Hip Joint Recovery After Surgery: Common Concerns and Tips

Hip joint issues

Dear Doctor: My brother had a car accident on January 1st.
He underwent surgery on his knee for traction on the same day, and on January 4th, he had hip joint surgery where two steel plates were inserted for fixation.
He recently had a follow-up appointment and an X-ray, and the doctor said his recovery is going well.
He is currently using crutches.
I would like to ask the following questions:
1.
The doctor mentioned that he could start bearing weight on the affected limb slightly, but he experiences pain in the popliteal area when extending his knee.
How can this be improved? P.S.
He is already applying heat therapy.

2.
I assist him with rehabilitation exercises every day, but he still reports feeling soreness and numbness below the knee, and it has been one and a half months.
Is this normal?
3.
Will he be able to engage in vigorous activities in the future, such as playing basketball?
Thank you for your response!

A-Rong, 30~39 year old female. Ask Date: 2019/02/14

Dr. Shi Guozheng reply Orthopedics

1.
You can perform knee joint extension and flexion exercises, and apply local heat therapy.
If the pain persists, you may take some pain relievers to alleviate it.

2.
This is normal; recovery after surgery does not happen quickly.

3.
Whether you can engage in vigorous exercise in the future depends on the healing status of the fracture.
If the hip joint heals well and there is no occurrence of osteoarthritis, there is a chance to return to the normal state prior to the injury.
You will need to continue outpatient follow-up.

Reply Date: 2019/02/14

More Info

Recovering from hip joint surgery, particularly after procedures such as hip arthroscopy or hip replacement, can be a complex process filled with various concerns and questions. It is essential to understand the recovery timeline, potential complications, and rehabilitation strategies to ensure the best possible outcome. Here’s a comprehensive overview addressing common concerns and providing tips for recovery.

1. Pain and Discomfort Management
Post-surgery, it is common to experience pain, especially when attempting to extend the leg or put weight on it. If your brother feels pain in the back of the knee when trying to straighten it, this could be due to several factors, including swelling, muscle tightness, or even nerve irritation. Continuing with heat therapy is a good approach, as it can help relax the muscles and improve blood flow. Additionally, gentle stretching exercises, as advised by a physical therapist, can help alleviate discomfort. If the pain persists or worsens, it is crucial to consult the orthopedic surgeon for further evaluation.

2. Sensations of Numbness or Tingling
Experiencing sensations like numbness or tingling below the knee is not uncommon after surgery, especially if there has been any nerve involvement or if the swelling is pressing on nearby nerves. This can also be a result of the surgical procedure itself, where nerves may have been stretched or irritated. While some degree of discomfort can be expected during the recovery phase, if these sensations continue for an extended period or are accompanied by severe pain, it is advisable to seek medical advice. A physical therapist can provide targeted exercises to help improve circulation and nerve function.

3. Resuming Physical Activities
Regarding the ability to engage in vigorous activities such as basketball, it is important to approach this with caution. Generally, after hip surgery, patients are encouraged to gradually increase their activity levels. However, high-impact sports may not be advisable for everyone, especially if there are underlying conditions or if the recovery has not progressed as expected. Most surgeons recommend waiting at least six months to a year before returning to high-impact sports, depending on the individual’s healing process and physical therapy progress. It is essential to have a thorough discussion with the orthopedic surgeon and possibly a sports medicine specialist to assess readiness for such activities.

4. Rehabilitation and Physical Therapy
Rehabilitation plays a critical role in recovery. It is vital to follow the prescribed physical therapy regimen, which may include exercises to strengthen the muscles around the hip and knee, improve range of motion, and enhance overall mobility. Consistency is key; regular sessions with a physical therapist can help monitor progress and adjust the rehabilitation plan as needed. If your brother is experiencing persistent discomfort during exercises, it may be beneficial to communicate this to his therapist, who can modify the program to better suit his current capabilities.

5. Long-term Considerations
As your brother continues to recover, it is important to maintain a healthy lifestyle that supports joint health. This includes a balanced diet rich in nutrients that promote healing, such as protein, vitamins C and D, and calcium. Staying active within the limits of his recovery will also help maintain muscle strength and joint function. Regular follow-ups with the orthopedic surgeon are essential to monitor the healing process and address any concerns that may arise.

Conclusion
In summary, recovery from hip joint surgery involves managing pain, understanding sensations in the leg, gradually resuming physical activities, and adhering to a structured rehabilitation program. While some discomfort is normal, persistent or severe symptoms should be evaluated by a healthcare professional. With proper care and guidance, your brother can look forward to a successful recovery and a return to his desired activities. Always consult with healthcare providers for personalized advice tailored to his specific situation.

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