Re: Question for Marilyn on SLR

[Guest guest]

In a message dated 8/4/2004 2:57:15 PM Central Standard Time, margaret@... writes:

He came again today. We went through the 4 exercises again - I told him I was finding 20 x 3 excessive for the straight leg raising, so I've been doing only 10 x 3 - he didn't make any comment. He seems very satisfied with my progress.

______

I just googled, and found a couple of sites that talk about straight leg raises as a precaution, while others had it as routine exercises. I had attended an orthopedic conference a few years back where this was discussed. The point the surgeons were making was that of all the things that stress the joint and the angle of the part of the prosthesis that is pounded down the shaft of your bone, its straight leg raising. I makes sense to me, and I no longer have my patients do it. They need to lift enough to be able to bring their leg sideways to get it out of bed, but going through the range in a straight leg raises stresses the THR components needlessly. The two components of the motion.....hip flexion and knee extension.....can be done other ways and in other positions.

I wonder what Marilyn is finding on this question???

y

[Guest guest]

y

Not Marilyn, but a 4 time THR person. The second one was 5 days

after the first. Made the leg length the same as the other leg and

dislocated repeatedly. Redid it 5 days later. The RTHR in 1998 and

revised June 7, 2004. Anyhow, each time I did straight leg raises the

day after surgery. Well, the PT did most of the work for awhile.

Took about a week or so until I could do them unaided. Lying flat

with the opposite leg bent and raising the operated leg no more than

knee height of the opposite leg. I am repeatly reminded not to go

higher than the knee of the opposite leg. Also have not done these

sitting. They are killers and will be done after much healing. All

the THR did these.

Sue

> In a message dated 8/4/2004 2:57:15 PM Central Standard Time,

> margaret@a... writes:

> He came again today. We went through the 4 exercises again - I told

him I was

> finding 20 x 3 excessive for the straight leg raising, so I've been

doing

> only 10 x 3 - he didn't make any comment. He seems very satisfied

with my

> progress.

> ______

> I just googled, and found a couple of sites that talk about

straight leg

> raises as a precaution, while others had it as routine exercises.

I had attended

> an orthopedic conference a few years back where this was

discussed. The point

> the surgeons were making was that of all the things that stress the

joint and

> the angle of the part of the prosthesis that is pounded down the

shaft of

> your bone, its straight leg raising. I makes sense to me, and I no

longer have

> my patients do it. They need to lift enough to be able to bring

their leg

> sideways to get it out of bed, but going through the range in a

straight leg

> raises stresses the THR components needlessly. The two components

of the

> motion.....hip flexion and knee extension.....can be done other

ways and in other

> positions.

>

> I wonder what Marilyn is finding on this question???

> y

[Guest guest]

In a message dated 8/4/2004 9:59:37 PM Central Standard Time, mwelton@... writes:

This doc says no one is completely rehab'd until they can do a single leg, unassisted sit-stand! I don't know that I can do a single leg sit-stand, and I've never had a joint replacement

_____

Holy cow! What age patients is this guy doing hips on?

And I suppose they have to do that without exceeding any of the contrindicated motions?

y

[Guest guest]

Can you give me any of those websites, y? I'll ask my physiotherapist next time he comes. Maybe I'll also phone the physiotherapists in Hadassah, and ask their opinion - they didn't give me any specific exercises to do when I was discharged - they simply checked that I was able to get out of bed correctly, walk along the corridor and go up and down a flight of stairs. During the pre-surgery orientation day, they said it wasn't necessary to do specific exercises during the early days at home - simply rest plus walking. I have the feeling that the walking round the neighbourhood that I'm doing, plus up and down my 13 steps a couple of times every day (which I can now do with alternating feet without difficulty), are probably doing me as much good as the specific exercises. I certainly feel a little better and stronger each day, and I have no problem getting in and out of bed and armchair.

Margaret

Re: Question for Marilyn on SLR

In a message dated 8/4/2004 2:57:15 PM Central Standard Time, margaret@... writes:

He came again today. We went through the 4 exercises again - I told him I was finding 20 x 3 excessive for the straight leg raising, so I've been doing only 10 x 3 - he didn't make any comment. He seems very satisfied with my progress.

______

I just googled, and found a couple of sites that talk about straight leg raises as a precaution, while others had it as routine exercises. I had attended an orthopedic conference a few years back where this was discussed. The point the surgeons were making was that of all the things that stress the joint and the angle of the part of the prosthesis that is pounded down the shaft of your bone, its straight leg raising. I makes sense to me, and I no longer have my patients do it. They need to lift enough to be able to bring their leg sideways to get it out of bed, but going through the range in a straight leg raises stresses the THR components needlessly. The two components of the motion.....hip flexion and knee extension.....can be done other ways and in other positions.

I wonder what Marilyn is finding on this question???

y

[Guest guest]

Marilyn

What is a single leg sit-stand? Please explain for us lay people!

I want to know if I am totally rehabilitated!

Sue

-- In Joint Replacement , Marilyn <mwelton@s...>

wrote:

> " I wonder what Marilyn is finding on this question??? "

> I have had one doctor in the last 15 years disallow SLR on either

his

> hips or knees, for the same reasons you gave, too much torque on

the new

> prosthesis. Every other ortho that I have worked w/ has SLR on

their

> HEP protocol. However, recently I have seen hip flexion

illustrated

> supine, in the hip bridging position, just lifting the leg w/ hip

and

> knee bent. I have started this on a few of my patients who have

> difficulty w/ SLR, until they have enough control to do a SLR.

>

> Have also had a recent discussion w/ ortho who is really heavily

> emphasizing co-contraction of hamstrings and quads, as well as core

> stabilization, and gluteus strengthening. This doc says no one is

> completely rehab'd until they can do a single leg, unassisted

> sit-stand! I don't know that I can do a single leg sit-stand, and

I've

> never had a joint replacement.

>

> Marilyn

>

>

>

>

[Guest guest]

Standing only on one leg, and not using your arms for support, sit down

in a chair, and then stand back up! This is very difficult, so don't

try it on your operative leg until you have total control, perhaps 6

months post-op. I just tried it, I could do one on my right, not able

to stand up on my left.....and I've not had surgery, just old.

Marilyn

Sue wrote:

Marilyn

What is a single leg sit-stand? Please explain for us lay people!

I want to know if I am totally rehabilitated!

Sue

-- In Joint Replacement , Marilyn <mwelton@s...> wrote:

"I wonder what Marilyn is finding on this question???"

I have had one doctor in the last 15 years disallow SLR on either

his

hips or knees, for the same reasons you gave, too much torque on

the new

prosthesis. Every other ortho that I have worked w/ has SLR on

their

HEP protocol. However, recently I have seen hip flexion

illustrated

supine, in the hip bridging position, just lifting the leg w/ hip

and

knee bent. I have started this on a few of my patients who have difficulty w/ SLR, until they have enough control to do a SLR.

Have also had a recent discussion w/ ortho who is really heavily emphasizing co-contraction of hamstrings and quads, as well as core stabilization, and gluteus strengthening. This doc says no one is completely rehab'd until they can do a single leg, unassisted sit-stand! I don't know that I can do a single leg sit-stand, and

I've

never had a joint replacement.

Marilyn

[Guest guest]

In a message dated 8/5/2004 11:52:29 AM Central Standard Time, sagebush2020@... writes:

Marilyn. I tried the sit stand routine. I can do it easily with my non-operated leg, but it's no-go with the 9-week one. But it will come!

_____

I could get away with it if I could stand on one leg in the first place, but with this neuropathy, I can't. So I guess my knee will never be rehab'd in their estimation.

y

[Guest guest]

Hi Stan,

I have a question I had my Hip replacement five years ago and my Knee replacement two years ago does that mean I have to still use a pillow ? After all this time I lay on my side I had the operations on sometimes it still hurts not a lot but to let me know that I had the Hip replacement my knee doesn't bother me that much just numb.I'm still watching my legs when I'm sleeping .

Well you take care:-)

Susie

Stan <sagebush2020@...> wrote:

> > In a message dated 8/5/2004

4:41:20 AM Central Standard Time, > > margaret@a... writes:> > Can you give me any of those websites, y? I'll ask my > physiotherapist > > next time he comes. Maybe I'll also phone the physiotherapists in > Hadassah> > _____> > I'm surprised they didn't at least give you an exercise sheet of > some kind. > > Anyway....I googled that stuff, and I don't remember what I put > in. Maybe SLR > > precautions in Total Hip?> > y

[Guest guest]

y

I tried lying on the operated (right) hip for the first time last

night, and I couldn't do it for more than a few minutes. I started

getting a mild pulsating pain in my hip while doing it.

After a great day again, I had a miserable night--again. Although

the Xrays yesterday said that there is nothing wrong with my knee,

it ached most of the night.

I slept part of the night on the other hip, but I guess that is a no-

no. Hmm. Some fun.

Staninfr

> In a message dated 8/5/2004 4:45:46 PM Central Standard Time,

> sagebush2020@y... writes:

> The thing that I didn't know was we can sleep on the operated, not

> the unoperated, side. I was doing the contrary, and sometimes I

felt

> pain in my operated side!

> ______

> This was the advice we always gave THR patients, and which

mentioned on this

> list. Several people who had THR surgery essentially told me that

was

> impossible. The idea behind it is that the " bottom " leg is in a

stable

> position......the " top " leg has the potential to rotate in and

fall into a very

> contraindicated position if a pillow is not used, or even if one

is and it becomes

> dislodged. We used to purposely put the person's bedside table

and phone on the

> operated side so they wouldn't roll the other way unprepared, and

thus dislocate.

> y

[Guest guest]

Sally in the Finger Lakes (You must be continually wet!)

Yes, sleeping on my back is something I never had done until a few

weeks before my operation (I decided to practice it), and I'm still

not used to do so.

I probably should take something like Tylenol, but I'm kind of anti-

drug. I try to avoid them unless I have no choice.

Have a good one in the lakes.

Staninfr

> I hate trying to sleep on my back.

>

> I agree, Stan! After 6 days post-op, this is my worse problem! I

> was advised by PT/OT not to sleep on the operated leg for 2 weeks

at

> least (maybe it was 6 weeks), and not on the nonoperated leg for a

> very long time.

>

> I am finding that the only pain medication I need some Tylenol to

> relax me enough to forget about always being on my back.

>

> Sally in the Finger Lakes

[Guest guest]

This is interesting - I didn't know it either.

I was finding sleeping only on my back very uncomfortable - not how I usually sleep. So after coming home last week, I asked the physiotherapist (the team-head who visited me the first day) - and she said it was ok for me to sleep on my unoperated (left) side with a pillow between my knees. So that's how I've been sleeping ever since. My body really wants to turn to my right - haven't tried it yet. Wondering whether I dare try it now that the dressing is finally off my incision. Will be interested to hear other people's experience.

Margaret

----- Original Message ----- Here's something I just read that I didn't know:"Lying & Sleeping""Do not lie on the unoperated side.""Do sleep on your back or the operated side with a pillow between knees."The thing that I didn't know was we can sleep on the operated, not the unoperated, side. I was doing the contrary, and sometimes I felt pain in my operated side!My operated side is the side I used to sleep on "before the war," so I think I'll try it again tonight. I hate trying to sleep on my back.CiaoStaninfr

[Guest guest]

Thanks Stan, I just googled it.

Found this site http://www.louisvilleorthopedic.com/library/thr/precautions.htmlwhich clearly says "Do not lie on the unoperated side." Contradicts what my PT told me, which I've been doing for the past week. Between that and the SLR issue, I'm beginning to lose confidence in the PTs here.

Here's another very informative page http://www.totaljoints.info/life_with_hip.htm#3

Margaret

Re: Question for Marilyn on SLR

Just Google "THR precautions" and you'll find what you need, probably.Staninfr

[Guest guest]

No - they gave me no exercise sheet.

I googled what you suggested - found this site http://www.greatseminarsandbooks.com/Tips/Entries/TotalHipProtocol.htm which clearly states: No straight leg raises (SLR) as a repetitive exercises for 6 weeks-as a functional activity, leg lifting is permissible. No sleeping on the operative hip for 6 weeks post-operative.

I'm stopping the SLR exercise, and will show this to my "cute" PT when he comes on Monday.

I'm getting somewhat dissatisfied with the inadequate / misleading (dangerous?) PT advice I've been given here.

Margaret

----- Original Message -----

Can you give me any of those websites, y? I'll ask my physiotherapist next time he comes. Maybe I'll also phone the physiotherapists in Hadassah

_____

I'm surprised they didn't at least give you an exercise sheet of some kind. Anyway....I googled that stuff, and I don't remember what I put in. Maybe SLR precautions in Total Hip?

y

[Guest guest]

Sorry - just to clarify my message - by "here" I did *not* mean this list - I meant here in Israel.

I'm finding all the comments and information here on this list very helpful as a check, to check against what I'm getting here locally. Thanks everybody!

Margaret

----- Original Message -----

I'm getting somewhat dissatisfied with the inadequate / misleading (dangerous?) PT advice I've been given here.

Margaret

[Guest guest]

It's amazing, Margaret, how the so-called experts disagree. I was

told the same as you about sleeping on the " other " side with a

pillow, but yesterday I read the contrary. I'm going to do what

feels good. It didn't feel good sleeping on my hippie side last

night. I couldn't take it for more than a few minutes.

Ciao

Staninfr

> This is interesting - I didn't know it either.

> I was finding sleeping only on my back very uncomfortable - not

how I usually sleep. So after coming home last week, I asked the

physiotherapist (the team-head who visited me the first day) - and

she said it was ok for me to sleep on my unoperated (left) side with

a pillow between my knees. So that's how I've been sleeping ever

since. My body really wants to turn to my right - haven't tried it

yet. Wondering whether I dare try it now that the dressing is

finally off my incision. Will be interested to hear other people's

experience.

> Margaret

> ----- Original Message -----

> Here's something I just read that I didn't know:

>

> " Lying & Sleeping "

>

> " Do not lie on the unoperated side. "

>

> " Do sleep on your back or the operated side with a pillow

between

> knees. "

>

> The thing that I didn't know was we can sleep on the operated,

not

> the unoperated, side. I was doing the contrary, and sometimes I

felt

> pain in my operated side!

>

> My operated side is the side I used to sleep on " before the

war, " so

> I think I'll try it again tonight. I hate trying to sleep on my

back.

>

> Ciao

>

> Staninfr

[Guest guest]

Margaret

I don't know if we should lose confidence in the PTs. I think that

we should realize that they are humans who make judgments. They

don't all see things the same way, just like economicsts and ....

Oops. I almost got political. I think that I'll save that for the

hippieswithhumour site.

Anyhow, I not surprised, just confused, at the diffeent opinions. At

the end of the day (I destest that expression) it is we who have to

make our own decisions--usually.

I'm curious, Margaret. What are you pursuing at the university,

other than young men?

Staninfra

> Thanks Stan, I just googled it.

> Found this site

http://www.louisvilleorthopedic.com/library/thr/precautions.htmlwhich

clearly says " Do not lie on the unoperated side. " Contradicts what

my PT told me, which I've been doing for the past week. Between

that and the SLR issue, I'm beginning to lose confidence in the PTs

here.

> Here's another very informative page

http://www.totaljoints.info/life_with_hip.htm#3

> Margaret

> Re: Question for Marilyn on

SLR

>

>

> Just Google " THR precautions " and you'll find what you need,

> probably.

>

> Staninfr

[Guest guest]

Margaret, something in the second site your referred to adds

slightly to my confusion level. See second paragraph of quoted

material.

" If you have an uncemented total hip, its fixation to the skeleton

improves with time as new bone grows into its surface. The ingrowth

of new bone is a process that takes time (4 -12 weeks), and the

ingrowing bone should be protected from undue stresses during this

period.

Originally, the surgeons believed that the patient must avoided

loading of the cementless hip to achieve good ingrowth of the bone

into the surface layer of the total joint prosthesis. Many surgeons

do not adhere to this view longer. Here follow some reasons why:

Studies showed that in cementless total hip prostheses bone

ingrowth fixation reliably occurs whether or not a partial or full

weight-bearing postoperative protocol is followed. (Woolson 2002)

Moreover, studies demonstrated that even patients who were learned

the " partial weight bearing " with crutches by their PT still put

much more weight on their hips than learned, without knowing it.

(Tveit 2001) "

> Thanks Stan, I just googled it.

> Found this site

http://www.louisvilleorthopedic.com/library/thr/precautions.htmlwhich

clearly says " Do not lie on the unoperated side. " Contradicts what

my PT told me, which I've been doing for the past week. Between

that and the SLR issue, I'm beginning to lose confidence in the PTs

here.

> Here's another very informative page

http://www.totaljoints.info/life_with_hip.htm#3

> Margaret

> Re: Question for Marilyn on

SLR

>

>

> Just Google " THR precautions " and you'll find what you need,

> probably.

>

> Staninfr

[Guest guest]

Oh, oh, Margaret. I told you not to get paranoid. Part of the joys

and frustrations one gets from the support groups relates to the

variety of views and experiences. It goes with the territory.

My own personal narrow-minded view is that some of us--as in " you "

and " I " --can probably take much more than the precautionary warnings

tell us about. I've been sleeping on my left side for some time, and

my X-rays yesterday said all is well.

I have also been doing the straight leg lifts for a while. However,

I think that they probably should wait until at least four to six

weeks, and be done moderately, especially in the beginning.

I must do the leg lifts. My right leg muscles had atrophied, and I

needed to get them back. I couldn't even lift my right leg while in

bed for the first 18 days, but I did exercise.

These are merely opinions. I don't think that it is easy to find

facts, since few of them actually exist.

All we can do is to find a reasonaly good definition of the

word " reasonable " and then try to behave reasonably if we are

inclined to do so.

I have longed tended to do what I--not others--think is reasonable.

I'm not sure who is more reasonable, but--mox nix--I'm happy.

Staninfr

> No - they gave me no exercise sheet.

> I googled what you suggested - found this site

http://www.greatseminarsandbooks.com/Tips/Entries/TotalHipProtocol.ht

m which clearly states:

> a.. No straight leg raises (SLR) as a repetitive exercises for 6

weeks-as a functional activity, leg lifting is permissible.

> a.. No sleeping on the operative hip for 6 weeks post-operative.

>

> I'm stopping the SLR exercise, and will show this to my " cute " PT

when he comes on Monday.

> I'm getting somewhat dissatisfied with the inadequate / misleading

(dangerous?) PT advice I've been given here.

>

> Margaret

> ----- Original Message -----

> Can you give me any of those websites, y? I'll ask my

physiotherapist next time he comes. Maybe I'll also phone the

physiotherapists in Hadassah

> _____

> I'm surprised they didn't at least give you an exercise sheet of

some kind. Anyway....I googled that stuff, and I don't remember

what I put in. Maybe SLR precautions in Total Hip?

> y

[Guest guest]

Yea, Margaret, I was a bit surprised when I first read the

original " here. " I hope that the " here and now " PT stones hadn't

already been thrown in your direction!

Staninfr

> Sorry - just to clarify my message - by " here " I did *not* mean

this list - I meant here in Israel.

> I'm finding all the comments and information here on this list

very helpful as a check, to check against what I'm getting here

locally. Thanks everybody!

>

> Margaret

> ----- Original Message -----

> I'm getting somewhat dissatisfied with the inadequate /

misleading (dangerous?) PT advice I've been given here.

>

> Margaret

[Guest guest]

"Between that and the SLR issue, I'm beginning to lose

confidence in the PTs here."

Margaret: Please remember that there are as many different approaches

to rehab as there are surgeons. Don't think less of your PT because

he/she is doing things differently than some other therapists in other

parts of the world. They know what your surgeon wants, so go w/ that

program. It is OK to sleep on your un-operative side if you protect

your operative leg from falling forward across your body....one of the

hip precautions. Also, many surgeons say it is OK to sleep for short

periods of time on the op-side...some do not want you to do this. As

long as you are getting stronger, and keeping your hip precautions,

then don't sweat the small stuff! In a few weeks you will be able to

do all of it anyway.

I often go to see a patient in their home, and they have had therapy in

the hospital, with completely different exercises than I would have

issued. We (therapists) go to different schools, and have different

experiences to draw from. It is a bit intimidating to go into a home

where the pt. has been on the internet, and they say, but this site

says ...blah, blah, blah, ...which is different from what I had said.

So, discuss it w/ your therapist as a point of conversation, NOT as a

point of decension. (is that a word?)

Marilyn

[Guest guest]

Excellent response, Marilyn! It makes a lot of sense to me.

I won't engage in " decension " with you. I'm on the assent, not

descent!

Staninfr

> " Between that and the SLR issue, I'm beginning to lose confidence

in the

> PTs here. "

>

>

> Margaret: Please remember that there are as many different

approaches

> to rehab as there are surgeons. Don't think less of your PT

because

> he/she is doing things differently than some other therapists in

other

> parts of the world. They know what your surgeon wants, so go w/

that

> program. It is OK to sleep on your un-operative side if you

protect

> your operative leg from falling forward across your body....one of

the

> hip precautions. Also, many surgeons say it is OK to sleep for

short

> periods of time on the op-side...some do not want you to do

this. As

> long as you are getting stronger, and keeping your hip

precautions, then

> don't sweat the small stuff! In a few weeks you will be able to

do all

> of it anyway.

>

> I often go to see a patient in their home, and they have had

therapy in

> the hospital, with completely different exercises than I would

have

> issued. We (therapists) go to different schools, and have

different

> experiences to draw from. It is a bit intimidating to go into a

home

> where the pt. has been on the internet, and they say, but this

site

> says ...blah, blah, blah, ...which is different from what I had

said.

> So, discuss it w/ your therapist as a point of conversation, NOT

as a

> point of decension. (is that a word?)

>

> Marilyn

>

>

> >

> >

> >

[Guest guest]

Margaret

I was told what you were told about sleeping and SLR. The whole

medical center does it the way you and I were told. So keep faith in

your PT. They know you personally and a web site doesn't.

Sue

> Thanks Stan, I just googled it.

> Found this site

http://www.louisvilleorthopedic.com/library/thr/precautions.htmlwhich

clearly says " Do not lie on the unoperated side. " Contradicts what

my PT told me, which I've been doing for the past week. Between that

and the SLR issue, I'm beginning to lose confidence in the PTs here.

> Here's another very informative page

http://www.totaljoints.info/life_with_hip.htm#3

> Margaret

> Re: Question for Marilyn on SLR

>

>

> Just Google " THR precautions " and you'll find what you need,

> probably.

>

> Staninfr

[Guest guest]

Stan

Makes me glad I got a cemented THR. I know it is in tight now and

does not have to heal. Just the tendions and such.

Sue

-- In Joint Replacement , " Stan "

<sagebush2020@y...> wrote:

> Margaret, something in the second site your referred to adds

> slightly to my confusion level. See second paragraph of quoted

> material.

>

> " If you have an uncemented total hip, its fixation to the skeleton

> improves with time as new bone grows into its surface. The ingrowth

> of new bone is a process that takes time (4 -12 weeks), and the

> ingrowing bone should be protected from undue stresses during this

> period.

>

> Originally, the surgeons believed that the patient must avoided

> loading of the cementless hip to achieve good ingrowth of the bone

> into the surface layer of the total joint prosthesis. Many

surgeons

> do not adhere to this view longer. Here follow some reasons why:

>

> Studies showed that in cementless total hip prostheses bone

> ingrowth fixation reliably occurs whether or not a partial or full

> weight-bearing postoperative protocol is followed. (Woolson 2002)

>

> Moreover, studies demonstrated that even patients who were learned

> the " partial weight bearing " with crutches by their PT still put

> much more weight on their hips than learned, without knowing it.

> (Tveit 2001) "

>

>

>

>

> > Thanks Stan, I just googled it.

> > Found this site

>

http://www.louisvilleorthopedic.com/library/thr/precautions.htmlwhich

> clearly says " Do not lie on the unoperated side. " Contradicts

what

> my PT told me, which I've been doing for the past week. Between

> that and the SLR issue, I'm beginning to lose confidence in the PTs

> here.

> > Here's another very informative page

> http://www.totaljoints.info/life_with_hip.htm#3

> > Margaret

> > Re: Question for Marilyn on

> SLR

> >

> >

> > Just Google " THR precautions " and you'll find what you need,

> > probably.

> >

> > Staninfr

[Guest guest]

Stan

I agree with you and I am really the same way. I am using 3lb

weights with my SLR and the muscle is sore but almost back to

normal. I think people get into trouble because they don't

exercise. The THR gets rid of the pain, but you have to make sure

you are strong enough to hold the prothesis is place.

I just started sleeping on the operated side without pain. It is

nice to give the left side a break! I have always used a pillow

between my knees. I have a good child bearing pelvis, at least that

is what my GYN told me. So I am childless though. I have not great

desire to carry on my gene pool. Brain may be good, but the body

stinks.

Sue

> > No - they gave me no exercise sheet.

> > I googled what you suggested - found this site

>

http://www.greatseminarsandbooks.com/Tips/Entries/TotalHipProtocol.ht

> m which clearly states:

> > a.. No straight leg raises (SLR) as a repetitive exercises for 6

> weeks-as a functional activity, leg lifting is permissible.

> > a.. No sleeping on the operative hip for 6 weeks post-operative.

> >

> > I'm stopping the SLR exercise, and will show this to my " cute " PT

> when he comes on Monday.

> > I'm getting somewhat dissatisfied with the inadequate /

misleading

> (dangerous?) PT advice I've been given here.

> >

> > Margaret

> > ----- Original Message -----

> > Can you give me any of those websites, y? I'll ask my

> physiotherapist next time he comes. Maybe I'll also phone the

> physiotherapists in Hadassah

> > _____

> > I'm surprised they didn't at least give you an exercise sheet

of

> some kind. Anyway....I googled that stuff, and I don't remember

> what I put in. Maybe SLR precautions in Total Hip?

> > y

[Guest guest]

Hi Sue,

What is a SLR? I never heard of this.Well you have a good daya:-)

SusieSue <Suzeegrape@...> wrote:

MargaretI was told what you were told about sleeping and SLR. The whole medical center does it the way you and I were told. So keep faith in your PT. They know you personally and a web site doesn't.Sue> Thanks Stan, I just googled it.> Found this site http://www.louisvilleorthopedic.com/library/thr/precautions.htmlwhich clearly says "Do not lie on the unoperated side." Contradicts what my PT told me, which I've been doing for the past week. Between that and the SLR issue, I'm beginning to lose confidence in the PTs here.> Here's another very informative page http://www.totaljoints.info/life_with_hip.htm#3> Margaret> Re: Question for Marilyn on SLR> > > Just Google "THR precautions" and you'll find what you need, > probably.> > Staninfr