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Doctor insights on: Knee Pain After Total Hip Replacement Surgery

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Is it normal to have leg swelling after total hip replacement surgery?

Is it normal to have leg swelling after total hip replacement surgery?

Can be very normal: Leg swelling after hip replacement can occur for up to 3 months after surgery. I recommend my patients use compression hose, knee high, for 3 months post-op, with periodic leg elevation above heart and head 3x/day x 20-30 minutes. Also, do not be up on the leg too much too soon after surgery. Allow your body to heal. If swelling persists and pain increases with it, then call your surgeon.

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Dr. Amrita Dosanjh
5 Doctors shared insights

Hip Replacement (Definition)

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


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After total hip replacement surgery, is it normal for the operated leg to be a little bit longer than the good one?

After total hip replacement surgery, is it normal for the operated leg to be a little bit longer than the good one?

Can be: While I wouldn't call it normal, leg lengthening is a potential result of total hip replacement and can be no big deal or a significant disability. Leg lengthening has become less common with newer implants and surgical techniques. Significant lengthening can be balanced with a heel lift in the other shoe.

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Leg swelling after I had a total hip replacement surgery. Did they do wrong?

Leg swelling after I had a total hip replacement surgery. Did they do wrong?

Not unusual: It is very common to get leg swelling after total hip or knee replacement. Of course, swelling with pain can be a sign of DVT (deep venous thrombosis). Also described by some as "blood clots". This should be evaluated by your doctor. Painless swelling will often resolve after a few months.

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After total hip replacement 4 mos ago I have numbness/pain in incision area and down to the knee, what should I do?

After total hip replacement 4 mos ago I have numbness/pain in incision area and down to the knee, what should I do?

Depends: Depending on the approach used by the surgeon the pain may be due to a cut or impinged nerve (direct anterior approach) or trochanteric bursitis (lateral, posterolateral, anterolateral approach). As the latter is more common approach, your numbness (related to the incision will diminish, and the pain will respond to therapy and steroid injection. See your doctor and explain your symptoms.

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Numbness from knee to toes right leg after total hip replacement 6 weeks ago. Pain riht hip. Is this normal?

Numbness from knee to toes right leg after total hip replacement 6 weeks ago. Pain riht hip. Is this normal?

Not normal: No, it doesn't sound normal. Please call your surgeon and speak to the doctor on call with the answering service. If this is new, may need to go to ER.

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I had total hip replacement 9 18 2012 hip responding very well but my knee on the same leg is very bothersome mostly upon compression (walking) my pt?

A few possibilities: A persistent hip problem can cause referred pain to the knee on the same side. You may be more active now that your hip is improved, unmasking what was a previously a lesser problem in your knee. The hip replacement could have slightly changed the alignment of of your limb, which could cause changed loading of your knee. You should talk to the orthopaedic surgeon who replaced your hip about thi.

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How can I control pain after total hip replacement surgery?

How can I control pain after total hip replacement surgery?

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.

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Is feeling fatigued common after total hip replacement surgery on one hip?

Is feeling fatigued common after total hip replacement surgery on one hip?

Yes: It takes a lot of energy to heal after surgery. The feeling should subside after one to two months.

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Woud you please discuss the complications of soft bone after total hip replacement surgery?

Woud you please discuss the complications of soft bone after total hip replacement surgery?

Fracture: The biggest issue with soft bone (osteoporosis) is fracture during implant insertion. Therefore, i'd recommend having a hybrid hip replacement, in which the femoral component is cemented in place.

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Joint infection after total hip replacement surgery commone or negligent?

Joint infection after total hip replacement surgery commone or negligent?

Uncommon: Infection after tha is a known complication that occurs in 0.1-2% of hip replacement procedures. Factors that can affect this incidence include patient conditions such as obesity, diabetes, or immune system diseases, as well as the length of surgery time, wound closure methods, and experience of the surgeon. Some hospitals and surgeons have higher rates of infection.

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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.

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What is the survival rate from? Total hip replacement surgery?

What is the survival rate from? Total hip replacement surgery?

High: By survival rate I assume you mean how long the implant will work and not how long long you will live after surgery. Most patients undergoing total hip arthroplasty survive their surgeries and go on to enjoy their new hips. The hips themselves can last 20 years or more now.

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What advice would you have for a patient that underwent total hip replacement surgery?

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.

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What is the maximum weight a 6 foot 3 inch male can be for total hip replacement surgery?

What is the maximum weight a 6 foot 3 inch male can be for total hip replacement surgery?

Depends on your MD: We don't do surgery on patients with a bmi above 38, primarily because the implant companies are not going to stand behind their implants when they are put in the morbidly obese. At 6'3" the limit is 304 lbs in our practice.

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Having pain in hip after total hip replacement 5 weeks after surgery. Recommended by Dr. Therapy?

Having pain in hip after total hip replacement 5 weeks after surgery. Recommended by Dr. Therapy?

Depends: Cemented or cementless? Cementless sometimes takes awhile to grow in. Groin or thigh pain will differentiate stem from the acetabulum. PT may help some

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Should having a prostate infection stop me from going ahead with a total hip replacement surgery?

Should having a prostate infection stop me from going ahead with a total hip replacement surgery?

Maybe: If the infection has been treated with antibiotics and is resolving you are probably okay. If not, the surgery should be postponed until the condition has been treated. More importantly, you should be evaluated for the cause of the infection and treated appropriately by a urologist.

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What are potential consequences from stalling total hip replacement surgery?

Pain and bone loss: In most cases, waiting is just a quality of life issue. Occasionally, I have had patients who waited so long that they ground down the roof of the hip socket, making the reconstruction more difficult. Check in with your surgeon yearly.

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Please tell me how long it takes for to recover from total hip replacement surgery?

Please tell me how long it takes for to recover from total hip replacement surgery?

3 months: The arthritis pain is gone immediately, but it takes about 6 weeks to feel better than you did before surgery. Three months to return to all normal activities. I tell patients that it will be a year before you reach maximal improvement.

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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.

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Dr. Frederick Buechel, jr. md
1,153 Doctors shared insights

Knee Pain (Definition)

The knee joint is the joint between three bone of the lower leg: the proximal tibia, the distal femur, and the patella. There are multiple causes of knee pain including degenerative, ...Read more


Dr. John Michalski
276 Doctors shared insights

Total Hip Replacement (Definition)

Replacement of hip ball and socket...Or ...Read more