What pain is involved when having a Total Hip Replacement Operation.?!


Question: What pain is involved when having a Total Hip Replacement Operation.?
For instance when the Foley Catheter is put in or removed. And getting out of the bed when the Op. is completed.And Is there a good chance that after a few days you can go home just using a walking stick? Would be grateful for anybody with 1st hand answers to any of the above.

Answers:

I've had both hips replaced in separate surgeries.
My Foley was inserted on the operating table after I was "out". It was removed a couple of days later. It didn't hurt while it was in place and it didn't hurt when it was removed (I am female).
They got me out of bed to stand the evening of operation day. It can hurt during the first few days when the patient moves wrong (gets in & out of bed, is turned in bed, etc. That pain is intense but fleeting. I expected more pain that I experienced and found that my pain was assessed frequently by staff. As far as pain control, I was put on a PCA (patient-controlled-analgesia) machine for about 2 days. This machine delivers a preset amount of pain meds in the IV plus the patient can opt to get more (pre-set amount and timing of course) by pushing a button. I remember being told to push the button before I had PT, before getting out of bed and walking, etc. Keep in mind that I had general anesthesia because this procedure may be different for those who have regional anesthesia (spinal or epidural). You need to discuss this with your surgeon and anesthesiologist so you know what to expect in the pain control dept.
They kept an ice bag on my incision dressing during my entire hospital stays whenever I was in bed and I continued this for a few days after I got home. After a couple days on the PCA, I began oral meds (oxycodone & Tylenol3). After my 2nd THR I stopped the Rx pain med (it was Tylenol3 with codeine) because I thought it had made me nauseous, lost appetite, change in taste when I took it for the 1st THR. They never gave me even one oxycodone to take home! I managed at home by taking plain OTC Tylenol and Tylenol PM to help me sleep. I really didn't have that much pain but getting a good night's sleep was a problem for several weeks.
I went home on a walker or forearm crutches. I used the walker in the house and the crutches when I went out. By 4-6 weeks I was able to get around with one crutch (or a cane) and I used a shopping cart as a "walker" when I shopped. By 2 months I was walking without any walking aid. However I kept a cane handy in the house and car "just in case".
I would not expect to walk out of the hospital using only a cane. It's not that it isn't remotely possible but I would think it unlikely.



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