Category Archives for "Hip Injury"

Complex Pain

Complex Pain tends to develop over a period of time and has many factors that play a contributing role. As with any pain the body tends to compensate for an issue. For example; lower back pain tends to mean that hips, knees and ankles modify posture to help with pain while standing. Shoulders, neck and upper back modify position when sitting. This can be due to lots of triggers like repetitive physical stress, sitting poorly for extended periods of time, lifting or moving objects. Complex Pain is also linked to fibromyalgia and related conditions.

I met Michaela who was having different pain levels in shoulders, back, hips and calves at different points of the day. The pain varied in intensity which is normal in chronic pain issues and moved around the body which is also normal in complex pain cases. Michaela worked in a garden centre with a very physical and varied job. Easy problems related to lifting and the type of tasks been carried out, wish it was that easy!

Looking for pain triggers  proved difficult as tasks were so varied and were at different times of the day, on each day. Micheala found using a pain diary (click here) very useful in identifying tasks that were pain triggers. The only consistent pain increase related to task was Micheala's lower back and unloading bedding plants. Using InterX I was able to scan for pain points, and hot spots, areas of high nerve pain activity. This allowed for an objective map of the pain in Michaela's body. Then using the InterX device I was able to treat all of the pain areas to reduce the pain and inflammation over a course of 4 weeks. In between treatments I worked on some specific posture exercises and modified how Michalela worked and moved to protect her back.

My Hip replacement Journey Week 2

Week 2

7 days post surgery is significant as general things are becoming easier and some challenges you have overcome. You have a general system of the day but I knew I needed to push.

I had only done short walks outside mainly due to the weather and wanted to get out and do more. I had increased my exercises in the morning to 5 sets of 8 which for some was challenging. I ended up walking outside for about a 1000 metres with a continuous movement see video below.

I was over the moon at been able to complete such a large distance with crutches and it gave me a fantastic sense of achievement. Health and Safety warning post walk, I had high levels of muscle fatigue and slept for 3 hours the longest I had slept in one go since the surgery and my enforced sleeping on back position. I totally forgot how tiring walking can be early post surgery, note to self remember rest.

Day 8

Suffered from working too hard the day before and swelling was not just in my hip but was moving down my leg.

 Due to how the hip replacement is done depends on how much bruising you have, I had the manipulation type see left

Sitting was hard today and kept having cramp in my calf from yesterdays exploits.

Day 9

Interesting day as my wife was at work while my daughter was at school. This means lots of preparation and anticipation. You still get frustrated and while using a flask is ok its nicer to drink from a cup in the lounge. It also highlights little things when you are on your own, more trips because you forget everything.

Exercises went well today really pushed myself and went for the same walk as before so really pleased.

Day 10

Today is not normal as I have to do a check list for our trip to Ireland using the ferry. This was pre booked in the summer prior to knowing I had an operation. The amount of items we needed were ridiculous like toilet seat perching stool etc and planning the car as I was sitting in the back as not driving.

My wife gets everything loaded just and we set off for the night ferry, 3 hours driving to Hollyhead with two stops is very uncomfortable. The ferry was ok they were extremely helpful and I could stand and walk around a bit. The 3 hour drive in Ireland was not funny and my backside was painful!

Day 11, 12, 13

Recover from travelling and sleep loads catching up from the journey. The environment is great as we are at my wife's parents house for Christmas and they live in a bungalow so no stairs yippee!

Work hard on the exercises and practice walking a few steps without crutches which is exhilarating and frightening at the same time, feel real progress. I am doing exercises twice a day and have increased the number along with an hour and half of interX treatment its paying off.

My Hip Replacement Journey Week 1

You Live every minute of the first day of surgery and recovery and day 2 is also a roller coaster and depending on your surgery you can go home which also presents a whole load of new challenges

Day 2

Always an early start in hospital and today will be a frenzy of activity. First I have a physiotherapy assessment and exercise session at 8am. I do very well, so and hour later I am doing physiotherapy  again in order to pass tests of stairs and walking, which I do. I need to pass these to be able to go home. Its then off to  Xray, organise transport, collect the biggest bag of medication to be able to leave and I am home by 2pm on Tuesday 11 December,  29 hours after first entering the waiting room.

The reality now sets in and you have to get used to your home environment and that is hard initially. The first week at home, my wife was off work to support me and that makes a huge difference as you have limited mobility and simple things are difficult with crutches like making a drink and carrying things.

I have only one daughter and she struggled with lack of attention and seeing my vulnerability, something not seen before and I didn't manage that as well as I could have.

Stairs are a major issue for people who have had hip or knee surgery, as getting up and down is difficult, tiring and a risk due to falling. You only ever practice stairs once in hospital and they are not steep, they are a slip resistant surface, wide with a hand rail on both sides. At home my stairs are steep narrow and only one hand rail. This along with the fact of a toilet upstairs and you do too many trips up and down which is draining.

I had loads of visitors on my return home which was great but extremely tiring, I would suggest people spread visitors out as otherwise you have all or nothing which becomes a problem later in recovery.

I struggled in the evening as I had sat more today, had the travel home and the stress of the hospital morning and getting sorted out at home. Sleep is hard initially as for the first weeks you have to sleep on your back which I don't do and also it helps if are elevated with lots of pillows or cushions. Hospital beds do have some great features you miss like the grab handle above the bed and adaptability.

Day 3

Getting up and initially moving was fine and felt great and positive. The treadmill of life starts with breakfast and the school run  which you cannot really help with and also its difficult to help yourself moving and carrying things are hard.

I stress to clients to do the mobility exercises I set in the morning as its easier to make more of a habit and you do them more often. I went through the sheet I had been given from the hospital and added an additional five exercises. I went through the circuit 3 times doing 8 repetitions of each.

Stairs a lot today as your body gets rid of the drugs it has had and the swelling starts on your hip and leg from the trauma of the surgery. At home you tend to sit more watch TV and chat in the lounge. This is great as it is resting but highlights two problems; firstly for hip operations you are sitting on a very swollen hip and back side and for knee operations your knee is usually bent and swelling. Both these situations are very uncomfortable and you must walk short distances frequently.

Rest movement balance is difficult initially but I recommend at least and hour in bed mid morning and mid afternoon even if just lying down and reading is more restful than sitting.

Mid Afternoon I had interX treatment over my whole hip area and leg down to my knee. Treatment is about an hour and half and helps immensely. The treatment works through the skin and stimulates the body to release pain endorphins to help with recovery. I had no medication post leaving the hospital on Tuesday and InterX was used exclusivity for pain relief.

Felt very tired early evening and went to bed early. I rested but found sleep difficult and only has short hour bursts. I also found I needed the toilet several times in the night which getting in and out of bed is difficult and feels painful as everything stretches. On the positive side everything was working so the medication from surgery was been flushed out.

Days 4-5-6-7

You get into a routine quickly in this early rehabilitation phase with getting up doing Rehabilitation exercises, walking around and doing some basic things like drink making, resting in bed a couple of times a day and having as session of interX therapy daily.

These initial days fly by and the swelling from my surgery is all down my leg along with bruising from the manipulation of my leg during the procedure. Washing is difficult as with hip surgery you have to be very careful with bending and you have to keep your wound dressing dry a challenge for the shower!

The Thrombosis socks are great; really tight, uncomfortable, itch and are very hard to get on. All the aids they give you and I had no chance of getting them on or off. Socks and shoes in general are hard but this is a whole other level. The only positive is that they keep your lower legs warm when walking outside oh and stop thrombosis and help with circulation. I wore mine for 4 weeks 24 hours a day, they do help with circulation and swelling so would advise to wear them.

It was cold and raining when I first came out of hospital so was inside, on Sunday 6 days post surgery went for a short walk and it was great

My Hip Replacement Journey Day 1

Week 1 and the first day very intense

I have had osteoarthritis for 22 years in my hips. I have had my left hip resurfaced 12 years ago at the Royal Orthopaedic Hospital in Birmingham. I have recently had my right hip replaced at the same hospital on the 10th  December 2018.

This is my recovery story using rehabilitation exercises and functional fitness movements. Most importantly I used InterX therapy for Pain, Inflammation relief with no medication, the InterX device also promotes accelerated healing.

Always a lot happier when the surgery is done and you are recovering

Successful operation for Hip replacement Surgery at the Royal Orthopaedic Hospital

Day 1

Like lots of patients I arrive early at the Royal Orthopaedic Hospital just before 7am. The waiting room fills up and we are gradually called for final checks and to go through what feels like the same questions over and over again.

Meet one of the surgical team and go through the planned procedure one last time, It's the same surgeon I had for my last operation so feel in safe hands as had no issues with my other hip after 12 years. Entering the pre surgery room is a bit like jumping into cold water as it makes it feel very real. You are reassured but you know it's really happening and while been apprehensive at first I did relax and after a short count was out cold....

Waking up post any surgery is different for everyone but the overwhelming feeling is always one of relief! It takes a while to focus and fully assess your surroundings. The nursing and support staff are great and reassure you and a tea is always the order of the day. At this point connected to lower leg compression machines and IV drips the magnitude of the surgery hits home, first thing I did was to move my hip and leg just a fraction, yes a success, Tea time.

You have some food and pleasantries with patients around you but your focus now is visitors, particularly close family, in my case my wife and 8 year old daughter who arrive straight from school. Emotions are always hard as you try to convey you are fine and it went well, but always look the worst for wear.

I had the visit from the surgeon and get the positive news that the operation was a success and that it went without complication. The physiotherapy team arrive to get you out of bed and standing, which is fine getting out of bed as gravity helps, getting back in is much harder. I was measured for crutches and went for a little walk and felt surprisingly OK.

Getting back in bed is always hard as you have to manoeuvre  your operated leg and then it hurts as its at a weak point. You then get to grips with small movements in the bed to try and get comfortable and rest. Dinner time and visitors have to leave for an hour, always odd eating and drinking initially as you struggle to go to the toilet due to medication and you never want much.

Time even a few hours is a great healer and returning visitors and a desire to get moving mean I get out of bed and have a sit down feels great to be more normal. Visiting time over and back to bed to be woken every few hours with medication so the body will accept the new joint and not reject it.