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Anybody rolling with hip replacements?

2 year(s) ago • 7969 views • 148 replies

Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
No judo for me. My back can't handle that. But now that I've started getting hip work done it's got me wondering if my back issues weren't caused or at least amplified by my hip problems. The more I think about how I've felt for the last 20 years the more I think my hips have been causing problems for most of that time.

I'm an engineer. Luckily that allows me to spend my time doing whatever I'm able to do at the moment. I've got several projects going on that allow me to sit or stand as needed. About the only thing I'm not comfortable doing it heavy lifting. I run one test program on some of the equipment we built that requires me to move equipment that weighs 56 lbs in and out of an environmental chamber. They usually come in batches of 4, so I'd just grab one in each hand and knock that out in two trips. Not right now. I don't even feel good moving one at a time. Luckily I've got a few minions to help me out with that while I recover. My current boss is the best manager I've ever worked for and is very accommodating. Honestly, I could have come back to work last week and been OK. But being at home was much more comfortable.

I was able to lay on my right side most of the night last night. Best night's sleep I've had in a long time and should be getting better.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
I had my first post op follow up with the surgeon yesterday afternoon. He said everything was looking good and there was no need for more physical therapy. I'm cleared to start working in added activity as comfort allows and he said I was doing well enough that he was willing to move up surgery on the other side from early July to mid May if we can find a date that works for us, so that makes me happy.

About the only soreness I have left is in my hip flexor and quad. I asked him about that and he said they would hurt for a while because of the strength of those muscles and how tight they were due to my reduced range of motion before surgery. I will be doing all I can on the right side to make sure it's as loose as I can get it. I worked on the left side before this surgery, but the joint was in such bad shape that I really couldn't do much with it. The right side isn't as bad, so hopefully I'll have better luck.

They gave me an app for my phone to track my progress. Right now I'm averaging walking about 6400 steps per day compared to 2100 average for my peer group, so I guess I'm overachieving there. There has definitely been big improvement, particularly over the last week.

If I'm able to move the surgery on the other hip up to mid May it should put me in position to be back on the mats in fall. I've been hitting the weights on upper body pretty hard the last 2 weeks. I'm the "wow, you're strong" guy at my gym and I'm hoping to increase all of my lifts by 50% before I get back. There's no substitute for horsepower.
Bobby McMasters
Bobby McMasters
Black belt 1st degreeVerified1276 forum posts13440/1000
1 year(s) ago
I had my first post op follow up with the surgeon yesterday afternoon. He said everything was looking good and there was no need for more physical therapy.
No more physical therapy after just 1 month?! Why didn't I get a new hip years ago instead of just sucking it up and limping around for a full decade? WTF?!

Awesome news for you though!
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
No more physical therapy after just 1 month?! Why didn't I get a new hip years ago instead of just sucking it up and limping around for a full decade? WTF?! Awesome news for you though!
Actually, it was 2 weeks. I haven't seen a physical therapist since March 7th and I really didn't need them then. I still have exercises to do at home, but I don't have appointments to go to. I should have been more clear about that. He also said that my case was atypical and attributed my quick recovery to being in good shape and having abnormally strong leg muscles prior to surgery. He said he couldn't remember a time he had to work so hard on a hip and the level of exertion had him sweating during surgery. The flip side is that they were more damaged during the surgery as I said above. I think the key to having a short run with the therapist is doing what you're supposed to do on your own and showing that you are committed more than anyone to your own recovery.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
No significant milestones to report, but things are continuing to improve. My left hip (the one I had replaced) is now feeling well enough that I'm doing enough things to make my right hip and knees hurt. Oh joy. Did some farmer's walks with 175 lbs for about 200 feet the other day and it felt solid. I mentioned in an earlier update that I run a test program at work that requires moving 56 lb equipment in and out of a test chamber. I did that for the first time on Friday and it was no issue. I've still got some occasional soreness in my left quad and hip flexor and numbness in the area. I'm told that is normal, but it seems odd after more than a month.

My flexibility is really the only thing that still gets in the way of normal activity, although that is rapidly getting better. I'm not sure exactly when it happened, but at some point I became able to put my socks on without the sock installation tool that came in the recovery kit. That was a big step. Speaking of steps, I'm averaging about 8500 steps of walking per day which is over three times my peer average at this point of my recovery. I've had a few days over 9000 and one day over 10000.

I am consistently able to sleep on my right side again, so I'm feeling much better rested the last week or so. Twice in the last week I've waken up in the night laying on my left side and in minor pain. Hopefully that will get better quickly and I'll be able to lay on that side regularly.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
Part of my home PT routine right now is body weight squats. I do 12 of them 3 times per day. I can't squat very deeply due to reduced flexibility. That will be an issue until I get the other hip fixed next month. But I can tell already that I can squat deeper than I could before. I'm hopeful that getting the second hip done will get me back to being able to squat. Whether or not I actually will do squats will depend on my knees and back. At this point my balance is also still a little suspect, so I'm hesitant to try any weight. I've seen some belt squat attachments we can put on our rack at home and am considering getting one. I haven't really squatted since high school and haven't missed it. Don't know if I'll get back into it or not.

I did the farmer's walk with a trap bar, which I had setup like a rack pull since I can't get low enough to do a normal dead lift. The rack pull was a piece of cake. I've never really dead lifted, but am curious to know what I'll be able to do.

Now that I think of it, I really haven't done any weight training since high school until the last month. I've just done 15-20 minutes on a Bowflex 4-5 times per week for the last several years. A week after surgery I started going back to the gym and doing careful upper body workouts while BJJ is going on. That's felt really good as I've eased into it. Started off really light and still working my way up in weight to see what's comfortable.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
Had my 7 week follow up with the doctor yesterday. Everything is still going well; just keep doing the exercises as directed. He also did the preop exam for my second hip that I'm getting done on May 13th, so we're good to go for that. Really no other updates, but day to day activities do seem to be getting easier even though they haven't been problematic.

An interesting thing happened over the last week or two. I've stopped missing BJJ. I mentioned it to my wife and she said she had the same thing happen. (She hasn't trained since my surgery) If I get used to this business of not hurting in random places all the time I may opt to not get back on the mats. I can't believe I feel that way. We'll see what happens.
Bobby McMasters
Bobby McMasters
Black belt 1st degreeVerified1276 forum posts13440/1000
1 year(s) ago
Just had my pre-op appointment today. Seems super easy compared to the shoulder.

The surgeon said I'll be able to pretty much do whatever I want after about 6 weeks... except two things... long distance running and, you guessed it: grappling. Lol.

In any case, surgery's scheduled for the end of the month. Looking forward to getting it over with.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
My surgeon basically said the same thing. I'm at 10 weeks on the left side and getting the right side done next week. If I decide going back to the mats is what I want to do I'm shooting for September or October for that, but will probably try to start some movement drills in July or August.

Regarding the "pretty much whatever I want" part of the statement, I think surgeons gear that statement towards normal people that aren't as active as most grapplers. There are still a lot of things I'm not comfortable doing because my leg just doesn't feel as strong as it did before. When people have asked me how my recovery is going I generally tell them that I'm over 90% recovered in day to day activities and maybe 60% of full capability. I have no real issues with every day things and that hasn't changed in the last month or so. I think that's what the surgeons mean when they say whatever you want.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
Did surgery number 2 yesterday. To be honest, if my first one had gone this way I would not have done the second one. It was horrible. I was scheduled for 11:00am check in and 1:00PM surgery. No food after midnight the night before, so I was starving when we started. They finally wheeled me back about 1:30. This surgery usually takes about an hour. My first one took 2 hours and this one took 3 hours. I woke up about 5 or 5:30. They asked me what my pain level was and I told them a 10. I was wrong. I think I ended up at a 15 or 16 before they did anything. The muscles in my leg were extremely traumatized. I have never in my life been in that much pain. It was time for a shift change, so none of the nurses there would give me anything because they had to stay 30 minutes after they give their last medication and nobody wanted to stay late. It took those assholes until 9:00 to give me anything for the pain. By then the kitchen was closed and I couldn't get anything to eat. My wife was scared to leave me there, so she couldn't go get me anything. I ended up going almost two full days without eating. They sent me home today and things are much better, but last night was the most horrible 3-4 hours of my life.
R. David Gonzalez
R. David Gonzalez
Black belt 4th degreeVerified4799 forum posts35020/1000
1 year(s) ago
Did surgery number 2 yesterday. To be honest, if my first one had gone this way I would not have done the second one. It was horrible. I was scheduled for 11:00am check in and 1:00PM surgery. No food after midnight the night before, so I was starving when we started. They finally wheeled me back about 1:30. This surgery usually takes about an hour. My first one took 2 hours and this one took 3 hours. I woke up about 5 or 5:30. They asked me what my pain level was and I told them a 10. I was wrong. I think I ended up at a 15 or 16 before they did anything. The muscles in my leg were extremely traumatized. I have never in my life been in that much pain. It was time for a shift change, so none of the nurses there would give me anything because they had to stay 30 minutes after they give their last medication and nobody wanted to stay late. It took those assholes until 9:00 to give me anything for the pain. By then the kitchen was closed and I couldn't get anything to eat. My wife was scared to leave me there, so she couldn't go get me anything. I ended up going almost two full days without eating. They sent me home today and things are much better, but last night was the most horrible 3-4 hours of my life.
That is terrible.
Hope you have a good recovery.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
I had my first home PT session and nursing visit yesterday. No real revelations at either. I did about the same on the PT tests as I did on the last one. I'm still trying to decide how I'm doing compared with last time. I'm not sleeping well, so there's been basically no recovery from the exhaustion I had when I got home.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
One week update on the second surgery. I've had two home PT visits and two home health visits. Both of them are very helpful and supportive. I'm still in significant pain, but it's bearable. My wife asks me multiple times per day what my level is and writes it down just like she did for the last surgery. I'm still trying to figure out how I'm doing compared to before. Wife says I'm telling her the same pain levels I was telling her on the first surgery, but after the few hours following this surgery I'm not sure my 1-10 scale is still calibrated the same way. I may be telling her 2 or 3, but the same pain before may have been a 5 or 6.

Swelling continues to increase in my leg. I asked the nurse about it when she was here today and she said it usually hit its peak about 6-10 days after surgery. My leg is huge. I doubt I could put on a pair of pants because of the swelling.

The first few days I was able to match what I had done on the previous leg as far as recovery exercises. This basically means taking the same number of steps and getting through my PT exercises assigned to me. I'm doing OK on the exercises, but the steps are hard. Last time I was walking about 5k steps per day at this point. Now I'm struggling to get 3k. Part of that is likely due to still being on a walker. It slows me down a lot. At this point last time I was on a cane and really didn't need it. I have been trying to use the cane this time, but it's hit of miss. Sometimes it feels OK and sometimes it's a hard no-go.

Unless something miraculous happens in the next few days I'm not going to be able to go back to work next week as planned.
Bobby McMasters
Bobby McMasters
Black belt 1st degreeVerified1276 forum posts13440/1000
1 year(s) ago
Why are you not able to use a cane as much? Is it a balance thing? Is it more painful?

My surgery is coming up in just under a week, and they're telling me I'll be in a walker for a while, but I don't understand why I couldn't use crutches or a cane instead.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
Why are you not able to use a cane as much? Is it a balance thing? Is it more painful? My surgery is coming up in just under a week, and they're telling me I'll be in a walker for a while, but I don't understand why I couldn't use crutches or a cane instead.
I think it's a combination of things. First is strength in the surgical leg. It's just not there. Second is that there is a disconnect between my brain and what my surgical leg does. It's not a huge thing, just a recalibration that has to happen. This manifests itself in balance problems and a general feeling of uncertainty about what the leg can and can't do at this point. Another thing that I have not specifically noticed making a difference is that my previously operated on leg was my weak leg before and is not able to help my currently operated leg as much as my good leg was able to help after the previous surgery. Lastly, since my right leg was operated on I need to use the cane in my left hand. I'm right handed and sometimes the cane just feels awkward to use in my left hand. The last two days I've worked really hard on finalizing my transition to the cane and am doing much better, but still not where I need to be. Fatigue is a significant issue as well. I get tired really quickly, and the transition from doing well to needing a break occurs very quickly.
Douglas Gray
Douglas Gray
Black belt 2nd degreeVerified7 forum posts1915/1000
1 year(s) ago
Had a full hip replacement yesterday evening and am eager for any useful information or short cuts.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
Had a full hip replacement yesterday evening and am eager for any useful information or short cuts.
I strongly discourage shortcuts. Your best bet is a serious discussion with your surgeon about paths to recovery. You will know a lot more about how things are going at your first follow up. My initial follow ups were/will be 3 weeks after surgery. At that point I was able to show the surgeon how seriously I was taking the recovery process and I believe it made him more comfortable in allowing me a little latitude in things I was doing to improve.

I know I was often tempted on good days to do more than I should, which if I wasn't careful would lead to not being able to do what I was supposed to do the next day. For example, I'm just under two weeks out from my second surgery which did not go well and the recovery has not been as quick. I had worked my way up to about 4,000 steps per day by Friday (two days ago). But my wife and I have a Memorial Day tradition at the cemetery that I insisted we follow through with this year, pain be damned. Even being careful to minimize my steps prior to and at the cemetery I still ended up doing over 7,000 steps, much of it on less than ideal surfaces. I'm still paying for that today, and probably tomorrow as well. I made the choice and I'd do it again, but be aware of what overdoing it might mean for you.

My surgeon put me on an app that gives me exercises every week that I'm supposed to do 3 times daily. They are usually pretty easy, so I up the reps or sets until it becomes a challenge. I feel like I've made significant progress by doing so instead of just doing the bare minimum.

If you are going to have the other hip done in the not too distant future I recommend doing the physical therapy on that leg as well so it will already know how to do them when the time comes. I did that while rehabbing my first hip 3 months ago and I believe it made PT on the second leg much easier to do.

I wish there was a magic pill, but there isn't. Listen to your surgeon and listen to your body. It will take some time to figure out how hard you can push without being counterproductive, but I think finding that out is key to recovery.
Douglas Gray
Douglas Gray
Black belt 2nd degreeVerified7 forum posts1915/1000
1 year(s) ago
Back home and the rehab is kicking my ass. Don't worry fella im gonna try and control my stupid. Play stupid games and win stupid prizes right? The basic stuff to get functional and back on your feet is generic. I am just looking for a more sport specific pathway.
Bobby McMasters
Bobby McMasters
Black belt 1st degreeVerified1276 forum posts13440/1000
1 year(s) ago
Just got my last sets of squats/deadlifts for a few weeks. Looking forward to getting this thing over with tomorrow!

There are so many restrictions on what you can/should/can't/shouldn't consume/do leading up to the surgery, I really hope I didn't jack it up.

Got bit by an ant on Saturday. Hope they don't turn me away because of that for whatever reason.

These are the things I'm most worried about...
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
Just got my last sets of squats/deadlifts for a few weeks. Looking forward to getting this thing over with tomorrow! There are so many restrictions on what you can/should/can't/shouldn't consume/do leading up to the surgery, I really hope I didn't jack it up. Got bit by an ant on Saturday. Hope they don't turn me away because of that for whatever reason. These are the things I'm most worried about...
I had some of the same concerns. They ask you so many times about new symptoms, fever, and other things that it almost seems like they're searching for a reason to turn you away. Both times I was thinking I would either cough or my temperature would be 98.7 and they'd send me home.

I don't really remember that many explicitly stated restrictions. It was don't do anything uncomfortable, don't turn your toe outward, don't let your knee go behind your hip, and don't cross your feet for me.
Douglas Gray
Douglas Gray
Black belt 2nd degreeVerified7 forum posts1915/1000
1 year(s) ago
I strongly discourage shortcuts. Your best bet is a serious discussion with your surgeon about paths to recovery. You will know a lot more about how things are going at your first follow up. My initial follow ups were/will be 3 weeks after surgery. At that point I was able to show the surgeon how seriously I was taking the recovery process and I believe it made him more comfortable in allowing me a little latitude in things I was doing to improve. I know I was often tempted on good days to do more than I should, which if I wasn't careful would lead to not being able to do what I was supposed to do the next day. For example, I'm just under two weeks out from my second surgery which did not go well and the recovery has not been as quick. I had worked my way up to about 4,000 steps per day by Friday (two days ago). But my wife and I have a Memorial Day tradition at the cemetery that I insisted we follow through with this year, pain be damned. Even being careful to minimize my steps prior to and at the cemetery I still ended up doing over 7,000 steps, much of it on less than ideal surfaces. I'm still paying for that today, and probably tomorrow as well. I made the choice and I'd do it again, but be aware of what overdoing it might mean for you. My surgeon put me on an app that gives me exercises every week that I'm supposed to do 3 times daily. They are usually pretty easy, so I up the reps or sets until it becomes a challenge. I feel like I've made significant progress by doing so instead of just doing the bare minimum. If you are going to have the other hip done in the not too distant future I recommend doing the physical therapy on that leg as well so it will already know how to do them when the time comes. I did that while rehabbing my first hip 3 months ago and I believe it made PT on the second leg much easier to do. I wish there was a magic pill, but there isn't. Listen to your surgeon and listen to your body. It will take some time to figure out how hard you can push without being counterproductive, but I think finding that out is key to recovery.
Ha just worked out how to send a reply! The op was Saturday and I am starting to feel better. Just doing the recommended 3 times a day but sleeping better and feeling stronger. Did 1 upper body Tshirt muscle exercise (3 sets ) for the first time after each rehab round today. My physio said it was fine ( definitely no legs ). Think that's made me feel better too. Going out for a walk tomorrow. I have been on just ibuprofen and paracetamol since I left the hospital. They gave me opiates "if you really need them " but I have been good. Great to hear everyone's experiences on here.
Bobby McMasters
Bobby McMasters
Black belt 1st degreeVerified1276 forum posts13440/1000
1 year(s) ago
Just got back from the outpatient surgery center about 5 hours ago. This is my 4th surgery I've had on one of my joints, and it's by far the most painful.

They gave me pretty much everything they could, or so they say, before they helped me get in the car and my wife drove me home.

My pain has decreased a notch, but life kind of sucks right now. :(
Bobby McMasters
Bobby McMasters
Black belt 1st degreeVerified1276 forum posts13440/1000
1 year(s) ago
Maybe it was the meds, maybe it was just a little time, but in any case the pain decreased quite a bit and now I can be a little more comfortable.

I haven't seen a PT yet, but I will on Monday.

Felt so good to walk, and I got 8k+ steps in today, not even 24 hours out of surgery! It feels better to walk with a cane as opposed to a walker, so that's what I'm doing.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
It's funny how much variance there is from one experience to the next. Everybody I've talked to has said the hip was the easiest and a shoulder is the worst.

I don't remember if I mentioned this above or not, but on my first surgery I was in significant, but manageable, pain right after surgery and some time during the night it just went away. It was like my body accepted the change and moved on. No such luck on this one.

Your steps are way better than mine. It took me a few weeks to get to 8k steps after surgery. I don't know if it's the difference or not, but before my first one I was barely walking before surgery; maybe averaging 3k steps per day. The surgeon gave me an app to track my progress and it has always showed me getting 3-4 times the steps of my peer group at the same point in recovery. I have had a few days where I overdid it and paid for it for a few days afterward, but overall I think what I've done has been pretty normal.

I hated the walker. Within a day or two of my first one I didn't need it any more. On the second one I needed if for almost two weeks, and then the transition to a cane took a few days. Now I'm starting to go without the cane when I'm just walking around the house, but I'm still far more comfortable with it than without it.

In other news, I got my clearance to go back to work on Monday. That will be three weeks since surgery instead of the two weeks I had before. And I'm still not certain I'm doing as well now as I was then.
Bobby McMasters
Bobby McMasters
Black belt 1st degreeVerified1276 forum posts13440/1000
1 year(s) ago
I don't know if it's the difference or not, but before my first one I was barely walking before surgery; maybe averaging 3k steps per day.
Honestly, I think that's a really good point. My hip was "good enough" that I could walk for miles. I probably averaged something like 11k steps a day, prior to surgery. I will admit I feel kinda worn out today, so maybe 8k+ steps in a day doesn't need to be an everyday goal.

I really hate the walker as well. It's really horrible trying to navigate around the house and all the uneven terrain outside.

I continue to be amazed by my ability level so soon after surgery, considering they cut out a fairly centralized joint, a major joint, and then just glued and sewed me back up and somehow it supports all my weight.
Joe Cavett
Joe CavettOP
Purple beltVerified446 forum posts4080/400
1 year(s) ago
I think a lot about what it was like before surgery and how I got here. In 2021 we went to AirVenture at Oshkosk (world's largest airshow) and I probably walked 20k steps every day with no issues. We didn't take a trip in 2022. In 2023 we went to the Reno Air Races and didn't walk as much as Oshkosh, but probably not far from it. The first time I remember having hip issues was on that trip and within a few months I was at the doctor and things steadily declined for a year before I could do anything about it. Probably waited too long, but I had other priorities. Actually, there's no probably about it. If I could have done it a year earlier I would have.

When it gets right down to it, the hip joint itself isn't that complex. There's no tissue disconnection/reconnection in the procedure and gravity does a pretty good job of keeping things together during the initial recovery. Most other joints are not naturally stable and need a lot more help staying together.
Douglas Gray
Douglas Gray
Black belt 2nd degreeVerified7 forum posts1915/1000
1 year(s) ago
Honestly, I think that's a really good point. My hip was "good enough" that I could walk for miles. I probably averaged something like 11k steps a day, prior to surgery. I will admit I feel kinda worn out today, so maybe 8k+ steps in a day doesn't need to be an everyday goal. I really hate the walker as well. It's really horrible trying to navigate around the house and all the uneven terrain outside. I continue to be amazed by my ability level so soon after surgery, considering they cut out a fairly centralized joint, a major joint, and then just glued and sewed me back up and somehow it supports all my weight.
I am doing about 8000 steps a day now but it took me a week post op to get here. Never really used the walker other than the day of. I am walking without assistance for small distances at home but am still using both crutches in the real world. I was doing a fair amount of walking and "prehab" before surgery.

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