Hip replacement recovery

Posted by twin52 @twin52, Feb 24 7:56pm

I'm 9 months post hip replacement. Surgery was completed down the thigh. I began physical therapy about 8weeks later as advised by my surgeon and am still going once a week. I have a slight limp and the small of my back often hurts. I use a cane when my back or hip grows tired. Several folks don't think I should need a cane or PT at this stage. Is this a normal experience or should I seek more care?

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Profile picture for dannyandebbie @dannyandebbie

@heidipie we pursued an attorney and because notes from various facilities were contradicting and lacked information the attorney felt that one doctor was covering for the other doctor. Some of her notes shared knee surgery or shoulder surgery and that she had multiple falls. While in rehab she was dropped in the shower and when I consulted their attorney about the receiving physician orders for his nurses who omitted direct orders from the orthopedic surgeon which lead to her fall. the attorney told me that the attending physician followed all steps and that she had an assisted fall and they called me once they were able to retrieve her from the floor and back into her bed. I told him he could stop his Lying because I was there when she fell and it was me that retrieved her from the floor. They never even offered as much as an apology….because that would be admitting that they messed up! We spoke to a few different attorneys and they all felt the same; the doctors were covering up for one another! My wife’s initial surgery was at Dartmouth Hitchcock in Lebanon New Hampshire; a teaching hospital and rehab was at Fanny Allen in Colchester, Vermont; I provide this information for anyone seeking a hip replacement facility and follow up rehab.

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@dannyandebbieY9ur experience is a worst nightmare!! Does the ortho surgeon know about these issues? If nurses weren't following instructions, s/he needs to know about it, and could possibly help you?

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Profile picture for cindisue @cindisue

twin52, I am wondering your age....because at 9 months past hip replacement surgery, I was completely 100% back to normal. Was like there was never anything wrong with my hip. I had a great surgeon, and started physical therapy like right away after surgery. It pains me when I hear other people's not so great post-surgery issues. Makes me wonder why?? Was it the surgeon or did the patient not follow post surgery instructions?? I'd say you definitely need more physical therapy. Question... did they do a post-op xray? To make sure things looked good? If not, you should do thar now.

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@cindisue
I am 73. PT did not begin until 8 weeks of healing. The main issue is my limp which makes my back hurt and has caused plantar fasciitis on the good foot. I'm seeing a podiatrist soon to have shoe inserts made to correct the limp. I think that should relieve the issues. Thank you!

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Profile picture for twin52 @twin52

@dannyandebbieY9ur experience is a worst nightmare!! Does the ortho surgeon know about these issues? If nurses weren't following instructions, s/he needs to know about it, and could possibly help you?

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@twin52 yes, the orthopedic surgeon was informed! The physician at Rehab received written instructions on what was required and he chose to ignore them, wrote his own orders for his staff omitted her need to have a stabilizing unit on her left leg at all times! The nurse was not aware of this because it was not in the order, removed the mobilizer, had my wife stand and that is when she went down. The orthopedic surgeon then moved to a different hospital location. Due to ethics the nurse was not allowed to consult with us!

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Profile picture for ams @ams

Is you hip replacement leg the same length now.? My hip doctor injured the leg he operated on. I have a have a 1/2 inch discrepancy. I have a limp now and back pain. I knew I might have a discrepancy but I didn't know that the doctor would damage leg by damaging the psoas muscles. I can't raise my leg now. I have a terrible time getting up if I sit on the floor.

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@ams & @twin52 After my final hip revision (bilateral hip s replacements, followed 5 years later by 3 bilateral revisions (2 on one leg, one on the other), I was left with a leg length discrepancy of 1/2 inch as well, resulting in a limp, turned in toes, knee and back pain. Color me unhappy!

My ortho surgeon sent me for rehabilitative PT at a center that looked at the whole picture, worked with my on gait training and strengthening, and finally a small lift on one of my orthotics.

Their first order was to replace my pre-surgery shoes with new ones that weren't worn in to my old walking patterns. It took months of work, on their part and mine, but now, almost 15 year later I walk pain-free. If I get too tired, I may toe-in, if I wear poor footwear, I limp, and if I slack on my stretching exercises, I invite my friend bursitis for a visit.

My legs still differ in length, but my body has adapted.

PS My psoas muscle was slightly damaged in one revision surgery, but time & therapy healed it.

Have you had PT other than the "standard" post-surgical protocol to help address the other issues?

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Profile picture for Sue, Volunteer Mentor @sueinmn

@cindisue One of the puzzles of modern medicine is why some people sail through a surgery, an illness, or a chronic condition while others seem to suffer one complication after another. This seems to be really true with joint replacement surgeries.
Here is a recent article exploring the issue:
https://www.medpagetoday.com/meetingcoverage/aaos/120139
One conclusion was that many receiving joint replacements have pain in other joints, or the back, or other health issues. When these are not addressed, patients are unable or unwilling to fully participate in rehab, leading to ongoing issues. When underlying health is poor, healing may be impeded.

So what is the answer? Better screening? Better presurgery education? Denying surgery to people at high risk for poor outcomes? Better followup protocols? All great ideas, but who gets to decide? And how do we pay for this?

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@sueinmn Great post! Thank you for thinking of the "rest of us". I think your idea of doing an inventory of the aches and pains one has prior to getting another major procedure means a lot. I never had severe back issues until I had a left knee arthroscopy in April 2025. I never trusted that doctor. He left me under anesthesia to finish the arthroscopy, cut too much tissue and left me with bone-on-bone knee anatomy. He should have stopped the surgery and brought me out of anesthesia to discuss my options. Now, I am faced with a total knee replacement and about a year to recover from it due to my age of 78 years. What I hate is that when facing major surgery, the surgeon spends no more than 10 minutes preliminarily with the patient and then suggests only one option which is the absolute most radical surgery with many, many months of recovery. But gives the doctor the biggest payday.

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Profile picture for laughlin1947 @laughlin1947

@sueinmn Great post! Thank you for thinking of the "rest of us". I think your idea of doing an inventory of the aches and pains one has prior to getting another major procedure means a lot. I never had severe back issues until I had a left knee arthroscopy in April 2025. I never trusted that doctor. He left me under anesthesia to finish the arthroscopy, cut too much tissue and left me with bone-on-bone knee anatomy. He should have stopped the surgery and brought me out of anesthesia to discuss my options. Now, I am faced with a total knee replacement and about a year to recover from it due to my age of 78 years. What I hate is that when facing major surgery, the surgeon spends no more than 10 minutes preliminarily with the patient and then suggests only one option which is the absolute most radical surgery with many, many months of recovery. But gives the doctor the biggest payday.

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@laughlin1947 I'm not sure how to respond because I have never faced a similar circumstance, my orthopedic surgeons have usually been pretty upfront about the options. If I were in your situation, I would definitely get a second opinion.

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