How much swelling is normal following anterior hip replacement surgery

Posted by valleygirl1955 @valleygirl1955, Jul 20 1:53pm

I am 5 days out from anterior approach hip replacement surgery and my entire leg is very swollen. I had a neighbor help me put on my compression knee highs that I had but that seems only to have pushed all the swelling up towards my knee and above. I have been icing as much as possible and walking fairly often. When I am in my recliner I try to have my head back as much as possible so my legs are raised. I live alone and don't even have my first visit with home health until Tuesday; today is Sunday. I am afraid that if I can't get this swelling to go down some I will do myself some kind of harm in not paying more attention to it.

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Profile picture for fdiane @fdiane

It takes a long time to recover from THR. I had surgery in January and feel I am still evolving in my recovery. Some days are good and other days there is pain and issues with walking.
Some people do seem to recover quickly, but that is their recovery. Your tissue and muscles go through so much in this surgery, as well as all the bone stuff. Rest, ice, do PT and let your body recover. I iced for 2 months.
I’m 64 and active, but I’m listening to my body and giving it a year. I know this from other bone injuries and surgeries. It takes time and patience. Best to you.

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Your attitude "I’m 64 and active, but I’m listening to my body and giving it a year" is exactly right, yesterday I realized I am over 9 month from complex rotator cuff surgery, and I haven't reached 100% yet. Today I am listening to my body - I will be doing lighter tasks!

I am 74 and 13 years past my last two hip revision surgeries, 19 from the original implants - now I find myself wondering if every new tweak or pain is a sign that they are wearing out, even though the surgeon told me last year that they look good.

It is important for those of us who have healed and have a good life to encourage those who are struggling. Too bad surgeons are not quite honest about what they need by 4-6-8 week recovery times!

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Profile picture for Sue, Volunteer Mentor @sueinmn

Your attitude "I’m 64 and active, but I’m listening to my body and giving it a year" is exactly right, yesterday I realized I am over 9 month from complex rotator cuff surgery, and I haven't reached 100% yet. Today I am listening to my body - I will be doing lighter tasks!

I am 74 and 13 years past my last two hip revision surgeries, 19 from the original implants - now I find myself wondering if every new tweak or pain is a sign that they are wearing out, even though the surgeon told me last year that they look good.

It is important for those of us who have healed and have a good life to encourage those who are struggling. Too bad surgeons are not quite honest about what they need by 4-6-8 week recovery times!

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Thank you @sueinmn. I have seen many of your replies and you have gone through many surgeries! Self care is top priority when recovering and listening to our body’s signals are so important. Healing at our own pace!

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Profile picture for valleygirl1955 @valleygirl1955

I also feel as though I'm just not progressing quickly enough. I read on line where many people who underwent the anterior approach procedure were pain free and walking with no aids whatsoever within 2 weeks. I'll be 2 weeks out on Tuesday the 29th and I can already tell I am not going to be nowhere close to giving up either the pain medication or the walking cane. So, I felt really bad; like I wasn't doing enough. Then I heard from quite a few good people on this forum and they patiently explained to me that each body is different and there really is no set time frame for healing; in fact 100% healing is usually not accomplished until at least 6 months out, if not closer to a year. Now I feel somewhat better. I still wish it would hurry cause I'm not a patient person; but I am slowly learning to take it slow!!

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@valleygirl1955
I would read stories about fast recoveries and people who had no pain after surgery. Well, I had a lot of pain! I also took opioids for about 3 weeks, weaning down to just at night. Having your femoral head cut off hurts! Pain tolerance is so different for everyone.
I used my cane for 3-4 weeks. Don’t feel pressure to stop using it too soon. I still need it occasionally as I’ve had rectus femoris muscle issues, due to scar adhesions, from Anterior approach. Went back to PT at 5 months for deep muscle massage.
That’s why I know it takes a “good” year to be close to 100%.
Take your own sweet time with recovery. I loved journaling about my recovery. It’s inspiring to look back and see how far I’ve come.
Rest a lot during the day, it helps your body recover. It sounds like you know now that it’s your own recovery. Best.

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Are you using an ice machine? Resting and using the ice machine a lot was my one instruction from my surgeon. BTW, most ice machines require you to put ice into the machine. There is one that my doctor ordered that just uses water and like a refrigerator makes it cold. It works great and I would urge you or anyone getting an ice machine to ask for one like I have described.

My one issue was that I had the common problem of not being able to pull up my socks. So I did PT for that and I felt that the massaging by the therapist helped a lot.

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Profile picture for steveinarizona @steveinarizona

Are you using an ice machine? Resting and using the ice machine a lot was my one instruction from my surgeon. BTW, most ice machines require you to put ice into the machine. There is one that my doctor ordered that just uses water and like a refrigerator makes it cold. It works great and I would urge you or anyone getting an ice machine to ask for one like I have described.

My one issue was that I had the common problem of not being able to pull up my socks. So I did PT for that and I felt that the massaging by the therapist helped a lot.

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Can't afford an "ice machine" but I've heard of people who have used them that swear they are the best. Didn't realize there was a model out there that cools itself without having to load it up with ice every few hours. Not that it matters. Swelli g has gotten manageable. I couldn't put on socks either; but PT person taught me how to use my sock aid that came with my nifty "hip kit". Hopefully soon I'll be able to bend down and do it myself; not yet though. Thanks for your words of wisdom. We all need to help each other!

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Profile picture for valleygirl1955 @valleygirl1955

It is slowly getting some better. I ice as often as I can. Home health came Tuesday and will again today, but since their 1st visit I feel as though I'm hurting more. I have been walking pretty good with a cane but am now having a really hard time raising my leg when that had seemed to be getting more normal prior to 1st Home Health visit. Also, the muscles in the front of my thigh are screaming and so tight. I put just a wee bit of heat on it last night (no where near the incision) and that seemed to help and tiny bit. It feels like I take two steps forward and 1 step back. I really thought I'd be just about back to normal at this point. Guess I was wrong.

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Please be careful and follow PT instructions. I ended up straining my hip flexor muscle and it was brutal pain.

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Profile picture for valleygirl1955 @valleygirl1955

Can't afford an "ice machine" but I've heard of people who have used them that swear they are the best. Didn't realize there was a model out there that cools itself without having to load it up with ice every few hours. Not that it matters. Swelli g has gotten manageable. I couldn't put on socks either; but PT person taught me how to use my sock aid that came with my nifty "hip kit". Hopefully soon I'll be able to bend down and do it myself; not yet though. Thanks for your words of wisdom. We all need to help each other!

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I agree that icing is crucial to reducing swelling, therefore pain. I was provided with an ice machine at the hospital, before discharge. I also was informed that freezing water bottles will work for cooling machine, as I do not have an ice maker. I believe it held 3 or 4 , 16oz bottles. I kept extra bottles in freezer to rotate. Your doctor should be able to write a script for it as well as for a walker, cane, etc. Hope your insurance will cover. I was fortunate that the hospital where I had surgery provided an information session prior to surgery. They showed us how to use all the adaptive equipment; sock adapter, reacher/grabber, how to adjust appropriate height for cane and walker. I was able to borrow an elevated chair with handrails for over toilet. Good luck!

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Profile picture for beachy @beachy

I agree that icing is crucial to reducing swelling, therefore pain. I was provided with an ice machine at the hospital, before discharge. I also was informed that freezing water bottles will work for cooling machine, as I do not have an ice maker. I believe it held 3 or 4 , 16oz bottles. I kept extra bottles in freezer to rotate. Your doctor should be able to write a script for it as well as for a walker, cane, etc. Hope your insurance will cover. I was fortunate that the hospital where I had surgery provided an information session prior to surgery. They showed us how to use all the adaptive equipment; sock adapter, reacher/grabber, how to adjust appropriate height for cane and walker. I was able to borrow an elevated chair with handrails for over toilet. Good luck!

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You ate indeed fortunate that your provider/hospital took such great care in telling you what to expect and helping in getting you the tools you would need following surgery. Mine did neither!!! It was all about the money and getting it done as quickly as possible where they can wash their hands of you soon afterwards. It has been a slow learning experience to say the least. If not for this forum and wonderful people as yourself reaching out to me; I would have been completely in the dark!!!

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My first TKR had my leg three times the size of my other one swollen for THREE months. Five days is nothing. However, you probably should not have a temperature and you should not have an infection. You should not be by yourself and your doctor should’ve never let you go home to an empty house. That is malpractice. You should’ve went to a healthcare facility where someone would’ve been with you for a couple weeks before you were released to your own home. You can’t do this alone successfully. I suggest you find a temporary caregiver. I’ve had many joint replacement surgeries and each time I get a paid professional to come stay with me For about 10 days and then I line up some cousins and neighbors to come check in on me for the next month or two. I really like to be by myself, but I can tell you for sure you’re not doing yourselves any favors. Home health should’ve been started right away since you were on your own. How are you gonna get to your postop? You need to be attended to at home if you’ve had a total hip replacement. Someone needs to help you with your food with your medicine and watch your symptoms. Not to mention changing your bandage. Call your doctors team right away and see what you can do about arranging for needed and necessary help and monitoring.

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Profile picture for valleygirl1955 @valleygirl1955

Can't afford an "ice machine" but I've heard of people who have used them that swear they are the best. Didn't realize there was a model out there that cools itself without having to load it up with ice every few hours. Not that it matters. Swelli g has gotten manageable. I couldn't put on socks either; but PT person taught me how to use my sock aid that came with my nifty "hip kit". Hopefully soon I'll be able to bend down and do it myself; not yet though. Thanks for your words of wisdom. We all need to help each other!

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Absolutely no bending! You will dislocate your new hip! You need to talk to your doctors care team right away and get some help so you don’t end up back in the hospital. If you can’t afford care, then Medi-cal Medicaid provides home attendance and home healthcare.

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