Total Hip Replacement?

Posted , 9 users are following.

I went in for some pain in my hip that I have been dealing with on and off for about 2 years now. Being a walker (5 miles/3 x wk), I just chalked it up to taking too big of strides. The pain would come and go but got worse. I made an appt. to see an orthopedic about it and he did some xrays and a MRI with contrast to visibly see more of the area. I came back the next day and we could see that I have 2 cysts so he referred me to another orthopedic surgeon and viewing my xrays and MRI he proceeded to tell me that I had a labral tear. Upon looking at my xrays he also discovered that I have "shallow hips" and gave me my options:

1. Do Nothing

2. Get Cortisone shots until I can't any longer.

3. Fix the labral tear but eventually due to my "shallow hips" he said that it would tear again within approx. 5 years and I would have to come in and do it again. 

4. Osteotomy

5. Total Hip Replacement

Being that I am only 38 and active I am at a loss.  I have done so much investigating and found that Total Hip Replacement is the best option for me but I'm terrified. I have made an appointment with him to answer some more questions and make a date to have this done but was wondering what everybody else thinks and perhaps some advise on any other questions that I may need to ask. Please and Thank you!!

 

2 likes, 18 replies

18 Replies

  • Posted

    Hello,

    I totally understand how you are feeling!!

    My situation is pretty much the same as yours. I am 37 years old, a Zumba instructor and experienced pain over a 2 year period. I had a MRI and X-ray and discovered a tear as well as a shallow hip on my right side. I struggled on with pain killers and after 6 months went for the joint injection. This was fab but only lasted 6 weeks. I went to see a different consultant who said the time was right to do the THR.

    I was terrified. Just as you are feeling now.

    I can honestly say it was the best decision I have ever made. Since the moment after the op my pain totally went!! Only wound pain to deal with.

    I am now 9 weeks post op and have just returned to my Zumba classes. ( low impact only for me at the moment however)

    Have faith in the surgeon, the recovery isn't that bad at all in my opinion. The first 6 weeks it's all about rest and light physio. I'm now on some more extensive physio to get everything going again.

    I don't have full range of movement quite yet. I only tied my own shoe laces for the first time this weekend but I was walking stick free by 5 weeks and the improvements keep coming each week!!! AND I HAVE NO LIMP POST OP AND EQUAL LEG LENGTH!!!! Amazing !!

    This will transform your life!! Please don't suffer any longer!! So what... you are young to have this op but it's needed and that's what you need to focus on!!!

    Good luck!!

    Helen

    England

    • Posted

      Great answer, and what a great forum for topics such as this. I thank you both for keeping the rest of us informed. Scary, but necessary...and many more such stories showing how great our surgeons are.
    • Posted

      Thank you for posting! Yes, I am very nervous and on a few things. Not sure how my work will be afterwards but I hope to get the surgery done and on a better road to recovery than others I have read about (which also worries me). I will keep you updated on when the "BIG" day will be. 

      I am so glad to hear that you are back doing Zumba, even if it is low impact, and that you are recovering well. I, too hope to be a fast recoverer. Thank you!

  • Posted

    Hi, I tore my Labrum while working out on a treadmill.  I was 48 at the time.  My specialist felt very confident that he could go in and repair the tear.  I was on crutches for several weeks and did about 8 weeks of physical therapy.  The surgery was a success.  Unfortunately for me, I have hip dysplasia and very bad artritis in that same hip.  Within 4 more months of working out, I was in pain again.  Not from the Labrum, but from my hip joint.  I was bone on bone at that point.  11 months after the first surgery to repair the labrum, I was in the hospital getting a FHR. I was terrified because I thought the second surgery would be much worse than the first.  After all, the second time around I would have a prostetic limbsad  To my surprise, the recovery from the FHR was much easier! 

    Everyone is different.  My downfall was my arthritic joints.  You are very young.  If your joints are still healthy (unlike mine) I would definitely just go for the Labral repair.  Best of luck!

  • Posted

    Hi. I was kinda in the same situation as you,only 41 and a very active and fit horse rider with horses of my own.i only had what i would call niggles of pain so had the various tests etc and was told i had a bad labral tear.i could have had keyhole surgery to repair it but the surgeon assured me i would be back within 6months with the exact same pain again!

    I went ahead with the thr approx 6wks ago and so glad i did! Yes the recovery is long and hard but the pain has all gone.do it while you are young and can recover easier.

    • Posted

      Thank you for your feedback. How are you recovering? I see the surgeon tomorrow to discuss what I would like to do and I do think that a THR is my best option. I do agree with an easier recovery due to my age and that is why I decided that it would be in my best interest except I fear that something might go wrong and I would be down longer than anticipated and away from work longer. I guess just a little anxiety

      The recovery part is a little tricky for me due to my bedroom being upstairs and there is no room to even put a bed on the main level. I wonder what sleeping in a height appropriate recliner would be like? I guess that is my only option? The couch is definitely too low. Any thoughts?

    • Posted

      Hi, re your bed being upstairs, in hospital they show you how to go upstairs on crutches, and it's fine. All the best tomorrow.

    • Posted

      Im recovering well thankyou.i was off of all pain killers at week 2 and have been on only 1 crutch indoors now for around 2wks.the thing i am finding most difficult is not being able to sleep on my operated side as thats my favourite sleeping position..my bedroom is also upstairs but i promise you that you are prepared by the physios before leaving the hosp to go both up and down stairs so don't worry.the anxiety you are feeling is natural,i would be more worried if you wasn't feeling it! Get yourself some ice packs,a v shape pillow and some good ready material and take the plunge it will be worth it.

    • Posted

      Reading even!
    • Posted

      Hi

      I had the same - bedroom upstairs and little room - what i did was bought a folding bed and moved my table out - i know you can go up and down stairs on crutches but i did not really want to too much.  so i could fold the bed up when it was not used . 

  • Posted

    Best of luck on whatever decision you make. Personally after doing nothing, then pain Ned's, then several cortisone shots I had a TLHR. So glad I did. I am 66 so the age difference also enters into it. You may be 60ish before you need a resurfacing. By then with technology advances should be down to a fine science. Don't live in pain

  • Posted

    I am also 38 and my story is just about identical! After having my son in 2012, I wanted to start an exercise program. After maybe the second or third kickboxing class I signed up for, my right hip hurt. Like HURT, hurt!! I attributed to me being very heavy and not ready for such strenuous exercise at the time. I lived with it for a while.

    I visited an ortho in 2013 and they dx an impingement...rx was to lose weight and keep moving. Desperate for relief, I whole heartedly committed to a healthy lifestyle. I took up distance walking and spin classes because it was do-able and pretty much the only things that didn't hurt so much. Combined with diet, I steadily lost close to 100 lbs on my own by 2015...I still can't believe it....but the dull, nagging pain in my hip didn't go away.

    Fed up, I got anpther opinion. I was dx with labral tear. Pt was a waste of time and eventually injections wore off and pain increased and mobility decreased as the year went by. Last spring, I underwent extensive labral tear surgery. When the surgeon was in there he saw just how damaged my cartilage was due to osteoarthritis. He tried a microfracture procedure intended to grow scar tissue to act as new cartilage. Over the last summer and fall, the pain kept getting worse to the point now I am unable to walk or stand for very long. I limp when I walk. My quality of life has decreased dramatically sad.

    Anyway, the surgeon who performed the tear surgery said, without hesitation, said I could either live with the pain until my hip explodes (his words!), and I have no other choice, or ENJOY life in a couple months...after a total hip replacement. I chose hip replacement!

    I am very nervous, but this forum and research on surgeons, the various procedures, and recovery, has helped. I am hooked up with a very experienced and one of the best surgeons who performs the anterior approach to THR. I have no choice but to be optimistic about the outcome and waiting rather impatiently for April 12!!

    What approach did your surgeon recommend, anterior or posterior? Did you discuss recovery protocol and possible complications? Let me know if you have questions...or what questions you are planning on asking your doc! Curious if I asked the same types of questions or missed anything I need to ask or slllprepare for.

    Hang in there and continue to do your research. Knowledge is power!

  • Posted

    So I had the dr app. yesterday and we both decided that in my case a total hip replacement is best! I had so many questions for him and was floored by what he wanted out of me post op! 

    My surgery will be on the 25th of April (so shortly after yours Wildersanna). I asked him about the leg length and he gave me a great explaination of and if it happens (has to do with the fit of the ball into the socket). I also asked about the inward or outward of the foot. He said that is a 1 out 100 chance that it happens but he said that if it does happen that, in my case with hip dysplasia, it is because what is normal to me isn't normal to a regular person without hip dysplasia but again, it rarely happens. I asked about sex *blush*, resticted for 6 weeks.  I asked about driving, again 4-6 weeks, just as long as I can apply that brake fast and strong enough, of course without pain meds (common sense). He said that he will be doing an anterior approach and that he uses stitches on the inside along with the glue (I was very happy with that answer). I was realy confused because he told me to do as little as possible for the first 6 weeks because that is the time when dislocation is high. That it takes the persons bones to start growing over the prosthesis and then he will prescribe pt. He said that I will need the walker for the whole 6 weeks for stability purposes. He said that I didn't need a raiser for the toilet just straighten the leg as I sit.

    I asked about long time restrictions, I got no running but other than that I was good to go.... just trust my body and do what it says, if it sounds like it is a bad idea then it probably is. 

    I know there were more questions I asked but they aren't coming to mind right now. I have all the faith in him and trust that he will do a wonderful job! I am so overwhelmed and nervous but I know in the end that I made the right decision! Thank you to all that have replied to my post! Congrats Wildersanna on the weight loss!! Way to go!!!!!! 

     

     

    • Posted

      Oh and he is doing ceramic on polyethylene
    • Posted

      All sounds good to me, onwards and upwards! ( I'm almost 7 months, and life is pretty much back to normal. Walking, swimming, biking to work.) Wishing you all the best.

    • Posted

      Thank you so much and congrats on your recovery!! Can't wait to be pain free to do all those things!!! smile

    • Posted

      Whaaaaaa?? My post op protocol is a breeze compared to what your surgeon recommends. Maybe because of the dysplasia? Sex is whenever I feel comfortable. *more blushes* Walker first 3 days then cane and wean when I'm ready. Driving in two weeks. Of course its individual. I couldn't drive until 6 weeks for labral tear surgery. I'm curious about the dislocation though ...because there is no cuting tendons, ligs or muscle there is a .09% that the hip will dislocate. That is what I found in research as well. Hm...every case is different. Keep in touch it will be nice to "share" recovery experiences. 😄

    • Posted

      Yes please, let's do keep in touch!! It is always good to take and give advise to those who have been there or is going through it with you!! Have a great weekend!! smile

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