Welcome to Hiprunner

My name is Hip Brother Tom.  I am a runner.  I had a hip replacement in January of 2012.   A month prior to my surgery, I started this blog to share my experience with anyone who might be facing the same fate down the road.  I wanted to show my weekly recovery progress and hopeful return to running.  Hence the name…hiprunner.com.  As time has passed, I have opened this site to others who wanted to share their experiences.  There is even a Hip Runners forum now.  We are the Hip Runner’s Club.  But it isn’t just about hips.  In February of 2018, I also had a partial knee replacement.  This site serves as a community of individuals of hip and knee replacements who are seeking advice on running again.    If you find yourself getting a hip replacement or a knee replacement, and would like to become a member of the Hip Runner’s Club, we would love to have you share your story on this blog.  Click here to become a member.… (Click Here to View Full Post and Comments)

Dave – Last Man Standing training

I finished 2021 with just over 2,400 miles and took the last 16 days off as my hip wasn’t feeling 100%. I’ve learned over the years that if you don’t listen to it, you will pay the price. Well after 16 days rest I came back with a 16 mile run on the trails and felt pretty good. There were a couple of races I was looking at but decided to change them. I’ve done the Long Haul 100 miler a couple of times and it was 2 weeks into the new year so decided I didn’t want to push my hip that hard too soon. Then a couple of weeks later there’s a local 50K which I fancied my chances of winning but again thought that it may be tough on my hip. So with all the wisdom in my little finger, I decided to train for the Last Man Standing.

What is the Last Man Standing, well it’s a race where every hour on the hour you run a 4.166 mile loop, and then you wait until the start of the next hour and you run the loop again. During the day the loops are usually on trail and in the evening on the road. The objective is to keep on running these loops until you are the “last man standing”. So how many miles could that be? Well it all depends on the competition, the race stops when you are the only person left, so it could be any distance. However looking at the competition in the Florida edition of the race, which takes part all over the world, there is one runner that has completed 208 miles, that’s 50 hours of running, and there are about 4 others that have run around 150 miles, 36 hours.

So the objective is different from every other race where you run as fast as you can, in this it’s better to run it as slow as you can. You just want enough time to sit down for a short while, hydrate, take care of whatever business and be ready … (Click Here to View Full Post and Comments)

Help!!!! newbie

Hello fellow Hippies!

I had a total hip replacement 3 1/2 months ago.  before that i ran everything i could from 5k’s to 50k’s (5k in 17.13 best, marathon in 2.56 best, 50k in 4.04 best).  Going from all to nothing as well as covid has been as manky as you could imagine…i feel stodgy, rubbery, tired, unfit and generally poo!  i have started back swimming, spinning and walking which has rescued the inner spark into a small glow, but i really want to start running again.  any info?  start at what distance?  start on what shoes? start for how long? start on what surface?? Start at all??…..please can you help me….44 years of age, female and going fecking mental!

 … (Click Here to View Full Post and Comments)

New Hips Again

Hi guys.  Tom etc….Its a long time since I even looked at this site due to my hips. Had issues since a 2007 injury wake boarding injury that left me with a crook right hip and half crook left hip. I decided to get 2015 MOM resurfacing after failure of FAI pincer type surgery which actually made my hips worse. MOM made me crook after 2 – 3 year had them out 2019-2020and the surgeon then put in Ceram on Ceram as I am in New Zealand its legal. In the states in is as I understand not legal. The ceramic on ceramic almost killed me and made me massively crook again worse than the MOM. Ok fast track now I have 40mm ball size and cup size is X linked Poly 2021 (late) and was able to do a mountain walk only 6 weeks after the recent change. So Ceramic – on X poly CPT stem uncemented which I found out is a real back bone of stems. Been around along time and can be replaced as it is not cemented in. You can only replace the ball system if you replace all other parts being stem collar and then the ball.

I had a bilateral partial revision which only replaces the Cup from Ceramic to X poly. Now you have a really good surgeon a Dr Pritchett in the USA that advocates X poly is the most development for hips in the last 40 years it takes the wear from 10 times the amount to  1/10 of what it should be. The factors to consider of wear are as I know from my experience and if you ask around are, cup angle, loading (how much you weigh) hip angles. I was running on the Ceram on Ceram and it made me massively crook as the particles of Alumina Oxide ended up in the blood stream. MOM particles do as well as they are a lot of tiny particles.

Ceramic is the same a lot of tiny particles. Poly is a small amount of small particles if you under … (Click Here to View Full Post and Comments)

10 Years Running – Happy New Year

Happy New Year Hip Runner Nation!

It is hard to believe that it has been 10 years since I had to get my hip replaced.  I remember it like it was yesterday.  There was no doubt that I would get back to running.  The inspiration to start this Hip Runner community was just beginning to develop.  At first, I was only going to document my progress so that others would be able to see that getting back to running after having a hip replacement was very possible.  But as the months progressed, I realized 1) that I was a terrible blogger and 2) there were others with inspiring stories who needed to have a voice on this site.  Since then, the site and its membership has grown to over 1700 members.   This community of members is the engine that makes this site run and gives hope to those who are unsure about their running future going into their hip replacements.  I have to offer up a big THANK YOU to all of you for your contributions.

My year of running in 2022 was hit and miss due to a string of injuries and a new job with a startup company that has great promise.  I am currently sitting on my couch as I write this post, icing my Achilles tendon on my right foot.  My goal for 2022 was to try to run every day – even if it was just a mile.  But I injured my Achilles in the fall while coaching my grade school cross country team.   The parks around our school turned off their water fountains as part of the city’s Covid-19 protocols.   To provide hydration to the kids on the team, I decided to push a baby jogger with a 5 gallon jug of water strapped on it.  It worked out great.  But my kids are fast, and trying to keep up with them while pushing this hydration system caused me to tweak my Achilles tendon.  Since then I have tried to cross-train and stay fit while limiting my running.  Yesterday was the first try after … (Click Here to View Full Post and Comments)

Restarting running after hip surgery

On 7th September 21 I had my right hip replaced at age 64. Osteoarthritis on top of some earlier damage, usual story of declining mobility. I had only started running in 2015 and will never be a good runner, but had found it life affirming. Almost the first question to the consultant was “will I be able to run ago”. Very grateful that whilst there were various qualifications along the lines of don’t make it the first thing you do, and mix up your training so it’s not the only thing you do, he was supportive. I became the proud owner of an uncemented Smith & Nephew Polar 3 system through a posterior approach. The UK National Joint Registry categorises it as metal on plastic, but the femoral head is made of Oxinium, zirconium oxidised to a very high temperature to ceramicise the metal. My recovery from the operation was smooth and easy, leaving me feeling pretty well fully recovered at 3 months.

I had formed a view I should probably leave running for 4-6 months to give the bone plenty of time to grow into the implant. However, when everything feels great, it’s pretty hard to stop yourself. A couple of weeks or so ago, I went out dressed in running kit and running shoes. I hadn’t consciously intended to run, but have to wonder at my choice of attire. But I felt great so I tried running 10 steps on each foot. Felt great so tried 20. Then 30. Then 40. Then a minute, and so on. All was well so a few days later tried the simple run/walk of week 1 of Couch to 5k on a treadmill. All was well so repeated on trail. All was well so repeated on our tarmac and paving seafront promenade.

I intend building back slowly and carefully. It’s fantastic to be able to run, the wonders of modern hip replacements. Season’s greetings to all and happy running.… (Click Here to View Full Post and Comments)

1-year post – op

Yesterday was the one-year anniversary of my left THR.  A big, huge thank you to the hip runner blog for the best advice to be found in the universe for advice! I chose a trusted surgeon with a great reputation and a trusted, respected PT.  That said, it was the journey and applying their advice, along with hiprunner and my personal experience that has led to a great year.

I waited about 60 days to run and then only began with a shuffle.  I started feeling More capable over the next couple months and ran a few 5K’s and within 45 seconds of my previous, pre-surgery 5K pace.  To my surprise, and without adding much in the way of effort or mileage, I started to have hamstring strain issues over the next couple months, through the summer. I still am not sure exactly what caused this, likely just trying to run faster then I was ready for. So from seven months post op to present I have focused on going longer and slower.  eight months postop I ran a 21 mile trail race and 11 months postop ran a 4:04 trail marathon. I have lowered my 5K time to 20:50 and I am tackling a trail 50 K on New Year’s Day! I am happy to report I am feeling well with no hip pain, only what I would call a slight stiffness. In addition to the hamstring setbacks, I do feel still a little odd in my stride… My operated side is sort of a “Peg-leg”, I just ran a bit stiffer on that side and not as fluid.  That all said, I will take it and I’m glad I made the decision and hope to run successfully, I’ll be at a little slower, for another 40 years!… (Click Here to View Full Post and Comments)

Starting my Journey

Hi everyone

I had my THR on the 1st of November: a posterior DSA approach (so no muscles cut). Somehow my surgeon jammed a dual motion system in with cementless ceramic.   I’ve had a stunning recovery, managing 5 km a day cross-country at a fair clip for most days for the last week with just poles having built up gently over the previous few weeks.

I’m late 50’s, and used to run a bit a few years ago, before I had some gout problems. In fact it was a combination of shovelling a few tonnes of soil around my back yard and trying to restart running post controlling the gout that exposed my hip problem …

Saw my surgeon today. Clear to do anything that doesn’t hurt, and if it does hurt, I can do it when my physio says I can …  reckons I can consider running from after four months.

I don’t know whether I will get back to running, but I am excited at  the thought. This group of people may be the encouragement I need!

Cheers

Bryan

 … (Click Here to View Full Post and Comments)

THR = Running – Surgeons Response

Hi All,

Following my earlier “Bluebirds” post I have gone back to my surgeon to seek further advice on the possibility of  running again following my THR in January 2021.

Below is my surgeon’s response (in italics), which is pretty conclusive;-

(I have highlighted in bold 2 parts which I feel are quite defining)

I would welcome any further comments/responses from anyone (especially from Petemeads / Coddfish / Cityofsmokingjoe who have kindly posted previously on my earlier thread) as this has left me very disappointed and dis-heartened.

Regards

Rob

 

I have taken a few days to examine the evidence and also speak with some respected experienced hip replacement colleagues regarding running after hip replacement.

Unfortunately, as discussed with you before surgery, it is not something we can encourage. The hip replacement mechanism is not designed to withstand the repeated axial loading that the running action will create. The materials are not tested to be resilient to that action and there is severe risk of reducing the lifespan of the replacement or what is more likely is causing a sudden failure such as fracture of the stem or cracking/fracture of the polyethylene liner or ceramic head or even dislodgement of the socket in the pelvis. The materials used in your hip are a ceramic on polyethylene bearing, an uncemented socket and a cemented stem. However, there would be no brand or type of fixation that would be advisable to run on regularly. That is not to say that some patients do run on their hip replacement, in fact it looks like about 10% of previous runners return to running but that is very much at their peril I would say.

 The implants are only really tested for back and forward rotational cycles on the hip articulation rather than a pounding, loading action similar to running.

 We have seen examples of the fracture of ceramic heads, fracture of the plastic liner or dislodgement of the socket in the pelvis from non-running injuries. These type of failures cannot be monitored with yearly x-rays as they occur as a sudden, unpredictable event. In (Click Here to View Full Post and Comments)

Birmingham Hip Resurfacing Pain, 6 years post operation

Hello, Hiprunners!  I am a 64 year old avid runner.  I had a single metal on metal Birmingham hip installed 6 years ago.  It was super successful, I thought.  Since then, I have continued to run competitively, and enjoyed many other endurance sports, as I have for 50 years.  Since the hip surgery, I have completed the Grand Slam of Ultrarunning, and set age group course records at about a dozen ultras.  My BQ is sub 30 minutes.  I enjoy the ride, and have been blessed with not having to train that much, for real.  I have run about 8000 miles on this hip.

But, this hip has been hurting increasing the last couple of years.  I cut out all good training about a year ago, and now can hardly run.  I limp when I stand and walk….argghhh! Even golf and bowling are nearly impossible!

7 months ago, I had repairs to my medius gluteus, and medius minimus.   That did not help.  I feel that repair is fine, but has no impact on the long term.  MRI for that repair is apparently ok.

The surgeons feel the metal on metal hip is in good as new shape, not loose, not worn.  x rays and MRI agree, they say.  Metal levels in my blood are ok.

Something is wrong, really wrong.  Limping and pain are increasing, and have been for several months.

Any one out there have had a similar journey and resolution???… (Click Here to View Full Post and Comments)

Left THR Posterior Approach

Hi All,

Following reading the e-mails from many of you I am after some much sought advice.

As a bit of background;-

I got diagnosed with arthritis in the hip 3 years ago. I am / was a keen runner. My interest was largely Parkrun (5k) and 10k races. I did my last half marathon nearly 3 years ago.

Since being diagnosed my left hip got steadily worse and my mileage reduced as the pain increased, leading me to run less than a couple of miles at a time 12 months ago. I finally relented and went private in the UK (got fed up waiting for the NHS…still waiting now) and bit the bullet and had a left THR (posterior approach) in January 2021.

The operation itself has been very successful and I am pain free!

My surgeon advised me at the time my running days were over and I should look for an alternative…..which I have tried.

I have done all the necessary physio, walked up to 10 miles, swam etc. – however if I am honest nothing has really grabbed me. Also as time has gone by, I feel like I can run and I am contemplating making contact with my surgeon again – to ask him the same question “can I run?”.

However I am sure I will have the same answer!

The main reasons for e-mailing on “hiprunner” is that I don’t feel I asked the surgeon the appropriate questions at the time:-

  • Was cement used and if so can you run with a cement used mechanism? (I don’t think it was?)
  • What make of mechanism did you use – can you run with this mechanism?
  • Is it just a case if I run – the mechanism / could / would wear out?
  • Can you run after having the posterior THR?

I am a 53 year old male and would like to run 10k’s and 5k’s in the future, so nothing too demanding.

My right hip is now slightly pinching but no way as bad as my left hip. However I do envisage having to have … (Click Here to View Full Post and Comments)

‘Tis the season — don’t forget the little people (I am 5’ 9″, so not quite little, but not tall, but little enough to have little man’s syndrome and a large truck).

Hey,

So, I have tried some super shoes and if you check Athletics Illustrated, the On shoe is pretty amazing. Also, the Skechers are good, but fit small, so buy half a size up.

And when I mean good, seems to work well with having had a hip replacement.

I have asked this question before, but I will ask it again to make sure I remember correctly. Is downhill skiing safe for us with a hip replacement? I miss it dearly. I don’t need to do deep pow, jumps or moguls.

Hey, for the Women’s Transition House, I am putting on our fifth annual New Year’s Day Polar Bear Swim at Esquimalt Lagoon in Victoria, BC. As none of you are from Victoria, you likely wont be doing it. However, the suggested donation to participate is $5 CDN. So, if you donated and are from the UK or US that would be about $3.50 USD and maybe two pounds? Maybe three pounds? It is a great cause. They need money.

May put on a mile race at the same time…..woot.

Is there anyone here who has run sub-elite times post replacement? So, I am interested in sub-33 10K men, sub-36-10K women or add a minute for masters (40-plus) or equivelant performance times over other distances. I have some questions to ask about a potential article for www.athleticsillustrated.com.

THANKS.

Chris… (Click Here to View Full Post and Comments)

Thanksgiving weekend-11 months post-op

Well I am happy to report that I was able to run in America’s most popular running a holiday, Thanksgiving, this past weekend! I would say it “felt like old times“! I am 11 months post op, left THR, posterior approach and 50 years old.  I ran 20:50 on a hilly road 5K on Thanksgiving Thursday followed by a 4:04 Trail marathon on Sunday (yesterday).  Very well fatigued as of yesterday afternoon and some muscle soreness but no hip pain to speak of and this morning feeling fairly well! My message to all of you out there is that there is hope in returning to successful running following hip replacement! Thank you for this hip runner forum as it has been tremendously helpful! I will continue to update on both my positive and negative experiences!… (Click Here to View Full Post and Comments)

Newly replaced hip

Hello, I just had my left hip replaced on 9/30/21 using the anterior approach. Don’t recall the materials used on the implants but will be adding on my 2 week post-op visit the 13th of October. I’ve been running for 43 years so having hope to run again was very important. Most doctors just told me “that won’t happen”. I had decided no matter what they did I’d run anyway and deal with the issues. But the surgeon I finally chose said I’d be back to running in 6-12 months. I’ve already been sidelined since April this year when the pain became just too great and the injections and PT weren’t working any longer. I’ve been astounded at how well this surgery went. Outpatient surgery, in the hospital less than 7 hours, no restrictions, pain is virtually gone and was never really that bad. The doc is going to hook me up with a PT that’s also a major runner in my area when appropriate to get me going again. Until then, do my walks, my post op PT, if it hurts then stop, take it slow and easy. I’m turning 63 in November so I can be patient.… (Click Here to View Full Post and Comments)

Hello fellow hiprunners,

I am Clay.   I am 64 and up until a few months before my LTHR last March (2021), a competitive middle distance racer.   I would like to hear from those of you in your 50’s-70’s who have returned to faster pace training and racing after surgery.   This would be men going under 7:00 or even under 6:00 minute mile pace for races from 1 to 6 miles.   Or a bit slower if your focus is more half marathons.   And a bit slower for women.   My training is going well, but I am reluctant to restore my pace to lower levels unless I hear of precedent cases where it has gone well for good duration.   My surgeon and PT are brilliant, but cases like this are rare.   Thank you for your consideration.

Cheers,

Clay

Clay A. Bullwinkel   clay@bullwinkel.net… (Click Here to View Full Post and Comments)

Best prosthetic material and Parkinson’s considerations

Hi, I’m Charlie, new to the group and anticipating a hip replacement next month.

I imagine this has been much discussed but is there a best material for the femoral head if you intend to run post surgery?  My doctor uses oxinium which seems to be metal with a surface that is like ceramic. Any experience with this material? My brother-in-law is an orthopedic surgeon and feels that ceramic is preferred.

Second, I’ve recently been diagnosed with Parkinson’s. Any idea whether that has implications relative to the hip replacement surgery. My doctor recommended to not put off the surgery since the Parkinsons will bring muscle weakness over time which will make recovery more difficult. Also he thought there might be increased risk of dislocation over time, probably also due to muscle weakness.

Any thoughts on these two questions would be much appreciated!

….Charlie… (Click Here to View Full Post and Comments)

End of my first race season after THR – “no setbacks”

Sitting in a dark room recovering from yesterday’s right eye cataract. A 20 year old engine in a 65 year old body…stuff just wears out! I wanted to provide a summary of this past years race season one year after my THR.

Background: I twist broke my leg while cross country skiing in 2011. It was during a winter training season as I was building fitness to try and qualify for the 2011 Ironman Championships in Kona. Nine years later after multiple PT sessions, doctor visits and painful runs off the bike….it was finally diagnosed that my twist break most likely resulted in a labrum tear and I now needed a THR.  So in June 2020 I had a right posterior THR with a titanium post, ceramic head.

I grew up as a competitive swimmer and switched to Marathon running in my early twenties switching again to triathlon in my mid 40s. I have run over 135000 miles, biked over 100,000 and swam over 10,000.

Following the surgery my goal was to return with “no setbacks”. Consistency is the key to recovery and training over any one big day, week or month. My surgeon didn’t allow me to leave the overnight following surgery with anything but a cane. He wanted me moving and said let pain be the guide. He also said with today’s technology, larger parts and ceramic head, that I couldn’t wear it out. He said I would wear out first….sad but true! My surgeon and surgical center is home to many professional and university sports team in Minnesota.

I progressed slowly walking around the neighborhood three times per week and gradually built up to 6 to 8 mile walks over the first 6 months. I also added in indoor biking and swimming once my skin healed and bone was set (after my six week check).

At the 6 month mark, January 1st 2021 I started slowly back to running with 5 minute jogs and 1 minute walks. As I felt strong enough and didn’t have pain, I would add another 5/1 minute interval. I also started a … (Click Here to View Full Post and Comments)