The first four weeks after minimally invasive hip replacement surgery: Ask Dr. Amy!

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@terridemarest7880 Жыл бұрын

I am a very fit 56 year old that had anterior THR 4 weeks ago. No way without a walker 2 days later or 4 weeks later. Do not compare or expect this. I did have a bumpy first week due to low blood pressure and a blood transfusion. Still use walker for balance. Still sore but no meds.

@heartscontent 9 ай бұрын

I agree with you. The hospital recommends a walker and later transitioning to a cane in stages. No way at day 3 or 4 do you ditch everything. I’m shocked.

@AtHomeWithZaneR 3 ай бұрын

100%!!!!!

@stefanilesser1396 4 ай бұрын

I'm 57 and today is 3 weeks post-surgery. I definitely needed my walker more than 2 days. I'm using a some cane/some no cane around the house. I started PT at 2 1/2 weeks while doing basic exercises given to me at the hospital prior. I still need a pain med at night with Ibuprofen during the day. For me the first week was painful. I had a low grade fever and had to go to the ER with impacted bowels (so gross and painful). Once the first week passed my healing really took off. Early morning remains my most painful time of the day but has been improving. The hip appears to be healing much faster than my knee replacement last year.

@nessfrancisco5746 9 ай бұрын

When you talk about hip replacement, you need to understand some people are worse off when they have it. I thought I had a pinch nerve in my back, so waiting for a back doctor appointment. I was on crutches for months before I found out it was my hip. When I had hip surgery I was behind most people. At 2 months I am ahead. I just want you to remember and tell people not everyone is the same. When you do this some might think there is something wrong with them.

@63JKM 8 ай бұрын

I’m shocked no physical therapy the 1st 3 weeks. I was given exercises to start the next day and to start physical therapy day 6. For me physical therapy exercises, short walks and ice were the most important. I took my meds until I saw my Doctor. I continued to take them until they were out. I was walking unassisted day 8. I carried my cane with me just in case until the 2 week mark. Bottom line is don’t try anything until you speak to your doctor. Even if you feel like you can do more. Everyone is different. A therapy patient with me was still in a walker week 2. There’s no ribbon for early milestones.

@VICKVICKI Ай бұрын

Im in horrible shape week 3 I can feel the new hip

@Skin-ve2tt 3 ай бұрын

I'm currently 8 days, post-op & find it difficult to believe that some patients are walking unaided in the first week! - First few days are very painful & it's only this morning (day 8) that I have managed to take a few steps without the crutches (no walker supplied to me).

@CarolynStOnge 6 ай бұрын

I’m having my left hip done in about two weeks. My surgeon recommended that I use something called cold therapy. It’s a machine you rent for a couple of weeks and apparently it does amazing things for healing.

@chiphister Жыл бұрын

It has been 12 days since my total hip replacement surgery, and I am still not able to walk without a walker. I also had a large bone graft done for a golf-ball-sized bone cyst that had developed above the joint, which I am sure complicates things. I am 61 and - apart from the hip - very physically fit (I am one of the top swimmers in the country for my age group in Masters swimming). I followed the exercise regime suggested for hip replacement patients religiously both before and after surgery. I was, I must admit, very dismayed at learning from this video that MOST patients a) are walking within 2-3 days of surgery (I cannot even stand on my bad leg, let alone walk on it) , b) don't use the pain meds AT ALL (I took hydrocodone - 10 mg, 4 times a day for a week, then tapered off - now I take nothing). I was easily the youngest person on the floor getting hip replacement surgery that day, and the most physically fit. My mother had hip replacement surgery at 80 and was walking on her own in week. A friend's mother had hip replacement surgery at 75 and was grocery shopping BY HERSELF - no walker, no cane - in 3 days. It might be the bone graft, but it seems my results are pretty bad so far - bottom 1%? Not what I had expected or hoped, I must say. By the way, I had the minimally-invasive anterior hip replacement.

@BestPracticeHealth Жыл бұрын

The presence of a bone cyst and the need for a graft can indeed be a game-changer. Recovering from a bone graft procedure typically takes longer, often on the order of weeks to a few months, which can be challenging. But don't forget, there are some factors in your favor. Firstly, you're young, and equally important, you're a champion swimmer. As a master swimmer, you're likely in the top 1% when it comes to muscle mass, resilience, and certainly mental toughness. So, hang in there! It's crucial not to compare your progress to others who haven't undergone the same procedure because everyone's recovery is unique. I have no doubt that you'll get better soon, and all the effort and patience you're putting into your recovery will be well worth it.

@chiphister Жыл бұрын

@@BestPracticeHealth Thanks! That's helpful!

@thecararenaprestige Жыл бұрын

I had the same has you and I van tell you this is not a speedy recovery, am 52 very fit, but the operation I had the same has your is a long recovery

@chiphister Жыл бұрын

@@thecararenaprestige Hey there. Thanks for your reply - very much appreciated! It is now a month since my operation, and I can walk short distances with a cane. I cannot put my full weight on the affected leg as yet. When I directly asked about the impact of the bone graft on my recovery a few weeks ago, the physicians' assistant said, "No, that has no impact." Which, looking back, seems a very odd comment, as it clearly did and does. Looking back at my own post, I would say I was very overly optimistic about my recovery, based on the experiences every other person I personally knew who'd had the surgery. I think healing the graft, especially one as large as I had, is something akin to mending a broken bone, so something on the order of 4-6 weeks?, in keeping with the first comment above from @BestPracticeHealth.

@deborahbarnett4954 Жыл бұрын

I would add that most people are definitely not walking 2-3 days after surgery without a walker. At 3-4, i was starting to use a cane but still relied on the walker primarily. It wasn't until day 5 that I could ditch the walker entirely. It's unfortunate that unrealistic expectation is in there. Also, pain management is critical so that you will get up and move, so if you need opioids for the first week, but it enables you to walk regularly, it's a worthy tradeoff. Last, I was surprised she mentioned taking ibuprofen. My surgeon had me take aspirin for 30 days as a blood thinner but no other NSAID. Instead, extra strength Tylenol as needed. I hope this helps anyone else with setting expectation. As a former competitive distance runner, I know the temptation to compare your progress :) Resist if possible! Cheers@@chiphister

@cindyhead8899 2 жыл бұрын

Most doctors make you get up first day of hip replacement. And make you do physical therapy for up to six weeks

@BestPracticeHealth 2 жыл бұрын

Good point. Recovery depends so much on how the surgery was done. We advise anterior, direct superior or the superPATH minimally invasive approaches.

@jimh527 Жыл бұрын

She's right.. And that was my surgeons instructions also. First 4 weeks concentrate on healing. Do the bed exercises if you want, but many people overdo it. After 3 or 4 weeks, the exercises become mandatory for the best results.

@BestPracticeHealth Жыл бұрын

Thanks for sharing that advice! Sounds like it worked for you. Glad to hear it.

@artryan5330 2 жыл бұрын

I definitely don’t agree with that couch potato. Same day I was walking with a walker now walking with a crutch. Post two weeks. My advice take your meds until you see your doctor. Helps you push to your therapy. Then ice.

@sherrcon Жыл бұрын

got to keep ahead of the pain by medication

@casspeied Жыл бұрын

Did you have the minimal invasive surgery?

@JDRichard 4 ай бұрын

Great advice and such a nice smile, doc

@nancyberry4713 Жыл бұрын

I’m sorry there is no way I can go without a walker the first week

@BestPracticeHealth Жыл бұрын

That's OK! Everyone is different. That best thing is what works for you and keeps you safe.

@lynnwilliams5432 Жыл бұрын

80 yrs fell had replacement Walker all this first week .

@JohnSmith-oe9nh 4 ай бұрын

I had anterior arthroplasty and am in week two recovery. For pain I used a lower strength opioid prophylactically along with Tylenol. I stopped on day three as I didn’t know if I had pain or not. I discovered did not have pain, so stopped Tylenol also. And yeah, opioid made me nauseous to the point I vomited. I stopped walker on day three and went with walking stick. I am holding back on too much activity as I was told six weeks for bone to grow into the stem and cup so don’t stress that action. I’m 70 and reasonably fit but not athletic by any means. BMI 24-25.

@susanwickman3603 7 ай бұрын

Just over3 weeks after anterior hip replacement. I did everything the doctor told me and did all the exercises. Had my post op appointment day before my 3 week by one day and was released to drive. I walked w/o the walker very quickly, only when I walked outside. I have been driving for 3 days with no problem.

@BestPracticeHealth 6 ай бұрын

Thanks for the update! I'm so happy for you. I hope you continue to recovery nicely and have a great result.

@blakemoore666 Жыл бұрын

I’m on day 14 post anterior hip replacement, hip flexors still so tight can barely lift my leg, can’t imagine getting around without walker during this period

@BestPracticeHealth Жыл бұрын

Hmm. You may want to check in with your surgeon. Most people were done with the walker days earlier. Everyone is different, it may be fine for you, but check.

@blakemoore666 Жыл бұрын

@@BestPracticeHealth I’ve seen him 3 times since surgery, he claims all normal, not sure I believe him at this point. I keep reading about similar issues as I’m having relating back to overhang of cup, leg too long, etc rubbing the iliopsoas tendon. Not sure a surgeon would admit this error though.

@westmid69 6 ай бұрын

Rubbish folks !!! I've had minimum anterior total hip replacement left. I'm a 2h 23 marathon runner, now a very active golfer. I am surrounded with many hip replacement men andwomen. Listen ! Left hospital with 2 sticks, day 8 one stick. You can only walk unassisted when you are able to walk correctly with correct heel down off toe, no compensation. Personally I came off codeine day 5 now paracetamol when required. Exercises given by physio, bed and static Exercises are paramount. Walking free after 2 days bullshit.

@ShadowWolf3030 10 ай бұрын

Yea i dont see how after surgery you would not want pain killers, i had total hip replacement surgery 9 days ago and trust me the next day you will want them i would rather take them to help me rest rather then sit on a couch all day in agony, this isnt everybodys journey its a painful difficult one and my upper thigh is still numb and i cant walk without my crutches,

@BestPracticeHealth 10 ай бұрын

Hang in there! Everyone is different, and that is especially true when it comes to surgery. However, the pain after surgery depends a lot on how the surgery was done. Some of the approaches are much less invasive than others. There’s a very high chance, regardless, that you were going to have a great result. Hang in there. Please let me know how it turns out.

@ShadowWolf3030 10 ай бұрын

@@BestPracticeHealth thank you,, my surgery was in the front, this is my first ever surgery so i cant compaire it to anything, but if it gets better and i heal and can walk then it was all worth it,

@charlesdenial 3 ай бұрын

“Most people.” What about the rest of us? I’m approaching three weeks post surgery and still need my walker. I also have a terrible limp. What would you say to the rest of the anterior hip replacement community?

@BestPracticeHealth 3 ай бұрын

I'm sorry you're in pain. Everyone is different, but 3 weeks in a walker is on the long end of the range. Let your surgeon's office know that you are struggling and request a visit. They will likely order an x-ray and make sure you are in PT. Hang in there. For whatever reason a lot of people struggle right after surgery and end up doing great. I hope you are one of them. Are you limping because of weakness? It's rare but you can have nerve damage during hip replacement surgery. Make sure you have normal strength and sensation in your leg. If not, let your doctor know right away. The good news is that most nerve injuries are due to a stretch during surgery and they recover fully. I've seen people have falls with injuries because of ankle weakness while they are in recovery. Please be careful.

@AtHomeWithZaneR 3 ай бұрын

This information is the “exception” and not the rule! MOST patients are NOT off a walker in 2 days and if they are they’re the “exception.” I’m very disappointed in this video. I watched in hopes that it would provide insight, and all it provided was unrealistic expectations! No pain medication is ABSOLUTELY the exception! I know some patients don’t want to take them, or can’t, however that’s also the exception. Also, physical therapy immediately has been the most common thing I’ve seen most Dr.’s say and mine got me started immediately (even while I was in the hospital overnight.) They want you to get the hip moving. This video is wild! 😳

@MrJoeyelias Жыл бұрын

I getting a lateral THR which is the common method in Canada and EU. No physio for 48 hrs I’m told

@chrismilesie 11 ай бұрын

I am 8 weeks since my hip replacement and still have a num thigh in my non operating leg. Have you any idea what this could be please?

@BestPracticeHealth 9 ай бұрын

first of all, I’m so sorry to be seeing this so late. I know this message was two months ago, and I hope the numbness is gone. But if it’s not, one thing to consider is an L3/4 disc herniation. I’ve seen this happen in conjunction with hip surgery. The L3 nerve root starts in the back, and curves around the thigh so that pain or numbness, often rap to the inner part of the knee. The last thing to consider is Malja paresthetica. Problems with the lateral femoral, cutaneous nerve can cause numbness in the thigh that has nothing to do with the hip or the back. The way to distinguish these conditions is to look at the pattern of the numbness. That should then be aligned with either a peripheral nerve, or a nerve root in the lower back. the Doctor Who handles these problems is typically a neurologist. Any neurologist is fit for this duty, and a sub specialist is usually not required.

@chrismilesie 9 ай бұрын

@@BestPracticeHealth Many thanks for reading my message, yes have now been diagnosed with Malig Paresthetica awaiting ultrasound to confirm its a compressed nerve. I never had a problem pre hip surgery.

@reillp 3 ай бұрын

Total horseshit. I'm a 67 year old in shape man. I had anterior hip replacement and didn't walk on my own until week four!😆

@anniejefferson7329 7 ай бұрын

I had my right hip done 8 days ago. Using walker for stability only. Stopped meds day 4. Dont like constipation., lol. Love physical therapy, i miss my gym workouts. Do your excercises peeps. ❤

@BestPracticeHealth 7 ай бұрын

Hang in there and best results to you!

@carole_Uk 5 ай бұрын

Im into my 3rd week. Saw surgeon yesterday who said all was well took xrays and sent me on my way. My legs had swollen double the size and the first 2 weeks had no pain and came off meds. Week 3 im on a lot of pain gone back on ibrofen n paracetomol...i could weightbear week 2 but since physio ive regressed. Doc says the tightness is the muscles tendons etc and leg pain is normal. I expected going back to work by week 6 but i cant see that happening unless i can get off the cane but its too painful. I walked into the hospital fine my problem was nerve pain in hip and now im wishing i hadnt had this done. Something is not right but they have double checked me and tel me to give it time. Seeing others off cane so early is wonderful i was hoping to be the same.

@lizstromsnesdolz629 6 ай бұрын

no medication? thats another lie

@AtHomeWithZaneR 3 ай бұрын

Ditching the walker after day two is the exception and NOT the rule! I’m 4 weeks out from a successful anterior THP and JUST stopped using a cane one week ago. I’m still experiencing pain and stiffness and have seen my Dr. who’s confirmed everything is “normal.” Additionally, my Dr. was adamant that you get up and move as much as possible right away. Not only to help aid in your recovery, but also to help avoid blood clots. I started physical therapy the very next day. This is CRAZY information! These types of videos, while meant to be helpful, really set patients up for unrealistic expectations! There are certainly people who recover much faster than others, but again that is the exception and not the rule. So to say after day two, you should no longer be on a walker, is wildly inaccurate information and should have been followed up with, “but it all depends on, your body.” Surgeons downplay hip replacement so badly these days simply because the recovery time is much less traumatic then it used to be, however it is still a major surgery and it’s troubling to see that some doctors still downplay the recovery. Additionally, no doctor ever talks about the emotional and mental toll that a total hip replacement is going to take on the patient. The emotional and mental toll my hip replacement has taken on me is just as heavy as the physical pain. This video isn’t a true depiction of “everyone’s recovery” and I think that should have been punctuated more!

@BestPracticeHealth 3 ай бұрын

Thanks so much for your comments. They are so important. I've noticed over the years that while there are definite differences between patients, there are also really substantial differences between surgeons. It sounds like you've had a difficult post operative course. How do you know it was you and not the surgeon?

@casspeied Жыл бұрын

I am having Mako assisted anterior surgery. Is this what you mean by minimally invasive? Also my doctor gave me arginine beforehand.

@BestPracticeHealth Жыл бұрын

Yes. The e3 minimally invasive approaches to total hip replacement are anterior, superPATH, and direct superior. Arginine is critical to wound healing, so that makes some sense. It's great to hear they are using a robotic assistant. The other 3 things to look for in your surgeon that would qualify them to be best practice certified are fellowship training, volume > 100 hips per year, board certified, and they use only registry proven implants. Best of luck! Please let me know how you do!

@casspeied Жыл бұрын

@BestPracticeHealth thank you for your reply. Yes Dr.Streumph does most of the hip replacements in NM. I looked up everything about him beforehand. I just want to make sure your couch potato and walking around the house applied to my surgery because it seems to make sense. I have not had a conversation with my PT yet.

@luanndavis-jindela3223 11 ай бұрын

@FamilyofFour30 2 жыл бұрын

What does “minimally invasive” mean? Anterior approach?

@BestPracticeHealth 2 жыл бұрын

"Minimally invasive means less invasive than other ways it could be done. In hip replacement, it refers to the anterior, superPATH and direct superior apporaches, as opposed to the legacy 'posterior' approach which has a very slow to no recovery and permanent restrictions. Make sense?

@BestPracticeHealth 2 жыл бұрын

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@BestPracticeHealth 2 жыл бұрын

You can see Dr. Lieberman's full explanation HERE: kzbin.info/www/bejne/b4rMZ4F_f51psNE

@paulettestarkey4464 6 ай бұрын

Do you need to wear those hose