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Knee & Hip Problems Message Board

Knee & Hip Problems Board Index

I am back from the hospital now, I've been home for 2 days. My surgeon didn't end up doing the periacetabular osteotomy. He did a femoral osteotomy, osteoplasty of my hip socket, and repaired my hip capsule which in his words was "shot to hell".

I can tell you that my osteotomy went well. Surgery took around 6 hours, I awoke and was in pain but this could be controlled with pain meds. I stayed in the hospital 4 nights. Pain at home honestly isn't too bad. Ofcourse I'm living on pain killers right now, but it isn't anything which brings me to tears. Its just going to take time, and it takes some time learning how to get around the house with a walker, and up and down the stairs, ect. I have a bedside commode I have to use since i can't bend down to the toilet (lovely), my bathing consists of sponge baths since I can't get my incision wet (which is about 30 cm long). So ofcourse that stuff is hard and slightly embarassing. But if its going to help me in the long run, I'm glad I did it. And honestly I'm surprised at how well I am doing and how much less the pain is than I thought. I built it up to be horrible.

A home nurse and physical therapy comes out to my house, which is nice. Later I will do water therapy. If you are interested in how I am doing so you can have more information for you daughter's sake later down the road, feel free to e-mail me or have your daughter email me at [COLOR="Blue"]* removed *[/COLOR]. :-) Hope this helps! Its not the same osteotomy but in the same place to cure the same condition.
Hi cbuto,

I'm sorry to hear that your daughter had a rough day yesterday. Being in pain does bring out the worst emotions and is often accompanied by physical and mental doubt about that!

Regarding specific exercises, based on my experiences, my suggestion would be for her to see a chiropractor and a physical therapist. They should have experience and/or specialize in treatment of the hips. Every other week, my chiropractor has to adjust my ilium, as well as my lower back and sacrum. Sometimes, he has to adjust my knee, neck, and jaw. Because the muscles in my hip area are so out-of-whack, those parts are constantly being pulled out of alignment. It doesn't help that my hip ball does not stay positioned properly in the socket...which is what the surgery was supposed to fix. Anyway, I suggest a chiropractor because s/he can maybe realign her body so other body parts are not compensating for the bad hip (preventive), as well as position the ball where it needs to be in the socket. This definitely works for my left hip, which I have not had surgery on.

As for physical therapy, again, my recommendation is to find someone who specializes in hips, who preferably has dealt with hip dysplasia patients. This is very important. She'll likely come across a lot who have dealt with hip replacement patients; however, this is not the same.

Here are several exercises that I have found to be very helpful:
1. Using a rehab rubberband, one end tied to the bottom of the bed post and the other tied around my ankle (side that had surgery): Sitting on the bed, I pull the band inward and hold for 10 seconds. I repeat this 5 times.
2. Tying a belt around my knees, I push out and against the belt for 10 seconds. I repeat this 3 times.
3. I place a small rubber ball between my knees and squeeze it for about 10 seconds. This, I repeat about 3 times as well.
4. I also do a series of stretches that work on my psoas muscles and my hip muscles.
5. Standing on my right foot and my left on a step stool, I tighten the muscles in my hip and hold for 10 seconds. I do this 3 times, which isn't much; but right now, I don't have much strength, so 3 times is a lot for most of the exercises listed.

There are several others that I do, but it's difficult to explain them in writing. Rather than your daughter creating her own exercise routine, I'd recommend that she see a therapist or physician for the sole purpose of ensuring that she's doing them correctly. I didn't realize it until recently, but posture and correct "form" have a huge impact on the results of exercising, especially when there is an injury to the body. With the exercises listed above, there are so many fine details that I didn't include because it would result in a novel. Also, please note that these exercises are helping me post-surgery; I'm sure there are other techniques that are used for people who have not had surgery.

I'm not sure if this was helpful, but feel free to ask more questions if you need to.

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