidar com pacientes acordados e isso mostra, isso foi depois que minha filha ficou muito doente, e o cirurgião com quem tive que lidar era um homem horrível, e me tratou como se eu fosse menos que a mosca subindo na parede, voltei ao meu médico e disse para me encontrar outra pessoa, ele então me disse que havia estado na faculdade de medicina com ele, óbvio que ele não havia melhorado ao longo dos anos, mas ele era um gênio, e reconhecido como tal mesmo na faculdade de medicina, e se eu estivesse doente como sua filha, eu estaria vendo ele. Eu aprendi a ser a mosca na parede e não protestar e não entrar em argumentos com ele, com o tempo, minha filha e ele se tornaram não tanto amigos, mas pelo menos se davam bem e ele perguntava o que ela havia feito, se ela havia trabalhado etc, se ela havia aprendido a dirigir um carro etc.
Exercício, procure uma piscina aquecida, tem sido um salvador para mim tanto antes das ART's quanto depois, quando eu havia me recuperado o suficiente para voltar à água, apenas ficando na água, apoiado por um flutuador ou um noodle, com o tempo, eu me exercitei por 1 hora 3 vezes por semana até o dia antes da cirurgia, e novamente após a cirurgia para fisioterapia e recuperação, são os exercícios sem peso que são tão bons para você, e te dão um pouco de alívio enquanto estiver na piscina da dor. Fisioterapeutas no hospital ficaram mais impressionados e disseram que recomendariam a outros pacientes meus exercícios de natação sem peso.
I agree with Lyn that swimming is an excellent way to keep fit.
Cheers Richard
hi jmariejo,
warm welcome to the hippies forum ...
Surgeons are not really known for their communication skills, are they ... and they can be so intimidating ..
Sometimes Hip[ replacement surgery can only get insurance approval according to some standards which might include Weight - Maybe you can check with your insurance if to find out if that is the case ..
Are you taking any pain medication? Sometimes it helps to take the edge of but won't take it away -
And yes, I would also have a 2nd opinion with an Ortho surgeon from different medical group -
Come back here anytime okay - you are not alone -
big warm hug
renee