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Discussion in 'The Perfect Line and Other Riding Myths' started by custmmc, Nov 3, 2007.
Best day's work you'll ever do.
I've had two THR's and go for 6 weeks doc check 8/28/17. I walked, call it a short hike back in our woods on a dirt road ~ 1 mile yesterday and walk no limp at all healthy active guy 73 yrs old. If i had a job where I stood all day, e.g. a cash register(God forbid) it would get tiresome now but the real issue job wise is leg position and activity? Squid-yer Guvment work is what? I did walker ~ 3-4 days, walking stick for anor week or so. Pain meds anterior-I say ~ 7-days, maybe 10. My doc uses 325 mg aspirin for DVT deep vein thrombosis prevention, so NSAID's are out for me. I use 625 mg tylenol to assist sleeping as there's a bit of pain from wound but mostly the muscles they "pry apart". Seems to aggravate the bursa on the side of the hip near the device insertion.
As for age 70 and a new device-exactly nobody knows that! Other than a lab test of reps these are too new to know how long they'll last.
I was released @ 6 weeks on 1st hip and much older than you. I wonder how much faster your femur will "attach to the device" than mine? Don't just walk, do the actual PT. The only thing I do at PT place aside from home twice a day is the machine where you row-we have a step machine at home. They do know when to increase reps or choice of PT which matters for a good rehab. if it cost you time and/or money for PT at least go once or so and get on a plan. my therapist told me that there are certain pain meds that are better than others, I cannot name them but wasn't the oxy combo i was on which locks you up.
For such a major surgery, it is unbelievable how easy it went. The major concern is infection. At your age, you will be up and going again in no time. It took me a year before I stopped having pain in my femur and I had mine done at 52. They told me that my hip(also Ceramic) was called "The last hip" because it would last as long as I need it. Maybe they know something I don't. lol.. Good luck, once the scar heals over and the staples or stitches are gone, it is all smooth sailing.
I'm a probation officer. Although I've been chained to a desk for over a year now due to my hip issues. I'm looking forward to being able to go back to full duty and other things I haven't been able to do for a while now. I had to give up the motorcycle a few years ago because it became too painful to sit on the saddle for more than a few minutes at a time.
I went back to a police roadking during the time my hips hurt too bad to ride the BMW GSA. I could not even sit on it anymore, but I could ride that roadking all day long. I have actually grown to where I like it, but I also have a water head gsa for those moments. lol
I have zero femur pain-either side-old or new hip. The bursa remain after the THR so they may flare up even though the hip joints not there to hurt from osteo,etc.. When my hips went bad each was unique. the 1st was spasmodic, good days, bad days for months. the 2nd hip went from partial joint closure to complete over less than a year. Best not to put off the THR as knees and lumbar suffer from the extra stress.
My surgery was a little over a week ago. My experience is unique, as I had an allergic reaction to a med that that was given to me during surgery. The reaction kept me in the hospital for an extra thee days and I'm sure its not helping with my recovery much. The reaction caused a rash all over my body, fever, high heart rate and some other stuff. The rash is clearing up but now I'm molting like a snake.
The surgery itself was a success. I had bi-lateral THR, anterior. I'm more or less off the pain meds now. I still need the walker, but I can stand on my own and kinda shuffle-walk a little. I'm getting stronger every day. I have no doubt that I'll be 100% soon.
I had my 6 weeks check out yesterday. They basics of that are an x-ray which determines that the device is in proper position at the femur, that you have a normal walking gait, the wound is properly healed and that you have no out of the ordinary pain. I do have a certain amount of pain on the side of the hip adjacent to the device which is likely bursitis and had the same thing going on with my 1st hip. I am cleared to do anything I was able to do before my THR. There is also a one year check done which I suppose to be precautionary.
I used the pain meds for ~ 5 days and only at night for sleep as they lock up yer bowels!
Squid, takes this in!:
I read an article in the U of KY healthcare magazine while waiting room bored which detailed the new back specialist they had there. The article centered on a man who had many previous back surgeries and the specialized "fix" he was given. That fix was hampered by the patients having an allergic reaction to anesthesia in surgery which they attributed to his body being "narcotic naive" based on that patients not having previously used narcotics for pain, only over the counter. Weird to my non medical mind as many of us out there don't choose to use narcotics for back pain,etc.. Either way it greatly complicated the guys surgery which restored his back via a 13" incision to point of working again. He was one year into recovery which continues-much different than the 6 week easy one for THR.
This was my first surgery and the drug they think was responsible for the allergic reaction was Cephalosporins, which was an antibiotic given to me during surgery. They also think I may be allergic to oxycodone, which they switched out to Tramidol while I was still in the hospital. They recommend I avoid the entire family of Cephalosporins in the future and/or get an allergy test. I've taken pain meds in the past when I hurt my back several years ago. I was given morphine in the hospital and was sent home with hydrocodone. I didn't have any allergic reactions then, but I only took a total of maybe 4 pills when I felt I needed them.
Right now, I've been off the pain meds for the past 3 days. I'm sore, but not to the point of being in pain. I'm getting ready to ditch the walker, as I can kinda walk without it now. One of my legs is noticeably weaker than the other, which effects my gait. I hope that issue resolves itself soon. My weak leg is still numb in the general area of the surgery, but I was told that it can take a few weeks for that to go away. I'll ask the Dr about it, if it's still a problem, when I go in for the first check-up next week.
Your doing great.
I still have a burn in the side as described above even after 7 weeks and top pain from working. I just spent 3 hours on my farm tractor this afternoon-welcome back Mike! The jobs remain after the fix. The tractor brake side is my newest THR side and the pushing and rocking around left me a bit gimpy, not a severe limp. Each of my 3 joint surgeries left me behind on chores but the reality is it beats the no fix available to my grandparents for these painful joint issues. With an anterior the wound is small but they do spread the muscles apart and thats what my top pain comes from now, so said the doc.
When I tore my shoulder apart a local doc Rx'ed me on Tramadol to help me get a nights sleep. She said it was a milder approach than a Oxycodone type of pain med. I was taking two small ones and it wouldn't get me through the night-~ 4-5 hours was all the rest I'd get.
For future reference to others that read this, my physical therapist told me that of the many choices of oxy type pills that some are more effective than others, which i now forget.
I just wanted to share my experience, to add to the breadth of knowledge. I ended up getting clots in the leg. A combination of a surgeon too busy to care and an unfounded faith in a profession (they couldn't be wrong - they are DOCTORS!) My leg feels like a 2x4. You do not want this, so, 1) have the conversation about it. 2) understand the mechanism and symptoms 3) make sure it won't happens. Everyone is different, but avoiding this complication is really effen important. One symptom is the need for pain meds beyond the normal cycle. Clots hurt. Good luck all.
Aside from the perception of a dead leg, I'm happy. It's strong, I'm pain free.
Was the post-surgery plan aimed at preventing clots? My doctor, with most patients, those who have no chronic issues that might indicate a different approach, uses aspirin to prevent clotting, which I guess is deep vein thrombosis as it's called in my instructions? I took over the counter, 325mg coated aspirin twice a day along with a "little pill" (with a weird name) that protects the stomach from the aspirin, for 6 weeks.
I'll also share this on dental work after THR: I use a university dental college @ U of KY for dental. I have asked several students and faculty, including dept heads about the after THR suggestion that you should take an antibiotic when dental cleaning or other work is planned. They said no, that people who have mouth related disease or reason for concern based on dental issues are the only ones to hold a concern. Given my lack of those problems I have proceeded with annual cleanings & other work as needed, no antibiotic. Seems the ortho docs are covering all THR patients with a blanket policy rather than risk the lawyers?
I know a few docs and related to a surgeon and each one of them is 100% human. While I respect their knowledge I take every bit of it with a dose of reality thrown in. Thanks God for WebMD!, etc..
Any relation to the "other cal from AL,CA) on ADV?
I had a top notch doc and his SOP is high end thinners for a couple of weeks afterward.
Glad I stumbled into this thread, I was wondering about the reality of motorcycle life after THR having recently undergone the procedure on my right hip on 18th Oct 2017. The OS has augmented me with an uncemented ceramic on ceramic (Biomet), he is advising I stay on elbow crutches for the first 4 weeks to allow bone growth to secure the prosthetic prior to full weight bearing (I’m guessing because I’m fairly robustly built at 6’3 & 275 pounds?).
I’m resisting the urge to target a mental timeframe in which to return to riding my KTM 1090R, I think the OS and my body will dictate the if and when. I’m just praying I’ll eventually have the requisite mobility in my right (operated) leg to safely mount and dismount at some point in the future. If not, I guess I will just have to re-evaluate my options accordingly....
Dude, I've had THREE THRs - both sides and one revised - and I ride my 950 SM daily.
My 525 EXC gets thrashed when I have the time.
I'm not really aware of the implants. You'll be fine.
BTW, after my first one I was riding three weeks post op. Probably a bit ambitious, but there you are.
Hard to comment on another persons body, especially as I'm non medical. I went to google school for my med degree. If your a fairly robust 275 that means overweight, I suspect you had a posterior THR? If so, the PT period is going to be longer than my anterior experience with both hips. As for full weight bearing-my doc has you climb up and down a flight of stairs and walk hallways in hospital that day or next before your cleared to leave.
maybe best described as what you should be doing rather than can be doing in my experience. Driving for an e.g., I could easily drive from the beginning but not advised. My scooter would have been easier yet than driving as the "getting on" is easier than the "getting in".
With both hips there seemed to be some bursitis pain aroused by the THR but what do I know? The arthritis related pain is removed once the THR takes place.
My THR was July 11, 2017. September I worked on farm, in shop no issues. In October I've done strenuous day hikes of 6-9 miles each. The 9 miles my most recent hip had some pain but was possibly tied in with many miles of driving just prior. Went away a day later. Early October i did a 3 day 1,050 mile MC trip all on mountain roads, no issues.
Like Doctor_big, I cannot tell the THR is in there with one possible exception. The stretch required to put on that sides shoe/boot/tie the lace takes some time to gain the full stretch to make it as easy as a completely healed side. probably tied in with those muscles they pry around on and my age of near 74.
I have a neighbor my exact same age, her husband says she sits in the car at the grocery as to damned stubborn to use the Walmart elec scoot. Marked contrast with me who is a fairly normal guy IMO that rides MC's, scoots, hikes and does tractor jockey duty. "She and he" are both in need of knee replacements but won't do the surgery. Neither of them will lose the weight that would help them. What they do is complain, remain inactive and go to the doc and get cortisone injections, go figure...
Edit to post # 692 above: On my Dental School visit the faculty doc overseeing my new student dentist decided I need 5 antibiotic pills before he cleaned my teeth. They had called my ortho surgeons office to arrive at that decision. I dislike pill adventures, especially antibiotics if not needed but went along, no issues.
Listen to your doctors as you heal, avoid doing more because you feel like you can do it. Overall it is a short time you'll be off the bike. Should you injure/ F, Up the implant before it is fully seated you will be starting over. Ive had both hips done now and I took a break from riding for about 4 months both times as that was when I felt strong enough. Having a revision is not what you want to go through.
At the 6 weeks checkout and after the xray, the doc said I could do ANYTHING (I had a written list and he reaffirmed-ANYTHING! that I wanted to do that matched my limits. logical before the THR. Thus you don't start something that was say too heavy for you beforehand to lift or perform.
Thanks for the feedback. My THR procedure was conducted via a lateral incision, not posterior, as part of a rapid recovery program. I usually ride / commute year round but that will obviously not be an option. My plan will be to hold off until circa spring 2018 and go from there, missing the worst of winter weather and (hopefully) giving ample recovery time. Whilst the whole THR process has gone well so far, I have no desire to revisit this experience via revision if it can be avoided. That said, I know my other ‘good’ hip will also need the same treatment at some point. The Mrs has a step through Vespa 300 scooter, so I also have the option of using that as appropriate.
Again, I'm a non medical guy but in the USA they call the frontal approach done only on a Hass Table, the anterior wound is ~ 5" long) and the side of the hip is called Posterior with wound ~ 8-9". The anterior wound is skin only no muscles as with posterior thus the big muscle groups are not part of the healing and PT challenge. Lots of discussion and medical studies on both of them. FWIW, people come from all over the world for the doc I used.
My USA Medicare which I pay a bit over $100 USD per month for (I guess as I don't see the bill, result was me paying out of pocket a couple hundred dollars of deductible for a near $50,000 surgery.