Hip Replacement

Posted by fignolia @fignolia, Aug 16 4:10am

For a female, 63 yo, how painful is a hip replacement experience on a scale of 1-10, 10 being most painful? I’m running out of options, but considering replacement.

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Profile picture for windyl @windyl

I had my first THR late in August and bone pain was very little. I used Oxycodone for the first 2 days routinely and then started to taper and so was off it by 6 days and using tylenol before bed to try to get a decent night's sleep. I was not comfortable in my bed until day 4 and slept in my recliner chair until I could get in and out of bed reasonably well and not be experiencing pain trying to lay flat. The pain that has stayed with me so far is the nerve pain. I am experiencing as a burning sensation as the numbness on my lateral thigh slowly resolves. I am still not sure if I will get all of the sensation back there or not (I hope so- and I hope that the burning doesn't continue) for right now I am researching things that might support the nerve regeneration and otherwise trying not to focus on it. I would put that pain level (of the lateral hip nerve pain at a 3 out of 10- mostly just annoying-especially since I would like to sleep on that side and can't). The other pain that lingered was extensive bruising of my entire leg down to my ankle. The knee bruise is still a dull ache and faded yellow at four weeks out. I did ice almost continuously for the first 5 days. There was just a lot of bruising and it did hurt- that pain could be minimized by the pain medicine, ice and by being very careful not to bump it.
I am not of the camp of people who say, "It wasn't that bad". Because I had heard that my expectations were through rose colored glasses. It was bad enough. I am of the camp of people who say wait until you cannot take not having it done before you go for it- so that the benefits are much more likely to outweigh the risks. I hope this helps. Just my personal opinion. (And I say this as I am building my courage to get the second one done the end of October).

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@windyl

Sorry to hear about your troubles. There is a doctor on the web (Adam Rosen) who does videos on orthopedic issues. one of them is that the rules governing Bell curves applies to TKRs as well. I was lucky as I was one of those on the 1% bell curve for no pain.

I think the best one can do is try to maximize the chance of being on the 1% end. That means, to me, that one finds a surgeon who uses the best technology and has successfully used it at least hundreds of times. But having done that, random chance can still intervene.

My surgeon included an ice machine in his fee and wanted at least 6-8 uses daily for the first two weeks.

All the research suggests that no matter what methodology is used, the ultimate outcomes are pretty much the same although there are some differences in recovery pain and discomfort. So hang in there and your condition will likely stabilize.

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