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Post Hip Replacement Muscle Pain
9/21 14:21:39
 
Question
Hi:

I had a total hip replacement 8 weeks ago today.  Everything has gone smoothly and healing has been speedy, thanks to being very active (elyptical, spinning, swimming).  Because I had more damage to the hip socket than originally expected, my surgeon used a slightly larger titanium socket and instructed 20% weight bearing for 6 weeks on crutches.

At 6 weeks I could finally begin to sleep on my side again with minimal discomfort.  I did the normal rear end muscle tightening exercises, leg lifts, rotate the feet etc.  One week ago began to test out working out in the gym again, starting out with small increments of time.  

Since starting to work out it feels like I have an intense, very localized pain toward the back.  However, it's only in one spot, it almost feels like a charlie horse.  It does feel better after a little deep tissue massage pressing with my index finger.   Too much of a work out?

Is there an average time frame to be able to walk cane free, without looking like a toddler? (with ease)

Thanks,

Eve

Answer
Hi Eve

Trigger point massage, is wonderful.  I've had it done in the past and I was shown how to do it on my own.  So keep doing that.

I tend to err on the side of caution and after only 8 weeks, I'm a little concerned about going back to they gym so quickly.  If you have received permission to return to the gym, that's one thing, but if it were me, I'd be very careful about returning to a pre-THR schedule of exercises so early into recovery.  

As far as your socket being larger, personally I think that's a good thing.  I also have a larger socket and when larger socket is used, there is less concern for dislocation.  The larger socket should not affect your recovery.

Walking cane free depends on your recovery.  I tend to use the three month rule for walking without a cane or crutches, but again, that is very individual and depends on your recovery and stability.  Before going cane free, I would discuss your ability to walk without assistance with your doctor or physical therapist.

I know I probably sound overly cautious, but I am a big believer in giving a little extra time for healing for a very stable hip.

Best of luck to you.

Sharon

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