Return to Tango after Total Hip Replacement: Weeks 14-15

Well! I have actually returned to tango.

I decided that part of the process would be to have a private lesson with my teacher, David Backler, from Sidewalk Tango which is where we learn. I wasn’t sure of how strong I was or what my stamina would be like and wanted to test that with a very experienced dancer who would have a good feel for where I was at. I felt I needed to be kept safe.

I was nervous but the lesson went well as we gradually moved from walking to going into the cross. That was a test of my straight back leg which had got a bit timid over the last few months off the floor. It was good to focus on that crispness and also remember to focus the gaze onto my partner’s chest. Interesting that I’d lost a bit of that concentration. We did two twenty minute sessions and it felt really good and encouraging. I enjoyed doing an ocho which flipped around instead of me having to winch myself around.

Encouraged by that, I joined the Intermediate Class on the following Wednesday. That was harder. Not all partners wait for the lady to get on her axis and I’m very sensitive to that at the moment. We did voleos as part of the dance figure and my hip  and leg are not quite ready to do a lot of them in succession. I sat out for a few minutes about two thirds through but next time will stop for a break each 15 minutes. The nature of a class is repetition and that’s a bit tiring. However, I was pleased and excited to have managed it.

In the Practica following the class, I had a couple of good dances with friends who were thoughtful and considerate in their lead. That was enjoyable.

We went to the Practica the following Sunday afternoon where I had a pleasant time of dancing a couple of songs and then resting before some more. Partners were thoughtful and steady in their lead.

Generally, I can still feel the stiffness in my thigh muscles and am aware of needing to strengthen up.

I’m starting a clinical Pilates class this week and am looking forward to that very specific strengthening and stretching.

All I take now is a couple of Panadol Osteos before a class to help with the distraction of the thigh tightness.

 

 

 

 

Right Anterior Hip Replacement, Day 14

It’s been fourteen days since my right anterior total hip replacement operation on Tuesday January 13th, 2015. The operation, performed by Mr Phong Tran, went well. Both hips are level, and here at home I can now walk around without crutches.

Now, the biggest improvement for me is that at night I am sleeping again. I had about nine months before the operation of tossing and turning and never being comfortable in bed. I would have to get up in the night and walk around, do my stretching exercises, refill the hot water bottle, have a cup of tea, anything to distract me from the nagging and niggling ache. I would lie on a tennis ball, judiciously placed under my hip’s right buttock to relieve the inner pain.

The four nights in hospital weren’t good even though I had a spacious private room. A hospital is often noisy at night, and in this orthopaedic ward where there is a constant need for ice to relieve sore joints, the corridors sometimes rang with the sound of ice crushing. I was always waiting  for the pain relief, sometimes up to three hours when the pain had reached the 8/10 mark. The hospital system understandably allows no flexibility in the prescribed timing or dosage of analgesic drugs. The 24 hour time lag in adjustments was difficult. However, the visiting peri-operative physician improved the pain relief regime each day  until it was nearly right by the time I got home.

I went straight home from the hospital, and as soon as I was at home I sat down and looked at what drugs I was able to take and adjusted the timing so that there were no distinct peaks and troughs in pain relief delivery. Being at home meant that I had discretion of up to two hours with the panadeine I took, and that made a big difference.

My first night at home was magnificent. I slept. I did have to get up with a rather restless bladder (I’m drinking a lot of water) but went to sleep again immediately. I’m surprised I’m not bothered by having to sleep on my back. I have now had seven nights of sleep and feel there is quite a bit of pleasant catching up to do.

The pain issue has been interesting and quite difficult for me to work out. During the operation, a tube was inserted  into the joint for 48 hours of constant delivery of local anaesthetic from a little pouch which lay next to my thigh. I felt no pain at all from the joint. But there was a lot of generalised pain around my back, abdomen and thigh muscles. I hadn’t expected this and it was quite difficult to manage. I’ve learned that the back pain is related to the rather vigorous manipulation during the operation in which the hip had to be dislocated, and also to imbalance from the preceding months of limping. My thigh muscles are sometimes excruciatingly painful – not surprising considering that , although they weren’t cut during the operation, they were pulled aside and held there while work on the bone and prosthesis took place. The poor things are still grumbling, as are the tendons, one of which had to be cut and repaired. They like ice packs. My back likes a hot water bottle.

It took a bit of time and a visit to my local GP who helped further with the pain relief management to sort out this rather confusing melange of sensations ranging from quite mild to wincingly strong. But knowing what is going on in my post-op body is good and all this will improve with exercise and physiotherapy,

One of the things I was hoping to be an outcome of the surgery was not having to take pills any more. Usually I take nothing, touch wood, and I was fed up with having to rely on pills and vigilant timing to be able to function at all. Strangely enough, now I am taking many more but I’m not bothered. I think it’s because I know that the prime cause of the pain has been removed and that the need for pills will diminish as I become stronger and my body heals. I’m a bit fuzzy in the head at times but don’t mind. I just have a rest and feel relieved that it’s all over.

I am astonished at how well I’m getting about. As I said, I can walk around home from about 12 days after the operation without crutches, if I’m not tired. It was bliss the morning after the operation when the physio helped me move my leg and lightly bend the right knee which with my leg had been safely immobilised overnight. The leg was really aching by that time. It hurt to move but the movement was better than the ache. I swung around to sit on the side of the bed and lowered it to the floor. It was painful but OK. Then he helped me up into a standing walking frame and there I was, standing on two legs 16 hours after the operation. I walked a bit around the room and from then on walked everywhere. That afternoon he brought my crutches and I walked out to the corridor to do my first set of standing exercises. I’d been doing the bed ones since regaining feeling in my legs and feet.

From then it became easier. Exercises 3 times a day, walks in the coirridor, learning how to go up and down steps. I concentrated on walking tall and as evenly as I could without limping or swaying from side to side. By now I was very appreciative of the pilates and physiotherapy I had been doing in preparation for the surgery.

I managed getting into and out of the car perfectly well, and it wasn’t much different from my efforts before the operation. Home was comfortable and manageable. I had hired a shower seat which feels safe and luxurious. I’m increasing my walks outside on the one crutch now and feel well on the way!

This afternoon I’m celebrating a recovery goal. Nick and I are going to Sidewalk Tango’s Australia Day barbecue and milonga. I will climb the concrete stairs to my tango world. I will see my tango friends again, hear the tango music, enjoy the familiar Tiki Bar, and I will definitely at least stand on the dance floor in the tango embrace of dear Nick who has been looking after me so well.