"The dancers body is simply the luminous manifestation of their soul. This is the truly creative dancer, natural but not imitative, speaking in movement out of self and out of something greater than all selves"

Isadora Duncan


Dairy of a dancer's hip

Steve Morrall travelled to Clinique Sainte Isabelle on July 19 2006 for an operation to replace his right hip joint with a titanium cobalt prosthesis (Birmingham hip) due to osteoarthritis. His hip replacement was undertaken by Docteur Phillipe Renaux on Friday 21 July after which he spent the next 12 days in hospital under the superb care of the nursing staff at Ste Isabelle.
Friday
July 21
Surgery at 9am , back in bed at 10.30. The epidural anaesthetic is still in effect and I have a booster button to manage pain when needed. I am clear-headed and comfortable. I call Debbie to let her know I am OK and enjoy lunch. Easily fatigued, I sleep most of the afternoon. Dr Renaux makes his daily check in the evening.
Saturday
July 22
My right leg is held in position by a leg-shaped bolster which makes me lay on my back all the time. My buttock muscles are the first to complain when the epidural wears off. Regular blood pressure and drip monitoring visits during the day. When I sleep, I feel an anaesthetic induced numbness come back to my lower torso and legs
Sunday
July 23
I realise during Saturday night that I am not sleeping normally. I wake instantly from a deep nothingness and then cannot get back to sleep. Tonight I will try to sleep without a sleeping pill. I am allowed out of bed to sit. The days become a welcome routine of breakfast at 8.15, lunch at 12 and supper at 5. The drain is removed from the wound and I see the incision for the first time. There is no bruising - the two week course of arnica paid off.
Monday
July 24
I walk! OK its with a zimmer frame and only for a few steps. A least I can stop using the bedpan and have a proper pee! The smallest effect causes great lethargy. I ask Dr Renaux if I lost a lot a blood as any effort makes me light-headed. He shows me my charts and assures me I am not anaemic.

Tuesday
July 25
I progress from zimmer to 2 elbow crutches and walk a little 2 or 3 times a day. The dressing is changed every two days. I try to keep awake during the day so I sleep better at night. Every day we are given an injection in the stomach to reduce the risk of blood clots.

Wednesday
July 26
1 week down, 1 to go! I realise I don't need painkillers, and accept the pills (just in case) and manage without them. Walking with 1 elbow crutch and visiting other patients. Every time I walk, I get a severe headache. The french analgesics don't seem to treat it. I ask Debbie to post some Paracetamol.

Thursday
July 27
1 week down, 1 to go! I realise I don't need painkillers, and accept the pills (just in case) and manage without them. Walking with 1 elbow crutch and visiting other patients. I venture down to reception for a coffee.

Saturday
July 29
Arnauld the physiotherapist gives me 5 exercises to do 5 times a day. Two are particularly difficult but that gives me a benchmark for improvement. Pain au choclat for breakfast! Paracetamols arrive with chocolate. I am in heaven.

Wednesday
August 2
Debbie meets me on the UK side of the channel tunnel after a hours drive and a 30 minute train ride through the tunnel. The 2 hour drive home is uncomfortable and needs a lot of fidgetting around.

Week 3 Some days I feel full of energy and can 'push' my body. Other days, I have no energy and take long siestas. I attend one of our events on the Saturday after I get back home and enjoy seeing friends. Sunday I spend mostly horizontal.

Week 4 The wound is massaged daily with vitamin E oil to promote healing. Some days it is very itchy. I walk daily but still get tired easily. Will I ever be able to put my right sock on?
Week 5 I see a physio who works with post hip op patients as I suspect I am starting to compensate with other muscles as i walk and do not want to get into bad habits. I am given more exercises and assured that my recovery is excellent. With energy levels returning I co-host a late night event without feeling completely drained. Saturday 26 August, I try dancing a tango and realise that muscles that hold my pelvis in axis are too weak making my pelvis collapse mid-step. These muscles feel much deeper than the ones that are being worked with my physio. I shall have to emulate dance steps in my exercises to strengthen them.

Week 6 I try a dancing a tango and notice that making a axis on my new hip is difficult. Muscles holding my pelvis in balance are still collapsing. For the rest of the week I add a 'marching on the spot' exercise to my routine and increase the time I stay on each left and right axis. On the following Sunday, I am able to dance with better pelvic control.

Six months Our Christmas dance party was a real milestone in mobility and energy. My limp has almost completely gone (unless I am tired). I danced from 8pm until midnight, with breaks for meeting and greeting, and I am really starting to feel my old self. I now have confidence to lead a party of 60 dancers for a weeks tango holiday on the Nile in March.

One Year Looking back over the last six months, I can see a pattern of recuperation that goes up and down. It seems that the strength and recovery of one set of muscles reveals the weakness of a deeper muscle. I listen to my body more and rest when I need to. I can put my socks on. I can dance and teach and move normally. I have put on several pounds as I am not as active as normal. I find bike rides a good way to let off steam and get very aerobic without stressing my new hip joint.

Sixteen months I am now back to full time, teaching, dancing, and organising events. Most days I don't even think about being bionic. Ocassionally, I get a twinge of muscle ache or the scar itches. Sometimes when I dance by hip joint 'grates' and, to me. it sounds very loud. Apparently it will take 2 years for the joint to seat itself and polish the surfaces so this should disappear. Its no problem - it often happens in a slow quiet move in the dance and is a bit of a shock. Earlier this month, I taught 9 days in a row and danced most days until midnight. I am very relieved and grateful to have recovered this superb level of energy and mobility compared to my pre-op condition. 

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Steve Morrall dancing Tango after a titanium hip resurfacing.

Almost two years have gone by since my new hip was installed and most days I don't even think about being bionic. I am incredibly relieved and happy to be back teaching and dancing without any pain and feel I have regained most of my dance stamina and flexibility. I am indebted to you all for your support and kind wishes during this period and know that my recovery has been speeded and eased by the raft of support you have provided.

Hip resurfacing and bionic dancing

The technological and medical marvel is pictured above. This is my new titanium cobalt french hip as installed by Dr Philippe Renaux at Clinique Ste. Isabelle in Abbeville, France and arranged by People Logistics in the UK. The strange vertical lines above left of the joint are metal staples (stitches). 

Pictured above (l) Steve and Georgie (r) .
Below: Anche Francaise

Read other articles about dancers who have undergone THR or hip resurfacing. CLICK HERE


Performing onstage in March 2008




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