Section Guide For:
Hip Replacement
Who What & Why
Brief Overview
Weekly Summary Page
Daily Summary Page
Daily Journals:
Surgery + 57-70
Surgery + 50-56
Surgery + 43-49
Surgery + 42
Surgery + 41
Surgery + 40
Surgery + 39
Surgery + 38
Surgery + 37
Surgery + 36
Surgery + 35
Surgery + 34
Surgery + 33
Surgery + 32
Surgery + 31
Surgery + 30
Surgery + 29
Surgery + 28
Surgery + 27
Surgery + 26
Surgery + 25
Surgery + 24
Surgery + 23
Surgery + 22
Surgery + 21
Surgery + 20
Surgery + 19
Surgery + 18
Surgery + 17
Surgery + 16
Surgery + 15
Surgery + 14
Surgery + 13
Surgery + 12
Surgery + 11
Surgery + 10
Surgery + 9
Surgery + 8
Surgery + 7
Surgery + 6
Surgery + 5
Surgery + 4
Surgery + 3
Surgery + 2
Surgery + 1
Surgery Day
Pre-surgery
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Retirement Adventures and Photo Logs: Total Hip Replacement Recovery - daily summary
Who Why How Brief Overview Weekly Summary Daily Summary Read Journal
Pain Scale:(0)none (1-2)no problem (3-4)irritating (5-6) very distracting (7+)Stop it now
[read days 43-49 journal]
After Monday 5/15/2006 - Surgery + 43-49 Days
I am no longer keeping the summary up on a daily basis. I've started to return to a more normal life and activity level. However, I will keep a journal and post it weekly along with the weekly summary until I am able to do all that I did before.
[read day 42 journal]
Monday 5/15/2006 - Surgery + 42 Days
On the upside
Positive note
I feel better than yesterday
First Time
I walked on one of the trails in the desert at sunset. I haven't been able to do this since last August. the saguaros are all in buds. It was beautiful.
Walk
Without aid
All day today.
With cane
It is still under the bed where I left it yesterday
Pain
Mostly at night. Some aching throughout the day. Ibuprophen does the trick during the day. Last night Tylenol PM helped me sleep.
Biggest complaint
I'm still in a period of low energy.
Thoughts, tidbits and recommendations
Right now I need someone elses thoughts, tidbits and recommendations.
[read day 41 journal]
Sunday 5/14/2006 - Surgery + 41 Days
On the upside
Positive note
I feel better than yesterday
First Time
I'm totally off Percocet
Walk
Without aid
Most of the time
With cane
Some of the time when I felt I needed it.
Pain
Mostly at night. Some aching throughout the day.
Biggest complaint
Disruption of sleep at night
Thoughts, tidbits and recommendations
I thought that I was going to feel more normal by this time in recovery.
[read day 40 journal]
Saturday 5/13/2006 - Surgery + 40 Days
On the upside
Positive note
I don't feel positive at all today.
First Time
Truly being in a funk all day!
Walk
Without aid
Most of the time
With cane
Sometime
Pain
Mostly at night and it disturbs my sleep.
Biggest complaint
I'm in a fog from Percocet and lack of sleep. My last Celebrex was on Thursday and I'm didn't realize how it reduced the 'bone pain'. I need to rework my pain meds so that I feel better in recovery.
Thoughts, tidbits and recommendations
I feel like the walking dead. But this too shall pass.
[read day 39 journal]
Friday 5/12/2006 - Surgery + 39 Days
On the upside
Positive note
I had lunch with Dr Donna, a fellow hip replacement patient. She gave me some ideas regarding pain and sleeping. Also she gave the the name of a book Heal Your Hips
First Time
I didn't try anything new. I just want to feel better and do what I can now do with more energy.
Walk
Without aid
Most of the time
With cane
Still only late in the day when I have exceeded my capacity
Pain
No sharp pains, just dull aches when I first wake up and pain at night when I sleep.
Biggest complaint
I want more than I have. That is a recipe for disaster.
Thoughts, tidbits and recommendations
My biggest fear with my aches, pains and this roller coaster ride of recovery, is that this is not normal and something is really wrong. I have no reason to believe this is true and I will ask the doctor when I see him.
[read day 38 journal]
Thursday 5/11/2006 - Surgery + 38 Days
On the upside
Positive note
My range of motion is close to normal
First Time
I didn't try anything new.
Walk
Without aid
Most of the time
With cane
Only late in the day when I exceeded my capacity
Pain
Some aches, but not persistent. When Megan was testing and extending my range of motion, there was only one time that she hit my limit and my body responded with a sharp pain.
Biggest complaint
Not much to complain about today.
Thoughts, tidbits and recommendations
You can use the cane to help you, if you don't take it with you. If you walk past the point of fatigue and you don't use the cane, you will most assuredly pay for it later.
[read day 37 journal]
Wednesday 5/10/2006 - Surgery + 37 Days
On the upside
Positive note
I'm really feeling positive regarding my recovery and future..
First Time
I'm still taking it easy this week.
Walk
Without aid
Around the house and condo complex
With cane
Less and less.
Pain
Still at night when I wake up until the Percocet kicks in. I expect that I will be in this sleep and pain meds routine for another month. The pain is not decreasing with any speed and the length of time I'm sleeping uninterrupted is not increasing with any speed.
Biggest complaint
No complaining around here.
Thoughts, tidbits and recommendations
hmmmmm.... no real thoughts today
[read day 36 journal]
Tuesday 5/9/2006 - Surgery + 36 Days
On the upside
Positive note
I'm amazed. After doing spring cleaning in the bedroom yesterday I was expecting to have more pain and tightness today. I DO NOT! .
First Time
No sharp pain while extending range of motion.
Walk
Without aid
Almost everywhere. First half of my half mile walk.
With cane
Last half of my half mile walk. I carried my cane but didn't require it because of fatigue, limping or pain.
Pain
Level 0-2 most of the day. Level 2-4 when I woke up in the middle of the night. Percocet time and then slept for 4 more hours.
Biggest complaint
Just one small complaint. My incision itches.
Thoughts, tidbits and recommendations
I believe that some of the aches and pains I have felt this last week are not necessarily because of too much activity. Some are because, my 'pain awareness center' blocked out low level pain as it was communicating higher level pain. Then as the higher level pain subsided I felt constant irritation and distraction of the lower level pain as everything inside is healing. It's just my theory for the increase in the ongoing low level pain. If someone knows of or understands this, please let me know. I'm curious.
[read day 35 journal]
Monday 5/8/2006 - Surgery + 35 Days
On the upside
Positive note
After several days of low level activity I again have minimal pain.
First Time
Sit on floor, up, down, twist, turn and lift as I cleaned my bedroom and rearranged the books.
Walk
Without aid
Around the house and condo complex
With cane
Some as I fatigued. I didn't walk any distance today.
Pain
Level 0-2 most of the day. Level 1-3 in the form of a dull ache during some activity. And of course at night when I wake up. I believe that will be the last to dissipate.
Biggest complaint
Constipation after all the antibiotics. Yogurt and overall diet is helping.
Thoughts, tidbits and recommendations
Sitting in an office type chair with your feet flat on the floor, and then rotating slowly to the left as far as I can go and then to the right is an easy way to help increase my range of motion in a range that has been resulting in pain. I can control the range with better precision so that I have less pain .
[read day 34 journal]
Sunday 5/7/2006 - Surgery + 34 Days
On the upside
Positive note
I'm having a difficult time being positive today. Logically I know that I'm healing. Emotionally I feel that I will never heal, be pain free and able to hike or bike ride.
First Time
I'm going to relax again today.
Walk
Without aid
Around the house and condo complex
With cane
Everywhere else and I didn't walk very far. I remained home most of the day.
Pain
Level 1-3 most of the day in the form of deep dull aches over the entire hip area.
Biggest complaint
I generally feel down.
Thoughts, tidbits and recommendations
What I think logically and what I feel emotionally do not always coincide.
[read day 33 journal]
Saturday 5/6/2006 - Surgery + 33 Days
On the upside
Positive note
I woke up this morning in less discomfort than any day in the last 4 or 5 days.
First Time
Nothing, I relaxed today.
Walk
Without aid
Around the house and condo complex
With cane
Everywhere else. I fatigued and limped easily today.
Pain
Level 0-2 most of the day. Level 2-3 in the form of a dull ache when I walk or perform any other activity. Occasionally a sharper pain when I move out of range..
Biggest complaint
No complaining around here.
Thoughts, tidbits and recommendations
Someone needs to do a better job cleaning. It's all growing faster right now than I can keep up with it.
[read day 32 journal]
Friday 5/5/2006 - Surgery + 32 Days
On the upside
Positive note
I had a good night and woke up in less discomfort than yesterday.
First Time
Realization that my recovery will take longer and that is OK.
Walk
Without aid
I tried walking the 400 yards around the condo complex but tired half way. I cut through the middle and returned home.
With cane
Most of the day except when I was in the house.
Pain
Reduced from yesterday. There was still a dull ache deep in my butt muscles. Megan says it's my peraformis. Megan worked on the ligaments and tendons that are still tight. That increased my pain and fatigue later in the day to a level of 2-4.
Biggest complaint
Irritating pain and resulting fatigue.
Thoughts, tidbits and recommendations
I'm going to relax tomorrow.
[read day 31 journal]
Thursday 5/4/2006 - Surgery + 31 Days
On the upside
Positive note
The truth is, that I'm not feeling positive today.
First Time
I'm in more pain and discomfort than at any time in the last 3 weeks. I overexerted without realizing it. My body didn't tell me until late last night.
Walk
Without aid
Most of the day, but I didn't walk much.
With cane
Not very much today. I was still stiff from Tuesday.
Pain
Level 3-5 in some tendons and ligaments, probably from cycling on the stationary bike.
Biggest complaint
Pain is irritating, distracting and tiring.
Thoughts, tidbits and recommendations
I will increase my activity in very small limited time increments. For the time being, until my capacity extends easily, I will not rely on my body to tell me when I have reached my capacity.
[read day 30 journal]
Wednesday 5/3/2006 - Surgery + 30 Days
On the upside
Positive note
It was wonderful walking along the Rillito River last night watching the sunset.
First Time
Nothing particularly new today.
Walk
Without aid
Most of the day, but I didn't walk much.
With cane
Not very much today. I was stiff from yesterday.
Pain
The second time I woke up last night I needed 1 Percocet. The skin around my incision is still raw from the abscessed sutures. And I'm stiff an sore from all the walking I did yesterday. I must have overdone it.
Biggest complaint
The raw incision site. I tried to see the doctor today, but he was unavailable. I have an appointment tomorrow.
Thoughts, tidbits and recommendations
It is easy to over do it. My capacity and endurance have increased but are still limited.
[read day 29 journal]
Tuesday 5/2/2006 - Surgery + 29 Days
On the upside
Positive note
I fell asleep again after waking up without taking any Percocet. I just rolled over and repositioned myself.
First Time
Exerted myself enough while exercising that I sweated! This is very good! I'm raising my activity level.
Walk
Without aid
Most of the day.
With cane
1/2 and 1 mile several times today
Pain
The second time I woke up last night I needed 1 Percocet. The skin around my incision is still raw from the abscessed sutures.
Biggest complaint
The raw incision site. I will see the doctor again on Thursday.
Thoughts, tidbits and recommendations
I don't know just yet.
[read day 28 journal]
Monday 5/1/2006 - Surgery + 28 Days
On the upside
Positive note
I only used Percocet 1 time last night, but slept over 8 hours.
First Time
Walked 2 miles with my cane
Walk
Without aid
Most of the day.
With cane
2 mile walk
Pain
After I've slept for 2-3 hours my hip area aches. The first time I woke up I rolled over and fell back asleep before I took any Percocet. The second time I needed to take 1 Percocet. The site of the abscessed sutures is still raw and burns.
Biggest complaint
Continuing to be the raw incision site. I will see the doctor again on Thursday.
Thoughts, tidbits and recommendations
Over the last 8 months of inactivity my body has lost muscle mass, replaced it with fat and put on 8 pounds. I have not permitted myself to dwell on that issue until I could do something about it. It's getting to be time.
[read day 27 journal]
Sunday 4/30/2006 - Surgery + 27 Days
On the upside
Positive note
I only used Percocet 1 time last night, but slept over 8 hours.
First Time
Another new range of motion. I never realized how many movements and motions I took for granted.
Walk
Without aid
Around the house. My whole hip area feels aggravated today. It's not painful but there is a dull ache. Except for around the house I will probably use my cane all day
With cane
Mile and a half walk
Pain
After I've slept for 2-3 hours my hip area aches and I still take Percocet to go back to sleep. There is still tightness and the whole internal hip area has a low level dull ache.
Biggest complaint
The incision doesn't concern me as much today, but it still looks nasty and the surface area around it is sensitive.
Thoughts, tidbits and recommendations
Whenever (like today) I have a new pain or an increase in pain my mind thinks the worse. My mind thinks that the new pain signifies something is going wrong. The logical side of me realizes that any aspect of recovery is not in a straight line. The emotional side of me wants everything to progress in a straight line and when it doesn't, my emotions tend to follow the same line as my perceived progress. The truth is that my recovery is progressing regardless.
[read day 26 journal]
Saturday 4/29/2006 - Surgery + 26 Days
On the upside
Positive note
My temperature is normal so my body is not fighting a systemic infection.
First Time
Nothing particularly new so far today
Walk
Without aid
Everywhere except my endurance walk.
With cane
Mile and a half walk
Pain
None except after I've slept for 2-3 hours, just tightness
Biggest complaint
Same as yesterday. The incision concerns me.
Thoughts, tidbits and recommendations
I don't feel so full of thoughts today.
[read day 25 journal]
Friday 4/28/2006 - Surgery + 25 Days
On the upside
Positive note
Megan (physical therapist) has helped me reach a new range of motion!
First Time
Nothing particularly new
Walk
Without aid
All day - however I didn't go far
With cane
After my afternoon nap I used my cane every time I went outside. I feel all worn out.
Pain
Quick sharp pain only when Megan extended my range of motion a couple of times.
Tightness at times but nothing more except the tenderness that has recently occurred around the lower half of the incision.
Biggest complaint
Same as yesterday. The incision concerns me.
Thoughts, tidbits and recommendations
My body is still healing from something major. It is not back to normal regardless of what I think or write on these pages.
[read day 24 journal]
Thursday 4/27/2006 - Surgery + 24 Days
On the upside
Positive note
Doctor is not highly concerned about the change in appearance around the incision site.
First Time
Nothing new
Walk
Without aid
All day
With cane
I brought it with me everywhere, but never needed it
Pain
The pain has reduce to the extent that I'm not going to use the detail subclassifications any more. Just a summary.
Tightness at times but nothing more except the tenderness that has recently occured around the lower half of the incision.
Biggest complaint
Incision has become more red and tender.
Thoughts, tidbits and recommendations
When I sleep on my side I put a pillow between my knees. If I place it in such a way that the pillow is from my knees to and including my ankes it works best. If the pillow is not between my ankles also, then my ankles come together and torque my hip. I then wake up in pain a couple of hours later.
[read day 23 journal]
Wednesday 4/26/2006 - Surgery + 23 Days
On the upside
Positive note
I feel great!
First Time
Getting in and out of the car normally with no pain.
Walk
Without aid
Most always - about a mile+ today including a full shopping trip to Costco.
With cane
The last half of my long endurance walk.
Pain
Last night
Level 2-4 in my ankle, lower calf and hip for a few minutes after sleeping 3 hours and then again 3 hours later when the Percocet wore off.
Getting out of bed this morning
There was again tightness in my hip for a couple minutes but not pain!
Sitting
None! There is again a little discomfort when getting up after sitting stationary for a while.
Exercising or walking
Some aches and only very occasionally a pain when I twist or extend in some specific way.
Other discomfort
I don't like the way a section of my incision looks. It has gotten worse in the last 24 hours.I will have it checked out tomorrow.
Biggest complaint
None!
Thoughts, tidbits and recommendations
My increased activity level with decreased pain feels wonderful.
[read day 22 journal]
Tuesday 4/25/2006 - Surgery + 22 Days
On the upside
Positive note
I'm feeling better and more flexible every day
First Time
Cycled on the stationary bicycle for 13 minutes.
Walk
Without aid
Most always - about a mile today
With cane
Later this afternoon and early evening when I was fatigued.
Pain
Last night
2-4 for a few minutes after sleeping 3 hours and then again 3 hours later when the Percocet wore off.
Getting out of bed this morning
There was tightness for a couple minutes but not pain!
Sitting
None! There is a little discomfort when getting up after sitting stationary for a while.
Exercising or walking
Very occasionally a level 3-4 when I stretch too far or twist in a position where I'm still not flexible
Other discomfort
Getting into the car. This pain has reduced but never gone away completely unless I use an adaptive entry by going seat first and then bringing in my legs rather than inserting 1 leg first..
Biggest complaint
None! I feel so much better and I am able to be so much more active than at any time of the last 8 months that there is nothing that seems worthy of complaint.
Thoughts, tidbits and recommendations
Even though I was active prior to 8 months ago I have not been active in the last 8 months. So I believe that my recovery has not been based on prior activity, but rather the surgery technique and my current physical therapy which includes stretching, strength and retraining activities.
[read day 21 journal]
Monday 4/24/2006 - Surgery + 21 Days
On the upside
Positive note
I've learned that someone who had MIS Hip Replacement Surgery today has been following my progress on this website!
First Time
Walked a mile today - with my cane of course. But a MILE!
Walk
Without aid
Most always
With cane
1 Mile!
Pain
Last night
I think the pain at night is from staying in one position too long. when I wake up and the pain is just irritating enough to keep me awake, I take still take 1 Percocet and fall back asleep for 4 more hours. Next week I think I try using Ibuprophen only.
Getting out of bed this morning
There was tightness but not pain!
Sitting
None! There is a little pain when getting up after sitting stationary for a while.
Exercising or walking
Very occasionally a level 3-4 when I stretch too far or twist in a new position
Other discomfort
Getting in and out of the car. This pain has reduced but never gone away completely.
Biggest complaint
None!
Thoughts, tidbits and recommendations
Keeping a journal permits me to read and reflect on my progress. Without this journal, I think all of the detail of my recovery and progress would be lost in a blur.
[read day 20 journal]
Sunday 4/23/2006 - Surgery + 20 Days
On the upside
Positive note
The use of a cane permits me to walk further and enjoy it more.
First Time
Nothing new today
Walk
Without aid
Always within the condominium complex and other shorter distances or grocery shopping.
With cane
Longer distances. I carry it if I think there is a possibility I will fatigue to the point of starting to limp before I return.
Pain
Last night
The current routine now is to wake twice a night with level 3-5 pain until I take 1 Percocet.
Getting out of bed this morning
Even lower this morning. Level 1-3 for 2-3 min then totally subsiding after some movement.
Sitting
0 to 1 dull ache for the first hour in the morning. Same as yesterday.
Exercising or walking
Occasionally a level 3-4 when I stretch too far or walk too far without my cane and become fatigued.
Other discomfort
Getting in and out of the car. This pain has reduced but never gone away completely.
Biggest complaint
None
Thoughts, tidbits and recommendations
A friend suggested using castor oil on the incision site for healing. I'm using it.
[read day 19 journal]
Saturday 4/22/2006 - Surgery + 19 Days
On the upside
Positive note
I attended a GABA (Greater Arizona Bicycle Association) Club 25th Anniversary picnic today and saw many old time friends.
First Time
Nothing new today
Walk
Without aid
Always except for my one distance and endurance walk each day
With cane
Only a quarter of a mile today. My leg and hip felt fatigued
Pain
Last night
I went to sleep without pain meds. After 3-4 hours, the pain woke me up at level 4-5. I took 1 Percocet and walked and sat for 10 minutes before I fell asleep for another 3 hours. I took 3 Ibuprophen and slept for another 2 hours. This is becoming the current normal routine.
Getting out of bed this morning
The pain in the morning has continued to remain low. Level 2-5 for 2-3 min then subsiding to a dull ache after some movement.
Sitting
0 to 1 dull ache for the first hour in the morning. This also is becoming the current norm.
Exercising or walking
Level 3-4 through out the day, which is greater than it has been recently. Possibly because I've been more active for longer periods of time. Occasionally the pain increases sharply and quickly for a second when I get into or out of the car. At then end of the picnic my leg and hip were fatigued and they haven't recovered.
Other discomfort
The area around my stitch that is infected still.
Biggest complaint
Increased ache in the hip area today
Thoughts, tidbits and recommendations
I think that I over did it again.
[read day 18 journal]
Friday 4/21/2006 - Surgery + 18 Days
On the upside
Positive note
I had to run an errand and take care of business. I had some fun while I was out. This would not have been possible before the surgery
First Time
Nothing new today
Walk
Without aid
Always except for my one distance and endurance walk each day
With cane
Only a quarter of a mile today. My leg and hip felt fatigued
Pain
Last night
I went to sleep without pain meds. After 3-4 hours, the pain woke me up at level 4-5. I took 1 Percocet and walked and sat for 10 minutes before I fell asleep for another 3 hours. I took 3 Ibuprophen and slept for another 2 hours. This is becoming the current normal routine.
Getting out of bed this morning
The pain in the morning has continued to remain low. Level 2-5 for 2-3 min then subsiding to a dull ache after some movement.
Sitting
0 to 1 dull ache for the first hour in the morning. This also is becoming the current norm. No pain after that.
Exercising or walking
Level 2-3 through out the day. Occasionally the pain increases sharply and quickly for a second when I get into or out of the car.
Other discomfort
The area around my stitch that is infected
Biggest complaint
Nothing that comes to mind
Thoughts, tidbits and recommendations
If I don't have my cane with me, I can't use it. I need to remember to take it with me even if I don't think that I will need it.
[read day 17 journal]
Thursday 4/20/2006 - Surgery + 17 Days
On the upside
Positive note
My gait and walking endurance have inproved
First Time
Nothing new today
Walk
Without aid
Always except for my one distance and endurance walk each day.
With cane
800 yards which is about half of a mile.
Pain
Last night
I went to sleep without pain meds. After 3-4 hours, the pain woke me up at level 4-5. I took 1 Percocet and walked and sat for 10 minutes before I fell asleep for another 3 hours. I took 3 Ibuprophen and slept for another 2 hours.
Getting out of bed this morning
The pain in the morning has continued to remain low. Level 2-5 for 2-3 min then subsiding to a dull ache after some movement.
Sitting
0 to 1 dull ache for the first hour in the morning. No pain after that./p>
Exercising or walking
Level 2 to 3 through out the day. Occasionally the pain increases sharply and quickly for a second when I get into or out of the car.
Other discomfort
One of my stitches is infected. There is only minor discomfort as it resolves itself. Note: the doctor has seen this and is not concerned.
Biggest complaint
NO NONE NADA NOTHING
Thoughts, tidbits and recommendations
I continue to do about 25 exercises every day to increase my flexibility and range of motion.
[read day 16 journal]
Wednesday 4/19/2006 - Surgery + 16 Days
On the upside
Positive note
I'm feeling very upbeat and positive.
First Time
Jacuzzi, stationary cycle and vitamins. I'm no longer on blood the blood thinner Coumedin to prevent blood clots.
Walk
Without aid
Around the house, store and for short distances up to 75 yards.
With cane
800 yards which is about half of a mile.
Pain
Last night
After 4 hours of sleep (w/o pain meds) and then again in another 4 hours when the Percocet wore off. The pain at this stage when it comes still wakes me up, but it isn't as strong or as sharp.
Getting out of bed this morning
The pain in the morning has been subsiding. 2-5 for 2-3 min then subsiding to a dull ache after some movement.
Sitting
0 to 1 dull ache for the first hour in the morning. No pain after that./p>
Exercising or walking
2 to 3 through out the day. Occasionally the pain increases sharply and quickly for a second when I get into or out of the car.
Other discomfort
As I build my muscles from lack of use they get tired and burn for a few seconds
Biggest complaint
NO NONE NADA NOTHING
Thoughts, tidbits and recommendations
Again...the cane is very liberating. Using it permits me to walk faster, straighter, with less discomfort and for longer periods of time.
[read day 15 journal]
Tuesday 4/18/2006 - Surgery + 15 Days
On the upside
Positive note
Using the cane is more liberating than I expected
First Time
Ted Hose not required according to the doctor!
Walk
Without aid
Around the house, store and for short distances.
With cane
For longer distances outside and for 3 hours at the mall with a friend. It worked wonderfully and I enjoyed getting out with a friend.
Pain
Last night
After 4 hours of sleep (w/o pain meds) and then again in another 4 hours when the Percocet wore off. The pain at this stage when it comes still wakes me up, but it isn't as strong or as sharp.
Getting out of bed this morning
The pain in the morning has been subsiding. 2-5 for 2-3 min then subsiding to a dull ache after some movement. My thoughts are that the deep healing will eliminate that pain.
Sitting
0 to 1 dull ache occasionally.
Exercising or walking
2 to 4 through out the day - Any time the pain increased to a 4 I stopped the exercise or used my cane to walk.
Other discomfort
None
Biggest complaint
The incision itches.
Thoughts, tidbits and recommendations
The cane is very liberating. Using it permits me to walk faster, straighter, with less discomfort and for longer periods of time.
[read day 14 journal]
Monday 4/17/2006 - Surgery + 14 Days
On the upside
Positive note
Over all, I'm feeling very well, more normal.
First Time
Washed the kitchen floor.
Walk
Without aid
Around the house and around the store.
With aid
I'm now using a cane so that I can keep a keep a proper gait after my muscles fatigue. If I don't use a cane, I'm reinforcing an abnormal gait when I start compensating in my walk for the pain.
Pain
Last night
Same as last night and the night before. 5-7 after 4 hours when Tylenol PM wore off. I then took 1 Percocet, stretched, walked and then went back to sleep for 3 more hours. 1 more Percocet allowed me to sleep 3 more hours.
Getting out of bed this morning
The pain in the morning has been subsiding. 2-5 for 2-3 min then subsiding to a dull ache after some movement.
Sitting
0 to 1 dull ache.
Exercising or walking
2 to 4 through out the day - Any time the pain increased to a 4 I again stopped the exercise to give everything a rest and a chance to recover. The pain is still the greatest, for the first moments after I have been sitting.
Other discomfort
None
Biggest complaint
The incision itches.
Thoughts, tidbits and recommendations
I had let my pride get in the way of my recovery by resisting the to use a cane.
[read day 13 journal]
Sunday 4/16/2006 - Surgery + 13 Days
On the upside
Positive note
Chuck has been keeping the house picked up and doing dishes!
First Time
Nothing new.
Walk
Without aid
75 yards x 3. Rest and recuperation are again the order of the day.
With aid
Hand rails on the stairs, chucks shoulder and a walking stick as my muscles fatigued. I will get a cane tomorrow
Pain
Last night
5-7 after 4 hours when Tylenol PM wore off. I then took 1 Percocet, stretched, walked and then went back to sleep for 3 more hours. 1 more Percocet allowed me to sleep 2 more hours.
Getting out of bed this morning
3-6 for 2-3 min then subsiding to a dull ache after some movement.
Sitting
0 to 1 dull ache.
Exercising or walking
2 to 4 through out the day - Any time the pain increased to a 4 I stopped the exercise to give everything a rest and a chance to recover. Late in the day the pain increased to 4-5 when I first started walking after sitting.
Other discomfort
None
Biggest complaint
After progressing to quickly the first week, this seems slow.
Thoughts, tidbits and recommendations
Walk or exercise a little every hour.
[read day 12 journal]
Saturday 4/15/2006 - Surgery + 12 Days
On the upside
Positive note
I've been relatively pain free all day
First Time
Nothing new.
Walk
Without aid
75 yards x 3. Rest and recuperation is the order of the day.
With aid
Hand rails on the stairs, chucks shoulder and a walking stick as my muscles fatigued.
Pain
Last night
5-7 after 4 hours when Tylenol PM wore off. I then took 1 Percocet, stretched, walked and then went back to sleep for 3 more hours. 1 more Percocet allowed me to sleep 3 more hours.
Getting out of bed this morning
4-7 for 2-3 min (several areas, sharp and dull). It all diminished quickly with movement.
Sitting
0 to 2 dull ache.
Exercising or walking
2 to 4 - Any time the pain increased to a 4 I stopped the exercise to give everything a rest and a chance to recover.
Other discomfort
None
Biggest complaint
I really want to be walking and active.
Thoughts, tidbits and recommendations
Give your hip time to rest and recover.
[read day 11 journal]
Friday 4/14/2006 - Surgery + 11 Days
On the upside
Positive note
Megan, my physical therapist came today and helped me understand the increase in pain. If the pain is a normal part of healing, I can endure it. If I'm causing the pain or if the pain indicates something unusual, I want to correct it.
First time
Nothing new.
Walk
Without aid
100 yards several times though out the day and 400 yards around the outside of the condominium complex once.
With aid
None
Pain
Last night
5-7 after 4 hours when Tylenol PM wore off. I then took 1 Percocet, stretched, walked and then went back to sleep for 3 more hours.
Getting out of bed this morning
4-7 for 4-5 min (several areas, sharp and dull). It diminished quickly with movement except for the sharp pain in the center of my left buttocks.
Sitting
1 to 2 dull ache.
Exercising or walking
2 to 8 - Over all the pain is reduced from a week ago. But in specific areas that are being worked sharp pains flash through specific motions. Specifically my left ankle and outside calf, left outside thigh, left buttocks and left front groin. The pain is strongest when I first start walking, then it subsides after 10-20 steps. At the end of the walk, as those muscles fatigue, the pain increases once again.
Other discomfort
Exhausted today
Biggest complaint
I still fatigue very easily and my pain has increased.
Thoughts, tidbits and recommendations
Pay close attention to do exercises accurately.
[read day 10 journal]
Thursday 4/13/2006 - Surgery + 10 Days
On the upside
Positive note
Chuck took me to an outdoor jazz concert from 5-8pm
First time
While sitting at the concert I crossed my legs, first right over left and then left over right for awhile. And last night I slept on my stomach for a while and then on my left side for the first time.
Walk
Without aid
75-200 yards several times though out the day.
With aid
None
Pain
Last night
5-7 after 4 hours when Tylenol PM wore off. I then took 1 Percocet, stretched, walked and then went back to sleep for 3 more hours.
Getting out of bed this morning
4-7 for 4-5 min (several areas, sharp and dull). It diminished quickly with movement.
Sitting
0 to 1 dull ache.
Exercising or walking
2 to 7 - Over all the pain is reduced from a week ago. But in specific areas that are being worked sharp pains flash through specific motions. Specifically my left ankle and outside calf, left outside thigh, left buttocks and left front groin. The pain is strongest when I first start walking, then it subsides after 10-20 steps. At the end of the walk, as those muscles fatigue, the pain increases once again. That's how I know it's time to stop.
Other discomfort
None, I feel GREAT
Biggest complaint
I still fatigue easily.
Thoughts, tidbits and recommendations
I didn't understand how fortunate I was a year ago when when my physical health was better and I was more capable.
[read day 9 journal]
Wednesday 4/12/2006 - Surgery + 9 Days
On the upside
Positive note
The swelling throughout the surgery area has reduced substantially.
First time
Nothing new today.
Walk
Without aid
75-200 yards 4 times. There is a sharp pain in the buttocks as I retrain my gait.
With aid
None
Pain
Last night
5-7 after 4 hours when Tylenol PM wore off. I took 2 more Tyleno PM and that reduced the pain level to 4, but I still couldn't go back to sleep, so I iced the groin and outside of my hip. That reduced the pain to a 1 but it increased before I could go to sleep. After another 2 hours I took 1/2 Percocet and slept for 2 hours. Tonight when I wake up I'll take 1 percocet at that time even though I wake up with a headache after having taken Percocet.
Getting out of bed this morning
4-7 for 5-10 min (several areas, sharp and dull). It diminished quickly with movement.
Sitting
0 to 1 dull ache.
Exercising or walking
2 to 7 - Over all the pain is reduced from a week ago. But in specific areas that are being worked shap pains flash through specific motions. Specifically my left ankle and outside calf, left outside thigh, left buttocks and left front groin.
Other discomfort
None, I feel GREAT
Biggest complaint
Can you believe it? I don't have one again today.
Thoughts, tidbits and recommendations
This is to myself again: take it slow and steady!
[read day 8 journal]
Tuesday 4/11/2006 - Surgery + 8 Days
On the upside
Positive note
I can get in and out of bed with minimal discomfort. My flexibility is 70-80% back!
First time
I drove the car today
Walk
Without aid
75 yards x 6
With aid
Handrail on the stairs
Pain
Last night
5-7 after 6 hours when Tylenol PM wore off. I took 2 more Tyleno PM and that reduced the pain level to 3, but I finally got up.
Getting out of bed this morning
4-7 for 10-15min (several areas, sharp and dull)
Sitting
0 to 4 ache & sharp as it heals.
Exercising or walking
2 to 7 - Megan worked and stretched me hard today. Most of the time my pain level stayed between 2 to 5, but a few times it peaked for a couple of seconds at 7. Later this evening when I walked, I fatigued very easily and my pain level stayed at 6. It became a very short walk
Other discomfort
None, I feel GREAT
Biggest complaint
Can you believe it? I don't have one today.
Thoughts, tidbits and recommendations
This is to myself: don't overdue it!
[read day 7 journal]
Monday 4/10/2006 - Surgery + 7 Days
On the upside
Positive note
I feel like dressing up and leaving the house
First time
Taking a shower while standing rather than sitting!
Walk
Without aid
50 yards x 2
With aid
Handrail on the stairs
Pain
Last night
5-7 after 2-3 hours I wake up stiff
Getting out of bed this morning
7 for 5-10min
Sitting
0 to 3 dull ache
Exercising or walking
2 to 6 - When I first start exercising or walking, the pain level is higher temporarily. If I walk or exercise past the point of muscle fatigue, the pain level increases and does not decrease until I sit down.
Other discomfort
Percocet headache at night
Biggest complaint
Ankle is sore from correcting my gait and walking properly with my toes pointed forward
Thoughts, tidbits and recommendations
Hot shower relaxes the muscles and reduces the tightness and pain. Ice at night reduces the pain when it's not time for pain meds.
[read day 6 journal]
Sunday 4/9/2006 - Surgery + 6 Days
On the upside
Positive note
My spunk is returning
First time
Putting on TED HOSE by myself
Walk
Without aid
75 yards x 2 & 200 yards x 1
With aid
Hand on Chuck's shoulder for balance and support when I start to fatigue
Pain
Last night
4-5 after 2-3 hours - 1 Percoset @ 4hr
Getting out of bed this morning
6 for 5-10min
Sitting
0 to 3 dull ache
Exercising or walking -
2 to 6- When I first start exercising or walking, the pain level is higher temporarily. If I walk or exercise past the point of muscle fatigue, the pain level increases and does not decrease until I sit down.
Other discomfort
Percoset gives me a mild headache after 2 hours
Biggest complaint
I feel rather fatigued today and my buttocks itch - (dermatomes)
Thoughts, tidbits & recommendations
In the middle of the night, sitting up (at the computer for distraction) for 15 minutes reduces the pain.
[read day 5 journal]
Saturday 4/8/2006 - Surgery + 5 Days
On the upside
Positive note
I feel surprisingly comfortable most of the time.
First time
Walking outside without Chuck or walker
Walk
Without aid
75 yards x 4 times
With aid
Handrail on stairs
Pain
Last night -
5 after 4hours and then 5 again after 2 more hours. I took 1 Percoset @ 4hours and slept for 2 more hours. At 6 hours tried changing my position and then ice. The pain level subsided to a 3 but I couldn't go back to sleep so I got up. reduced to
Getting out of bed this morning
5 for 5-10min
Sitting
0 to 2 dull ache
Exercising or walking -
2 to 6 - When I first walking, the pain level is higher for a minute. If I walk or exercise past the point of muscle fatigue, the pain level increases and does not decrease until I sit down if I'm walking or do a different exercise.
Other discomfort
None
Biggest complaint
Putting on TED HOSE
Thoughts, tidbits and recommendations
Stretching before you get out of bed reduces that pain when you first get up out of bed.
[read day 4 journal]
Friday 4/7/2006 - Surgery + 4 Days
On the upside
Positive note
I feel less discomfort than I expected post surgery
First time
I can put on my own shoes and sox
Walk
Without aid
75 yards x 4 times AMAZING!!!
With aid
occasionally when stiff
Pain
Last night
4-5 after 4-6 hours - 1 Percoset @ 4hr
Getting out of bed this morning
5 for 5-10min
Sitting
0 to 2 dull ache
Exercising or walking -
2 to 5 - Greatest for a minute in the beginning or at the end if I fatigue.
Other discomfort
Very slight nausea and headache
Biggest complaint
Putting on TED HOSE
Thoughts, tidbits and recommendations
Stretching regularly reduces pain
[read day 3 journal]
Thursday 4/6/2006 - Surgery + 3 Days
On the upside
Positive note
I don't normally take naps, however now, taking a nap feels good
First time
Shower!
Walk
Without aid
30 yards
With aid
most of the time
Pain
Getting out of bed this morning
6 for 10-15min
Last night
4 @ 2-3 hours - Percoset @ 4hr
Sitting
0 to 2 dull ache
3 to 5 - Greatest for a minute in the beginning or at the end if I fatigue.
Other discomfort
Slight headache and nausea
Biggest Complaint
Constipation
Thoughts, tidbits and recommendations
Very stiff after sitting or sleeping
[read day 2 journal]
Wednesday 4/5/2006 - Surgery + 2 Days
On the upside
Positive note
I enjoy my own bed
First time
First full day home
Walk
Without aid
couple of steps
With aid
Around house and 75yards
Pain
Last night
5-6 every 2 hours
Getting out of bed this morning
6 for 15-20 min
Sitting
0 to 3 deep ache
Exercising or walking
4 to 5
Other discomfort
Nausea due to Vicoden
Biggest complaint
Putting on TED HOSE & Vicoden
Thoughts, tidbits & recommendations
2'x3' cardboard helps to reduce friction while doing exercises
[read day 1 journal]
Tuesday 4/4/2006 - Surgery + 1 Day
On the upside
Positive note
I'm amazed at what I am able to do 1 day after surgery
First time
4 Stairs
Walk
Without aid
NONE
With aid
30 yards & stairs to condo
Pain
Last night
4-5 every 2 hours
Getting out of bed this morning
1-2 - morphine still in system
Sitting
1 to 4
Exercising or walking
3 to 5
Other discomfort
Slight nausea and headache
Biggest complaint
Getting into bed 1st night home
Thoughts, tidbits & recommendations
---
[read journal of surgery day]
Monday 4/3/2006 - Surgery Day
On the upside
Positive note
I'm on the other side of surgery
First time
Walking after surgery
Walk
Without aid
From the car to the hospital
With aid
2 times across the room 3 hours after surgery
Pain
After surgery
Very little because morphine hadn't worn off
Other discomfort
Dry heaves every 2 hours after surgery. But in between time I felt OK.
Thoughts, tidbits & recommendations
---
[read pre-surgery journal]
Prior to Surgery
On the upside
Positive note
I live in a age where technology makes many miracles possible, MIS hip replacement being one of those.
Walk
Without aid
All the time. However I restricted walking because that aggravated the situation and pain was slow to go down.
With aid
None
Pain
Sitting
Minimal
Exercising or walking
Severe
At night
Ongoing
Biggest complaint
Reduction of routine activities, including hiking, backpacking, kayaking
and distance walking for pleasure.
each opens in a new window
Tidbits & Thoughts
Alternatives For Pain In Between Pain Meds: - ice the area - stretch the area - focus on something else - sit up for 15-20 minutes
My Milestones
1st Week --- Walk with walker @ 2hours Stairs @ 1day Walk 100' with walker @ 1day Walk 100' w/o walker @3days Socks & Shoes @ 3days Shower @ 4 days 2nd Week --- Walk 200' w/o walker Went out in car Shower standing Crossed legs while sitting Slept on stomach Drove car 3rd Week --- Walk up to 1/2 mile with cane Sex No Ted Hose Stationary cycle No pain meds 10pm Another new range of motion 4th Week --- Walk up to 1 mile with cane Pain level general 0-3 Stationary cycle 15 min Another new range of motion 5th Week --- Walk up to 2 miles with cane Stationary cycle 20 min Exert enough to sweat!
Small Complaints
Ted Hose Side effects of pain meds Fatigue Abscessed sutures Extending range of motion
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