Had hip replacement, wondering about topical numbing agent

Posted by cindiwass @cindiwass, Mar 22, 2023

I had the hip replacement and it's slow but coming along, 7 months into the surgery. Instead of putting me out the surgeon decided to give me leg numbing agent and then after the surgery amnesiac so I wouldn't remember anything. I want to ask questions about that later, but now I wonder about the leg numbing agent. It was put on the thigh, I had anterior surgery. I'd like to know more about this, such as: how long does it take for my leg to recover full feeling, it's 7 months now and much of it is still numb but I am regaining feeling. And why would he do that instead of putting me out completely?

Interested in more discussions like this? Go to the Joint Replacements Support Group.

@sueinmn

What you are experiencing '"..My thigh is achy and sore in the morning until..." is absolutely normal at this stage. My friend and daily walking partner just passed 3 months, and she has the same.

And here is the most common complaint we get here, "I was expecting a faster return to normal. I have returned to the gym, but my muscle strength is greatly reduced as is my cardiac endurance."

I always remind people that joint replacement or any major ortho surgery "ain't for sissies" - let me describe what happens. You have been cut open, had everything - muscles, tendons and nerves, moved around or cut into. Then they brought in the reconstruction tools - essentially saws, drills and hammers to put in new parts made of foreign materials. Oh, yeah, and you lost a fair amount of blood. Finally, they sewed or stapled you back together, sent you home and told you to get moving.

Now tell me, if the doctor explained all that before surgery, in those terms, would you have run away? No surprise that your body wants some time to recover!

It sounds like you are doing great - keep walking and be kind to yourself when you are tired and achy. And remember, you can still use ice when you overdo it.
Sue

Jump to this post

Thank u. I needed this today. 9 weeks in from TKR and I’m doing pretty much everything that needs doing but having trouble getting getting my ROM past 90 degrees. Probably some patience is needed 🤪

REPLY

I am 9 weeks out and still having pain and discomfort down the side of my thigh and the the front. About 10 days ago I must have done touch walking because I started to get these shooting pains in my thigh area. Really painful
I used ice and Alleve but didn’t stop it until 2 days later
I called my doctor and was told to use ice and hot and take pain medication
I just feel like the pain is in the bone down my thigh area.
It is somewhat better but use analgesic cream and Bengay

REPLY
@becky060599

I am 9 weeks out and still having pain and discomfort down the side of my thigh and the the front. About 10 days ago I must have done touch walking because I started to get these shooting pains in my thigh area. Really painful
I used ice and Alleve but didn’t stop it until 2 days later
I called my doctor and was told to use ice and hot and take pain medication
I just feel like the pain is in the bone down my thigh area.
It is somewhat better but use analgesic cream and Bengay

Jump to this post

Hi, Becky & welcome to Connect. Isn't it comforting to read that you are not the only person around who is not "totally back to normal" 2 months after major
surgery?

It certainly sounds like the "shooting pains in my thigh area" were your body telling you to take it easier in your rehab! The pain in the thigh bone is the new stem that was implanted in the femur settling in, and bone beginning to grow around it. After 5 hip replacements and revisions, I can tell you that leg & thigh discomfort is part of the normal healing. Pretty soon you'll have a day where you don't have to think about each movement and whether it is going to hurt you.

In addition, some nerves were likely cut or disturbed, and those also need to heal. So if you get numbness, tingling, pins & needles...that is nerve regeneration - a very slow process. When it happens, you can help the process along by tapping on the area with your fingers, or rolling over it with one of the balls that looks like it has knobs on it (often found in the pet toy section.) My friend taps on her numb areas with a pencil.

Hang in there, keep walking & icing,
Sue

REPLY
@sueinmn

Hi, Becky & welcome to Connect. Isn't it comforting to read that you are not the only person around who is not "totally back to normal" 2 months after major
surgery?

It certainly sounds like the "shooting pains in my thigh area" were your body telling you to take it easier in your rehab! The pain in the thigh bone is the new stem that was implanted in the femur settling in, and bone beginning to grow around it. After 5 hip replacements and revisions, I can tell you that leg & thigh discomfort is part of the normal healing. Pretty soon you'll have a day where you don't have to think about each movement and whether it is going to hurt you.

In addition, some nerves were likely cut or disturbed, and those also need to heal. So if you get numbness, tingling, pins & needles...that is nerve regeneration - a very slow process. When it happens, you can help the process along by tapping on the area with your fingers, or rolling over it with one of the balls that looks like it has knobs on it (often found in the pet toy section.) My friend taps on her numb areas with a pencil.

Hang in there, keep walking & icing,
Sue

Jump to this post

Thank you. I know I have to give it more time. Just frustrating that after 6 weeks you “should be back to normal “ and the doctor release’s you from care.

REPLY
@becky060599

Thank you. I know I have to give it more time. Just frustrating that after 6 weeks you “should be back to normal “ and the doctor release’s you from care.

Jump to this post

No, I am going to be dramatic here. SIX WEEKS AFTER MAJOR ORTHO SURGERY NOBODY IS "BACK TO NORMAL"! I don't even know where that crazy idea came from.

Maybe it comes from our society that expects everything to happen instantaneously? You have been anesthetized, cut apart and put back together, with artificial parts added!

How many people would go ahead with surgery if they were told how long it would take, and how much work was involved in recovery?

First, being released from care just means you are past the acute post-surgical phase, the highest risk of infection, dislocation and other problems.

Second, at 6 weeks, the bones, muscles and nerves are NOT back to normal, they are still healing.

Third, for most THR recipients, it took us years to get to the point of replacement. We were in pain, other joints were affected by favoring or limping, maybe a little weak or stiff...it stands to reason recovery will also take time.

I have a truly genius physical therapist, and we have talked a lot about recovery. His specialty is tough cases and chronic pain. My previous PT specialized in rehab from complex joint replacements. Both of them told me the true recovery time from a total hip is ideally 6 months but can be longer depending on complexity or other medical conditions. They say full knee recovery is also 6 months, but a year is not unusual either.

As the veteran of 10 ortho surgeries, let me assure you that every one took longer than I expected to rehab. But I would do every one again without hesitation - they have allowed me to stay active and with less pain for almost 30 years now.

One day, you will wake up and not think first of your aching thigh. Soon after, you will realize you can go down the stairs without hesitation or pain. And finally, a day will arrive when you don't think about that hip for a whole day. And then you will realize it was worthwhile.

Hang in there. Next time someone tells you you should be "back to normal already" ask them if anyone ever sawed up their femur!
Sue

REPLY
@becky060599

Thank you. I know I have to give it more time. Just frustrating that after 6 weeks you “should be back to normal “ and the doctor release’s you from care.

Jump to this post

I am 10 weeks post op and still not back to my normal. It is frustrating because i was told before the surgery “you should be back to normal, in 6 weeks”. The pain is much less. I still have numbness in the front of my thigh. I had one day when i did too much exercising and I had pain for a good 36 hours. My ROM is just about 100%, but the strength is lagging. I am going to physical therapy twice a week and will do that as long as I can. I also go to the gym. Hang in there. It will get better, it just takes more time than expected.

REPLY
@walk4life

I am 10 weeks post op and still not back to my normal. It is frustrating because i was told before the surgery “you should be back to normal, in 6 weeks”. The pain is much less. I still have numbness in the front of my thigh. I had one day when i did too much exercising and I had pain for a good 36 hours. My ROM is just about 100%, but the strength is lagging. I am going to physical therapy twice a week and will do that as long as I can. I also go to the gym. Hang in there. It will get better, it just takes more time than expected.

Jump to this post

Thanks, I feel the same....one day at a time....

REPLY
Please sign in or register to post a reply.