2nd Hip Replacement Swelling worse than first hip replacement

Posted by vivuscraig @vivuscraig, 6 days ago

I am 7 days post 2nd hip replacement. I had little swelling and pain during my first hip replacement.

I currently have significant swelling upper thigh inside groin area. Also pain is more than first hip at this time post surgery.

No hint of infection. Temp is normal. No smell or seepage from wound.
I am just wondering why my second hip replacement experience is different than my first? Is the swelling something to be concerned about?

Thanks so much.
Craig

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@vivuscraig Aah, one of the great mysteries of surgical experiences. After 5 hip surgeries and quite a few others, I can tell you this is quite typical.
No two surgeries are the same. Surgery is an assault on the body, and how your body responds each time is a function of many factors – whether your overall health is the same, what the surgeon found (more or less difficult surgery), length of the surgery, etc. I had a lot more swelling after my second hip surgery than the first – the PA said it was because my surgeries were "too close together" (8 weeks) and therefore my body reacted differently.

It sounds like there is more lymphatic fluid in your tissue than last time – this means your immune system has reacted to the surgery by recruiting resources to help cleanse the area – of surgical debris, old blood, etc. The added pain could be a result of the swelling or of a more difficult surgery (more sawing & pounding to get the implants exactly right.)

You could try a little gentle massage of the area to help move the fluid so your kidneys can eliminate it. I also found that drinking more water and moving as much as possible helped.

Have you talked to the doc or their staff?
Sue

REPLY
@sueinmn

@vivuscraig Aah, one of the great mysteries of surgical experiences. After 5 hip surgeries and quite a few others, I can tell you this is quite typical.
No two surgeries are the same. Surgery is an assault on the body, and how your body responds each time is a function of many factors – whether your overall health is the same, what the surgeon found (more or less difficult surgery), length of the surgery, etc. I had a lot more swelling after my second hip surgery than the first – the PA said it was because my surgeries were "too close together" (8 weeks) and therefore my body reacted differently.

It sounds like there is more lymphatic fluid in your tissue than last time – this means your immune system has reacted to the surgery by recruiting resources to help cleanse the area – of surgical debris, old blood, etc. The added pain could be a result of the swelling or of a more difficult surgery (more sawing & pounding to get the implants exactly right.)

You could try a little gentle massage of the area to help move the fluid so your kidneys can eliminate it. I also found that drinking more water and moving as much as possible helped.

Have you talked to the doc or their staff?
Sue

Jump to this post

Thanks so much Sue, that is very reassuring. I do have a portal I can communicate with my doctor. His response to my concern was that "some swelling is normal after surgery. " He advised to that it could be from over doing activity. He also advised icing it.

I have been walking and I do ice it with feet elevated which is what I am doing now. 🙂 I am unable to move about as much as I did with the last surgery because of pain and swelling.

I do appreciate you sharing your experience. It helps a lot.

Thanks,
Craig

REPLY
@sueinmn

@vivuscraig Aah, one of the great mysteries of surgical experiences. After 5 hip surgeries and quite a few others, I can tell you this is quite typical.
No two surgeries are the same. Surgery is an assault on the body, and how your body responds each time is a function of many factors – whether your overall health is the same, what the surgeon found (more or less difficult surgery), length of the surgery, etc. I had a lot more swelling after my second hip surgery than the first – the PA said it was because my surgeries were "too close together" (8 weeks) and therefore my body reacted differently.

It sounds like there is more lymphatic fluid in your tissue than last time – this means your immune system has reacted to the surgery by recruiting resources to help cleanse the area – of surgical debris, old blood, etc. The added pain could be a result of the swelling or of a more difficult surgery (more sawing & pounding to get the implants exactly right.)

You could try a little gentle massage of the area to help move the fluid so your kidneys can eliminate it. I also found that drinking more water and moving as much as possible helped.

Have you talked to the doc or their staff?
Sue

Jump to this post

I do have a question. Is is OK to move about even with the swelling? I was concerned that perhaps I should rest it. However, resting it makes everything very tight and immobile.

When I move about and walk around, I feel better but in the evening things really stiffen up.

REPLY

This is my second hip replacement. The first was very easy. My second has been difficult. I am 10 days post surgery. My leg and knee has swollen up making it difficult to walk. They are painful. I am also having some groin pain.

Is this typical? Anything to be concerned about. My first replacement had none of these issues.

REPLY
@vivuscraig

This is my second hip replacement. The first was very easy. My second has been difficult. I am 10 days post surgery. My leg and knee has swollen up making it difficult to walk. They are painful. I am also having some groin pain.

Is this typical? Anything to be concerned about. My first replacement had none of these issues.

Jump to this post

Hello @vivuscraig, You will notice that we moved your post to the previous discussion you started here so that others who were following your journey could see your latest update:
— 2nd Hip Replacement Swelling worse than first hip replacement:
https://connect.mayoclinic.org/discussion/2nd-hip-replacement-swelling-worse-than-first-hip-replacement/.
Have you tried any of the suggestions mentioned by @sueinmn above to see if they would help?

REPLY
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