There's an adage that says-- for every action there is a reaction. The same happens with surgery. I've had several surgeries in my lifetime, and while the surgery has solved the problem at hand, another problem pops up as a result of the surgery. Sometimes the reaction is tiny, other times, not so tiny. This time...not so tiny.
On November 2 I had my right hip replaced. That surgery worked quite well. My hip does not hurt any more; in fact, it has not hurt very much since the I was taken out of the recovery room. I was prescribed a huge vial of pain pills and I've taken about 5 of them. That's the good news. My hip does not hurt and I'm beginning to walk evenly (with the help of Johnny, my Walker). The collateral damage happened before the surgery began, in the prep-room. To start the process, the surgical team needed to clean the site and they used a "soap" (for lack of a better word) called Betadine. As soon as they put Betadine on my skin, my nurse said my skin started to "fry" indicating I was allergic to it. The team removed the Betadine as thoroughly and quickly as they could and used another cleaning compound, and went on with the surgery. About 3 days after the surgery, I noticed the wound site was red, hot and swollen. I brought this problem up with my home nurse she agreed and recommended I see my doctor and I did. I had an infection. For the next few days I took a penicillin-type drug to cure the infection. It is now gone.
However, that's not the only piece of collateral damage that happened before the surgery. Apparently, to replace a big bone like a hip, the leg needs to be manipulated to a specific position. My right foot was put in a stirrup on the operating table and turned in such a way to present the hip in that perfect position. That however did not go so well. Somehow the end of the fibula was broken when that "twist" was made, unbeknownst to anyone. When I woke up from surgery I asked why my ankle hurt more than my hip. The nurse noticed a largish purple bruise on the outside of my ankle, and I was told how that was done. The team indicated that bruised ankle was not uncommon and it would heal in a few days.
In the following 11 days, I've been complaining about the pain in my ankle more than anything. It just hurts. Yesterday, I had my post-op visit with my doctor. The wound site was inspected and about 15 staples were removed. No infection and a good looking scar were in place--that was the good news. The ex-ray indicated that the hip was replaced correctly and all was proceeding to plan. That's when I asked about my purple swollen ankle. The doc felt my ankle and I cringed (and gave a rather large YELP too)--so another ex-ray was ordered. Sure enough, there is a very small fracture of the ankle...to put it in medical-ese, the distal fibula is broken. It's not a big break...it looks like a small jagged shadow on the ex-ray, and it HURTS. I was given a choice...I could wear a boot for 6 weeks while it heals, or I could have it cast for 6 weeks. The catch...I could walk in the boot, but NOT in the cast. Since walking is part of the recovery process for the hip, I opted for the boot and that's where I stand (no pun intended) now.
I have a newly replaced hip that needs PT to get it working seamlessly. I have a newly broken ankle that needs PT to get it working seamlessly. However the PT for both maladies is different. Today, home PT is going to re-evaluate my situation. IF I'm going to walk (which I must do to keep my hip working properly, not to mention my life) I have to keep moving. Every time I'm on my feet I have to wear the boot. When I'm not exercising my hip or foot, I need to elevate the foot and not mess up the ankle. Like I said, for every action there is a reaction. I'm optimistic that this too shall pass. I'm a bit bummed too. Around Christmas time I will be able to dance again. YAY!