Just seeing if anyone is running on “hybrid” total hip replacement – uncemented socket and cemented stem?
If you are can you let me know how you are getting on with it.
Just seeing if anyone is running on “hybrid” total hip replacement – uncemented socket and cemented stem?
If you are can you let me know how you are getting on with it.
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)
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)
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)
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!
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)
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)
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:-
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)
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.
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)
I’m scheduled for my op in 3 weeks.
I’m in the UK and it will be a posterior approach. I would be keen to hear from others who have had surgery this way as opposed to a lot who have had anterior surgery. As with many, my consultant does not support a return to running which I have not come to terms with. Thanks in advance.… (Click Here to View Full Post and Comments)
Hi All just had the left THR 4 weeks ago.I had the right THR two years ago and started running 5k after about 8 months.I am hoping to start again in about the same time.I think though it would be sensible not to do marathons just 5k and maybe 10k.But I fully understand anyone wanting to get back to the long distance it’s shat we do and love so much.… (Click Here to View Full Post and Comments)
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 firstname.lastname@example.org… (Click Here to View Full Post and Comments)
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)
Has anyone had a problem with hanging leg raises after new hip? I seem to be a little extra stiff the day after doing these…… (Click Here to View Full Post and Comments)
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)
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 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!
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)
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