(TL;DR I too had a hip-replacement, sorry yours hurt as much as it did. Had a couple of instances of providers possibly not having a tremendous concern about narcotic pain medications that were subscribed to me).
Greetings! Fellow hip-replacement owner here- after behaving like I was invincible for the better part of 25 years, when I turned 40 my body said to me, "Remember all that stuff you thought I simply forgot about, running bleachers with a 40 pound weight vest, etc- you fitna' pay for all that now!" I ended up having a Birmingham hip replacement, but thankfully didn't suffer the breakthrough pain that you went through. I'm sorry that you had to go through that.
I had a couple of interesting reverse situations, where there perhaps could have been more consideration given to what was prescribed. On one occasion for an out-patient procedure, I went to urgent care following the procedure (I honestly can't remember what I had done. Stuff starts accumulating post 50 lol) and I asked for pain meds, but I explicitly requested if there were any non-narcotic medication options available. I was hoping there was something stronger than the standard NSAIDs but without the morphine-derived content. I now know that there isn't anything available than the standard NSAIDs. The bad part is that the nurse practitioner took advantage of my then lack of knowledge about medications and she prescribed me Fentanyl! One of the most addictive substances there is! Now in her defense I don't know that she had a choice, but she could have at least explained to me that other than upping the dose of the NSAIDs you're taking, narcotics are the only other choice. I blame my ignorance on me, but I blame the lack of transparency on her. Thankfully I hated how they made me feel anyway (loopy, overly-clingy and emotional towards everyone, crying at commercials) and stopped taking them as soon as I could.
Another "overly-generous" situation happened when I had another outpatient surgery that wasn't supposed to hurt too badly. Well it ended up hurting pretty bad afterwards, so I called into the doc and they gave me a very generous-sized bottle of narcotic pain meds. Again I hate the way those things made me feel and I ended up using about 1/3 of the bottle and tossed the rest.
In either case there didn't seem to be any concern about addiction or long-term negative effects. I don't want to jump to conclusions, but I sometimes wonder if there's inherent systemic disdain.
