I did total hip replacement for my mother on 23rd july-2016. but still she have severe pain near the hip and leg joint portion. Also still she is having pain while rising and downing the leg. Some time she use to tell whole is paining. what to do please advice
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Any hip replacement can pain for some time after surgery. 5 weeks time is not enough for tissue to recover and muscles to strengthen. Plus before we think of joint infection which is very rare in hip replacement cases in good centres, other causes of pain not related to THR must be ruled out. Some times neuropathy, radiculopathy, etc attention is drawn to them after primary pahology has been rectified by THR.
You consult to your surgen who have done surgery. You need reexamine the patient if pain become severe day by day. If possibal start physiotherapy only for pain relief. Avoid prolong standing or prolong sitting in one position. Use pillow below the thigh or leg to decrease pressure of hip joint.
After total hip replacement proper guided strengthening is required for all muscles of pelvic girdle and lower limb. Also considering her age neuropathic assessment is also necessary. U can consult us at skype on www.physiotherapistdelhi.in
Quadriceps strengthening exercises-
Quad Clenches: Lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, Hold for 3 secs. Repeat 10 times twice a day.
Short Arcs: Lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day.
Straight Leg Raise: Lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
Towel Hamstring Stretch
Lie on the back, supporting the thigh with the hand or with a towel wrapped around it..
Slowly straighten the knee until a stretch is felt in the back of the thigh, trying to get the bottom of the foot to face the ceiling, one leg at a time.
Hold the position initially for 10 seconds, and gradually work up to 20 to 30 seconds.
Seated Hamstring Stretch
While sitting at the edge of a chair, straighten one leg in front of the body with the heel on the floor.
Then, sit up straight and try pushing the navel towards the thigh without leaning the trunk of the body forwards.
Hold this stretch for 30 seconds
Well at her age I understand how difficult it is for her to face the pain...well the pain might be neuropathy keeping her age into consideration ... I don't think k it might be related to operation...i suggest you to meet or follow up with the orthopaedician as she can be given tablets like nervigen...thank you
PLEASE SEEK AN URGENT APPOINTMENT WITH YOUR SURGEON, so that a X-RAY and blood tests can be done and chances of INFECTION or IMPLANT FAILURE can be ruled out.
If the wound is infected, you may file a case against the hospital and surgeon, for medical negligence. and at the same time look for some other hospital / surgeon.
If it is case of implant failure, then you must rule out the possibility of doing the excessive movements (extreme ranges ) at early POST OP stages. Contact your Occupational Therapist to know what NOT TO DO after total hip replacement and WHAT ALL LOCATIONS NEED TO BE MODIFIED.
if none is the case, then probably it's just the anxiety and your should focus on strengthening the muscles of the legs.
Rule out one of the three conditions and follow as advised
DO NOT TRY TO BEAR 100% WEIGHT AND TRY TO MOVE BEYOND A SAFE RANGE(0 - 90 degrees of flexion). STAY HEALTHY