← Return to Insomnia after THR with spinal anesthesia & propofol

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Insomnia after THR with spinal anesthesia & propofol

Sleep Health | Last Active: May 13, 2022 | Replies (3)

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@johnbishop

Hello @sleepless1, Welcome to Connect. I know it can be a struggle sleeping after a hip replacement or any major surgery if you are still having pain but it sounds like your recovery has been OK other than not being able to get back to sleeping normally. I had some trouble sleeping early on after my knee replacement but it was more due to not being comfortable as I also didn't have much pain after my TKR. You mentioned you have done a lot of searching and have not found anything that has helped. @sueinmn, @artscaping and others who have had hip replacements may have some thoughts or suggestions to share with you.

Here is some information from 2017 I found that talks about the topic but I'm not sure how helpful it is.
-- Improve postoperative sleep: what can we do?: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5768217/

Another search engine I use when looking for the latest medical research information is Google Scholar. It has some easy to use sorting of search results by year -- https://scholar.google.com/

Has your doctor or surgeon offered any suggestions to help with the insomnia?

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Replies to "Hello @sleepless1, Welcome to Connect. I know it can be a struggle sleeping after a hip..."

Thanks for the info and links - pain had not an issue at any point, pre or post op and must articles are based on pain disrupting sleep. This is not the case. I know knees can be pretty painful, but hips generally no so. I suspect that the REM pattern was changed and it is roughly the time of propofol infusion so I am wondering if there is a possible link to either dose or length of exposure. Meeting with surgeon for 6 week post op and we will certainly talk about this and the decrease in quality of life that is brings. Thanks again for your input