Doctor insights on:
Acute Pain In Groin Area After Hip Replacement Surgery
I've never tried fentanyl patches will they help with my groin pains from the to hip replacement surgery less than 6 months apart?
Are they prescribed?: If they have been just prescribed by your doctor they can certainly help with pain especially moderate to severe chronic pain. If they were prescribed a long time ago or you just got them from another source DO NOT use them. Any narcotic carries a serious risk of overdose and death, and this has been very common with fentanyl patches. The dose needs to be verified and approved by your doctor. ...Read more
Total hip replacement: surgery in which the diseased ball and socket of the hip joint are completely removed and replaced with artificial materials. A metal ball with a stem (a prosthesis) is inserted into the femur (thigh bone) and an artificial plastic cup socket is placed in the acetabulum (a "cup-shaped" ...Read more
After partial hip replacement surgery mother developed small hard lump in her groin. Surgeon doesn't think it has bearing on surgery. What can it be?
Let me explain:
The complications from hip surgery is not common, since the surgeon said not related to the surgery, I have to believe him.
Many other things could be the problem for example, hernia in that area, enlarge lymph node are the most common.
How long since she have the surgery?
It is very hard to make other comment without seeing the patient. ...Read more
I'm still getting acute pain in my groin 2 years after a hip replacement. What could it be? Thank you
Wear and Loosening: X-rays are performed for follow up after joint replacement to evaluate for wear of the components or evidence of loosening. Oftentimes, an x-ray is obtained immediately or soon after surgery to document the initial position for comparison with later follow up x-rays. ...Read more
Sleeping & sitting: It depends on the timing after surgery. Also the type of surgical approach that was used. If you are at least 6 weeks out from surgery you should be able to sit or sleep in any position that you desire. If you are in the immediate post op period, that is less than 6 weeks, these positions would be determined by the surgical approach. You should talk with your surgeon to determine the approach. ...Read more
How could you know if you have dislocated your prosthetic hip joint after hip replacement surgery?
6-12 weeks: Most people an start doing gentle swings at 6 weeks and progress to a full round at 12 weeks. ...Read more
6-12 weeks: Most patients will feel fatigue for for 1-3 months after a hip replacement surgery. This is related to the anesthesia, blood loss, and rehabilitation after the surgery. This will gradually disappear as your activity level returns to normal. It can be affected by age, preoperative activity level, and other health conditions. Walking, exercise, and good nutrition will help. ...Read more
Hip replacement: Avoid tight, rubbing, unclean underwear and pants. ...Read more
Patience: It depends on what is wrong. Most likely there was a traction injury to the sciatic nerve. It will typically recover in time. It may take a long time, but wait at least 6 weeks from the day of surgery then if there has been no improvement get and EMG (nerve conduction study) of your leg. ...Read more
NOT PREVENTABLE: Sometimes exercise helps to decrease scar tissue. ...Read more
Excellent: When arthritis or other problem leads to deterioration of the hip, pain is interfering with activities of daily living, and conservative care isn't working, then a hip replacement is a good surgical option. It can be done from the front or back and 95% do well. Risks include infection, instability, limb length discrepancy, nerve damage, and blood clots, but these are infrequent (<5%). Most do well. ...Read more
After hip replacement surgery, I am suffering pain in my lower back, legs, and feet. I didn't have these problems before surgery. What is going on?
Leg length change?: Often, after hip replacement, one leg is left shorter than the other. This changes your gait causing all the symptoms you mentioned: chronic low back pain, foot & leg pain.Surgery could also have caused other problem like pubic shear which needs to be realigned. A good osteopathic eval. Might pinpoint the problem. Answer could be as simple as a heel lift or osteopathic manipulation. ...Read more
How soon after hip replacement can I have another surgery like liposuction? I can't have the lipo first due to emergency hip replace needed
6 months: At least 6 months. The person you want to ask that question is the orthopedic surgeon doing the hip replacement. He/she should make the call. Also, the ortho doc will probably cover you with antibiotics to prevent infection of the hip replacement. Also make sure the liposuction doc knows about the hip replacement. ...Read more
What do you suggest if my nana is having hip replacement surgery. What can she expect before and after?
Expectations: Before surgery, the goal is to optimize hip strength and ROM and also optimize medical health, so a medical doctor is usually involved preop. Typically no eating after midnight before surgery, and sometimes a skin prep is given to the patient as well. After surgery you can expect to undergo a full program of rehab/therapy, which will be done either at home or in an inpatient setting. ...Read more
Medication: Pain after total hip replacement is expected and will be most severe the first day or two after surgery. It can be easily managed with perioperative narcotic pain medicines. After discharge from the hospital, most patients will take pain medication for 2-4 weeks and then not require more than a tylenol (acetaminophen) or advil occasionally. The pain after tha should be resolved with in 6 weeks in most patients. ...Read more
You may be referring to the Delta Motion Type of hip prosthesis made by Depuy. It offers a larger femoral had that is made of ceramic. The potential positives include lower wear of the bearing surface vs. A metal head and plastic liner and more stability due to the increased head dieameter.
The drawbacks are that some ceramic heads have been associated with a squeak and are harder to revise. ...Read more
Follow docs advice: You should follow your doctors advice for recovery and long term followup. It is important to return periodically (every 2-4 years) to your doctor to have the total hip replacement evaluated by x-ray to make sure it is functioning properly. Otherwise, enjoy your hip with the guidelines you have been provided. ...Read more
What kinds of medication is recommended for a patient who underwent total hip replacement surgery?
Should be okay:
I recommend using an epidural for the surgery and then transition to oral medications a few hours later. I'd also suggest talking to your doctor about giving your a few different types of pain medication immediately before surgery, which helps reduce the amount of pain you experience afterward.
Fortunately, hip replacements do not hurt that much - most of our patients walk the same day day. ...Read more
An old hematoma from hip replacement surgery is growing in size and has become painful. How can I treat this?
Removal: To best answer your question, I would need to know how recent the Hip Replacement was and when the Hematoma developed. This probably needs to be at least drained, if not surgically debrided ...Read more
After total hip replacement, what should be the exercises to do to rehabilitate? Would you recommend water exercises? How much time after surgery?
Varies: You would want to check with your surgeon. Most of the time you do need to limit your activities to some degree, particularly if you have a press fit hip in which bony ingrowth is needed to provide long term stability of the implant. For a period of time you also need to be careful not to put yourself in a position in which you might dislocate your hip. Thank you for the question. ...Read more
Had bilateral hip replacement surgery 1 month ago. How soon can I begin anabolic injections? Is there a time frame from operation that I should wait?
Depends: If you are taking Anabolic steroids on your own, (could be the cause of your hip degeneration) you will be damaging your body and looking for trouble in general at 34 very little medical indications, or if you are taking for medical need ask the doctor you rx ed the medication. ...Read more
My pain has increased since hip surgery. What could have happened? I have the same pain, in the same places after a hip replacement. The pain is worse than prior to surgery. Could the dr. Have misdiagnosed? Or made a mistake during the surgery? He sen
Tha indications for hip replacement are very specific and guidelines exits for the ortho's and the rheumatologist. So if you revieved o you had an explanation of why you needed the surgery, that ought to clarify your doubt about the misdiagnosis. As far as the same pain is concerned. Same pain, not necesary might mean same problem. You could have severe osteoarthritis of the hip and have pain and then have problems with the prostesis and the pain might be similar.
So an assesment of the pain now needs to clarify, why you have it, a carefull interrogation to evaluate when, where, why, irradiation, etc to define where the pain is comming from and try lo find for a solution depending on the diagnosis. ...Read more
Yes: Almost all dysplastic hips can be treated with total hip replacement. Depending on the amount of deformity, we often have to use special implants or surgical techniques to put the hip in as normal a position as possible. ...Read more
Are there any post treatments recommended after a hip replacement surgery to lower the risks of dislocation?
They depend on the-: -approach used, either posterior or anterior. But 4 post, no internal rotation of the hip or crossing legs. These R basic. Ant. Avoid external rotation of the hip. Each of these mimic the way the hip is dislocated @ surgery. Be sure to ask your surgeon about this, he/ she is the person to ask. ...Read more
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