Nervous about talking to my doc

Hi everyone,

This is my first post.  I’m scheduled for anterior THR on 4/19.  I developed late-stage OA after breaking my femoral neck in a bike accident last spring.  I found a really good surgeon but at my first appt. with him he advised strongly against running after the surgery.  I have a pre-op with him in a couple of weeks and I want to be honest with him about my desire to try running again, I think it’s important that he knows I will be running.  I’m really nervous about telling him, though, and even afraid he’ll refuse to do the surgery.  Does anyone have tips for talking to your surgeon or feedback on how you handled this?… (Click Here to View Full Post and Comments)

5 Months Post Op

Hello Everyone,

I am now 5 months post op (posterior THR), and have gotten a good bit of my normal life back. I can sit “crisscross applesauce,” sit on my feet, and bend over and touch the ground. My surgeon read wanted some continuing movement restrictions for a year, which made me mad. I haven’t done yoga or any crazy, but other than that I do what I want. I found the 3 month movement restrictions of the posterior approach to be very frustrating, and am envious of those of you with the anterior approach and fewer restrictions. However, I think that this is a good result. My legs are the same length and my biomechanics are the same as before surgery. I have no pain.

This weekend I took a long walk on a local rail trail, maybe 5 miles. This is the longest I have walked since I started having problems with avascular necrosis. Yesterday, I signed up for a virtual Quarter Marathon (6.55 miles). I’ll walk it, not run it, but this is a little piece of my pre-avascular necrosis life that I’m taking back.

I still do not know if I will run again. I am finally getting to a point where strenuous walking does not aggravate the soft tissues around my main incision. It’s a huge 8″ incision, and I still have some swelling. UGH. I imagine that running would aggravate this more. I am frankly afraid of prematurely wearing out the prothesis if I run on it, and after 2 hip surgeries in 2 years the thought of having a revision fills me with dread. At 61 years old, I may have to have a revision anyways, but still it’s a concern.

Any thoughts? How do you deal with worrying about wearing out your implant? Has anyone with posterior surgery been given movement restrictions for a year, or permanent movement restrictions? I have the Stryker Dual Mobility hip which gives greater range of motion, and I chafe at being given restrictions.

-Hoppie… (Click Here to View Full Post and Comments)

Mark I Autoimmune disease

Informal poll….

Has anyone else been diagnosed with an autoimmune disease such as SLE (lupus) or RA (rheumatoid arthritis) etc over the months/years since hip replacement?  I was diagnosed 4 years after surgery and I’m pretty sure it’s unrelated however I was 50 when diagnosed which is a little atypical so I wanted to see if the group has had any similar experiences.  Or worsening of the autoimmune disease?   Not putting it out there for anyone to have second thoughts about having surgery.  I’m treated for my disorder and running like before, so it’s not an issue but I’ve been meaning to put the question out there to the group.

 

By the way, 7 years post anterior THA next month and still running!… (Click Here to View Full Post and Comments)

low stomach (muscle?) pain – 8.5 months post anterior THR

Hey everyone, I have posted before and my running has been going very well. I have been running about 4 times per week and usually doing 1.5 min runs alternated with 30 second walks. I have been able to work my mileage up significantly over the past few months and I am now typically doing between 30 and 40 miles of these run/walks per week. My pace has increased as well. I do some swimming every day (I am in South Florida) along with some strengthening and core work in the gym. I also do distance walking on my non run/walk days.

About 3 weeks ago I started to feel some low stomach pain on my right side (same side as my THR which happened July 1, 2020). I started to feel this low stomach pain the most when doing pull ups and when doing abdominal exercises. I stopped the pull ups and changed my abdominal exercises, but I still feel it when doing abdominal crunches and leg lifts. I have started to feel this low stomach pain more during my runs.  I am not sure if it is a low stomach muscle strain or something else. I will probably it checked by a doctor.

Have any of you experienced low stomach pain on the same side as your replaced hip? If so, what did you do about it? Thanks in advance for your input.

 

 … (Click Here to View Full Post and Comments)

Future anterior THA

Hey everyone and thank you for this website and the inspiration. I’m only 47 but will be undergoing anterior approach THA in May 2021. While I’ve had pain on/off since I was about 5 years old, the main issues started about 4 years ago. While I wouldn’t classify myself as a “runner”, I’m quite fit and relish in being able to hike, life, and trail run. I’ve not been able to run AT ALL in 4 years. I work in the physical therapy world (PTA) for over two decades and have treated many many people with hip replacements and known them to be mostly HIGHLY successful. Still, when it is YOUR hip, it is very scary…especially when you know what the true potential risks are (still small, I get it).

 

Thank you so much for this forum and I hope to keep you all updated on my progress (even if I don’t run long distances) as I love how this forum is about being YOUR best self.

 

In health,

Ryan Crandall

New Mexico… (Click Here to View Full Post and Comments)

Two weeks Post Surgery

Well folks the two week post op timeline has come and gone with great news and progress. I’m able to walk around crutch free, though I still use the crutches outside for stability since we are buried in snow. Getting up and down the stairs is still a real challenge since I’ve lost so much strength in my quad, I tried to walk up the stairs unaided and after the third step I thought my leg was going to fold under me. My PT is really happy with my mobility and hip flexion AROM. I’m pain free for the first time in two and a half years, though I am still very tight and sore from the surgery, but surgery sore is so much better that injury pain! I am still doing my isometrics three times a day and yesterday I was cleared to go for short walks (less than a mile) on non PT days. We are very careful up here since there is no clean place to walk, this is interior Alaska and we are buried in snow, the roads are icy and the trails are uneven and very soft for this type of rehab, but perfect for cross country skiing! God I miss skiing already! I’m packing the hip in ice after every PT appointment and after my walks to help reduce the inflammation, not to mention it just feels really good! Yesterday at my PT we removed the bandages and inspected the incision. It looked amazing, healing really well and no sign of infection, yay! Moving on!

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68 days post-op: 23:45-trail 5K

What is possible is specific to your situation and determination! I had THR on Monday, December 21.  If all went well, my original goal was to be able to do a 5K in early May, based on being able to start running march 1.  Well, as of roughly 4 weeks ago I felt good enough to begin some light downhill shuffling and uphill power hiking…. all has gone well including being diligent with rehab exercises and stretching. About 10 days ago my eyes saw the possibility of a local trail 5K and my goal was simply to finish pain free. This morning I went out at a light to moderate pace and simply just kept my mind on any pain in my hip, my overall exertion, and obviously my footsteps on the trail!  Before I knew it, I was 20 minutes in and simply just kept cruising! When I discovered this blog, it was clearly evident that there was no defined path to returning to running post hip replacement; learn from others but the path is clearly individual… thank you for all of the input as I will continue to provide mine, and today it was great and exhilarating to finish my slowest 5K in 30 years – but simply to do it and know that my path to improve it is wide open 👍… (Click Here to View Full Post and Comments)

Downhill skiing

I miss my downhill skiing on a bluebird day. My grown-up kids moved to Vancouver, where they are 20-minutes from three different mountains. I am jealous.

Does anyone know anyone who downhill skis with a hip replacement?

I swear I online-chatted with someone who does. A duathlete? Maybe? I cannot seem to find the convo anywhere, so might be my imagination.

On Vancouver Island, the snow is pretty heavy. Like skiing in butter, so I assume I will need groomed-only runs? Which I am okay with, I guess.

Time to take up nordic skiing I suppose.… (Click Here to View Full Post and Comments)

Week One

Well folks last Monday the 15th I had my Anterior THA surgery, it was quite the adventure to say the least. I don’t remember coming out of the anesthesia but about an hour after surgery I was awake and they had me out of the bed with a walker shuffling to the bathroom and a short walk down the hall. Most of the time all I’ve been doing is sleeping, still not eating very much but my appetite is slowly returning. I flew back to Fairbanks from Anchorage Wednesday and flying right after surgery sucks! If I knew how miserable I would have been I would have waited a couple of day longer. The pain is fading quickly, I stopped taking the Oxycodone yesterday morning and have been using only Tramadol for pain. I’m walking or doing isometrics every hour. At times I feel like I’m not getting anywhere and then all of a sudden I can do something new! I’ll be using the walker this week and move on to crutches next week, though I have been using the crutches occasionally for ease and function, but they’re not as stable as the walker. with all the snow and ice outside I’ll probably stick to the walker outside and practice more with the crutches inside. I have my first full on PT appointment this morning, yay! Moving forward!… (Click Here to View Full Post and Comments)

Hip Surgery Vlog

So I have posted here several times about my upcoming surgery but I’ll remind those that haven’t read them, that I have Anterior THA surgery on Monday the 15th using titanium/ceramic/polyethylene. I started a vlog series on my YouTube channel called “Hip Life” that follows me through the entire process from diagnosis, through the presurgery check-ups/process and will go through surgery and follow me through rehab , PT and recovery. If Brother Tom will allow me to share the link here for people who would like to watch my progress and get ideas about what their surgery experience will be and for those that have gone through the surgery themselves and care to comment or offer advice of their own for me. Thanks!

AKtrailrunner – YouTube(Click Here to View Full Post and Comments)

It’s back! 2nd Annual Global Virtual One-hour Race – had my best longer run yesterday since hip replacement

Good Day eh,

Hey all you apex predators, I had my best longer run since hip replacement yesterday. I went 25K with a bunch of kms under 5-mins-per-km, for an avg of 5:19. I think I could have been around 5:10, but I am wary about my calves still. Very happy.

I have run up to 30K with a group we call TNLW for Tuesday Night Late Workout. It used to be that we would start at 9:30 PM and run 90-minutes to three hours over very hilly terrain, into the forest trails, and through back yards and over farm fences. Now, we are softer with a 6:30 PM start, but we still go to three hours-ish. Now with the social distancing protocols, we do a shotgun start. Everyone puts beer out and we leave our respective domiciles at 6:30 PM. We do a running tour around town to each other’s houses and sample the fare (quickly). So, my 30K run, has had six quick beer stops…..

Several Hip Runners ran in the Global Virtual One-hour Race last year. Well, it is back! Details at link:

2nd Annual Global Virtual One-hour Race: 39 days to the start

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1st run – well shuffle – back!

Seven weeks to the day and I will officially deem it my first “run“ back… actually more of a shuffle and cautious – and 90% on grass.  For the past four weeks have been hiking up hills and occasionally shuffling down hills.  I set three parameters before I would return to “running“: 1) no pain while hiking,2) The ability to go up stairs in an “athletic fashion“, including being able to “double step“ the stairs and 3) clearance from my orthopedic and PT…Well I have reached at least two of those milestones… Will be at the orthopedic next week for a follow up and my PT asserts “don’t do any activities that cause pain“… and that has applied to all of my rehab exercises, biking, air-dyne, hiking, etc.  For example, my PT had me build up to one-legged squats, and on my operated hip side, that exercise caused a different type of pain, my Spidey sense said no-go!  “Know thyself” has never applied more… slow, cautious shuffling on soft surfaces while causing no pain is where I am at… Will continue cautiously and progressively but feels great to at least be here!… (Click Here to View Full Post and Comments)

Soft Tissue Question

Hello fellow hipsters,

I noticed within the last week or so that the soft tissue around my incision has felt like it’s a little swollen. I don’t have any pain before, during or after. Surgery was October 2019. It’s been extremely cold in northwest Ohio the past week, and am wondering if the extreme cold is affecting the soft tissue, or if I’m just being paranoid that there’s something more going on. Any thoughts? I never run two days in a row, don’t run more than 4 miles, and very seldom on hard surfaces.

I’m 66 and call my running “the old man shuffle”. Which is 10-10:30 min/mile.

Thanks,

Ken

 … (Click Here to View Full Post and Comments)

The first week: steady improvement each day

Hi all you inspiring hip runners

Here’s a slightly belated post on the first week following surg.

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I am on day 6 following a THR of my left hip, and am feeling pretty good! It’s much better than I imagined 5 1/2 days ago. I just completed my longest walk so far (not quite 2km) with one crutch, and just tested walking up & down stairs and it feels almost like normal, easier than walking.

Indoors I am walking mostly without crutches, but when I feel tired I started using one.

I don’t really have pain now, but my hip has a ‘funny bone’ feel to it, and the operated leg feels longer when I walk. When I stand, though, it feels normal, so I’m hoping this is due to swelling.

Here’s how the previous 5 days went.

Day 1:

In France you must meet with the anesthesiologist a few weeks before the surgery, and to my surprise I was given the choice of general anesthesia vs radicular anesthesia + ‘sleepy gas’ – I chose the latter, to avoid the nausea.

It worked like a charm, and my head, at least, was fully alert by the time I got to the wake-up room in the early afternoon. It took my legs and especially the bladder longer to wake up!

There they hooked me up to liquid iron since my hemoglobin was low, and about an hour after surgery I was back in my room, dying for some food at last.

That evening the physio had me get up and use the crutches to walk, very gingerly, around my bed.

No dizziness, but I was surprised/alarmed at the pain. This was much worse than the permanent, dull ache that I had going into surgery! And my operated leg feels longer! Focused on tasks at hand (like getting in & out of bed) to put off panic.

I was instructed to do 10 reps of a few basic exercises every hour. I didn’t quite manage every hour, but was surprised that glute bridges were pretty painless, much better than walking.

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

SarahH – how I got here

Hi hiprunners,

Greetings from Day 9 following an anterior THR (uncemented ceramic/ceramic). Thanks to all of you who have posted about your own experiences, they gave me a much better idea of what to expect during my stay in the clinic.

Before I start posting updates I thought I’d first provide some history.

My backstory

I’m 49. While I consider myself more of a cyclist, for most of the past decade running has been my unrequited love. I’ve had a lot of running injuries just training for measly sprint & olympic tri’s. It’s been rather embarrassing and extremely humbling, especially since I was a decent sprinter in my youth.

It wasn’t until my late 20s that I got over my fear of ‘distance’ (read: anything over 400m), but from then to my mid-30s I was able to run casually and do the occasional 10k and even a half marathon without much thought.

Then we moved to France, and for the first few years I all but stopped exercising. After hitting 40, I decided to lose the extra weight, then to get back in shape I joined an expat triathlon club. While I really enjoyed training regularly and taking part in tri’s, every season I’d get some sort of show-stopper injury and would end up DNS for most of my events.

The magic formula: strength + frequency

After 6 years of trying out the usual suggestions (cadence, core galore, a run coach, etc..) only to be hit with another season-ender, I suspected my problem might be that my back and hips are so darn mobile that I need extra muscle to stabilize them enough to withstand training, never mind competing!

So I changed two things starting Jan 2019.

  1. Learn how to lift ‘heavy ‘ in the gym (by end of year I got up to 65kg for deadlift & squats, slightly over my body weight)
  2. Run slower but more often to improve run economy (If curious, google ‘BarryP 3:2:1 running’)

Hallelujah! Instead of getting injured from running a measly 3x/week, I was able to run 4-6x/week and felt great. My run … (Click Here to View Full Post and Comments)

One year on

In 2015 I ran about 30 marathons (PB 3:36) and moved into middle distance triathlons. In 2016 and 2017 I did some Ironman (PB 14:14:14 yes really) with marathons and decided to back off in 2018 and resume in 2019. In 2018 I started getting excruciating low back pain and electric shocks sensation in my right leg and started tripping and falling. On my return to endurance training in 2019 intending to do more maras and tris training was hard; Paris mara took me some 4.5 hours and I was in trouble. Long story short my last run in 2019 was the marathon element of the Outlaw tri (GB) in July (cycling element cancelled). Towards the end my right leg kept collapsing and I was limping permanently.

 

Somewhat vexingly I had the low back pain checked out again and again and the medics said I had some wear and tear (I was 51 in 2019) and gave me the impression I was over reacting. Even though socks were a problem on my right side. It was my sports therapist who in 2019 said I should have my right hip x-rayed.

Guess what – right hip toast – ball rammed and seized in socket. No. go ices to make and the RTHR was in February 2020 (just before Covid .. lucky). Now almost one year on I am getting back into shape. Swimming (when Covid possible) is good, cycling is coming on and my long run is 10 miles. My old pace is gone never to return but so what? I can still run. 11 m/m isn’t bad for a bionic hip. It never ceases to amaze me that a failed hip can be replaced and I can do so many of the things I used to do.

My surgeon did not want me to run again but, hell, I’m 52 and not finished yet. I have decided to take the risk of wearing the new joint out but look at the benefit to the rest of my body (and mind) by fitness. Also, I am thinking that once revision … (Click Here to View Full Post and Comments)

Dave – Long Haul 100 (K not miles)

Unfortunately yesterday was meant to be, my right foot that I injured 3 weeks ago running bridge repeats reappeared at mile 21. It feels like a broken bone on the top of my foot but I was still able to push off and felt strong to mile 35, running 21 minutes ahead of last years’ time and on target for a sub 19 hour finish, having to tell myself to slow down several times. I thought about quitting at 31 at the end of the third loop as I knew I wouldn’t be able to finish but I pushed on hoping it would go away. At mile 41 my gait had been thrown off and both ankles felt bad, my right hamstring my right hamstring was tight and my right knee and glute were complaining. I wanted to quit but Luis who was crewing me wouldn’t let me and gave my foot a massage and put some icy hot on it and I went out again. It felt good for about 2 miles but I think that was because I sat down for 10 minutes. I thought about quitting again as I came back into the hub but decided to continue to get 50 miles in, some painful moments but I pushed through. At mile 51 the end of the 5th loop, I passed Jeff I told him I was done, I had ran 30 miles on an injured foot and it wasn’t getting better, Brian told me I was listing to my left pretty badly . When I got back to my cooler Luis had different plans and had my change of shoes and socks ready and some tape for my foot, David had turned up early ready to pace me for 2 loops, Cindy was also there for another so not wanting to let anyone down he taped me up and off I went again.

Luis was doing what I needed him to do, trying to get me to the end and making sure as best as we could that it wasn’t anything serious, I thank him for

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