Day 104 #HipReplacement

Archive, Arthritis, Health, Hips, Hypermobility, Hip replacement, SURGERY

As the week progresses, I need to start thinking of Saturday which is a party day for my Grandson, he will be 3 yrs old. So the weekend won’t be used for walking or physio.

So I need to get my physio in on these 4 days at least. Still having some thigh pain I’m reluctant to do much. And my elbow is still super sore and feeling odd from partially dislocating on Friday, so weights are definitely out for now.

I think I will do my hardest ones, but very low reps for now.

  • Mini squat 15 reps
  • Clam raise 15 reps (some improvement there)
  • Side leg raise 15 reps
  • Prone lying, bent knee raise 15 reps
  • Aerobic step lunge 15 reps (I don’t have a Bosu Ball)
  • Aerobic step overs 15 reps
  • Ankle weighted side steps 30 steps

I do NOT lunge as well as this, more like a lean forward with the weight solely on the operated leg. Then push back off that leg. Really hard, really difficult, and does twinge my knee at times. I need to speak to Physiotherapist to check it’s ok. I do less of lunge to protect the knee at the moment.

For the walk overs the step, I do exactly what it says, I use the operated leg on the step and step right over with the opposite leg, keeping the operated leg planted the whole time. Again difficult for me,but hoping it helps with strength.

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Day 103 Geocaching Fails

Archive, Arthritis, Family Adventures, Health, Hips, Hypermobility, Hip replacement, SURGERY

We decided to do some walking but on flat ground as the thigh has been aching since Friday night, but I couldn’t waste this glorious sunshine.

So off we trot to explore the marshes, funnily enough we’ve lived here for 14yrs and not once gone to explore them. So today’s the day!!

Planned to do a loop around the water and it’s all pretty much flat. I’d love to see otters, but it’s not the right time of day to see them. Squirrels and birds are all we will see today.

Had a few (4) caches planned to find, but we failed at ALL of them. We tried to find them, but they are certainly too well hidden. And too many nettles for me to stick my hand anywhere too.

In my head the marshes were just boggy grounds, but actually we saw lakes, rivers, and small boggy pools, each with a different selection of wildlife to be found there.

I could hear frogs but sadly didn’t see any.

Sat down a few times as I needed too. Sneaked inside hides to have a drink break, and to gaze at the birds.

One day I would like to cycle it, the path seems easy enough too. I just need to get over my fear of putting the leg down.

It was so peaceful and quiet even on blazing hot bank holiday, I’ll definitely be returning again, possibly with some binoculars too!! And definitely in the evening to catch the elusive otters.

Day 99 First Land Physio

Archive, Arthritis, Health, Hips, Hypermobility, Hip replacement, SURGERY

The day is finally here, my first official land physio appointment. Thankfully I’ve retained my Physiotherapist that I’ve worked with for years, through various different surgeries. So it’s fair to say she knows me well and my abilities too.

So I loved it when straight away, she noticed that some of the waddle has gone. Yes it’s there when the leg is fatigued but no longer is it there 100% of the time.

First off it’s Stationary bike 5 mins

With the bike it was on level 3, so the first time in many years I’ve had a resistance on it.

Then Sit down/Stand ups 15 reps

Sat fully down, then got up again, without holding onto anything.

Dreaded Clam Raises 15 reps

I say raise but it’s not actually raising, but the muscle is tightening, so although I’m not successful yet, the muscle is still being worked.

Keeping bottom leg bent, into a Side Leg Raise 15 reps

Weirdly found these quite easy. Only doing the operated side at the moment at physio.

Into Prone Lying, Bent Knee Raise 15 reps

This feels a lot better than before, it used to want to fall outwards, so I’ve obviously gained some strength to hold it upwards and straight.

Next up is some Green Resistance Band exercises Hip Extension 15 reps

Hip Abduction 15 reps

Hip Flexion 15 reps

Found these not too bad as I’ve been practicing at home already.

Next up is my enemy!! Bosu Ball Lunge 15 reps

Single leg lunge into the unsteady unbalanced ball surface. My knee HATED it.

Staying with the Body Ball Walkover 15 reps

From the lunge then holding onto balance bars I had to walk over and return backwards. Emphasis on the single leg taking all the weight and balance. Thank goodness for the bars holding me up!!

Ended on one I’ve been doing at home, so felt a lot easier to me Side Steps Green Resistance Band 15 reps

I was absolutely shattered leg wise after this, walked out like Bambi, feeling muscles and aches I forgot existed. I’m glad I still have my walking stick, else I would not be walking out of there.

Knee very very sore, so home to a hot water bottle and lots of rest now.

Week 14 #hipreplacement

Archive, Arthritis, Health, Hips, Hypermobility, Hip replacement, SURGERY

A week of mini victories, first I had walked down the stairs once without holding on for dear life, and one step at a time.

Next I put on trousers standing up, wasn’t totally graceful but I did it!!

I’ve bought some skinny jeans for my out out evening Friday. Skinny style though not a skinny size (but that is something I am and I will work on) They both have a stretch in them so they aren’t too weird over the scar. As I still don’t like seams over scars.

Slowly slowly I’m regaining myself back which is wonderful news.

Then of course I’m going to a techno night out on Friday night, a night a friend runs in Birmingham. Chapel Of Chaos

So I can’t do too much physio this week, so I save my energies for this. We’d bought tickets for this before Christmas,and before my surgery dates changed too. Determined not to miss another one. Does anyone else rest a lot before a thing? I know I have too.

Heres week 14 scar, looking pretty deep still at the top, but almost disappeared at the bottom, looks as faded as the two scars that are either side of it. Should be fine wearing shorts if we get some sunshine this summer.

Day 97 Does Size Matter #hipreplacement

Archive, Arthritis, Health, Hips, Hypermobility, Hip replacement, SURGERY

Ever since I knew I could find out the size and dimensions of my implant (my hip replacement) I’ve been on a journey of exploring why? Is it large or small? Cemented or cementless?

Why do I want to know?

Well I don’t really need to know, as I trust my surgeon to know what is best. But I’m nosey and why not find out.

So I sent off the form to National Joint Registry here and waited a fair few weeks to get the results. And here they are.

Pretty much confirmed what I thought I knew already. That my hip is made of Ceramic on Ceramic and that #Symbios is the manufacturer. And that I’m cementless (1 thing I wanted confirming) and then the sizes of the ball (I was really keen to find this out)

So does size matter?

The size of the ball joint of the natural hip joint (name is femoral head) actually varies and usually ranges from 40 to 54 mm (with smaller sizes in females). During the initial beginnings of hip replacement, the surgeons tried to make the implants which would mimic the natural size of the natural femoral head.

Does natural size work?

However, it was soon realised that when a large metal ball articulates with a plastic cup, the plastic part gets worn out quickly due to “volumetric wear”. To decrease the “wear” of the plastic, Sir John Charnley (who was one of the pioneers in the development of modern hip replacements), opted for a smaller 22 mm metal head (which is much smaller than the natural femoral head) in the design of Charnley hip replacement. This design was the commonest hip replacement done in the UK until recently.

Studies have shown that with this technique, there were fairly good long term results in patients who are not very young and active. However, these came with some restrictions placed, limiting what the patients could do to avoid dislocations (this is when the ball comes out of the joint) and a high dislocation rate following hip replacement has been common with smaller “ball size”

Small or larger femoral heads?

Many surgeons over the past few years have started using slightly larger size femoral head (28 mm) which is still within the range of conventional metal on plastic bearing. However, still it is smaller than the natural femoral head. The problem of wear and dislocation is still a potential concern.

Concerns?

Dislocation still remains a major reason (17%) for revision of hip replacement (NJR data 2008). I don’t know any hip replacement patients that aren’t worried about dislocation.


stats


Dislocation is the main reason people need revision hip replacements. Which can result in loss of more function, which no of us want, we are all striving for more functionality.

While the cause of hip dislocations is from multi factors, it is thought using a larger ball could decrease the incident of dislocations. However, we’ve seen the size of the ball was limited by the material properties. So that was another thing that needed looking at.

How things have changed?

Also much younger and more active patients are being offered hip replacements now at much earlier times in their hip journeys. And the expectations of young and active patients are alot higher as they strive to go back to their active lifestyles and sports with little to no restrictions.

To improve the durability of the hip replacements, material scientists have come up with modern solutions (alternative bearings). As no longer could an implant last 7- 10 years, now they are required to last 30-40 years.

New materials give new dimensions?

There are essentially three types of alternative materials – cross linked poly (plastic), ceramic and metal. These alternative bearings mean they could allow larger ball sizes to be used 32 mm, 36 mm and even 40 mm. However, these sizes would be limited by the cup (socket size) and also some material allow slightly bigger ball to be used with the same cup size compared to other materials.

So to end here, size does matter.

From looking at my sizes 32mm I have a reasonably larger ball so it’s probably the reason I don’t have restrictions, it’s fitting into linear of 46/50 which they recommend for 32mm balls. Reading all this I see this hip is designed to give me as many decades as I can of activity, and more adventurous living. Obviously running would cause faster wear and tear, but overall it helps me appreciate the gift I’ve been given.

Day 96 post #hipreplacement

Archive, Arthritis, Health, Hips, Hypermobility, Hip replacement, SURGERY

Last night I hit a victory!! On the last time I walked down the stairs, I walked like a ‘normie’ one foot one step at a time. Loving the new strength to do this. But keen not to tear it or set myself backwards.

So it’s Monday, and I’m feeling reasonable, a bit of mid thigh pain leads me to think of doing upper body exercises instead of lower body.

  • Shoulder Press 15 reps x 1
  • Bicep Curl 15 reps x 1
  • Later Raise 15 reps x 1
  • Bicep Row 15 reps x 1
  • Tricep Kickback 15 reps x 1
  • Goblet Squat 15 reps x 1 (knees weren’t happy, so not a squat persay)
  • Kettle bell Swing 15 reps x 1 (again knees not loving bending even a bit)
  • Chest Press 15 reps x 1
  • Butterfly Raise 15 reps x 1
  • Tricep Overhead 15 reps x 1

I feel like I could of done more, but today has been the first day my shoulders and hands haven’t hurt a lot, so I don’t want to change that.

Not sure why knees hurt, could be from doing the stairs yesterday. So again I’m not keen on doing too much to then make them an issue.

Day 93 #hipreplacement #EhlersDanlosSyndrome

Archive, Arthritis, Health, Hips, Hypermobility, Hip replacement, SURGERY

After receiving a comment from a fellow blogger (find them here) they suggested I should explain more about #EhlersDanlosSyndrome and honestly I should.

What is Eds?

So Ehlers-Danlos syndromes (EDS) is a group of 13 individual genetic conditions, all of which affect the body’s connective tissue.This Connective tissue lies between other tissues and organs like a glue, keeping these separate whilst connecting them, this glue is tasked with holding everything in place and providing support.

In EDS, there is a gene mutation (like an X Man, the nerd in me loves this!!) that causes a certain kind of connective tissue, what kind will depend on the type of EDS (which type out of 13) (Hypermobile Eds, Hypermobility spectrum disorders, Classical Eds, Vascular Eds. They all fit under these umbrella labels)

This gene mutation is usually a form of collagen, this causes it to be fragile and stretchy. This stretchiness can sometimes be seen in the skin of someone with EDS (NOT ME) My skin has never stretched like that, but I scar and bruise incredibly easy. Individuals with the condition may also be able to extend their joints further than is usual (This is ME) this is known as being hypermobile, bendy or double-jointed. As collagen is present throughout the body, Everyone’s bodies, people with EDS tend to experience a broad range of symptoms, most of them less visible than the skin and joint differences. These are complex syndromes affecting many systems of the body at once, this makes it hard to connect and diagnose, despite this EDS is often an invisible disability.

Symptoms commonly include, but are not limited to, long-term pain, chronic fatigue, dizziness, palpitations and digestive disorders. Such problems and their severity vary considerably from person to person, even in the same type of EDS and within the same family.

Now it’s important to remember my #EDS isn’t the same as another #EDS as we are all individuals, and with that said it’s also why it’s incredibly hard to diagnose. We have a collection of symptoms, that are easily explained away and not connected.

I mean who thinks, velvet soft skin is connected to a thundering heartbeat because you stood up? So they came up with a series of movements to test for it.

The old way to classify Ehlers Danlos Syndrome was to use the Beighton Scale. The Beighton score is a set of manoeuvres used to judge if there is evidence of joint hypermobility. There are 9 points, and a score of 4 or more is considered a sign of there likely being generalised joint hypermobility present.

Now at the time of diagnosis in my early 30s I scored 8 of 9. Now there’s a more comprehensive way of scoring, found here Now I’m older and a lot more stiffer, so flexible I am not anymore. Therefore I would fail this tests above, but that doesn’t mean I don’t have it.

But these new ways of scoring takes that into account. So if you could touch the floor with flat hands without bending legs, bit no longer can you still score a point.

This helps the reclassification of certain symptoms, so I was diagnosed with EDS type 3 which is the Hypermobility type. Now it’s known as hEds Hypermobility Ehlers Danlos.

How does it affect you?

How does it affect me? Good question that I’m not entirely sure of myself. I know I feel pain all the time, from holding my own skeleton together and in the correct position. It’s so easy for my shoulders and hands to go beyond their natural range. Now I personally find this extra lax during my menstrual cycle, it’s like every joint I have comes out of joint, super super easy. It’s due to hormones creating the environment for this to happen around the cycle.

But as I said earlier it affects how I heal, so bones take longer to knit together, but likewise I’ll produce more scar tissue inside healing sites. Scars are often keloid or stretched and wrinkly. I bruise from being barely touched at times.

My three biggest ways I’m personally affected is the early onset of Osteoarthritis, my hip was grade 4, my mobility is awful, but I use to do gymnastics and horse ride. Now I can barely walk unaided. My hands are stiff and painful as they too have Osteoarthritis too.

My teeth are weak and crumbling, and dental visits are scary. For many years I have cried and complained that the anaesthetic doesn’t work, but no one listened to me, and then a few years ago they found it was an EDS symptom!! I have dentist now that knows about this and adjusts accordingly.

Finally how does it affect me, in a major way it screws up painrelief, I’m in pain but the meds don’t work. So fentanyl strongest drug out there? Nah doesn’t work, worst way to find out was when I had my first big op, it was a triple pelvic osteotomies and valgus femur lengthening. I was given Epidural (this does NOT work either) and Fentanyl, worst week of my life. But some gps out there, think you are attention seeking or drug dependant. You need these meds to function, to complete normal daily living, not to get high!

Since my first surgery, we’ve adjusted it to spinal, and morphine pump that I control. Now surgeries haven’t been as bad since thankfully, as I’ve had another 9. I find natural morphine better for me than synthetic versions of it that don’t work.

Now I’ve prattled on long enough, I best let you go. Hopefully by now you’ve learnt a bit more about Ehlers Danlos Syndrome. I’m still learning myself.

Day 92 post #hipreplacement

Archive, Arthritis, Health, Hips, Hypermobility, Hip replacement, SURGERY

It’s been a week since I saw the GP about my hands, and I’ll be honest the increased ibuprofen and ibuprofen gel hasn’t really made that much of a difference painwise. But maybe a week is too early to tell? So I will give it longer.

Wearing the splints help get things done but are cumbersome and irritating. But wearing the gloves at night are good, so that’s a win!!

Splints with weights are Interesting let’s say that. It’s hard while my hands are like this to actually hold weights, so in place of weights sometimes I use resistance bands instead.

Its not the weight itself I find difficult, more the grasp, it could be a pen at times and I simply can’t hold it. Frustrating to say the least.

So working the hip it is today, give the hands and shoulders a break. Though I’ve decided I’m staying away from any exercises that mean I have to lie on my operated side. It’s too dreadful for words.

  • Hip Flexion ankle weight 15 reps x 2
  • Hip abduction ankle weight 15 reps x 2
  • Hip extension ankle weight 15 reps x 2
  • Calf raises ankle weight 15 reps x 2
  • Heel to butt ankle weight 15 reps x 2
  • Mini squat 15 reps x 2

Not too much today, as joints are extremely lax this week. It’s the old Ehlers Danlos coming out to party, and by party I mean utter misery ball of pain.

13 weeks post #hipreplacement

Archive, Arthritis, Family Adventures, Health, Hips, Hypermobility, Hip replacement, SURGERY

Goals for this week is to keep up my red band resistance exercises, but maybe try and add some ankle weights in some exercises, such as step ups, hip abduction, extension and flexion. (as the band gets hard to use at times)

To roller my scar area, to try and awaken some nerves and break down scar tissue. The area is still NUMB as hell. I feel pressure if I press down, but the sensation of touch has gone altogether.

Had another #Geocaching adventure, I love this as it gives you a purpose to get outside and walk where you might not of thought to visit. It’s chilly, but wrapped up from the biting wind, we set off to find 1st of 3 caches, first one gives co-ordinates to the second and so on, so no treasure, just hunting the clues.

First cache above, have us numbers for the second cache below.

More numbers to add, to find the third

Oh no, cache 3 is missing (we have found it a few years ago) instead this tree had an egg in the trunk. So careful not to disturb, took photo to share with the cache owner.

Oh well had fun finding the clues, time to head back after walking in heather and weird spongey grass (adder fear was real at this point)

On the way back to the car, Mr Moon spotted on the GPS another cache close by, so we headed to this one, making it 4 in one day!!

Erm…. This wasn’t hidden, it seems someone forgot the memo. Not to worry logged we found it, and carefully hidden once again.

As much as I love all this walking, my hip still has its pain moments, and nags to go and rest. Walking is good for me, mentally especially. But physio works on the actual muscles I need waking up, so it can’t replace that for me.

I was pleased to get home and rest my aches with a hot water bottle, knee twinges and thigh pains are still real here. And I am still on a walking stick, just not strong enough to walk unaided outside.

Day 90 #hipreplacement

Archive, Arthritis, Health, Hips, Hypermobility, Hip replacement, SURGERY

It’s always up and down health wise, I guess it’s the #EhlersDanlosSyndrome not really helping. But I’m pleased to say it’s not actually my hip causing any grief at the moment.

And because it’s that time of the dreaded month, every joint comes out to play. Cleaning the cooker, my shoulder decides to pop out!!

So with this is mind, I’m thinking I need to keep on going with the occupational therapists shoulder stabilizer exercises.

  • Ball on wall circle left 20 reps x 3
  • Ball on wall circle right 20 reps x 3
  • Ball on wall up + down 20 reps x 3

  • Band shoulder abduction 10 reps x 3
  • Band shoulder internal rotation 10 reps x 3
  • Band shoulder external rotation 10 reps x 3
  • Band shoulder extension 10 reps x 3

All this exercise is always to help stabilise my joints, help my muscles and tendons do the work the joint should actually do.