Hi Rich,
I suspect that there are more posts on this topic than any other! And no wonder as few of us have ever experienced this level of disruption to our sleep. I have come to believe that the symptoms that interfere with our sleep are all part of the body's natural way of ensuring that we get up, move and exercise - all part of the healing process. There are so many factors affecting our sleep after thr - pain, swelling, anxiety, muscle cramps, night sweats, etc.
This is a good review for me as I will have my 2nd thr in 6 weeks.
Keeping pain meds regular was important for me and i really appreciated one of the suggestions to use my phone alarm for this. As pain subsided a little I shifted to using a form of Tylenol with time release which me make it through longer stretches (on the off chance i managed to sleep).
Finding the optimal pillow arrangement - for me that included an oversized memory foam pillow which made sleeping on my back more tolerable (I also added a small pillow under it at my feet to give some elevation to help with the swelling.
Night sweats were awful for me - I kept an extra thirty and towel by the bed, ditto a flannel sheet if the sheets got too wet. Gel packs helped as well and air circulation (a small fan or ceiling fan). Others suggest that quinine helps with this.
Restless legs or cramping - really the only thing that helped me were the exercises (foot pumps and foot rotations could be done in bed but sometimes I just needed to get out of bed- tough for my husband as I needed help during the first week.
The overactive bladder - how annoying is that!? But I did try a trick offered by my GP - drink two good glasses of water at least 45 min before bed. It helps with thirst and runs through your system before you get settled. In fact, as I started managing stretches of sleep, I carried on with this through the night.
Like so many, I am a side sleeper and sleeping on my back was just tough. Another forum member made a brilliant suggestion to plug in my ipod for some music and this made the stretches of staring at the ceiling and walls more tolerable.
Finally, this forum helped a lot - there are many night owls amongst us, by inclination and circumstance, and as we live on four continents, someone was always on line. It was good to vent occasionally (or even help another) with some else experiencing this journey.
I hope some of this helps and please check out Graham's Layman's Guide to Hip Replacement which can be accessed through his profille page for this forum. https://patient.info/forums/profiles/rocketman-sg6uk-907025 (we aren't permitted to add other links here). He has a tips section that is extremely useful - garnered from hundreds of discussion threads here.
This journey really tests our patience - not a quick fix even if the bone on bone pain is gone immediately. Recovery goes in spurts and some steps backwards along the way. Don't get discouraged as after 3-4 months, you will have regained most of your strength and mobility.
Good luck,
Linda