Re: 10 weeks /Pain

[Guest guest]

Sorry to hear about this Tom, you must be dis-appointed. I have no experience of

this but I thought I would offer a few words of encouragement. Good luck, Mike

Bain (London)

t3man@... wrote: As of today it's 10 weeks since my surgery. At 6 weeks

I went from 2 to

1 crutch. Later that week my hip started hurting again when I would stand for

any amount of time. I guess the extra weight from only using 1 crutch affected

it. I called Dr Mont and he had me get another xray. The xray looked fine

according to my local OS and I'm assuming Dr Mont found it fine being he didn't

call. In the first phone conversation he said it's probably soft tissue and

that I needed more aggressive physical therapy. Today started the 4th week of

physio. When I told him the pain started in the hip and moved down the leg to

tingling in my foot he said that sounds like a back problem. That seemed strange

to me. Why would my back all of a sudden act up to coincide with my surgery.

Oh well.

The thing that scares me is that the pain starts to hurt and feels the

same way it did before the surgery. Late in the afternoon at work I feel it

start and by the end of the day the hip is killing me. It starts in the incision

area and then moves to the inner hip and down the leg. I try not to stand very

much late in the day. I need to sit for awhile so it will go away before I

walk to the parking lot.

Has anyone else had this happen? Is the soft tissue or hip capsule still

too weak? The therapist thinks it's nerve damage that needs to heal. I

figured by now I'd get some relief. I'm going to call Dr Mont again but wanted

to

ask fellow hippies if they had any experience with this type of thing. I figured

by week 10 I'd be walking fine with no real pain except that around the

incision area. It's very frustrating.

Tom in San Fran.

C+ Mont 10/29/03

[Guest guest]

-Tom,

I don't think there is anything that is abnormal about your situation.

I felt I should be farther along at 8wks than I am.

I still have weekness in my hip capsul, and I have been very

agressive in therapy pool every day.

I will say I see good improvement on a weekly basis now, as opposed

to daily progress a month ago. I have had a very sore knee and shin

spints that I believe are comming from my tight hams and gluts.

I work very hard with stetching because I was bad at that before

surgery. After one hour in the pool I am exhausted. The warm water

really helps in the stretches I will say. I hope to get the green

light to start in the gym on the 14th. Tug c+ Boyd 11/03

-- In surfacehippy , t3man@a... wrote:

> As of today it's 10 weeks since my surgery. At 6 weeks I went

from 2 to

> 1 crutch. Later that week my hip started hurting again when I would

stand for

> any amount of time. I guess the extra weight from only using 1

crutch affected

> it. I called Dr Mont and he had me get another xray. The xray

looked fine

> according to my local OS and I'm assuming Dr Mont found it fine

being he didn't

> call. In the first phone conversation he said it's probably soft

tissue and

> that I needed more aggressive physical therapy. Today started the

4th week of

> physio. When I told him the pain started in the hip and moved down

the leg to

> tingling in my foot he said that sounds like a back problem. That

seemed strange

> to me. Why would my back all of a sudden act up to coincide with my

surgery.

> Oh well.

> The thing that scares me is that the pain starts to hurt and

feels the

> same way it did before the surgery. Late in the afternoon at work I

feel it

> start and by the end of the day the hip is killing me. It starts in

the incision

> area and then moves to the inner hip and down the leg. I try not to

stand very

> much late in the day. I need to sit for awhile so it will go away

before I

> walk to the parking lot.

> Has anyone else had this happen? Is the soft tissue or hip

capsule still

> too weak? The therapist thinks it's nerve damage that needs to

heal. I

> figured by now I'd get some relief. I'm going to call Dr Mont again

but wanted to

> ask fellow hippies if they had any experience with this type of

thing. I figured

> by week 10 I'd be walking fine with no real pain except that around

the

> incision area. It's very frustrating.

>

> Tom in San Fran.

> C+ Mont 10/29/03

>

>

>

[Guest guest]

Hi Tom

> As of today it's 10 weeks since my surgery. At 6 weeks I went

from 2 to

> 1 crutch. Later that week my hip started hurting again when I would

stand for

> any amount of time. I guess the extra weight from only using 1

crutch affected it.

I think (assuming your resurfacing is healing normally) that

possibly at six weeks your body wasn't ready to give up the second

crutch yet. I went from crutches to a cane at 3 weeks, and had to go

back on the crutches for another week when my leg and back started to

hurt on the third day of using the cane. Although I could walk without

the cane from about 5 weeks, I limped, so I followed the doctor's

orders and used it until week 8, although I must admit that in the

house I frequently forgot to use it during the last couple of weeks.

During the first 8 weeks I couldn't sleep on my operated side because

of muscle pain and " numbness " in the thigh. Nobody mentioned nerve

damage, but I suppose the numbness could be related to nerves.

Now I'm at 11.5 weeks post-op, and I don't have any pain from

the incision anymore, but I still have sore muscles from retraining

them. Also, if I stand still on just my operated leg, it hurts

somewhat. But your pain sounds worse, so I would definitely check it

out, based on Jan's and ph's experiences.

I was told by Dr. McMinn's staff surgeon that I should not have

any physiotherapy for the first two months post-op, just do the

exercises I was shown in the hospital. When I do a lot of strenuous

activity, my body complains that night or the next day. So I take a

muscle relaxant after a long walk, or after my (non-impact) fitness

classes, which I just returned to this week. I saw a physiotherapist

(who has had both his hips resurfaced) at 9 weeks, and he suggested a

couple of new stretches, but otherwise said I should just continue

doing the hospital exercises.

Today I went back to my physiotherapist I had for over a year

before the operation. I am his first resurfacing patient, although he

has another one coming up. He was impressed with how much more flexion

I have, compared to pre-op. However, I don't have anywhere near a full

range of motion, so he's given me new exercises to do to improve that,

and we'll see how I feel in the next few days after doing them. Do you

think it's possible that your physiotherapy was TOO aggressive too

soon, and that has increased your pain?

In my case I have had limited range of motion in my OA hip for

four years before the surgery, and my physiotherapist says it could

take at least six months to get back to a normal range. It's not just

that the muscles have to be stretched, he says my brain has to be

reprogrammed not to tighten the muscles and resist the movement. He

advised me to do certain movements, such as dropping the bent operated

leg towards the floor, just to the point where it really hurts, then

back off a fraction, and hold it in that less painful position for

five minutes. After that, I should drop it and raise it continuously

for thirty repetitions, so it knows that it can move in the new

stretched condition.

Everyone also advises me to do pool exercises, but I haven't

been able to yet (cold weather, allergies reacting to chlorine, etc).

If you are having a lot of pain, the pool might be a better

alternative than the gym, for a few weeks.

Hang in there! Hopefully this is just a temporary situation.

n

rBHR Oct.17/03 McMinn

[Guest guest]

Hi Bob

It is good to hear you are feeling so well.

All the best.

ine

C2K 04/03

> I read a lot about pain in many of the postings here and want

to make a

> comment. In most cases the pain experienced is muscle, tendon,

ligament or

> nerve pain which most will go away with gentle but consistent

working. This is

> particularly relevant if one is post op six months or less. If

gradual pain

> relief is experienced then progress is being made in building the

muscles and or

> other weakness. It is also advised to see a PT to make sure back,

knee, walking

> problems, etc., don't exist. Ten weeks post op and having pain is

nothing

> compared to years of improper walking causing weakness in some or

all parts of

> the muscular system. Enough said here.

> My comment is on pain caused by failure. It is different. It

does not get

> better but gradually gets worse. My ball failed. I went for months

with pain.

> Pain that was not constant. It was pain that I got from sitting but

I would

> not feel until I stood up. It was a shape pain but it would go away

after a few

> steps because the ball would re-seat itself and I would be fine. I

would come

> home from work and sit in a hot tub and feel great. When I got out

I would

> sit and reach down to tie my shoes and have a shape pain when I

stood up. I did

> not understand it but when the OS check my x-rays and compared them

to the

> past ones I could see the gradual shift in the ball position.

Slight at first but

> much more dramatic with time and a continually more pain.

> I hope this post will relieve most fears that the majority of

pain is

> other than the resurfacing components. Press your OS into common

sense and to

> compare past x-rays. Remember in the US most OS are still learning

resurfacing

> and since there are not a lot of failures they do not have much

experience with

> them.

> I also want to remind everyone that I am doing great now and

love my new

> hip.

>

> Bob

>

>

>

[Guest guest]

Hi Bob

It is good to hear you are feeling so well.

All the best.

ine

C2K 04/03

> I read a lot about pain in many of the postings here and want

to make a

> comment. In most cases the pain experienced is muscle, tendon,

ligament or

> nerve pain which most will go away with gentle but consistent

working. This is

> particularly relevant if one is post op six months or less. If

gradual pain

> relief is experienced then progress is being made in building the

muscles and or

> other weakness. It is also advised to see a PT to make sure back,

knee, walking

> problems, etc., don't exist. Ten weeks post op and having pain is

nothing

> compared to years of improper walking causing weakness in some or

all parts of

> the muscular system. Enough said here.

> My comment is on pain caused by failure. It is different. It

does not get

> better but gradually gets worse. My ball failed. I went for months

with pain.

> Pain that was not constant. It was pain that I got from sitting but

I would

> not feel until I stood up. It was a shape pain but it would go away

after a few

> steps because the ball would re-seat itself and I would be fine. I

would come

> home from work and sit in a hot tub and feel great. When I got out

I would

> sit and reach down to tie my shoes and have a shape pain when I

stood up. I did

> not understand it but when the OS check my x-rays and compared them

to the

> past ones I could see the gradual shift in the ball position.

Slight at first but

> much more dramatic with time and a continually more pain.

> I hope this post will relieve most fears that the majority of

pain is

> other than the resurfacing components. Press your OS into common

sense and to

> compare past x-rays. Remember in the US most OS are still learning

resurfacing

> and since there are not a lot of failures they do not have much

experience with

> them.

> I also want to remind everyone that I am doing great now and

love my new

> hip.

>

> Bob

>

>

>

[Guest guest]

Hi Bob

It is good to hear you are feeling so well.

All the best.

ine

C2K 04/03

> I read a lot about pain in many of the postings here and want

to make a

> comment. In most cases the pain experienced is muscle, tendon,

ligament or

> nerve pain which most will go away with gentle but consistent

working. This is

> particularly relevant if one is post op six months or less. If

gradual pain

> relief is experienced then progress is being made in building the

muscles and or

> other weakness. It is also advised to see a PT to make sure back,

knee, walking

> problems, etc., don't exist. Ten weeks post op and having pain is

nothing

> compared to years of improper walking causing weakness in some or

all parts of

> the muscular system. Enough said here.

> My comment is on pain caused by failure. It is different. It

does not get

> better but gradually gets worse. My ball failed. I went for months

with pain.

> Pain that was not constant. It was pain that I got from sitting but

I would

> not feel until I stood up. It was a shape pain but it would go away

after a few

> steps because the ball would re-seat itself and I would be fine. I

would come

> home from work and sit in a hot tub and feel great. When I got out

I would

> sit and reach down to tie my shoes and have a shape pain when I

stood up. I did

> not understand it but when the OS check my x-rays and compared them

to the

> past ones I could see the gradual shift in the ball position.

Slight at first but

> much more dramatic with time and a continually more pain.

> I hope this post will relieve most fears that the majority of

pain is

> other than the resurfacing components. Press your OS into common

sense and to

> compare past x-rays. Remember in the US most OS are still learning

resurfacing

> and since there are not a lot of failures they do not have much

experience with

> them.

> I also want to remind everyone that I am doing great now and

love my new

> hip.

>

> Bob

>

>

>