Post-Hip Replacement Recovery: Addressing Weakness and Swelling

How to recover after hip joint surgery?

Hello Doctor: I underwent a left hip arthroplasty on February 5, 2021.
It has now been 37 days (5 weeks) since the surgery, and I have been applying heat to the area.
However, my thigh and knee remain very swollen, and my left leg feels weak.
I have been performing the leg elevation exercises as instructed by the doctor, but I feel that my improvement is very slow.
I also have a history of spondylolisthesis, and I am scheduled for an MRI on April 6.
I am wondering if my spinal issue could be affecting my left leg, leading to a poor recovery post-surgery.
Additionally, I am currently walking without a walker, but I have a noticeable limp and my left leg feels completely weak.
I hope to return to work soon; will this affect my recovery? Thank you!

Mr. Chen, 50~59 year old female. Ask Date: 2021/03/13

Dr. Shi Guozheng reply Orthopedics

After total hip arthroplasty, recovery typically takes about six to twelve weeks.
It is still considered normal to have some swelling in the thigh at five weeks post-surgery.
Please return to your physician for a check-up in the sixth week to rule out any other issues.
There may be a concern with vertebral slippage, which could be contributing to weakness in the left leg.

Reply Date: 2021/03/13

More Info

Post-hip replacement recovery can be a challenging journey, especially when dealing with issues like swelling and weakness in the affected leg. It’s important to understand that recovery after hip replacement surgery varies significantly from person to person, influenced by factors such as age, overall health, pre-existing conditions, and adherence to rehabilitation protocols.

In your case, having undergone anterior hip replacement surgery on February 5, 2021, and now being 37 days post-operation, it is not uncommon to experience swelling and weakness in the thigh and knee. Swelling can be attributed to several factors, including the body’s natural inflammatory response to surgery, fluid accumulation, and even the physical activity level during recovery. It’s essential to continue with your prescribed rehabilitation exercises, as these are designed to improve strength and mobility over time.

You mentioned that you have been applying heat and performing leg lifts as advised by your physician. Heat therapy can help increase blood flow and reduce stiffness, but it’s crucial to balance it with appropriate rest and elevation of the leg to manage swelling. If the swelling persists, consider incorporating cold therapy intermittently, as ice can help reduce inflammation and numb the area, providing relief.

Regarding your concern about the potential influence of your spinal condition (spondylolisthesis) on your recovery, it is indeed possible that issues in the spine could affect your lower limb function. Nerve compression or pain originating from the spine can lead to weakness or altered gait patterns in the legs. The MRI scheduled for April 6 will provide valuable insights into whether your spine is contributing to your current symptoms. If there are any significant findings, your healthcare provider may recommend a tailored approach to address both your hip recovery and spinal health.

It’s also worth noting that walking without a walker or assistive device can be a double-edged sword. While it’s great that you’re attempting to regain independence, if you’re experiencing significant weakness and a limp, using a walker or cane may provide better stability and prevent falls. It’s essential to listen to your body; if you feel unsteady, it’s wise to use assistive devices until you regain sufficient strength and balance.

In terms of returning to work, it’s crucial to communicate with your employer about your recovery process. Depending on the physical demands of your job, you may need to consider a phased return or modified duties. Engaging in light activities that do not exacerbate your symptoms can be beneficial, but pushing yourself too hard too soon can hinder your recovery.

Lastly, if you find that your progress is slower than expected, don’t hesitate to reach out to your healthcare provider for further evaluation. They may suggest adjustments to your rehabilitation program, additional therapies such as physical therapy, or even a referral to a specialist if necessary.

In summary, recovery from hip replacement surgery is a gradual process that requires patience and adherence to rehabilitation protocols. Monitor your symptoms closely, utilize assistive devices as needed, and maintain open communication with your healthcare team to ensure a successful recovery.

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