Tag: hip precautions

Believe it or not, one day after total hip replacement surgery, physical therapists will come around, get you out of bed, put you behind a walker and make you take some steps all by yourself— just like the big boys and big girls do!

No, you won’t be doing tap steps, soft shoes or leg kicks like a Rockette, but you will be taking Frankenstein-like motions forward, ably assisted by your trusty walker.

It feels good to be up out of bed, even if it is just to sit in a tall seat. Why a tall seat and elevated toilet seat? Why are you advised to place pillows on any seat? Because for the next 12 weeks, you must adhere to strict HIP PRECAUTIONS. If you do not follow these rules, your pretty new titanium hip could get dislocated. You do not want to double down on your pain.

Here’s the rules you MUST obey:
1. Don’t bend your operated hip beyond 90 degrees (sitting low is asking for trouble)
2. Do not cross your legs
3. Do not turn your operated leg foot inward

Think carefully before you pivot or bend to pick-up something. Guide yourself into a chair slowly and use your arms to lift yourself out of a chair. Take it easy on that hip! Suffice to say, doing cartwheels and summersaults are not advised (pity, that).

Adhere to the rules, they are your friends.

Two days after your hip surgery, you are encouraged to go for a longer walk– down the hospital hallway. It’s like walking The Green Mile, only not so green and not quite a mile long.

You move slowly forward, heel to step and go and go. Soon you’re eating up linoleum at a glacial pace. Your walker’s wheels are warming, your new hip is slowly getting broken-in. You’re smokin’, babe, you’re smokin’!

Three days after surgery, you are encouraged to do what seems impossible: go up and down stairs.

When you first look upon the stairs, they appear like Mt. Everest, without the snow. You cannot imagine making this journey solo, but your physical therapist becomes Knute Rockne and gives you faith– makes you believe in yourself.

For this journey you have two basic rules:
1. When going up, lead with your strong leg
2. When coming down, lead with your operated leg– very carefully

Hold the handrail and use your folded walker as a support. And whatever you do, do it slowly. You do not want to end up another senseless stairway casualty.

You do as instructed, your physical therapist cheering you on, and amazingly it works. You go up, you come down. You can do the impossible. You are truly incredible! You are absolutely amazing! You are a physical dynamo!

You are also tired as hell. You hobble back to bed anxiously awaiting your next dosage of pain meds. As the ancients said (after their hip surgeries), “The journey of 1,000 miles begins one pain-filled step after another.”