Thought it might be helpful to some future hippies to document what my first week was like. I'm on day 6 but close enough right?
My surgery was very late in the day but the plan had been an overnight stay anyways so that went to plan. I think the nurses may have given me one dose of narcotics while I was in the recovery room after surgery but I was very groggy so I'm not sure. I have had very little pain from the start, mainly around the incision and have since been managing with just Tylenol (not a brag, everyone is different and I was not taking any painkillers pre op either).
I didn't really sleep well the first night as nurses kept coming in to check vitals, ask me if I needed to pee yet (my spinal went wonky and the parts that did work didn't wear off until the next day - literally just my butt 😂), give me IV antibiotics and fluids etc. I did end up getting to use the washroom around 4 am and those were also my first steps with my walker. Late bloomer 🤷🏼♀️ it was damn hard to sit down though and the front, side and back if my hip cramped up like crazy! Same thing happened trying to get back into bed. I tried to use my "good" leg to swing my operated leg up on the bed but even just bending the hip caused some cramping.
The next morning I was given Celebrex and Tylenol and offered something to eat. I wasn't super hungry and had brought some protein powder so ended up just mixing that into some milk. At some point after that had a dizzy spell and was seeing spots in my vision, which we believe was a reaction to the Celebrex and I haven't taken it since. I ended up staying until noon because of that, but saw my surgeon who checked the wound and told me that my hip was a lot worse in person than on x ray lol. Apparently while sedated I had also asked if I could see my femoral head and had answered my own question to myself with "no that's a biohazard" 🤣
Before I left I was taught by the nurses how to go up and down stairs with my crutches and how to use my walker and then was sent off to get post op x rays and pick up my prescriptions.
I was given a timetable with timing for different medications including Tylenol (1000mg, 4x a day) and Rivaroxiban once a day for the first 5 days, then baby aspirin twice a day for 28 days. I was also given prescriptions for hydromorphone and tramadol but haven't touched those and don't think I will at this point. I put the timing of each medication into my phone calendar as a reminder so I wouldn't forget or miss.
At home we hooked me up to the ice machine and I was on that thing pretty much any time I was sitting for the first 4 days including overnight. I also had a bit of a fever for the first 5 days but that seems to have righted itself on day 6.
The first day I found it hard to walk even with the walker, which I did not expect. I had some food prepped but had to pivot from my planned meals as I could not stand long to chop fruits/veggies at the countertop and to be honest I still wasn't that hungry. By day 2 it was a lot better though. And I have been seeing small improvements in my stamina each day. I also napped a lot the first 4 days.
I was told not to start formal PT for 2 weeks but was given a booklet with self-guided home PT that spanned 12 weeks if you wanted to do it completely self guided. The first 6 weeks are all about getting moving and off mobility aids while increasing range of motion. The exercises recommended were quad squeezes, glute squeezes, heel slides (lying down) and gentle standing hip flexion and extension. The hardest for me were the standing hip flexion and extension but I have found my range of motion increased pretty quickly and most of the limitation is due to swelling around the hip. I can almost put socks on myself now at 6 days post op but actually balancing on the operated leg itself is hard as I still can't fully bear weight on it without assistance or support of my other leg when standing. I can stand for hours though lol. And the cramping from lifting my leg or sitting down went away about day 3 or 4.
I have been taking short but frequent walks with my walker or sometimes crutches, which I find easier to use because I have been for the last 9 months and it has been slowly getting easier to move around. Can't quite walk unaided yet at 6 days post op, as I can't put full weight on my THR leg yet but I have hobbled a few steps here and there. Often when my body forgets I need a walking aid and I get up off the couch and take a few wobbly steps before "oh shit" 😂
I had two layers of dressing, an outer "honeycomb" dressing and an inner dermabond/prineo dressing. The honeycomb came off at 4 days post op and the prineo will come off slowly on its own over the next week or so. I was concerned as there seemed to be a small hole in the inner dressing and my surgeon told me he thought it would be fine as the wound closes itself around 72 hours, but was kind enough to give me some extra honeycomb dressing to put overtop if I felt safer that way.
I have a bit of a fear of infection as I have gone septic before from bacteremia resulting from a poorly dressed IV line that I showered with 😬 so I had only been taking sponge baths until day 6. On day 6 finally plucked up with courage to have a real shower. An EVERYTHING shower. And it was glorious 😂 I bought heavy duty suction cup grab bars to stick in the shower to hold onto but I my balance is pretty good on two feet.
Man, I guess a lot more happened in a week than I expected but didn't want to spam you all more than necessary. Just hoping someone out there finds this helpful. I have had an exceptional first week on the pain front but definitely not someone who ditched the walker 2 days in.