Recovery After Hip Replacement Surgery: What to Expect

Total Hip Replacement

My father is 58 years old and underwent a ceramic hip joint replacement due to avascular necrosis about two months ago.
He recently had surgery on his second leg and is still hospitalized.
It has been four days since the anesthesia wore off, and he has no sensation from his hip down to his foot.
The doctor has stated that the nerves are normal and not injured.
The doctor has been using acupuncture for four days, and while the wound has started to hurt, there is still no sensation in the foot, and he cannot move his toes.
He has been hospitalized for a week, and the doctor mentioned that he may need another week or two before he can be discharged.
Is this normal?

Liang, 20~29 year old female. Ask Date: 2020/12/29

Dr. Shi Guozheng reply Orthopedics

It is possible that the same side of the sciatic nerve is affected, requiring active rehabilitation.
A referral to a rehabilitation specialist should be made for assessment, or a splint may be needed to prevent foot drop.

Reply Date: 2020/12/29

More Info

Recovery after hip replacement surgery can be a complex process, and it is essential to understand what to expect during this time, especially considering your father's situation. Given that he has undergone surgery for hip joint necrosis and is experiencing numbness and pain post-operatively, it is crucial to address several aspects of recovery and potential complications.

Firstly, it is not uncommon for patients to experience numbness or a lack of sensation in the leg following hip replacement surgery. This can be due to several factors, including the effects of anesthesia, swelling, or temporary nerve irritation. The fact that the doctor has indicated that the nerves are normal and not injured is a positive sign. However, it is essential to monitor the situation closely. Numbness can sometimes be a result of pressure on the nerves during surgery or from swelling in the surrounding tissues.
The timeline for recovery can vary significantly from patient to patient. While some individuals may begin to regain sensation and mobility within days, others may take longer, especially if there was significant manipulation of the tissues or if the surgery was more complex. It is not unusual for patients to remain in the hospital for a week or more, particularly if they require additional monitoring or rehabilitation support. The use of acupuncture as a treatment modality is an interesting approach, as it may help in managing pain and promoting healing, although its effectiveness can vary.

Regarding the pain your father is experiencing, it is essential to differentiate between normal post-operative pain and pain that may indicate a complication. Post-surgical pain is expected as the body heals, but if the pain is severe or worsening, it should be reported to the medical team. Pain management is a critical component of recovery, and the healthcare team should be proactive in addressing any discomfort your father experiences.

As for the inability to move his toes, this can be concerning, but it is essential to remember that motor function may take time to return. The surgical procedure can temporarily disrupt the normal function of muscles and nerves, and rehabilitation plays a crucial role in restoring movement. Physical therapy is typically initiated soon after surgery to help regain strength and mobility. If your father has not yet started physical therapy, it may be beneficial to discuss this with his medical team, as early intervention can significantly impact recovery outcomes.

In terms of what is considered "normal" during recovery, it is essential to have realistic expectations. While some patients may experience a swift recovery, others may face challenges that prolong their hospital stay. Factors such as age, overall health, pre-existing conditions, and the complexity of the surgery can all influence recovery time.
It is also vital to maintain open communication with the healthcare team. If there are concerns about your father's recovery, including the numbness and pain, do not hesitate to ask questions or seek clarification. Understanding the recovery process and what to expect can help alleviate anxiety and ensure that your father receives the best possible care.

In summary, while your father's experience of numbness and pain is not uncommon, it is essential to monitor these symptoms closely and maintain communication with his healthcare providers. Recovery from hip replacement surgery can take time, and each patient's journey is unique. With appropriate care and rehabilitation, many patients can achieve significant improvements in mobility and quality of life post-surgery.

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