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Rotated femur anyone?

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This is from Eleanor again, still plodding/struggling on at five months

post-op. The good news is that I am beginning to walk better and can

hike fairly long (2miles) without too much difficulty, but slowly using

two sticks. Keep forgetting to take my cane with me when out shopping,

etc. but do like to have it for balance.

The bad news is that I still get a lot of aches and pains at night, and

still some, but much less, and sometimes none, during the day. These

vary—are not in the hip joint ever, but can be in the thigh, under the

wound, in the groin, by the knee or shooting down the leg.

Have just had an Irish physio visiting who gave me a wonderful work

over. She immediately commented on how rotated my hip and walking is.

I have always been pigeon-toed since a child, and despite a parent who

made sure I had ‘corrective shoes’ (in the fifties), and good fitting

shoes, still continued fairly pigeon-toed and have always assumed that

this rotation is what led to my OA. For some reason, I thought the BHR

would correct the rotation, but have been told it doesn’t—everything is

just put back the same. She also found that my muscle under my wound

feels hard and congested. My ROM is still very bad—still can’t tie my

laces and have trouble even putting on my pants. My operated leg is ½

inch longer, and was the same pre-op. When exercising, I am finding it

hard to differentiate my pelvic muscle, so often end up using my back

when I think I am moving my hip only—ergo exercise has been useless.

Has anyone else had this problem and what have you done about it if you

have? I really wasn’t too bad at all pre-op. Feel much worse now,

except for the lack of pain in the hip joint itself. My physio friend

has given me some new exercises which use my husband to help make sure I

use the correct muscles.

Eleanor

RBHR Nov 23/ 03

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Forgot to say that my Irish physio friend had lots of BHR’s when she was

training in the north of England. None were like me, so she was very

surprised. By 6 weeks, she was helping them to bend their knees to

their chests while lying on their backs. So don’t be discouraged, you

new hippies.

Eleanor

Rotated femur anyone?

This is from Eleanor again, still plodding/struggling on at five months

post-op. The good news is that I am beginning to walk better and can

hike fairly long (2miles) without too much difficulty, but slowly using

two sticks. Keep forgetting to take my cane with me when out shopping,

etc. but do like to have it for balance.

The bad news is that I still get a lot of aches and pains at night, and

still some, but much less, and sometimes none, during the day. These

vary—are not in the hip joint ever, but can be in the thigh, under the

wound, in the groin, by the knee or shooting down the leg.

Have just had an Irish physio visiting who gave me a wonderful work

over. She immediately commented on how rotated my hip and walking is.

I have always been pigeon-toed since a child, and despite a parent who

made sure I had ‘corrective shoes’ (in the fifties), and good fitting

shoes, still continued fairly pigeon-toed and have always assumed that

this rotation is what led to my OA. For some reason, I thought the BHR

would correct the rotation, but have been told it doesn’t—everything is

just put back the same. She also found that my muscle under my wound

feels hard and congested. My ROM is still very bad—still can’t tie my

laces and have trouble even putting on my pants. My operated leg is ½

inch longer, and was the same pre-op. When exercising, I am finding it

hard to differentiate my pelvic muscle, so often end up using my back

when I think I am moving my hip only—ergo exercise has been useless.

Has anyone else had this problem and what have you done about it if you

have? I really wasn’t too bad at all pre-op. Feel much worse now,

except for the lack of pain in the hip joint itself. My physio friend

has given me some new exercises which use my husband to help make sure I

use the correct muscles.

Eleanor

RBHR Nov 23/ 03

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Forgot to say that my Irish physio friend had lots of BHR’s when she was

training in the north of England. None were like me, so she was very

surprised. By 6 weeks, she was helping them to bend their knees to

their chests while lying on their backs. So don’t be discouraged, you

new hippies.

Eleanor

Rotated femur anyone?

This is from Eleanor again, still plodding/struggling on at five months

post-op. The good news is that I am beginning to walk better and can

hike fairly long (2miles) without too much difficulty, but slowly using

two sticks. Keep forgetting to take my cane with me when out shopping,

etc. but do like to have it for balance.

The bad news is that I still get a lot of aches and pains at night, and

still some, but much less, and sometimes none, during the day. These

vary—are not in the hip joint ever, but can be in the thigh, under the

wound, in the groin, by the knee or shooting down the leg.

Have just had an Irish physio visiting who gave me a wonderful work

over. She immediately commented on how rotated my hip and walking is.

I have always been pigeon-toed since a child, and despite a parent who

made sure I had ‘corrective shoes’ (in the fifties), and good fitting

shoes, still continued fairly pigeon-toed and have always assumed that

this rotation is what led to my OA. For some reason, I thought the BHR

would correct the rotation, but have been told it doesn’t—everything is

just put back the same. She also found that my muscle under my wound

feels hard and congested. My ROM is still very bad—still can’t tie my

laces and have trouble even putting on my pants. My operated leg is ½

inch longer, and was the same pre-op. When exercising, I am finding it

hard to differentiate my pelvic muscle, so often end up using my back

when I think I am moving my hip only—ergo exercise has been useless.

Has anyone else had this problem and what have you done about it if you

have? I really wasn’t too bad at all pre-op. Feel much worse now,

except for the lack of pain in the hip joint itself. My physio friend

has given me some new exercises which use my husband to help make sure I

use the correct muscles.

Eleanor

RBHR Nov 23/ 03

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Forgot to say that my Irish physio friend had lots of BHR’s when she was

training in the north of England. None were like me, so she was very

surprised. By 6 weeks, she was helping them to bend their knees to

their chests while lying on their backs. So don’t be discouraged, you

new hippies.

Eleanor

Rotated femur anyone?

This is from Eleanor again, still plodding/struggling on at five months

post-op. The good news is that I am beginning to walk better and can

hike fairly long (2miles) without too much difficulty, but slowly using

two sticks. Keep forgetting to take my cane with me when out shopping,

etc. but do like to have it for balance.

The bad news is that I still get a lot of aches and pains at night, and

still some, but much less, and sometimes none, during the day. These

vary—are not in the hip joint ever, but can be in the thigh, under the

wound, in the groin, by the knee or shooting down the leg.

Have just had an Irish physio visiting who gave me a wonderful work

over. She immediately commented on how rotated my hip and walking is.

I have always been pigeon-toed since a child, and despite a parent who

made sure I had ‘corrective shoes’ (in the fifties), and good fitting

shoes, still continued fairly pigeon-toed and have always assumed that

this rotation is what led to my OA. For some reason, I thought the BHR

would correct the rotation, but have been told it doesn’t—everything is

just put back the same. She also found that my muscle under my wound

feels hard and congested. My ROM is still very bad—still can’t tie my

laces and have trouble even putting on my pants. My operated leg is ½

inch longer, and was the same pre-op. When exercising, I am finding it

hard to differentiate my pelvic muscle, so often end up using my back

when I think I am moving my hip only—ergo exercise has been useless.

Has anyone else had this problem and what have you done about it if you

have? I really wasn’t too bad at all pre-op. Feel much worse now,

except for the lack of pain in the hip joint itself. My physio friend

has given me some new exercises which use my husband to help make sure I

use the correct muscles.

Eleanor

RBHR Nov 23/ 03

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Hi Eleanor,

I think you highlight the basic problem with all this.......... the doctors

only give us a new part to the joint.......... they don't give us new

muscles, tendons etc and many of us have a big heap of problems with other

parts of the body for one reason or another......... so often long years of

poor gait............ which may or may not have created the problem with the

hip bones in the first place.....and which will not go away

automatically............ Actually I think poor gait is one of those

problems that is not highlighted enough in the days of people starting to

think about preventive medicine......i.e. instead of looking at suppliments

etc people may be better placed looking at their gait but that is another

story.

So post op we all have to reclaim the joint and rest of the body mechanism

and so often that is long hard complicated work............ Each muscle has

to be teased back into existance in its rightful place and order of

operation............. I am totally amazed by just how significant each one

of said muscles is to proper walking........... and starting with basically

zilch left I have had to work at getting each to renew its enthusiam for

life and then get it to strengthen........... At 21 months I have learnt

that that process doesn't happen quickly if you have a poor base. You have

to irritate a muscle at just the right pace to get it to build up, too much

and all you get is too much pain and misery, too little and nothing whatever

happens - well, other than pain and misery in other parts of the body as you

are finding as the body cheats to cover the hip.

My other pet annoyance at this stage is finding health care workers who seem

to understand this process and are prepared to help work through

it.......... a bit of hit and miss physio at the start isn't the answer to

people with long term hassles............. and I am at loss to understand

why people including physio's seem to think it is............... It actually

seems to take months and months of persistant follow through to get good

results or oneself taking over control and working it out............. which

is about what I have had to do............

I will keep coming back to swimming as one of the better ways to deal with

badly organised and operating muscles............it does tend to take the

pressure off other areas as you experiment getting some exercise...........

Even then you need specific muscle developing exercises for specific

problems.......... like there will be a muscle responsible for preventing

that rotating and you will have to specifically locate it and work with

it............. which is probably the exercises the physio just gave

you...........other muscles will be over acting to cover it at this point

which then accounts for them being sore and bunched and so it goes

on..............

It took me ages to get the muscle that controls the inner

sideways dropping of the knee to work but it does now.......... my current

project is the one that stablises taking full weight as one walks

through............ I BTW will gladly swap you some of that rotation as I

have zilch as yet...........smile........another thing yet to be done.

Best of luck with it all............ persistance does pay off if my body is

anything to go on............just that some of us have to persist

longer...........smile.

Edith LBHR Dr. L Walter Syd Aust 8/02

This is from Eleanor again, still plodding/struggling on at five months

post-op. The good news is that I am beginning to walk better and can

hike fairly long (2miles) without too much difficulty, but slowly using

two sticks. Keep forgetting to take my cane with me when out shopping,

etc. but do like to have it for balance.

The bad news is that I still get a lot of aches and pains at night, and

still some, but much less, and sometimes none, during the day. These

vary-are not in the hip joint ever, but can be in the thigh, under the

wound, in the groin, by the knee or shooting down the leg.

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Hi Eleanor,

You're doing well. Although some patients post here of total recovery in a

few weeks the average published figure by a manufacturer is 12 months. Some

take less and some more - it's not a race to see who gets there first, more

of a cross the finishing line when you can.

Have you tried a shoe insert to equal your difference in leg length - it's

worth a try and they aren't expensive from your local chemist or shoe

retailer - suggest the gel ones give you a lot of comfort and reduce heel

shock loading.

Best wishes

Rog BHR both hips Ronan Treacy 2001

Rotated femur anyone?

This is from Eleanor again, still plodding/struggling on at five months

post-op. The good news is that I am beginning to walk better and can

hike fairly long (2miles) without too much difficulty, but slowly using

two sticks. Keep forgetting to take my cane with me when out shopping,

etc. but do like to have it for balance.

The bad news is that I still get a lot of aches and pains at night, and

still some, but much less, and sometimes none, during the day. These

vary-are not in the hip joint ever, but can be in the thigh, under the

wound, in the groin, by the knee or shooting down the leg.

Have just had an Irish physio visiting who gave me a wonderful work

over. She immediately commented on how rotated my hip and walking is.

I have always been pigeon-toed since a child, and despite a parent who

made sure I had 'corrective shoes' (in the fifties), and good fitting

shoes, still continued fairly pigeon-toed and have always assumed that

this rotation is what led to my OA. For some reason, I thought the BHR

would correct the rotation, but have been told it doesn't-everything is

just put back the same. She also found that my muscle under my wound

feels hard and congested. My ROM is still very bad-still can't tie my

laces and have trouble even putting on my pants. My operated leg is ½

inch longer, and was the same pre-op. When exercising, I am finding it

hard to differentiate my pelvic muscle, so often end up using my back

when I think I am moving my hip only-ergo exercise has been useless.

Has anyone else had this problem and what have you done about it if you

have? I really wasn't too bad at all pre-op. Feel much worse now,

except for the lack of pain in the hip joint itself. My physio friend

has given me some new exercises which use my husband to help make sure I

use the correct muscles.

Eleanor

RBHR Nov 23/ 03

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Edith,

Thankyou again for such a thorough and well thought out reply to my

query. You give so much to us all.

Eleanor

Ps My local pool has been closed for the last 2 weeks. Opens tomorrow.

Hurrah!

Re: Rotated femur anyone?

Hi Eleanor,

I think you highlight the basic problem with all this.......... the

doctors

only give us a new part to the joint.......... they don't give us new

muscles, tendons etc and many of us have a big heap of problems with

other

parts of the body for one reason or another......... so often long years

of

poor gait............ which may or may not have created the problem with

the

hip bones in the first place.....and which will not go away

automatically............ Actually I think poor gait is one of those

problems that is not highlighted enough in the days of people starting

to

think about preventive medicine......i.e. instead of looking at

suppliments

etc people may be better placed looking at their gait but that is

another

story.

So post op we all have to reclaim the joint and rest of the body

mechanism

and so often that is long hard complicated work............ Each muscle

has

to be teased back into existance in its rightful place and order of

operation............. I am totally amazed by just how significant each

one

of said muscles is to proper walking........... and starting with

basically

zilch left I have had to work at getting each to renew its enthusiam for

life and then get it to strengthen........... At 21 months I have learnt

that that process doesn't happen quickly if you have a poor base. You

have

to irritate a muscle at just the right pace to get it to build up, too

much

and all you get is too much pain and misery, too little and nothing

whatever

happens - well, other than pain and misery in other parts of the body as

you

are finding as the body cheats to cover the hip.

My other pet annoyance at this stage is finding health care workers who

seem

to understand this process and are prepared to help work through

it.......... a bit of hit and miss physio at the start isn't the answer

to

people with long term hassles............. and I am at loss to

understand

why people including physio's seem to think it is............... It

actually

seems to take months and months of persistant follow through to get good

results or oneself taking over control and working it out.............

which

is about what I have had to do............

I will keep coming back to swimming as one of the better ways to deal

with

badly organised and operating muscles............it does tend to take

the

pressure off other areas as you experiment getting some

exercise...........

Even then you need specific muscle developing exercises for specific

problems.......... like there will be a muscle responsible for

preventing

that rotating and you will have to specifically locate it and work with

it............. which is probably the exercises the physio just gave

you...........other muscles will be over acting to cover it at this

point

which then accounts for them being sore and bunched and so it goes

on..............

It took me ages to get the muscle that controls the inner

sideways dropping of the knee to work but it does now.......... my

current

project is the one that stablises taking full weight as one walks

through............ I BTW will gladly swap you some of that rotation as

I

have zilch as yet...........smile........another thing yet to be done.

Best of luck with it all............ persistance does pay off if my body

is

anything to go on............just that some of us have to persist

longer...........smile.

Edith LBHR Dr. L Walter Syd Aust 8/02

This is from Eleanor again, still plodding/struggling on at five months

post-op. The good news is that I am beginning to walk better and can

hike fairly long (2miles) without too much difficulty, but slowly using

two sticks. Keep forgetting to take my cane with me when out shopping,

etc. but do like to have it for balance.

The bad news is that I still get a lot of aches and pains at night, and

still some, but much less, and sometimes none, during the day. These

vary-are not in the hip joint ever, but can be in the thigh, under the

wound, in the groin, by the knee or shooting down the leg.

_____

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