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It has been a month since my hip replacement surgery and the progress is going well. It took nearly three weeks to finally feel like myself again, fatigue, pain and sleepless nights really wore me down. I didn’t realize how much energy it would take to recover from a surgery of this scope. I’ve had children and remember times of exhaustion, but I was blindsided by how hard this kicked my butt. I tried to resume going to work about 14 days post-op, rookie move! You would think I should know this, but I was ready to get out of the house and back to normal. After trying to go to work, I paid the price for two days following. With that in mind, the following week I started working two short days only, and I’m almost back to my full20150115_182849 workweek now, at a month into the recovery!

My follow op visit with Dr. Rasmussen consisted of the removal of the external stitches and reviewing restrictions, driving, and recommended exercises. My X-ray looked great with that dual mobility hip, lever and two screws (see attached). I was also informed that with hip dysplasia, my left hip might last 3-5 years before it will need a replacement, I’ll be better prepared for this next one!

The goal for the next month is to continue on my mobility and strengthening, and progress with activity within restrictions as tolerated. Most important is to avoid crossing legs, internal rotation of the hip and flexion past ninety degrees. Your body immediately lets you know when you are pushing the restrictions, so the goal is to be smart, listen to your body and be diligent with the exercises daily. I’ve found that long periods of sitting make me very stiff, I call it, “crampy butt pain.” I miss skiing and actually watched this women run by my me as I slowly walked my daily loop, I though to myself about what a mess I’d be if I ran right now.

The hip muscles are still weak and my gait has a new swagger to it, but I am confident in my full recovery. I highly recommend the replacement if you’ve been thinking about have the procedure. Why wait? Why be in pain and not do what you love to do especially if you are younger. Thanks for following my story and hope I have given those of you some insight to the surgery, recovery and impact on your life. I’ve gained an appreciation for what our patients at Alpine Sports Medicine are going through, and I think the progressions in orthopedic surgery are giving people a future that can be happy and active!

We are now a family of artificial hips (my husband had his done last year). I had a friend call us “the hippies.”

So the prep for surgery included taking Coumadin and wiping the surgical areas with an antibacterial wipe three days prior to surgery to avoid any possible infection, plus no food after midnight day prior. I called the night before to get my surgery time and I was told to be there by 1:15pm, that means I will be really hungry! Who gets the early times anyway? Maybe if you are young you get the latest times.

Day of surgery: needed to leave by noon to be there by 1:15 pm. I was nervous the whole drive, but committed. We checked in and the pre-op began. First putting on those sexy gowns, socks and hat, urine test, and another20141217_152031 antibacterial wipe down. All ready to go and Dr. Rasmussen comes in to give me the low down. I like that he always goes into detail for me, since he knows I would want to knowThen the anesthesiologist arrives. The person I’ve been the most nervous about, he’s young, handsome, and looks like he knows what he is doing. Guess I need to put my life in his hands. Yikes!!

It is now around 3PM and it’s go time, seems the older patient before me took more time than expected, I’m the last surgery of the day. Time to hug my husband and my mom, then off I go down the hall. We arrive in the cold room with the metal tables and people is space suits. Looks sterile! Better be! I was told to sit on the table and in no time I remember nothing until I woke up in recovery.

I spend the next two days in the hospital with a variety of really nice nurses and drugs – some worked and 20141217_194651others didn’t. Met a great inpatient PT, who reviewed what I knew, but under the influence I simply did what I was told. I did torture the OT who came in to review how to handle the dressings, and activities at home – it’s not like I’ve never given this presentation. The labs came back, I get to go home 2 days after surgery – early release! I’ll be having a few home visits to check vitals and incisions. Since they don’t have me on Coumadin, only baby aspirin twice a day, it eliminates the additional home visits and dietary restrictions.

Quick discharge from the hospital and we are headed home. Comfortable in my renovated loft area with a TV, my medications, and my favorite dog Blue. All is good so far, rest and not too much else. Not doing anything, that’s going to be the most difficult!

My name is Andrea Terwillegar and I am the managing partner of Alpine Sports Medicine, yesterday (December 17th) I had hip replacement surgery. I’m 48 years old I had been having pain in my hip for the past few years, I finally went to see Dr. Lynn Rassmussen and he diagnosed me with hip dysplasia. I was shocked and could only think about the fact that dogs are put down for hip dysplasia.

It’s hard to believe during all my athletic years I didn’t have problems and suddenly in my late 40’s I do. Dr. Rasmussen was shocked that I’ve never dislocated, chalk it up to having strong hips. I was bone on bone and had a spur developing which caused all the achy bone pain, difficulty sleeping and some days struggled to walk up stairs. As a baby my legs were not straight and I was put in a cast and had to wear corrective shoes and braces, the Dr. felt this is why I’m having problems now possibly.

It will be hard to miss the majority of the ski season, but most disappointed about retiring from my competitive coed volleyball team. I’ve played for 20 plus years, and I’m optimistic that with a new hip I can return this summer in the sand.

My goal for documenting this process is to let everyone have a better understanding of the hip replacement procedure. I am going to document my pre-op and post-op surgery along with life at home and the physical therapy of course! Guess where I’m going for physical therapy? It’s time for the staff to take care of the boss!

I was nervous for a big surgery like this, but certainly felt like I knew what to expect. My husband, Matt, had a hip replacement last year and is doing really well. I hear patients state all the time they shouldn’t have waited so long to be pain free, and this is why I am doing this. Why be in pain when you are young and can ride your mountain bike, hike with the dogs and ski our awesome mountains.

Stay Tuned!

Alpine Sports Medicine is proud to be the first Sports Medicine and Physical Therapy practice in Park City, Utah to offer  Trigger Point Dry Needling.  Continue Reading »

I thought I’d take the opportunity to write about something very interesting I stumbled upon completely by surprise, quite a pleasant surprise I might add.

This past November while shopping at REI in Salt Lake City for some hockey skate insoles, I saw a unique looking running shoe on the display wall, it had a rather large looking cushion system compared to all the other shoes. Basically, it just stood out and caught my attention! My inquiring Physical Therapist mind wanted a closer look, so I picked it up and gave it a few pinches, squeezes and bends. I could not believe how soft the cushioning felt, they are made by a company called called Hoka One One, and are affectionately known as Hoka’s. At the very moment I was fondling the shoe an employee breezed by and asked what size my foot was. He said he was going in the back and wanted to grab one for me to try on. He caught me a little by surprise and without really thinking about it I blurted out my shoe size. A minute later, he returned and left me with a new pair of shoes to try on, I wasn’t even in the market for a new pair of shoes! Anyway, I slipped them on, stood up and rocked back and forth a couple of times. Then, I took three steps, turned around and told him, “Sold!”

Image

The Hoka One One!

How do I describe it… not quite love at first sight, but definitely love at first feel! It felt like I had 2 marshmallow cushions under each foot, one under my forefoot and the other under my heel. I have never felt anything quite like it with regards to cushioning in a shoe. It’s so soft that it actually takes a little getting used to…but in a good way! So now, seven months have gone by and I have to say that not a single day passes that I haven’t worn them. In fact, I stopped wearing a tie to work because I didn’t think the tie went well with running shoes… and I have worn ties to work consistently for nearly twenty years!

Even more interesting is the fact that I am not a runner! I’m just a busy Physical Therapist standing on my feet and moving around the clinic all day long. Factor into the equation my bilateral total knee replacement (TKR), and it usually means that by the end of the work day my knees and back often feel pretty beat up. Since I started wearing my Hoka’s, I pretty much feel like a champ after a normal work day on my feet!

The only negative I can throw out,  they are a little on the warm side (at least the trail runner model I wear) and they are a little pricey. However, neither of these has deterred me from wearing them daily and I actually just purchased a second pair I’m using for work exclusively, trying to keep them a little cleaner and nicer looking.

Anyone with knee, ankle or back pain they are dealing with on a regular basis, and have to be working on their feet all day, check out the Hoka One One’s. These shoes are game changers, go try a pair on, but only if you are ready to purchase (because once on your foot, you will buy them).

Mark Moeller PT
Alpine Sports Medicine

 

Last fall we hosted two Physical Therapy students who came to Park City and spent from 2-10 weeks at our clinic. Continue Reading »

Welcome to Adrianne Musick, she is a physical therapist and joined the Alpine Sports Medicine team back in January.  Spend a moment to get to know her a little better.

Adrianne is a Physical Therapist with a wide variety of clinical experience from sports medicine to acute care as well as pediatrics to geriatrics. She graduated from the University of Michigan with her bachelor’s degree in Movement Science, and then pursued her passion for rehabilitation by earning her Doctorate in Physical Therapy from Northwestern University in Chicago. While at Northwestern, Adrianne had extensive clinical training in orthopaedic physical therapy specializingDSC_0016 in shoulder, knee, hip and ankle conditions treated both conservatively and post-operatively. After graduation, Adrianne decided to combine her passions for physical therapy and outdoor recreation with a move to Utah. While in Utah her career lead her to Neuro/Trauma Rehabilitation which allowed her to work with patients with a variety of neurologic and orthopaedic diagnoses including stroke, spinal cord injury, traumatic brain injury, total joint replacement and complex medical conditions. After gaining this variety of experience, Adrianne moved to Park City and is excited to apply her dedication for patient care in our community. She enjoys hiking, mountain biking, playing soccer, snowboarding, and running during her free time.

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