It’s been a while since my last post (about 4 years) – here: https://www.hiprunner.com/?p=8422
I’m finally at the point where I’m scheduled within 1 month to take the plunge with a left THR, aged 35.
A brief background:
– previously a very active amateur footballer and casual runner. Aged 29 I was diagnosed with bilateral OA. Genetic/ over-use etc …
– I had a left hip arthroscopy 5.5Y ago and I did the same for my right hip last year.
– I have done Hyalauronic injections in both hips a couple of times over the years – last time about three months ago.
– I have pain most days which I try to manage with needling, massage and hard-rolling. At times I get very sharp, acute, shooting pain in the worse (imagine that’s the bone-on-bone?)
– Post op, the right is looking good on the X-ray (good spacing, no re-growth of impingements, no cists). Occasionally I get this annoying catching sensation and often muscular ache. I’m hoping that is scar tissue/ compensation for my (much worse) left hip as the Dr says the X-ray looks like I have a good few years left in the right hip.
– The latest X-rays on the left hip show visible progression over the years – irregular spacing, big spurs/ impingements, bone on bone at the corner, cists everywhere – so I’m booked in for the left THR in 3 weeks….
I came to the decision over the past 12 months to finally get the left THR. I have struggled consistently to walk longer than 10 mins – often having to stop to stretch or rest the hip. I can exercise as usual on the bike/ cross-trainer/ swimming but haven’t run properly for three years. For me that’s not good enough: I have two young sons and I want to be an active dad, I want to be able to manage my weight and health with exercise, I dream of running or playing football casually again, I want to be pain free. I want to maximize my mobility now whilst I’m still young enough to do so.
BUT… I have struggled with the psychological aspects ( I think I still do, even now the surgery date is looming). ‘I’m too young aren’t I?’ / ‘ Will I ever run again’ / ‘will it wear out early and potentially need 2 revisions’? / ‘I can live with this – do I really need the surgery – it’s not life and death’….
The questions that are bugging me now in the lead up to the surgery:
– am I doing the right thing going for THR instead of BHR? I’ve obviously read the comparative analysis on the topic and spoken at length with my surgeon but I’m still a bit lost – for now I’m booked in for THR.
– a strange thing happened last week – I tried to run (nothing to lose now!). And my left –for the first time in years felt pretty OK afterwards. I had another 5 min run today – again no reaction. It’s so annoying that after years where I wouldn’t even try to run due to the pain when walking, that now for some strange reason I’m getting a reprieve from the pain ?! Perhaps it’s the painkillers/ injections kicking in? I’m going to carry on testing the left hip with light running – I’m hoping from some reassuring, familiar pain to remind myself I’m doing the right thing!
– again frustratingly my right (‘better’ hip) aches more than my left (‘THR candidate hip’) in recent weeks. As I said , the right hip surface is in good shape post-arthroscopy but I continue to get glute aching a year on from the surgery. I limp pretty badly – perhaps this is compensating pain for over-loading the right hip to protect the left? Anyone out there with recent similar experience – muscle tension weighing on the better hip (especially post scope)?
I need some re-assurances I guess:
– do I have anything to gain by holding out another 6-12 months?
– Will I be able to run / play light football (soccer) after a THR?
– When does the latest hardware look like it will run-out/ require revision?
I know inevitably I need a THR. No doubt. But I’ve been holding out as long as I felt I could to delay it over the past 5 years. I felt I took it as far as I could but now I’m worried I’m giving in too early.
Any advice/ thoughts guidance would be so much appreciated!?