Hip Surgery FAQ'S
Your questions answered about hip surgery, recovery, risks, and what to expect every step of the way.
GENERAL HIP FAQ’S
Osteoarthritis (OA) is when a joint wears down or fails so that it is rubbing bare bone-onbone. Many people use the term ‘arthritis’ to dismiss vague aches and pains that they resign themselves to put up with. However, osteoarthritis is specific and usually treatable. It can cause pain, stiffness, bony lumps, bow or knock knee legs and swelling. Hip and knee replacements are examples of major operations for osteoarthritis. Surgery for osteoarthritis is generally the last resort. There are many non-surgical treatments that can also be discussed with the doctor. Other types of arthritis, like rheumatoid or psoriatic arthritis, are often treated by a rheumatologist. An orthopaedic surgical opinion may be useful in these cases too if there is a lot of damage to the joints.
Osteoporosis is a condition often associated with ageing, in which bones become weaker and break more easily. It is known to be associated with other medical conditions or medications. If you are concerned, ask your General Practitioner. If you are middle-aged or older and have broken a bone, it is also something to have checked. There are tests to rule out important causes and there are effective treatments too. If someone has osteoporosis, it doesn’t mean they can’t have a hip replacement.
A hip replacement involves resurfacing the socket on the pelvic side of the hip joint, and replacing the ball at the top of the thigh bone. A stem is placed inside the top part of the thigh bone to support the new ball. The stem is fixed either with cement or a bone growth surface. The new socket surface is usually fixed with a bone growth surface and sometimes screws. • The surgery is done through a cut at the top of your leg on the front. Computer navigation is used to align the components. This involves a couple of tiny cuts near your hip on the other side. • The wound is closed with dissolving stitches and dressings (wound coverings) are applied.
A bilateral hip replacement is a surgical procedure in which both hip joints are replaced with prosthetic implants during the same operation. This procedure is typically performed to treat severe arthritis or other debilitating hip conditions that affect both hips, offering the benefit of addressing both joints in one surgical session. This can lead to a more balanced rehabilitation process and a single period of recovery, compared to having two separate surgeries.
Bilateral hip replacement can be more demanding than a single hip replacement due to the longer operation time and increased physical recovery demands. Patients often require comprehensive preoperative assessment to ensure they are suitable candidates for this approach
Hip replacement surgery is designed to relieve the pain and improve the function associated with arthritis in the hip joint. The procedure involves removing the damaged or diseased parts of the hip joint and replacing them with artificial components. After a successful hip replacement therefore, you should no longer have arthritis in the replaced hip joint itself asthe artificial components are not susceptible to the same arthritic changes that affect natural bone and cartilage.
It is important to note that arthritis can, however, still occur in other joints so, if you have arthritis in other parts of your body, those areas might continue to experience symptoms even after your hip replacement.
There are different ways of getting into a hip joint. It is possible to do a hip replacement from the back, side, front or even top. The main thing is to get the internal components in properly and the approach doesn’t matter too much. It is possible to get an excellent result via any of the available approaches. There are pros and cons to the different approaches which you could consider as fine tuning. • Dr Martin has decided to use the anterior approach as it lends itself to navigation and accurate component position, which probably helps achieve long term reliability. It has a low dislocation rate and achieving equal leg lengths is more accurate. As a side effect, it also has the benefit of less pain and a quicker recovery.
Hip replacement surgery is generally considered to be a routine and safe procedure, especially with advancements in surgical techniques and prosthetic materials. Like an major surgery however, it does carry some risks. The overall risk is relatively low, but it is important to be aware of potential complications.
Common risks can include:
Infection: Although precautions are taken to minimize this risk, infections can occur at the incision site or deep around the prosthesis.
Blood Clots: There is a risk of blood clots forming in the legs (deep vein thrombosis) or lungs (pulmonary embolism). Blood-thinning medications are often prescribed to mitigate this risk.
Dislocation: The new hip joint can dislocate, particularly in the early stages of recovery when the soft tissues are healing.
Leg Length Difference: Occasionally, a hip replacement can result in a slight difference in leg length, which might require corrective measures such as shoe inserts.
Loosening of the Implant: Over time, the hip implant may loosen, potentially requiring revision surgery.
Nerve or Blood Vessel Damage: Although rare, there is a risk of damage to the nerves or blood vessels around the hip during surgery.
Despite these potential risks, hip replacement surgery has a high success rate, and most patients experience significant pain relief and improved mobility. The key to minimising risks is thorough preoperative assessment, following post-operative care instructions, and attending regular follow-up appointments with your surgeon.
The body does not reject a hip implant in the same way it might reject an organ transplant. Hip implants are made from biocompatible materials such as metal, ceramic, or polyethylene, which are designed to minimise the risk of an immune response. Complications can still arise however that might be mistaken for rejection.One potential issue is infection, which can occur shortly after surgery or even years later. Infections around the hip implant can cause significant problems, leading to pain, swelling, and the need for further treatment or surgery. Another concern is allergic reactions, although rare, where some patients might react to the metals used in the implant, such as nickel or cobalt, resulting in symptoms like pain, swelling, and a rash around the implant site.
Other complications can include aseptic loosening, where the bond between the implant and bone weakens over time without the presence of an infection, causing pain and potentially requiring revision surgery. Wear and tear of the implant materials can also release tiny particles that cause inflammation and bone loss around the implant. To minimise these risks, it is essential to follow Dr Martin’s post-operative care instructions, attend regular follow-up appointments, and report any unusual symptoms promptly. If you have a history of allergies or sensitivities to metals, inform Dr Martin before the procedure so he can choose the most appropriate materials for your implant.
This depends on what sort of metal you have implanted and how sensitive the scanner is. People ask if they should carry a card or certificate for the joint replacement. However there is no official document and this could easily be forged. Airport security staff are used to processing people who have had joint replacement surgery.
Yes, it is generally safe to have an MRI after a hip replacement. Most modern hip replacement implants are made from materials that are compatible with MRI machines. However, it is important to inform the MRI technician and your doctor about your hip replacement before the scan. They will take necessary precautions and ensure that the implant is safe for the MRI environment. Always follow the guidance of your healthcare provider to ensure your safety.
A hip replacement is designed to restore function and alleviate pain, but it may not be as strong as a natural, healthy hip. While modern hip implants are highly durable and made to withstand daily activities, they may not be as resilient as your original hip joint. The longevity and strength of a hip replacement depend on factors such as the type of implant, the surgical technique, and your activity level. It’s important to follow your surgeon’s advice on activity restrictions to ensure the best outcome for your hip replacement.
Yes, it is possible to pay for your hip replacement surgery out of pocket without private health insurance. This option is often referred to as self-funding, and very common these days.
If you choose to self-fund your total hip replacement, you will be responsible for covering all costs associated with the procedure, including Dr Martin’s fees, the assistant surgeons’ fees, anaesthesia fees, the costs of the prosthetic implants, the hospital charges and any post-operative care costs.
The total cost of a ‘self-funded’ total hip replacement is about $25,000 but can range anywhere from $20,000 – $42,000 depending on your individual requirements and circumstances.
If you are interested in self-funding your total hip replacement with Dr Martin, you can call Emma at his rooms on 02 6675 0737 who will give you a price quotation.
PRE-SURGERY FAQ’S
A hip replacement usually takes around 90 minutes. Having both sides done at once takes 3 to 4 hours.
A patient will often be gone from the ward for 4 hours or more surrounding their operation, so tell your family not to worry if you are having joint replacement surgery and it seems to be taking a long time.
For hip replacement surgery, most operations can be performed under either general or spinal anaesthetic. There are situations where the anaesthetist may choose a specific type of anaesthetic for safety reasons, and a combination of both can also be very effective.
Many people worry about being awake and hearing the surgery if they have a spinal anaesthetic. Rest assured, this isn’t a problem, as the anaesthetist can easily make you doze while the spinal anaesthetic is in effect. If, for medical reasons, it isn’t possible to use a spinal anaesthetic, a general anaesthetic is also a suitable and safe option. Discuss your preferences and any concerns with your anaesthetist to determine the best approach for your surgery.
Most times the operation can be done under either general or spinal anaesthetic, but there can be situations where the anaesthetist would choose a specific anaesthetic for safety. A combination can also be very good. Many people are anxious about having to hear the surgery with a spinal anaesthetic. Be reassured that this isn’t a problem, because the anaesthetist can easily make you doze with a spinal on board. If, for medical reasons, it isn’t possible to do the operation under spinal then a general is fine.
In most cases, it is possible to redo a failed hip replacement. It is even possible to re-do it more than once. This is called a revision. Usually, it is a bigger operation with higher risks and worse results than a successful first (called primary) hip replacement. Very occasionally it may not be possible to re-do the failed joint, but that really is unusual.
RECOVERY AND REHABILITATION FAQ’S
The recovery from hip replacement surgery is much faster than it used to be, but it is different for everyone and even different from hip to hip for people who have had both done. Some people reach the point where they are back doing what was normal for them before the surgery, as early as 2 weeks after the surgery.
For some people it takes 4 to 6 weeks until they are better than before the surgery. For office type work it would be reasonable to allow at least 4 weeks off from work. If your work is more physical, it would be reasonable to allow 6 weeks or more.
It is important not to be disappointed if your hip is getting better more slowly than average! Occasionally, people can experience a slower recovery. About 1 in 50 patients might take as long as 6 months until they are comfortable with the new hip.
The recovery after hip replacement surgery is generally much easier than it used to be, and Dr Martin is continually fine-tuning his practice to make it as easy as can be.For many people intense physiotherapy is no longer necessary after the joint replacement. This is especially the case for people who have done a physiotherapy course prior to the surgery.
Often, it is now simply a matter of doing some post-operative exercises, as advised by a physiotherapist, and getting on with life. Some patients will require specific attention to some aspect of their recovery, and this is something that is dealt with on a case-by-case basis.
Rehabilitation in hospital is very rarely needed after a hip replacement these days. It is much better to go home and get on with life.
The main aim of hip replacement surgery is to reduce your hip pain and improve quality of life. Being more active in the lead up to and after hip replacement can have important health benefits.Activities such as long walks, bike riding, swimming, golf or doubles tennis would be examples of reasonable levels of activities for most people after joint replacement surgery.
The effect of high impact sports or activities such as running and jogging on hip replacements is not well known. If you are keen to do high impact activities after the surgery, it is important to talk it over with Dr Martin. While it is generally recommended to avoid high impact activities there are some people who may be able to successfully return to this level of activity after joint replacement.There is no good long term evidence about the effects of high impact activities on how long your hip replacement will last.
Yes, you will likely need some assistance at home during the initial recovery period after your hip replacement surgery. The first few weeks are critical for healing and regaining mobility, and having support can ensure a smoother and safer recovery. Assistance with daily activities such as cooking, cleaning, dressing, bathing, and using the toilet will be very helpful. You may also need help with mobility, especially when using walking aids like crutches or a walker and navigating stairs or uneven surfaces.
Managing medications and adhering to your physiotherapy exercises are essential for recovery. Help with medication management and performing physiotherapy exercises correctly can be beneficial. Since you won’t be able to drive immediately after surgery, arranging transportation for follow-up appointments and physiotherapy sessions is important. Having a family member, friend, or professional caregiver to assist you can significantly enhance your recovery experience. Make sure to discuss your needs with Dr Martin and your healthcare team to plan appropriately for your post-surgery care.
Yes, you will likely need special equipment or aids to assist with your recovery after hip replacement surgery.
Common aids include:
Walker or Crutches: These will help you maintain balance and support while walking, especially during the initial stages of recovery when you need to avoid putting too much weight on your operated hip.
Cane: As you progress in your recovery, you may transition from a walker or crutches to a cane for additional support.
Raised Toilet Seat: This can make it easier and safer to use the toilet without bending too much at the hip, which is important to avoid dislocation.
Shower Chair or Bench: To ensure safety while bathing, a shower chair or bench can be very helpful.
Reacher or Grabber: This tool helps you pick up items from the floor without bending over, protecting your hip joint from unnecessary strain.
Sock Aid and Long Handled Shoehorn: These devices can assist you in putting on socks and shoes without bending at the hip.
Dr Martin and your healthcare team will provide specific recommendations based on your individual needs and recovery plan.
While it is common to experience a limp in the early stages of recovery after hip replacement surgery, a persistent limp in the long term is not typical and may indicate underlying issues.
Several factors can contribute to a long-term limp:
Muscle Weakness or Imbalance: If the muscles around your hip joint remain weak or imbalanced, it can affect your gait. Ongoing physiotherapy and strength training are essential to address this issue.
Improper Healing: Occasionally, complications such as improper healing of the bone or soft tissues can lead to long-term limping. Regular follow-up appointments with your surgeon can help monitor your progress and address any healing issues.
Leg Length Discrepancy: In some cases, hip replacement surgery can result in a slight difference in leg length, which can cause a limp. This can often be managed with shoe inserts or other orthotic devices.
Pre-existing Conditions: Conditions such as arthritis in other joints, back problems, or neurological issues can contribute to a persistent limp even after successful hip replacement surgery.
Improper Gait Patterns: If you developed an improper gait pattern before surgery due to pain or joint dysfunction, it might take time and targeted rehabilitation to correct it fully.
If you experience a long-term limp after hip replacement surgery, it is important to consult with Dr Martin or your physiotherapist. They can evaluate your condition, identify any underlying issues, and recommend appropriate treatments or adjustments to your rehabilitation program. With the right care and attention, most patients can achieve a normal walking pattern and enjoy improved mobility and quality of life after hip replacement surgery.
The timeline for returning to work after total hip replacement surgery varies depending on the type of work you do and your individual recovery progress. For those with sedentary jobs, such as office work, you may be able to return to work within 6 to 8 weeks after surgery. It’s important to ensure you can sit comfortably and take breaks to move around and stretch regularly.
If your job involves more physical activity, such as standing, walking, or lifting, it may take longer to return to work. Typically, patients in more physically demanding roles can expect to return to work between 3 to 6 months after surgery.
Driving too early is dangerous for you and other people too. Patients who can walk well without any assistance and aren’t affected by strong pain killers are usually safe to drive. It would usually be reasonable to allow 4 weeks. Please discuss your plan regarding driving with Dr Martin.
After a hip replacement, bending to put on socks is typically restricted for the initial recovery period to prevent dislocation and ensure proper healing.
Here are some general guidelines:
Initial Recovery Period (0-6 weeks): During the first 6 weeks, you should avoid bending at the hip beyond 90 degrees. This includes activities like putting on socks, shoes, and picking up objects from the floor. Using assistive devices such as a sock aid, long-handled shoehorn, or a reacher can help during this time.
Intermediate Phase (6-12 weeks): As your recovery progresses, Dr Martin may gradually allow you to bend at the hip more freely. It’s important, however, to follow their specific instructions and continue using caution.
Advanced Recovery (12 weeks and beyond): By around 12 weeks post-surgery, many patients can start bending more normally, including putting on socks, depending on their individual progress and healing. It is crucial to get clearance from Dr Martin or your healthcare provider before resuming these activities.
After hip replacement surgery, it’s important to follow certain steps to safely put on pants and avoid any strain or risk to your new hip joint.
Here are some tips to help you wear pants safely:
Use Assistive Devices: Tools such as a reacher or dressing stick can help you put on pants without bending at the hip beyond 90 degrees:
- Hold the waistband of the pants with the reacher.
- Lower the pants to the floor and slide your operated leg into the pant leg.
- Pull the pants up over your knee with the reacher.
- Switch Legs: Once the operated leg is in, use the reacher to help slide the other leg into the remaining pant leg.
Sit Down: Sit on a sturdy chair or edge of the bed to put on your pants. This provides stability and reduces the risk of falling.
Dress the Operated Leg First: Start by dressing the leg on the side of your hip replacement first. This minimises movement and strain on the operated hip.
Pull Up Slowly: Stand up slowly while holding onto a stable surface for support (such as a chair or walker). Carefully pull the pants up to your waist using the reacher or your hands, ensuring you do not bend excessively at the hip.
Adjust While Standing: Once the pants are pulled up, make any necessary adjustments while standing, keeping a secure grip on a stable surface.
Following these steps will help you safely put on pants without compromising your hip replacement recovery.
Yes, you can sleep with your legs bent after a hip replacement, but there are some important considerations to ensure your safety and comfort:
Early Recovery (First 6-12 weeks): During the initial recovery phase, it’s generally recommended to follow specific sleeping positions to prevent dislocation and ensure proper healing. Dr Martin often advises sleeping on your back with a pillow between your legs to keep them slightly bent and to maintain proper alignment of your hip joint.
Side Sleeping: If you prefer to sleep on your side, it’s usually safe to do so after a few weeks, provided you place a pillow between your legs to prevent your top leg from crossing over and putting stress on the new hip. This helps keep your legs slightly bent and maintains proper hip alignment.
Avoid Extreme Bending: While having your legs slightly bent is generally fine, avoid extreme bending or twisting at the hip. This includes positions where your knees are drawn up very close to your chest, as this could increase the risk of dislocation.
Using a pillow between your legs is crucial in the early stages of hip replacement recovery to prevent dislocation and ensure proper alignment of the hip joint. Dr Martin typically recommends keeping a pillow between your legs while sleeping, especially when lying on your side, for at least the first 6 to 12 weeks after surgery. This practice helps maintain proper hip alignment and reduces the risk of dislocation.
At your follow-up appointments, he will assess your healing progress and may provide specific instructions on when you can stop using the pillow. The decision is based on how well your hip is healing and your overall mobility. Once Dr Martin gives you the go-ahead, you can gradually transition to sleeping without the pillow. Start by removing it for short periods and monitor how your hip feels. If you experience any discomfort or instability, continue using the pillow for a longer period.
Sleeping on your non-operated side after a hip replacement is generally considered safe after the initial recovery period, but it is essential to take certain precautions. Dr Martin typically advises waiting at least 4 to 6 weeks before sleeping on your non-operated side and always using a pillow between your legs to maintain proper hip alignment and reduce strain on the new hip joint.
Resuming sexual activity after a hip replacement is a common concern, and it’s important to approach this with care to ensure proper healing. Dr Martin generally advises that most patients can safely resume sexual activity around 6 to 8 weeks after surgery, but this can vary based on individual recovery and comfort levels.
HIP PAIN AND COMPLICATION FAQ’S
If you experience complications or unusual symptoms after your hip replacement surgery, it is crucial to act promptly to address any potential issues.
Here are the steps you should follow:
Monitor Your Symptoms: Pay close attention to any signs of complications, such as severe pain, swelling, redness, warmth around the surgical site, fever, or unusual drainage from the incision.
Contact Dr Martin: Reach out to Dr Martin’s office if you notice any concerning symptoms. Provide detailed information about what you are experiencing so that they can give you the best advice. Prompt communication can help address issues before they become serious.
Follow Post-Operative Instructions: Ensure you are following all post-operative care instructions provided by Dr Martin. This includes taking prescribed medications, attending follow-up appointments, and adhering to any activity restrictions.
Seek Emergency Care: If you experience severe symptoms, such as intense pain, significant swelling, or difficulty breathing, seek emergency medical care. Go to the nearest hospital emergency department or call emergency services for immediate assistance.
Keep Records: Document your symptoms, including when they started and any factors that seem to affect them. This information can be helpful for Dr Martin and other healthcare providers in diagnosing and treating any complications.
Alerts and things to watch out for:Excess pain or trouble with movement can indicate that something is wrong. Severe pain can signify an emergency and warrants a trip to the hospital. Watch for signs of infection such as fever, pain, redness, or fluid/pus leaking from the incision site. If you suspect an infected hip replacement, it is best to see Dr Martin or go to the emergency department rather than your GP, as antibiotic tablets alone are insufficient to treat an infection in a hip replacement. Significant leg or foot swelling can indicate a dangerous blood clot. Difficulty breathing or chest pain could signify a clot in the lungs, which is a medical emergency.
Things that are normal:It is quite normal for your hip to be warm for weeks or even months after a hip replacement. Swelling during this time frame is also typical. Experiencing a numb patch on the outside of the incision site is routine, as is some bruising up or down your leg due to blood tracking under the skin, which can be painful. It’s common for patients to have a tough week or experience a temporary setback; as long as improvement follows, this is normal. Night pain can be an issue for a period after the surgery. Those who have had both hips replaced often notice a difference in the recovery process for each hip.
Most times the operation can be done under either general or spinal anaesthetic, but there can be situations where the anaesthetist would choose a specific anaesthetic for safety. A combination can also be very good. Many people are anxious about having to hear the surgery with a spinal anaesthetic. Be reassured that this isn’t a problem, because the anaesthetist can easily make you doze with a spinal on board. If, for medical reasons, it isn’t possible to do the operation under spinal then a general is fine.
Blood transfusions after hip replacements are very rare these days. However, it is important to tell your doctor if you have a bleeding problem. It is also important to discuss all your medications as some of these have a blood thinning effect. This includes over-the-counter medications and alternative treatments.
You may have heard of pre-operative self-to-self blood donation. This is when blood is taken from you before your surgery so that you can be given your own blood if needed during or after your surgery. For hip replacement this is not offered anymore, as blood transfusions are so rare.
Infections can be a major problem, so we take a number of effective steps and great care to minimise the risk of infection spreading to a hip replacement. Before the operation we screen and treat people for staph if needed. About a third of people in the community carry staph on their skin and a special treatment to clear it before surgery decreases the risk of infection.
Pre-operative screening of other infections, pre-operative skin preparation, careful technique and great teamwork in the operating theatre and careful post-operative wound care, are also very important.
With these and other steps the risk of infection is less than 1%.
It is possible for infection to spread to a new hip years after surgery, usually via the bloodstream. This is very unusual, but it is still worth taking steps to protect against. To prevent this, you can:
- check with your doctor if you need antibiotics before other operations or procedures in future.
- be aware if you are getting a recurrent infection somewhere, such as a kidney infection from a stone.
It is very important to treat the infection and fix the underlying issue to minimise the risk of spread to your hip.
There are different types of blood clots you can get after a hip replacement but there are good steps that can be taken to protect against them.A clot in the wound is called a haematoma. This can’t spread to the lungs, so it isn’t dangerous in that way, but it is an infection risk. Very occasionally a hip replacement might need a haematoma cleaned out in the operating theatre. With current techniques the risk of a bad wound haematoma is very low.
The other sorts of blood clots are ones in the leg veins (Deep Vein Thrombosis or DVT) that can travel to the lungs (Pulmonary Embolism or PE). A PE can be life threatening, but there are a lot of effective measures that the team of people caring for hip replacement patients always take to minimise the risk. If you do get short of breath or have chest pain during your recovery you should seek urgent medical attention. Significant leg swelling is also a reason to see a doctor as soon as you can.
Bruising colours up and down the leg after surgery are not clots. They are usually from some blood that has leaked out of the surgical area.
Serious problems after a hip replacement are very unusual and the team working with Dr Martin go to great lengths to prevent them. Despite this there are risks to any operation.One risk is infection, which can cause early failure or ongoing pain. An infection can also spread to the hip later to cause failure, but this is also very unusual.Failure can also occur due to wear, loosening or breakage of the bones, or for other reasons, including dislocation. Dislocation usually only occurs in unusual positions that are easily avoided, and the anterior approach also diminishes the risk of dislocation. The anterior approach means we do the operation from the front of the hip, which avoids cutting major muscles.Normally the problem can be fixed with a redo operation, but if in the extreme case that this wasn’t successful, it is possible to end up with no hip.
Sometimes a patient can have a post-operative difference in the lengths of their legs.
Usually, a new hip would be less stiff than an arthritic hip, but very occasionally a new hip can set very stiff with bone growth.Usually, a limp would be much improved after hip replacement surgery, but sometimes a limp could persist and very rarely even be worse. It is also possible but very unusual to still have severe on-going pain after a hip replacement.
It is possible, but exceedingly unusual, to have a serious nerve, tendon, ligament or blood vessel injury during the surgery. This can cause a permanent problem.
Other risks of any surgery include heart attack, stroke or blood clots. Kidney and bowel problems are also possible. It is possible to die from the surgery. It is important to talk through the risks and benefits of the procedure and any specific concerns you have, when making decisions about the surgery.
Reducing stiffness after hip replacement surgery involves a combination of regular exercise, physiotherapy, and proper post-operative care. Attending all scheduled physiotherapy sessions is crucial, as a physiotherapist will guide you through exercises specifically designed to improve flexibility and strength in your hip joint. Engaging in daily activities such as walking, swimming, and stationary cycling can also promote mobility and reduce stiffness. Be sure to follow the exercise plan provided by your physiotherapist.
Incorporating gentle stretching exercises into your daily routine can enhance flexibility, while hydrotherapy—exercising in water—can reduce stress on the hip joint and allow for greater movement. Applying heat to the stiff area, such as using a warm compress or taking a warm bath, can help relax muscles and improve blood flow. Proper pain management, as recommended by your surgeon, is also important to move more comfortably and reduce stiffness. Additionally, maintaining a healthy weight and avoiding prolonged sitting can alleviate strain on your hip joint and improve mobility. Following these strategies and adhering to your healthcare provider’s instructions will help you effectively reduce stiffness and enhance your recovery.
Increased urination after hip replacement surgery can be caused by several factors. One common reason is the use of intravenous (IV) fluids during and after the surgery to maintain hydration and support recovery. These fluids can lead to a temporary increase in urine output. Some pain medications and other drugs administered during your hospital stay can also have diuretic effects, causing you to urinate more frequently.
Another factor could be your body’s response to the stress of surgery. The body often retains fluid post-surgery, and as you begin to mobilise and your body adjusts, it may start to release this excess fluid, resulting in increased urination. Lastly, if you were given medications to prevent blood clots, such as blood thinners, these can also increase urine production.
Feeling tired three months after hip replacement surgery is relatively common and can be attributed to several factors. Recovery from major surgery is a demanding process, and your body is using significant energy to heal. This prolonged healing process can lead to ongoing fatigue.
Your body may also, still be adjusting to the changes brought about by the surgery. Factors such as increased physical activity during rehabilitation, managing pain, and adjusting to new movement patterns can all contribute to fatigue. It’s also possible that residual effects of anaesthesia, medications, or disrupted sleep patterns during the early recovery period are still impacting your energy levels.
Emotional and psychological factors can also play a role. Undergoing major surgery can be stressful, and coping with recovery can be mentally exhausting, contributing to feelings of fatigue.To help manage your tiredness, ensure you are getting adequate rest, maintaining a balanced diet, staying hydrated, and following your physiotherapist’s recommendations for a gradual increase in activity levels. If fatigue persists or worsens, it is important to consult with your GP to rule out any underlying issues and receive appropriate guidance.
The duration of muscle pain after hip replacement surgery varies from person to person, depending on factors such as the individual’s overall health, the complexity of the surgery, and adherence to the rehabilitation plan. Generally, you can expect muscle pain to gradually decrease over several weeks to a few months.
Here is a typical timeline:
First Few Weeks: During the initial 2-3 weeks post-surgery, it is common to experience significant muscle pain and stiffness. This is a normal part of the healing process as your body recovers from the surgical procedure and adjusts to the new joint.
1-3 Months: Muscle pain typically begins to decrease as you continue with your rehabilitation exercises and physiotherapy. By the end of the third month, most patients notice a substantial reduction in pain and an improvement in muscle strength and flexibility.
3-6 Months: By this stage, muscle pain should be minimal, and you should be able to perform most daily activities with greater ease. Continued physiotherapy and regular exercise help further strengthen the muscles around the hip joint and improve overall function.
6-12 Months: Most patients find that muscle pain has largely resolved by the end of the first year. Any residual discomfort is usually mild and can often be managed with regular exercise and occasional physiotherapy.
It is important to follow Dr Martin’s post-operative care instructions and attend all scheduled physiotherapy sessions to ensure a smooth recovery.
Cold weather can affect how your hip replacement feels, though it does not impact the functionality or longevity of the implant itself. Many people with hip replacements report increased stiffness, discomfort, or aching in colder months. This is often due to muscles and tissues around the hip joint tightening in response to the cold, leading to stiffness and discomfort. Staying warm and active can help alleviate these symptoms.
LIFESTYLE FAQ’S
The results of hip replacements are very good, and you can expect your joint replacement to last a long time, though this does depend a bit on your age, activity level and the underlying condition that required the joint replacement surgery in the first place.
For most people the hip replacement would last more than 15 years and chances would be good that it might last as long as 20 or 25 years or more. There is, however, a small risk of failure at any time after hip replacement surgery, for various reasons. There is about a 1 in 100 chance of failure within the first year.
While hip replacement surgery aims to restore mobility and reduce pain, there are some lifelong considerations to ensure the longevity and success of your new hip joint:
High-Impact Activities: Activities that involve high impact or risk of falling, such as running, jumping, or contact sports, are generally discouraged. These activities can place excessive stress on the hip joint, increasing the risk of wear or dislocation.
Heavy Lifting: Avoid lifting heavy objects that can strain your hip joint. Use proper lifting techniques and seek assistance when necessary.
Extreme Movements: Certain extreme movements or positions that may risk dislocating the hip should be avoided. This includes activities that involve deep bending or twisting at the hip.
Weight Management: Maintaining a healthy weight is crucial to reducing stress on the hip joint. Excess weight can accelerate wear and potentially lead to complications.
Regular Check-Ups: Regular follow-up appointments with your surgeon are important to monitor the condition of your hip replacement and address any issues early.
Modified Exercises: Engage in low-impact exercises that promote joint health and overall fitness, such as swimming, cycling, and walking. Consult with your physiotherapist for a personalised exercise plan.
While these restrictions may seem limiting, they are essential for ensuring the long-term success and functionality of your hip replacement. By adhering to these guidelines and maintaining an active, healthy lifestyle, you can enjoy many years of improved mobility and reduced pain.
It is very important to have a realistic idea of what to expect from a total joint replacement. About 50% of people who have a hip replacement will have a normal-feeling hip afterwards. This is called a ‘forgotten hip’ – when the hip feels normal to the point you forget you have had the operation.To other people, the hip will not feel quite so normal, and some will experience on-going aches or pains after the surgery. This should be manageable minor pain, not the severe pain experienced before the operation.
Numb patches on the skin, relating to the surgery, are also common. These usually diminish over time, but some permanent numbness often persists. Your hip can also have a permanent abnormal contour or bulge after the surgery.
Some people have the idea that an artificial joint will be a super hip: better than it ever was. While an artificial hip is not as good as the healthy hip of a young person, it should be much better than a painful worn-out one.
Feeling tightness in your hip after a replacement surgery is common and can result from several factors. Post-surgical swelling, scar tissue formation, and the healing process itself can contribute to this sensation. Muscles and tissues around the hip joint may also be adjusting to the new implant and the changes in joint mechanics. It is important to follow your post-operative rehabilitation and physiotherapy plan to help alleviate tightness and improve flexibility. If the tightness persists or worsens, consult Dr Martin to ensure there are no underlying issues that need to be addressed.
Climbing stairs can be a beneficial exercise after hip replacement surgery, but it should be approached with caution and only performed when Dr Martin or the physiotherapist deems it safe. Initially, you may need to avoid stairs or use them minimally to allow proper healing. As you progress in your rehabilitation, climbing stairs can help strengthen your hip muscles and improve joint function. It’s important to always follow your guided rehabilitation program and use any recommended assistive devices to ensure you are climbing stairs safely and effectively.
Yes, walking every day is highly encouraged after a hip replacement, as it plays a crucial role in your recovery and rehabilitation. Walking helps improve circulation, strengthens the muscles around your hip, and enhances joint mobility. Initially, you may need to start with short walks and gradually increase the distance and duration as your strength and endurance improve.
It’s important to follow Dr Martin’s and the physiotherapist’s guidelines to ensure you are walking at a safe and appropriate pace. Regular walking, combined with other prescribed exercises, can significantly contribute to a successful recovery.
If you don’t walk enough after a hip replacement, several issues may arise:
Stiffness and Reduced Mobility: Lack of movement can lead to joint stiffness and decreased range of motion, making it harder to regain normal hip function.
Muscle Weakness: Walking helps strengthen the muscles around the hip. Insufficient walking can result in muscle weakness, affecting your stability and increasing the risk of falls.
Poor Circulation: Regular walking promotes good blood flow, which is essential for healing. Without enough movement, you may experience poor circulation, which can delay recovery.
Increased Risk of Blood Clots: Walking helps reduce the risk of blood clots, a common concern after surgery. Not walking enough can increase the likelihood of developing blood clots, particularly in the legs.
Weight Gain: Regular physical activity, including walking, helps maintain a healthy weight. Without adequate exercise, weight gain can put additional stress on your new hip joint.
Delayed Recovery: Overall, not walking enough can slow down your rehabilitation process, prolonging the time it takes to return to normal activities.
There is no strict cut-off age for hip replacement surgery. The decision to undergo a hip replacement is based on a patient’s overall health, level of pain, degree of disability, and quality of life rather than age alone. While older patients may face additional risks due to other health conditions, many elderly individuals successfully undergo hip replacement surgery and experience significant improvements in mobility and pain relief.
Dr Martin evaluates each case individually, considering factors such as:
General Health: Overall physical health and the presence of other medical conditions.
Bone Quality: The condition of the bones can influence the success of the surgery.
Activity Level: The patient’s desired activity level and goals post-surgery.
Risks vs. Benefits: Weighing the potential benefits of the surgery against the risks, especially in older patients.
The timeline for resuming activities such as caravanning or traveling overseas after a hip replacement can vary based on individual recovery rates and the specifics of your surgery. Generally, here are some guidelines:
Initial Recovery (0-6 weeks): During the first 6 weeks, focus on basic recovery and rehabilitation. It’s crucial to avoid long periods of sitting and to follow your surgeon’s instructions regarding mobility and exercise.
Intermediate Phase (6-12 weeks): By this time, most patients start regaining strength and mobility. Short trips and light activities may be possible, but it is essential to avoid strenuous activities and ensure you can take breaks to move around frequently.
Advanced Recovery (3-6 months): Many patients feel ready for more extended activities such as caravanning or traveling overseas. Ensure you have completed a significant portion of your rehabilitation and have received clearance from Dr Martin. It’s important to plan for frequent breaks during travel to avoid prolonged periods of immobility, which can increase the risk of complications such as blood clots.
Full Recovery (6 months and beyond): Most patients can resume all normal activities, including extensive travel and caravanning. By this stage, you should have regained substantial strength and flexibility, but it’s always best to consult with your healthcare provider to confirm your readiness.
Tips for Travel:
Consult Dr Martin: Before making any travel plans, discuss your intentions with your surgeon to ensure you are ready.
Plan Ahead: Make arrangements for mobility aids if needed and ensure you have access to medical facilities if necessary.
Stay Active: During long trips, take regular breaks to stretch and walk around to maintain good circulation.
Pack Wisely: Bring any necessary medications and keep your GP’s contact information handy.
By following these guidelines and consulting with your healthcare team you can plan a safe and enjoyable trip after your hip replacement.
Wearing flip-flops after a hip replacement is generally not recommended, especially during the initial stages of recovery. Flip-flops offer minimal support and can increase the risk of slipping or falling, which could jeopardise your new hip joint.
Here are some considerations:
Stability and Support: Proper footwear with good arch support and a secure fit is crucial to maintaining stability and reducing the risk of falls. Flip-flops typically lack these features, making them a less safe option.
Recovery Phase: During the early stages of recovery, it’s important to wear shoes that provide adequate support and cushioning. This helps in maintaining balance and preventing undue stress on the hip.
Gradual Transition: As your recovery progresses and Dr Martin or your physiotherapist gives the go-ahead, you may gradually transition to less supportive footwear. It is, however, always best to prioritise safety and support.
Individual Circumstances: Each patient’s recovery and needs are different. It’s important to follow the specific advice of your healthcare providers regarding footwear.
