I had a crash...a big one!

[BigD_83]

Lol....the ironic part is my surgeon said to me yesterday "you have been doing physio and getting stronger, so you will have a quick recovery after hip replacement"...2 months ago he told be "don't be too hard on yourself in physio, I'm not worried about you getting muscle back after the bone heals"....lol...make up your mind.
My physio is definitely "smells like gym"....and I'm happy she makes me work hard. But I don't think I'll be back to dead lifting 385lbs anytime soon. Lol

I don't see those two positions from the surgeon as incompatible. The original statement was made before the surgeon knew your commitment level. There is a case to be made that physio, poorly done, can actually be detrimental to positive healing.

 

[Rob S.]

Sometimes these doctors remind me of dentists admiring their own work. They give you a mirror and say, "Doesn't that look great? You're the best looking guy in the room!"

When I was cleared to put weight on my legs (after 3 months), a physio would come to my room and have me stand while she watched the clock and counted to 30 seconds. "Okay, sit and rest." We'd do it maybe once more, then it was, "See you tomorrow." For this she wents (sic) to school?

When I was mobile enough to make my way down to them, I'd be given a dumbbell and told to do curls. From what I observed, they spent 20 minutes with a patient and 40 minutes booking their hours on a computer.

 

[bwringer]

I hate physios ! When I was in the hospital they would come every day to try to get me to go for a walk ..... I said .... " How but we start on me getting in and out of bed first ? Never mind going for a walk " .......

For me it was more like "OMFG! What are you doing out of bed?" They were routinely appalled at the advanced walker maneuvers I could manage... I wanted out of there bad.


When I finally got good physical therapy after busted femur #3 (yes the place did smell like a gym, as a matter of fact, and much sweat was spilled), I warned her "I want to get back to 100% ASAP. I will do exactly what you tell me, and I won't care how much it hurts. I will split myself open if it means I can walk normally again."

So we had a very productive discussion on how to recognize good pain and bad pain, and agreed on how we would approach and communicate my limits. IIRC, we did about three months in total, starting at three times a week, then twice a week, then once a week. At the end, my broken left leg was actually a little over-trained and stronger than my right leg, with full flexibility. And my twice-broken right wrist was back to 100% flexibility and strength.



As to why surgeons (and insurance companies) don't think PT is needed, I don't know. Been there, done that, tried it both ways, and the evidence is crystal clear.

The surgeon after broken femur #1 told me I was active and motivated, and wouldn't need PT. Yes, I was back on my feet pretty quickly, but I was pretty badly damaged and far less functional. I really, really wish I had gotten PT. I've always wondered whether the nonunion would have been prevented with more activity, or at least caught sooner. That one came with a lot of muscle damage (I hit a curb with my thigh...) and looking back it seems insane he wouldn't at least let me try PT. Surgeons can be narrow-minded to an extreme

I got off the opiate pain pills ASAP after surgery, but I took a LOT of ibuprofen in the following months. There's quite a lot of evidence that NSAIDs can cause healing problems, since healing depends on the body's response to inflammation. No one ever mentioned this; they just told me I could take up to 600mg or 800mg every four to six hours if my leg hurt.

As to the insurance companies... let's just say I could have had a VERY nice shiny new motorcycle for what I was forced to shell out for PT. Still worth it, of course.

 

[bccap]

For me it was more like "OMFG! What are you doing out of bed?" They were routinely appalled at the advanced walker maneuvers I could manage... I wanted out of there bad.


When I finally got good physical therapy after busted femur #3 (yes the place did smell like a gym, as a matter of fact, and much sweat was spilled), I warned her "I want to get back to 100% ASAP. I will do exactly what you tell me, and I won't care how much it hurts. I will split myself open if it means I can walk normally again."

So we had a very productive discussion on how to recognize good pain and bad pain, and agreed on how we would approach and communicate my limits. IIRC, we did about three months in total, starting at three times a week, then twice a week, then once a week. At the end, my broken left leg was actually a little over-trained and stronger than my right leg, with full flexibility. And my twice-broken right wrist was back to 100% flexibility and strength.



As to why surgeons (and insurance companies) don't think PT is needed, I don't know. Been there, done that, tried it both ways, and the evidence is crystal clear.

The surgeon after broken femur #1 told me I was active and motivated, and wouldn't need PT. Yes, I was back on my feet pretty quickly, but I was pretty badly damaged and far less functional. I really, really wish I had gotten PT. I've always wondered whether the nonunion would have been prevented with more activity, or at least caught sooner. That one came with a lot of muscle damage (I hit a curb with my thigh...) and looking back it seems insane he wouldn't at least let me try PT. Surgeons can be narrow-minded to an extreme

I got off the opiate pain pills ASAP after surgery, but I took a LOT of ibuprofen in the following months. There's quite a lot of evidence that NSAIDs can cause healing problems, since healing depends on the body's response to inflammation. No one ever mentioned this; they just told me I could take up to 600mg or 800mg every four to six hours if my leg hurt.

As to the insurance companies... let's just say I could have had a VERY nice shiny new motorcycle for what I was forced to shell out for PT. Still worth it, of course.

With me it was after two months in ICU and a loss of 110 lb's ..... I couldn't even roll over in bed let alone get out of it...... Not to mention I was stark raving loonie tunes from surgical trauma .... That time in ICU was with my arms strapped to the bed as I did try to bust out of there a few times....{ when you have 24 hours a day to work on the tie down straps you get pretty good at it } .... Busting out being sliding off of the bed tied to two of those poles filled with drips and pumps then taking one step before doing a face plant and getting a trip down for x-rays and a CT scan to see what my dumb little stunt had pucked up..... I hadn't even been eating solid food for more than two days before they showed up with the bright idea of going for a walk .......

 

[bwringer]

With me it was after two months in ICU and a loss of 110 lb's ..... I couldn't even roll over in bed let alone get out of it...... Not to mention I was stark raving loonie tunes from surgical trauma .... That time in ICU was with my arms strapped to the bed as I did try to bust out of there a few times....{ when you have 24 hours a day to work on the tie down straps you get pretty good at it } .... Busting out being sliding off of the bed tied to two of those poles filled with drips and pumps then taking one step before doing a face plant and getting a trip down for x-rays and a CT scan to see what my dumb little stunt had pucked up..... I hadn't even been eating solid food for more than two days before they showed up with the bright idea of going for a walk .......

Yikes, you had it much worse. I hope you're doing well these days.

We sure ain't playin' tiddly-winks with these two-wheelers.

 

[trevor]

Well got one more thing taken care of today...went in for surgery on my finger. I have not been able to close it into a fist, therefore it sticks out...and is sore and vulnerable. The scar tissue had to be removed and he did something to the ligaments. lol
Still waiting for a date for the hip.

 

[bobgroger]

Well got one more thing taken care of today...went in for surgery on my finger. I have not been able to close it into a fist, therefore it sticks out...and is sore and vulnerable. The scar tissue had to be removed and he did something to the ligaments. lol
Still waiting for a date for the hip.

You are in Kanada. It may never happen. Like your Covid vaccination.
Signed, fully vaccinated American

 

[Hayabuser]

Bragging about receiving a vaccine that is said may not prevent you from catching the virus, may not prevent you from carrying the virus, and may not prevent you from passing on the virus? Some brag. :stupid: :wink:

 

[Baatfam]

Bragging about receiving a vaccine that is said may not prevent you from catching the virus, may not prevent you from carrying the virus, and may not prevent you from passing on the virus? Some brag. :stupid: :wink:

Don't forget the keeping you out of the hospital and preventing you from dying....I'll drink to that.

Hoping to get mine soon. 1c is open next week in TN.

 

[jsandidge]

Well got one more thing taken care of today...went in for surgery on my finger. I have not been able to close it into a fist, therefore it sticks out...and is sore and vulnerable. The scar tissue had to be removed and he did something to the ligaments. lol
Still waiting for a date for the hip.

Wow, I hope you get the treatment you need soon.

 

[BigD_83]

Well got one more thing taken care of today...went in for surgery on my finger. I have not been able to close it into a fist, therefore it sticks out...and is sore and vulnerable. The scar tissue had to be removed and he did something to the ligaments. lol
Still waiting for a date for the hip.

Well heck, how are you suppose to go all "Champ" on someone like that?

I hope your turn for the hip rolls around quickly. Surgeries are so far behind right now because of COVID. There just aren't enough surgeons to fill the operating theatres and address the backlog.

 

[Spyder]

Well sh!t Trevor ! ! ! I disappear for a few months and all h3ll breaks loose here. Couldn't believe what I was reading here. Am very happy you are healing fairly well. Hope the hip surgery goes smooth, and SOON.
And if I ever get to meet your wife, I swear I'm gonna bring her an award or something, lol. Amazing woman you have there. Get whole soon buddy...

 

[trevor]

Well sh!t Trevor ! ! ! I disappear for a few months and all h3ll breaks loose here. Couldn't believe what I was reading here. Am very happy you are healing fairly well. Hope the hip surgery goes smooth, and SOON.
And if I ever get to meet your wife, I swear I'm gonna bring her an award or something, lol. Amazing woman you have there. Get whole soon buddy...

What nice things to say to me, thanks. My wife is a saint... at least that?s what my close friends say. Lol
I have an appointment with a ?navigator? on Thursday to talk about what I need and what I can expect around my hip replacement surgery.... then I?ll get on the cancellation list. I just want it done already. Cheers

 

[trevor]

An update....I got a call yesterday and I am now scheduled for hip replacement surgery May 6th.
I will continue to do physio 5 times a week until my date...I want to be one of those cases with a quick recovery time.

I'm very happy that it's happening. I want to get on with my life. Cheers

 

[dorkburger]

Nice. Good to see things moving forward.

 

[Spyder]

Wow, that was pretty quick. Hope everything goes well.

 

[Cipher]

An update....I got a call yesterday and I am now scheduled for hip replacement surgery May 6th.
I will continue to do physio 5 times a week until my date...I want to be one of those cases with a quick recovery time.

I'm very happy that it's happening. I want to get on with my life. Cheers

You be sure to get the hootchie coo hip. Backbone slide is cheaper for a reason

 

[trevor]

You be sure to get the hootchie coo hip. Backbone slide is cheaper for a reason

Lol...I have an appointment with my surgeon next week...I'll be sure to bring that up!

 

[Guest]

Good luck with the hip surgery Trevor. A friend of mine went for that a few years ago and it went really well. Said the operating room was like a combination machine shop and woodworking shop. About 4 months later he was up on his roof finishing off the last few rows of shingles. I had been off the forum for a while and was quite shocked to read about your accident. wishing you a speedy recovery.

 

[Guest]

That was the best thing I ever did was getting my hip replacements 24 years ago. Yup that's right had both done in June of 93 with in a week of each other. Spent about 6 months in therapy. Now looking at getting my right knee done here in the near future.