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Home Imaginary
Saturday, September 3rd, 2011
Hip Replacement – 8 Secrets To A Smooth Transition From Hospital To Home
You’re home! Welcome! I know you are excited about your new hip and the possibility of enjoying life again but, remember, it’s been a rough few days. Follow these guidelines to catch you breath. Talk to your physical therapist or doctor about them if you need to. Be kind to yourself and let rehab be a joy!
Tip #1
Rest your first day home. But walk every hour. Other than that, put your workout routine aside and just rest, relax, breath, get comfortable. It is a workout just getting home! Rest and good, quality sleep will help you towards your goals more than anything else! If that means putting a pillow under your knees to get comfortable, then do it. We know that hip can be sore! Sleep is vital for healing.
Tip #2
Drink lots of water. Not coffee, not soda, not tea or juice. Water. Drink every hour (unless you are on a fluid restricted diet). Anesthesia can hang around in your body for a long time. The more adipose or fat tissue you possess, the longer it can remain in your body. Water helps to flush it out. Water also helps to regulate you. With hip replacement surgery comes pain medicine and it is notorious for saving you toilet paper due to constipation–but this at your expense! Water will move you towards the bathroom for relief. Adding fresh lemon juice to your water will act to cleanse internally and act as a diuretic to any excess water in your body.
Tip #3
Use ice for pain management. Pain pills can stop you up, are hard on your liver and affect your sleep (and sleep is vital, remember?). Take them if you need to, but utilize ice packs for natural pain relief. A bag of frozen peas or corn makes for a good pliable ice pack easily molded to those tricky spots. If ice makes your hip replacement pain worse, then try heat, but ice is generally the name of the game at this point.
Tip #4
Workout routine on day two. Some call this a Home Exercise Program. In addition to this you should walk every hour with your walker. 5 feet or 500 feet–at this point - just walk. If you have balance issues make sure someone is close by to walk with you. Safety is always first.
Tip #5
Quality vs. quantity. Two sets of 10 will not get you very far if you are doing 8 of those 10 wrong or compensating with other muscles. You must work towards quality and the quantity will come. No good coach allows a student to continue in bad form hoping that he will get it right some day. The same is true for your hip replacement success. If quality means only 2 or 3 of an exercise, then that is where you start. It will get better.
Tip #6
No bending past 90 degrees. You should be saying this in your sleep by now. It is crucial to remember this and your other hip replacement surgery precautions. If you have a question, place a box or book on your upper thigh where it meets your trunk (where your leg bends). You may bend forward until your trunk touches the book. And, you may lift your leg till the book touches your trunk. So, if you are standing and need to pick something up off the floor, remember the book test, kicking your hip replacement leg back now increases that angle at the hip and gives you the freedom to bend toward your imaginary book, accomplishing your task without violating your precautions. Be cautiously creative to find ways to accomplish your tasks but always do the book test. No book? Pull your drivers license or credit card out. Anything with a 90 degree angle will work.
Tip #7
You may have come home with weight bearing precautions for your total hip replacement. FOLLOW THESE! However, remember that a standard walker with wheels on the front will allow for a more normalized walking pattern than a walker without wheels. Your hip is a weight bearing joint and plays a big part in your walking. If your doctor and or physical therapist recommends wheels for your walker, it is a good thing! Your hip replacement will learn while it is young how to walk correctly.
Tip #8
Straight leg raise (SLR) means just that–straight. Due to leverage and physics and stuff, the SLR can be the hardest part of your workout routine. This often turns into the ‘bent leg lift’ with barely enough strength to get through 3 or 4. The remedy? If no one can assist you so you can do this exercise pain free, then don’t–yet. Stick with your short and long arc quad exercises.
These tips should leave you inspired and encouraged along your rehab journey. The next obstacle may be getting in your car. We’ve got several tips for you to tackle that one!
Hip replacement can change your life. We hope that the change is positive. Keep dancing!
About the Author
Benefit from Marcia’s knowledge, passion and humorous insight with thousands of other people at http://www.home-health-care-physical-therapy.com where she is dedicated to helping you meet your physical therapy and functional goals, one answer at a time.
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