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!



 … (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.




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).


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


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.



Clay A. Bullwinkel… (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)

7 Weeks Post-op – Anyone prescribed Celebrex?

I’m 7 weeks post-op THR right anterior approach. I’ve been processing nicely walking 30-4o minutes 2-3x a day (approx. 3-4 miles). I’ve also been swimming 2-3 times a week (freestyle using a swim buoy) and extremely light spinning on the bike for 10-15 minutes at a time. I add the swim or bike every other day so as not to over do it. About 4 days ago I stopped taking the Aspirin and Celebrex (NSAID ant-inflammatory) prescribed by my surgeon (45 day prescription). Since then I have had some stiffness/soreness in the quad (right where the stitches were) as well as a twinge in the groin area. Anyone experience this after stopping any meds prescribed by their surgeon?

Obviously, the logical thinking here is that the meds were providing anti-inflammatory characteristics and once I stopped the pain/tighness ratcheted up a bit. Just wondering if anyone else had a similar experience? I was advised by the PT to back off the bike and limit walks to 20 minutes for a few days to see if it resolves.


Thanks for your input,
Brent… (Click Here to View Full Post and Comments)

Hello, my name is John and I’m a runner….

Hello fellow implantees (is that a word?)

Basic stuff first.

Male, 53, runner/orienteer, THR right hip, 2nd Aug ’21, anterior, Ceramic on Polyethelene, uncemented…

Always “sporty” but have a tired (and doubly operated) right knee, which probably exposed the hip over the many years of sporting abuse I dished out on my limbs….

I suffered for about 5 years, until this January (21) I physically could not take a running step without pain any longer

Degradation was slow, range of moment reduced, muscles weakened, pain set in.  In the end a simple x-ray confirmed the finality of the situation…

Operation.  Very experianced Surgeon (~100 replacements a year).  Not a fan of running post replacement (I did not seek his opinion on this — I just stated the fact that I would run again).  Spinal anaesthetic, so quick recovery, although due to complications had to spend 4 nights in hospital.

Recovery has been amazing.  Way less pain than I had expected, daily noticable improvement.

Spent 4 weeks on 2 crutches, 2 more weeks on 1 crutch and now crutch free for a week.

Messed up with physio, so a little behind on recovery, but feeling better every day (and I have a great physio now)

Managed a 3.5 mile orienteering course last Saturday, so a lovely brisk walk in parkland, with a walking pole in case I tired.

I have no plans about when and if I will run again (I will) but my plan is simple.

I want to orienteer once or twice a week.  That’s the only running I want to do.  The rest of my exercising will be in the gym, strenghtening, classes, swimming and cycling (indoor and out).  Hope that will get me strong enough to protect the implant as well as possible.

Its been great to read so many varied stories here, gives me great hope for the future!



 … (Click Here to View Full Post and Comments)

Janice (Coddfish) – about me

Hello, I am a new member.

I am a mid 60s female living on the south coast of England, professional / office based background, retired. My running career is relatively recent – started in 2015 with C25K to manage my health, including what was then a rather stiff right hip. Progressed to the point where I became a bit of a parkrun addict, doing quite a lot of parkrun tourism, plus the odd 10k event and the 10 mile Great South Run in 2017 and 2019. Never going to be a great runner, never a fast runner, but it helped keep me healthy and was something I enjoyed. I am also a regular swimmer and gym goer (weights mainly, also aqua classes).

During the 2020 England lockdown, my running deteriorated and my hip stiffness increased. With most access to healthcare difficult, I put it down to not being able to swim and carried on. My sister in law said it looked like I needed a new hip but I wasn’t ready to go down that route. Sure enough, when I was able to get back in the pool and gym, things improved a bit but I couldn’t get my running distance past 7k. With the 2nd main lockdown in early 2021, I started to deteriorate again. At Easter, I thought I had pulled my hamstring, and when it didn’t seem to get better, went to see a physio. Physio took one look, said it was my hip and that it would likely need to be replaced. A few days later I saw the consultant he recommended privately, and went on his self-pay list (NHS waiting list currently about 2 years) for a total right hip replacement. Haven’t run since Easter but I have been able to continue swimming and upper body gym work, although my walking had deteriorated to less than a kilometre at a stretch by the time of surgery.  Clearly I caught this just in time

I had my operation on 7th September. Operation was through a single vertical incision on my right side / thigh, shaped a … (Click Here to View Full Post and Comments)

Dave – Age is just a number and I’m F’in #1

Pinellas Trail Challenge, 46 mile race on one of the hottest days of the year. Warning, long race report.

This was my second ever ultra back in 2015 and one I’ve wanted to win ever since. It’s my favorite race, right behind the 6 hour Durty Beer Run, due to the generosity of all the volunteers, the course, and most of all the challenge, this is such a grueling race. Every year since 2015 apart from 2017 when I was injured, I’ve toed the line with a belief, probably more desire, that I could win this race, but usually cramping comes into play and my pace falls off. This year was no different but I think I had more confidence, I told more people that I was going to win this year, this was going to be my year. However there was a little doubt in the back of my mind, before my 60K Bryce Canyon race at the end of May my hip, which I had replaced almost 11 years ago, has been bothering me and at the end of the race it was screaming with me from the climbing, descent and soft sand. It was okay for the Lake Baldwin race in July which I finished second after cramping at mile 20, but once again screamed at me after the 6 Hour Durty Beer Run in August just 3 weeks earlier. In fact doing an easy training run the Thursday after I pulled up after 3 miles as my hip was getting worse and the pain travelling down my leg and I had to walk 1.5 miles back to my car. I didn’t run again for 8 days and instead took to the pool and swam 1.5 miles each day, which is something I don’t do. I had a couple of runs the week leading up to the race but the last run on Wednesday also had my hip reminding me of the challenge ahead. But with all of that I somehow felt confident and told the Clever Training Run group I was going to win, I told … (Click Here to View Full Post and Comments)

Inspired by Shirtless Dave, to go shirtless. I feel free (and slightly exposed, and needing to manscape)

Inspired by shirtless Dave, I thought I ought to do one too. Maybe we can make a challenge, post your shirtless photos. I was not running here, of course, I was doing an Alfred Hitchcock-style shot, however, should I find a shirtless running photo of me, I will post it.

Seriously though, I am coming up on five years on Dec. 1. I have run up to 100kms per week, but mostly 50-60kms per week. Seventy this last week. 5K 22:32. Best before hip was 17:58 at age 42. I ain’t gettin’ near that again. Had a decade down of almost no running (plus two Haglund’s Deformity surgeries). I tried to get within 10 minutes of my master’s 10K best at age 41, which was 36:56, nope, 48:23 if I remember correctly. But I think I can knock a minute off that soon (see how below).

But here is a training thing. What used to be 100-miles in one week (162kms) or say 7.5-9 hours of running per week is still 7.5-9 hours of running, but now only 62 miles (1ookm). The great Arthur Lydiard changed from coaching in miles to coaching by time (because an elderly lady stood up at a seminar and said, “I am doing 100-miles per week, but it takes me 18 hours.”)


So, if you are living with a hip replacement, you are likely over 50 or over 60 etc, perhaps training by time is a good idea…..the cardiovascular system was stressed for “x” hours, not for “x” miles.

Anyway, I reviewed a pair of super shoes. I won’t post the link here so as to not to self-promote Athletics Illustrated every time that I post, but if you want to check it out… know….Google is a verb so search Ahoy, mate!

I reviewed the On, Cloudboom Echo. They have the carbon plate and super rubber and an interesting feel. I ran in them at this one paeticular effort I have that I KNOW for sure is 5:40 pace on the same route on my lunch….but not in these shoes, 5:20!……I had to stop … (Click Here to View Full Post and Comments)

Joya Virtual 5K – 10 Years Post Hip Replacement – 23:25

January 2022 will be my 10 year anniversary for my new hip.  It still feels new. 🙂   Today was the day I designated for the Joya Virtual 5k.  Joya is a non-profit that my wife serves as the executive director for.  Joya serves medically fragile and developmentally delayed children from ages birth to 3.  I always marvel at the great work that these people do.  It truly is a gift.   They are currently building a new facility for their services because they have outgrown their current location (an old school), and the school district wants it back.  The picture above shows me standing in front of the new site and shows a rendering of what the new place will look like.  I set up a 5k course that starts on the Centennial trail adjacent to the new construction site and takes runners on a 5k loop that goes along the river and through Riverfront Park in downtown Spokane.   My wife and many others used the course to run their vitual 5k’s last week.  Out there this morning, it was just me.  I was as ready as I could be.  In my previous post  I had described a little injury that I have been dealing with for the past several months.  My hammy on my hip replacement side was inflamed right at the sit bone.  I had no strength on that side and it made running difficult.  Thankfully with some PT and strength training, that issue is going away.

I completed my 5K (actually it was a little more that 5k – 3.18 miles) in 23:25.  In past years I would have been very disappointed in that time, but not today.  That time means I am coming back….finally.  It’s been 10 years since I got my hip replacement at 46 years of age.  Seemed young at the time, but I knew it was time.  10 years later, I am still running 5k’s, doing 10 mile training runs with my buddies and playing some occasional hoops (which I did after my run today).  That seems like a lot of boasting, but that … (Click Here to View Full Post and Comments)

Longest run

8 months to the day of my left THR, I ran-hiked 21+ trail miles at  95 and partly sunny conditions at the Moon over Croom event near Brooksville, FL.
3 hrs 56 min
Those who’ve read my story on this forum know of my ups and downs.  Hopefully I’m getting it figured out…. Major lesson: I’ve not been able to run fast (for me) since THR… need to be Slow and steady… and maybe just to see how long I can build to…???

Best news today: No THR hip pain AND total body fatigue! THE GOOD KIND ! 😉… (Click Here to View Full Post and Comments)