leg swelling after i had a Total hip replacement surgery?

I Just had my left hip replaced about a week ago.
i do not feel much pain or discomfort, but my leg is starting to swell. What is the cause of this.

I’ve had both hips replaced in separate surgeries. I had considerable swelling for a few weeks after the first surgery, but none at all after the 2nd. I think the difference was the fact that I was up and around, walking, not sitting for long after the 2nd surgery. After surgery#1 I didn’t feel very good and lay in bed a lot, wasn’t doing things for myself.

If you’re only a week post-op, I assume that you still are receiving home visits by a visiting nurse and physical therapist (or are in a rehab center) so it would be a good idea to point this out to them.

Keeping your leg elevated above your heart may also help. By all means, don’t sit (for very long or at all) with your feet on the floor. Don’t spend hours sitting at your computer with your feet on the floor. Keep walking around the house. It isn’t unusual to have some swelling but you should know that swelling can be an indication of a condition called DVT (deep-vein thrombosis). This means that a clot has formed in a leg vein. While this can be very painful, the real danger is the possibility that the clot might break off and go to the lung causing a pulmonary embolism which can be fatal. To prevent this happening surgeons prescribe anti-clotting regimens which can include drugs (e.g. warfarin, lovinox, aspirin) and/or special stockings (called TEDS). I took warfarin and wore TEDS 24/7 for about 5 weeks and I assume that your surgeon prescribed something like this.

Here is more info on the condition:

http://totaljoints.info/veint_thrombosisdeep.htm

If you’re still uneasy about the swelling, call your surgeon’s office and ask.

3 thoughts on “leg swelling after i had a Total hip replacement surgery?

  1. 1) call the orthopedic surgeon that performed the surgery and give them your signs and symptoms
    2) elevate the whole leg and get some ice on your involved hip

    Swelling to some extent can be normal following surgery, but it can also be the sign of clotting. Have you been up and walking a lot? The swelling is inflammation that is coming from the hip and is going into your leg due to gravity (which is why you need to keep it elevated). But you should call the physician to be on the safe side. I would recommend physical therapy as well because they will be able to control swelling better, as well as get range of motion back in that hip.

    Good Luck and Call your doctor!!
    References :
    certified athletic trainer

  2. The swelling in your leg is most likely due to immobility and the tissue repairing itself. The body repairs itself by bringing extra fluid to the area (white blood cells etc.). Immobility prevents regular drainage of the fluids, so they accumulate in the leg. The best treatment involves mobility where physical therapy and pain allows, and elevation of the leg when resting. Other causes (more concerning) could be blood clot (usually the area will also be reddened and warm) or infection (the area will be painful and over the surgical site). As long as pain is low and pulses in your foot are strong, there is little reason to worry. Notify your doctor of any change, but this is not unusual.
    References :

  3. I’ve had both hips replaced in separate surgeries. I had considerable swelling for a few weeks after the first surgery, but none at all after the 2nd. I think the difference was the fact that I was up and around, walking, not sitting for long after the 2nd surgery. After surgery#1 I didn’t feel very good and lay in bed a lot, wasn’t doing things for myself.

    If you’re only a week post-op, I assume that you still are receiving home visits by a visiting nurse and physical therapist (or are in a rehab center) so it would be a good idea to point this out to them.

    Keeping your leg elevated above your heart may also help. By all means, don’t sit (for very long or at all) with your feet on the floor. Don’t spend hours sitting at your computer with your feet on the floor. Keep walking around the house. It isn’t unusual to have some swelling but you should know that swelling can be an indication of a condition called DVT (deep-vein thrombosis). This means that a clot has formed in a leg vein. While this can be very painful, the real danger is the possibility that the clot might break off and go to the lung causing a pulmonary embolism which can be fatal. To prevent this happening surgeons prescribe anti-clotting regimens which can include drugs (e.g. warfarin, lovinox, aspirin) and/or special stockings (called TEDS). I took warfarin and wore TEDS 24/7 for about 5 weeks and I assume that your surgeon prescribed something like this.

    Here is more info on the condition:
    http://totaljoints.info/veint_thrombosisdeep.htm

    If you’re still uneasy about the swelling, call your surgeon’s office and ask.
    References :

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