May 5, 2008
I’m 38 and I have just had both hips resurfaced (I am 6 days post the second
op, the first was done 13 days ago). I am worried that the flexion contractures
I had pre-operatively will stay, as when I try to lie flat on my back, it
quickly becomes very painful in the groin. Should I be panicking, or is this
something that will gradually improve with physiotherapy and stretches? I
absolutely am unable to sleep at the moment without something elevating my
May 6, 2008
I guess I should do stretches as I feel capable, and for sleeping, at this
point the main thing is to be comfortable enough to do so. My husband rushed out
and bought a thick woolen mattress topper yesterday, and last night was easier
than the night before so that’s something (cash flow is an issue at the moment
but later on we’ll be able to buy a new mattress of the right sort)… Today
I’ve decided to do 10 minute periods of lying flat at intervals, and I am doing
some extension exercises as part of my physio anyway. Also when I see the
physios next Tuesday I hope they will come up with some other suggestions (the
surgeon has already suggested half hour periods of lying on my front, but I will
only start that once I am confident I can move myself about that much as my
husband has had to go back to work now!).
I suppose I worry about retaining the flexion contractures because a) I want
everything to be perfect! and b) in my teens I first developed lower back
problems and I now realise that was when the contractures were forming, and they
caused my posture to change, hence causing muscle spasm in the lower back. I’d
like to get back “normal” posture, but as Pat said, it’s not going to happen
overnight if I’ve been compensating for rotten hips for most of my life!
At least every new day I can see and feel a palpable difference in my mobility.
It was really challenging having both hips done 1 week apart but my surgeon says
that if it can be done that way, the rehab gets the most out of both new hips.
He says that if you get one done and you still have a bad other hip, you can’t
get the most out of the new one due to the restrictions of the other one that
hasn’t been resurfaced yet. But it was still VERY scary going in the second time
(I found out afterwards from his PA that a lot of people run (well, limp) for
the hills and postpone the 2nd surgery!). It also sounds like from reading this
site that my hips were a lot worse than a lot of US surgeons would tackle – I
had bone cysts galore – but on the really bad side, Roger grafted some bone from
the acetabulum to help with fixation of the head component.
By the way, I was surprised to see that my surgeon, Dr Roger Oakeshott (Sportsmed
SA, South Australia) isn’t on your list here – he practically pioneered the
resurfacing procedure here in Australia and has a fantastic reputation. He also
was part of the team that developed the computer software that apparently can
get the implant alignment within half a degree of the original. I am certain he
has done more than a few hundred resurfacings, and he has an excellent
reputation here in Australia. So I think it would be worth checking him out!