Doctor insights on:
Should A Woman Wear High Heels After A Total Hip Replacement
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
Early movement restrictions are based on the surgical method used. Extreme positions need to be avoided in the first 6 weeks no matter what. If an anterior approach is used, hyperextension combined with rotating the foot outward can be a problem. If a posterior approach is used, the risky move is hip flexion (bringing hip up to chest) combined with internal rotation.
Eventually, most are safe. ...Read more
How is leg length discrepancy measured after total hip replacement? How long should one wait to evaluate?
Let me explain:
Limb length discrepancy can be measured by a physician during a physical examination and through x-rays.
Usually, the physician measures the level of the hips when the patient is standing barefoot. A series of measured wooden blocks may be placed under the short leg until the hips are leveled. If the physician believes a more precise measurement is needed, he or she may use x-rays. (scanogram). ...Read more
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. ...Read more
I had a total hip replacement in oct. Of 2011 - how long before I can bend my leg past the 90 degree angle, cross my legs, etc.?
6 weeks: We recommend posterior hip precaution s for 6 weeks in our patients who had a posterior approach. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
I am having groin pain when lifting left leg. Especially when lifting it to get into a vehicle. Total hip replacement done on this hip 10/2015?
Groin pain s/p THR: It's possible that the total hip replacement surgery have disturbed something to the groin causing pain. Was the pain present from right after surgery or did it develop later? Have you talk to your orthopedic surgeon? What did they say? What make of vehicle are you speaking of? Try a different way of getting into it or adjust the seat. Also, consider consulting with a physical therapist. ...Read more
What are possible causes for severe swelling in the foot up to calf after having total hip replacement?
Clot: The number one concern after joint replace my with the condition you describe would be the present of a blood clot. Even though you have likely received medication to prevent blood clots they are not 100 percent effective. Seek care and potentially need an ultrasound to evaluate for a clot. ...Read more
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. ...Read more
14 yrs after total hip replacement and bone grafting of the pelvis still in low/high levels of discomfort every day. Exercise is not helping, ?
Pain after THR: You should see an orthopaedic surgeon to rule out infection or loosening. ...Read more
Total hip replacement 1 year ago. Having pain. MD ordered blood work. It shows high Polys (80.1), and low Lymphs (15.3), high c-reactive protein?
Possible infection: Elevations of polys and C-reactive protein in the blood is suggestive of an inflammatory response as with infection. There are other less common reasons for these particular elevations, and should be interpreted in context with your medical history, other lab results, medications and physical findings. ...Read more
I had a total hip replacement 11/07. I am having pain in my hip joint area. Saw the surghe said no clue hip shows very little wear. What is causing pa?
Irritation: Hip pain after tha can be caused by irritation of tendons, muscles, bursa, bone, or the joint lining (synovium). Most common location is groin, buttock, or thigh. Unexplained pain can be evaluated by examining joint fluid, injecting local anesthetics into specific areas, MRI scan, and sometimes metal ion levels in the blood. Some implants can create specific clinical causes of pain. ...Read more
I had a total hip replacement on 11/27/2007. I am having pain in my hip joint area. I saw the surgeon and he said no clue as my hip shows very little wear. What should I do?
Pain after total hip can be from several sources. These include bursitis on the outside of the hip, tendonitis inside the hip, synovitis (inflammation) of the lining of the hip, loosening of the implant, or infection.
Material wear from the implant may cause unusual pain. An orthopedic surgeon knowledgeable about these conditions should be able to help but it might require some additional tests. ...Read more
43 year old female with Spina Bifida L4-5 ambulate with AFO's and cane. Scheduled for total hip replacement. What are some of my additional risks?
35 lady w/bilateral femoral hip impinge, rgt labral tear, osteoarthritis, 200 lbs 5'9'. PT, Ned's no help. Hip arthroscopic or total hip replacement?
No: Although the lower back and the hip work in coordination, it would be very unusual to see significant increase in low back pain after hip replacement. Improved mobility in the new hip replacement may actually lessen the strain on the lower back. Talk to your surgeon and consider seeing a physical therapist for help. ...Read more
At home or center: Hip replacement rehabilitation begins in the hospital shortly after hip surgery. Continued rehab may then continue at home with the proper home nursing rehab team or in a rehabilation center. See which your surgeon prefers and your insurance covers. Don't cut corners on this type of procedure only to develop problems years later. ...Read more
Not many: After hip replacement, I allow my patients to return to any activity that they are comfortable doing. Every patient finds certain things they can and certain things they cannot do comfortably. For example, I have a champion powerlifter, but he is not comfortable jogging. I have a bilateral hip replacement patient who is training for a marathon. All I ask is that they get an x-ray every 1-2 yrs. ...Read more
Ligament strain: Low back pain post-hip arthroplasty might represent ligament strain on pelvis joints; sacroiliac joints are largest joints in axial spine. Post-op soft tissue injury or leg length inequality might explain. The only study able to define leg length inequality is imaging scannogram. If your Orthopedist discounts your discomfort, then see an Osteopath. Solution might simply be a one-side heel lift. ...Read more
Yes: Within a coulpe of weeks you should be able to tolerate sitting for an hour or so on a pillow. ...Read more
Two months after a total hip replacement, I am experiencing pain in the buttocks. What would you recommend I do? Will this become permanent?
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