Forum Replies Created
Hi Brent – have you researched resurfacing (Birmingham hip and variants)? The sort of procedure that Andy Murray chose that allows full activity including impact. Only a few surgeons specialize in the procedure, those that don’t will probably not even mention it as an option, but it offers a younger athlete a more conservative option than a TFR which is easily converted to a TFR later in life if necessary. A well-fitted BHR or its equivalent will last at least 20 years. That said, a modern ceramic THR seems a pretty good alternative and my surgeon was happy for me to carry on running and climbing, saying “you will not be able to break it” when I expressed my disappointment that my second BHR op resulted in my femoral head snapping off,thus requiring THR as second best.
Whichever you get you should be able to get running again within a few months, I have had a good year despite lockdowns, over 900 miles of running, up to 13 miles, and long days in the hills up to 42 miles. I have just turned 70, my hips are 6 and 3.5 years old.
Would be good to know what sort of THR you have before encouraging youbyo try running again. I went for a metal on metal resurfacing on my left hip 6 years ago because (like Andy Murray) I wanted to stay active in running, climbing and mountaineering. Metal does wear out, slowly, but I was 64 and it did not have to last 40 years… Was jogging at 6 weeks, carefully, and built up over the next year to decent pace up to 10k plus long days in the hills. Right hip is 3.5 years old, bone not good enough for a resurfacing, and is ceramic on ceramic. Surgeon assured me I would not break it, carry on doing what I do. Running again at 6 weeks, have run up to 13 miles and walked 42 in the hills, joint is perfect. Rest of me is aging rapidly but I can run every day if I go steadily enough.
If you have a plastic lined bearing then wear might be a problem eventually, although the latest cross-linked polyethylene liners may be even better than ceramic as they cannot shatter like old ceramic did occasionally (just had an acquaintance undergo replacement for broken ceramic bearing) but if you are light and efficient then running should not be risky in my opinion.
My hips were done 30 months apart. L is a metal/metal Birmingham resurfacing, R is a ceramic/ceramic Zimmer THR. Was up to speed after a year or so on the first but knew I only had 2 years left on the other. Since having 2 fake hips I have got back to about 95%, with a couple of periods where the recent leg was painful – possible a stretched/trapped nerve – brought on by doing too much. The last month I have been attempting to meet county standards (65-69 Silver) at 1, 5, 6 and 10 miles and 5k so currently there are pains everywhere! Next target is to start on 70-74 Gold standards, from next week…
Have managed several long days in the hills this year, in between lockdowns, including a couple of 20 miles and one of 42 miles – no problems from legs on these, just everything else!
My advice is to get yours done asap and get training again likewise.October 27, 2020 at 11:27 am in reply to: Paul – 3 years post bilateral THR – pain and noise #18982
My R hip THR is ceramic/ceramic uncemented Zimmer, fitted 2nd May 2017, and the joint has never made any noise, it feels more normal than my 6 year old metal resurfacing on the L hip, which does clunk occasionally. I ran from 6 weeks and also climb and bike. The pain I do get is within the right thigh, like a trapped nerve, which makes me limp from time to time (like tonight…) but has not stopped me from running 188km in October so far. I think a precautionary X-ray would be a good idea, we have a friend who cracked/shattered her ceramic cup a few months ago probably as a result of a small fall – certainly not running…
Hi, and welcome!
I was at the end of my distance-running career when parkrun came to our area so focusing on a 5k ‘race’ once a week was one way to limit the damage to my arthritic hips, I also took the advice of my physio and bought a bike to keep fit without impact. I followed the 5:2 fasting diet for a few months to shed 10 pounds of unnecessary fat, and hence load on my joints, and filled up with ibuprofen when the pain got too bad. That all gave me about 3 years extra and was certainly enjoyable (most of the time…). Still used flat racing shoes for 5k, hardly went longer than 5 miles in occasional training in softer shoes.
Had a metal resurfacing in 2014 and a ceramic THR in 2017, now getting back to 30 miles a week and currently running every day as an experiment, which seems to be working. Might be up gor a half-marathon next year… Good Luck!
Hi DBuzzy – I had this thigh pain that appears on unweighting the THR leg, from about the same time as you and certainly still up to 6 months. As a climber it was very concerning as it was pretty painful after standing on that foot for any length of time, especially since it was in the area where the end of the implant spike would probably be trying to press against the inside of the bone. Physio had no explanation for the pain and I was cleared for running very early, about 6 weeks, and this did not seem to make things worse. Gradually it went away and all seemed well until I overdid things somewhat by racing 5k on the Saturday and walking 12 miles over rough hilly terrain on the Sunday followed by a treadmill session on the Monday – I was limping for a couple of months, and this was at the 18-month stage of recovery, very concerning…
Fortunately the 2 month layoff did the job and I got back into long walks and 5k races with no problems for just over a year, only to break myself again in May attempting Chris Kelsall’s virtual hour race. This time the pain is like an electric shock that makes the leg give way, possibly caused by a nerve being squeezed. Working around it at the moment but wish it would go away for good – it seems strange that I can walk/jog around 40-odd miles of hills and bogs with no problems, other than regular exhaustion, one day but be stopped in my tracks a few hundred yards from home on a gentle warmup a few days later. Good luck with your return to running, see how it goes because you have waited long enough!
Well done! 26:24 for me, a minute slower than last 2 weeks but Garmin seemed to think it was a better run (lower HR I guess). A very steady 19k along the canal today so back to biking for the next couple of days – share the aches and pains out more evenly… Keep up the good work!
Hi Malcolm, welcome here!
I’m just up the road from you in Leicester with a Birmingham resurfacing from 2014 and a ceramic THR like yours from 2017 so I can’t comment on the simultaneous bilateral replacement recovery aspect, and I don’t think I have seen anyone else on this site mention having both done together. There are several people on SurfaceHippy who have had both hips done at the same time or a couple of days apart, initial recovery is difficult but you only have to do it once… Not sure how many of them have gone back to running. My surgeon assured me I would not break my THR so I jogged my first 5k at 6 weeks then continued with parkruns every Saturday after that. Only just started on running longer and slower this last year trying to build fitness for the mountains, cautious because the Birmingham hip is metal on metal and will eventually wear whereas the ceramic is almost indestructible (although a friend has just had one shatter, probably as a result of a small fall).
It sounds like you have done everything according to the book so should be able to run faster and further as your soft bits finish repairing – good luck at the weekend!
Hi! I had my THR fitted 2nd May 2017, was back to max HR on road bike and 5k running by 9 weeks – somewhat slower than before but the HR was right up there.
Having to look back through my Garmin stats I was amazed just how quickly the biking came back – I sat on my indoor trainer for aerobic 30k / 1 hour sessions for about 3 weeks then started back on the roads, in the July I logged over 450km, longest ride 58 miles at a decent pace. I had carried on running and biking right up to my operation, which probably helped. If it hurts, stop, but otherwise go for it!
Great news Pietro! parkrun is a long way from restarting in the UK, you are so fortunate to be in NZ. We have (not)parkrun to do at the moment – report any 5k run time in the week and it gets credited to your home parkrun as a (not)parkrun to compare with your old running buddies/arch enemies performances. We are just about to set off to do one, using the Victoria parkrun course so I can also claim a freedom run. Not fast at the moment – I hurt myself trying to do Chris Kelsall’s Global Hour challenge and have been limping for a month – but I jog around in about 27 minutes and do enough warmup/down to make it a 10k morning.
I have realised that I really enjoy running slowly – I hope it is helping with my aerobic base! Keep up the good work.
I use my BHR and THR hips in the hills in much the same way as I wore out the old ones – never was much of a racer but have spent years jogging (mainly on the downs) on technical trails, last year completing the Welsh 3000s challenge (33 miles, car to taxi) and last weekend the Edale Skyline, 33.5km across Derbyshire moorland, for the 4th time in the last 2 years. No reason you will not be able to get back on the trails, your’re still young!
Hi Henry – a blood test for Chromium and Cobalt ions would be a good idea. In the UK there is a 3-yearly checkup on metal bearings due to the potential for wear and reactions to the debris, as per Karlos above (nice to see you here, Karlos!). My BHR is from Nov 2014, I run and bike and climb etc but I do not push as hard as you do (and I am much older!), my BHR is fine and I think it will last me out. I have a ceramic THR on the other side which in many ways feels better than the BHR but I am currently limping a bit with thigh pain which I hope is not related to the stem in my femur – this happens every 18 months after a period of overdoing things. Try backing off for a while if you get a good blood test, if you have to swap to a THR it is not the end of the road…
Hi Scott, I have a right hip fitted with the Zimmer kit you will be getting – it’s a Biolox ceramic/ceramic bearing. Did you know that trabecular metal is Tantalum? Fascinating…
Mine is 3 years old, I was jogging 5k within 6 weeks, racing at 3 months and have done 13 miles a couple of times. I’m also a climber/mountaineer and had long days in the mountains last year on technical terrain with no problems.
My surgeon specifically said I would not be able to break my new joint, carry on doing what you have been doing was his advice. So far, so good – good luck with yours!
I would expect most modern hips will tolerate running, especially on those who have run a lot in the past. My sister-in-law has had an Exeter hip fitted with a cemented stem and she is not allowed to run or climb with it though…
My first hip was a Birmingham resurfacing, on the basis that running etc would be available after a few months and so it turned out. My second hip is a ceramic/ceramic THR because my bone was not strong enough for another Birmingham hip. My surgeon told me not to worry, I would not be able to break it and I could carry on as before. He was right! You need to know what has been fitted to you, what its limitations might be – if any – and carry on with your experimentation. If it hurts, back off, otherwise keep running!
Have you read Chris Kelsall’s analysis of the survey results? Confidence inspiring…
Hi Chris – I shall sign up as a Hiprunner, I even did a precautionary hour this morning as my current limp was absent (not far enough to be worth recording, unless I break again in the next fortnight). Is it possible to enter multiple runs if you can actually improve, or would that require a separate entry each time?