Im 53 what is post op recovery of Total Hip Replacement

Posted by amack26 @amack26, Feb 10 3:25pm

Ive dealt with chronic pain and back issues for some time. Done the injections, and even had the Radiofrequency Ablation. My gait is considerably worse, stair, and car transfers, sit to stand pain in hip crease and groin, unbearable. Today he took X-ray of HIP and the left one is shot, no space in socket at all on the left. He says back pain driver is resolved, I've got a consult for hip surgeon in 2 weeks, what to expect?

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Profile picture for heyjoe415 @heyjoe415

Hi Joan,

Wow good for you getting a successful HR at age 84! That's amazing! I'm 71 and have had both knees, right hip and left shoulder replaced. Post-op PT sessions and home exercises are absolutely necessary. Although I didn't get in-person PT, but did get a list of at-home exercises.

I'm a little surprised your surgeon prescribed the combo narcotic painkiller with Tylenol. I think I was prescribed just oxycodone for the first few days, and then switched to Celebrex for another few days and then to Tylenol.

Anyway, good for you Joan! I love to hear these stories, especially as I head toward my 80s, and hopefully 90s!

All the best.

Joe

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@heyjoe415
Hi Joe, I asked, ¨At what age a person is ¨too old¨ for a hip or other joint replacement?¨ I was told that there was no set ¨too old¨age. They will operate if the surgery will keep a person from being bedfast, because once a person is confined to bed, they end up sitting in their own urine and feces until someone comes and cleans them up. And that, I was told, was sufficient reason to do a knee or a hip, just to give a person some quality of life. I was surprised at the candor of the answer. Knowing that, and knowing the amount of pain I had from the then arthritic hip, I had the hip replaced at age 84, anterior procedure.

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Profile picture for joanland @joanland

@heyjoe415
Hi Joe, I asked, ¨At what age a person is ¨too old¨ for a hip or other joint replacement?¨ I was told that there was no set ¨too old¨age. They will operate if the surgery will keep a person from being bedfast, because once a person is confined to bed, they end up sitting in their own urine and feces until someone comes and cleans them up. And that, I was told, was sufficient reason to do a knee or a hip, just to give a person some quality of life. I was surprised at the candor of the answer. Knowing that, and knowing the amount of pain I had from the then arthritic hip, I had the hip replaced at age 84, anterior procedure.

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Hi Joan,

Well a hip replacement at age 84 is a huge accomplishment and I am certainly proud of you. The candor in your response is one reason I like this Mayo Forum. No one holds back and no one should hold back. People are looking for honest answers, even when there are no good answers. Although in my experience, most people here do find help. It starts with honesty.

I'm 71 and have had both knees, right hip and left shoulder replaced. I did it because I will happily have treated those things that can be treated. That's not true for everything that can afflict us with age.

I go to the gym everyday and try to be as good to my body, and other people, as possible. My one ailment is a horribly afflicted lumbar spine. But by developing a set of strong core muscles, I'm more protected from surgery. Even so, I wake up every morning with an extremely stiff lower back. It takes a while to get going! That's ok, I know it could be much, much worse and I'm grateful for the life I have.

You are an inspiring person Joan and I commend you for your bravery and honesty.

Joe

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Profile picture for steveinarizona @steveinarizona

Questions to ask:
What method do you use? Posterior? Anterior? Superpath?
Do you do revisions? If yes, approximately what percentage of your surgical time is on revisions?
What type of implant do you use? Titanium? Oxidized zirconium? Etc.

In order of surgical introduction: posterior to anterior to superpath. Order of likely minimal pain: superpath, anterior, posterior.

Revisions are more complex than OEM hips. Not all hip/knee surgeons do them. A surgeon who does many of them tends to be more skilled...all other things being equal.

Some people are allergic to certain metals. I am not but some are.

I had a successful left hip replacement about three years ago. I had zero post surgical pain. My surgeon is the primary inventor of the Superpath method. As far as I know I am not allergic to metals but my hip is titanium. My surgeon limits his practice to hips and knees and spends about 20% of his time doing revisions.

Incidentally, my surgeon also replaced my right knee four months ago and, again, I had no post surgical pain. In his opinion, and mine as well, the most important criteria are: extensive experience doing the exact procedure; great hands; a great mind.

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Revisions are more difficult than original replacement surgeries. That's well said Steve. And yes, there are ortho surgeons who specialize in revisions.

Joe

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Profile picture for cosynook @cosynook

@steveinarizona Hi and thx for your post. I’m sooo interested in your experience with “ super path”. Here’s my story… I’ve had a partial left knee that went bad and within 3 months had a total revision. That went south right away so I left my local doc and traveled to the Cleveland Clinic and found an amazing surgeon who did the second revision of the left and a THR of the right hip. I’m now 6 yrs post 2nd revision and 6 1/2 yrs post THR ( anterior) of right. Unfortunately we are investigating why my left revisions knee is once again problematic PLUS I need a THR of that left hip. My first anterior hip rehab wasn’t bad but could you explain to me what the “ super path” is. I’m all for a “ no pain” recovery!!!

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Hi cosynook,

I'm sorry for what you had to go through with the first two knee replacements going south.

I've had both knees successfully replaced. Ironically, my surgeon did his residency and fellowship at CC.

As far as incisions for the hip, my surgeon used the anterior incision. This is superior in that it doesn't cut any muscle, versus posterior or lateral approaches. Steve has also posted about a THR method called SuperPath that sounds interesting, although I only know what Steve has posted. My surgeon does not use it.

All the best to you!

Joe

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Profile picture for steveinarizona @steveinarizona

@cosynook

Superpath is not a guarantee of no pain. I ascribe credit for my no pain recoveries as follows: me at 5% for my research into procedures and surgeons; my magical surgeon at 90% for his method and skills; and luck at 5% -- fortunate in my case. That last 5% is unpredictable.

My surgery was delayed while my surgeon recovered from rotator cuff surgery. So one day we had some time to simply chat. Despite being the primary inventor of the superpath method and holding more than 15 patents, his three most important criteria are as I noted: extensive experience doing the exact procedure, great hands and a great mind.

In my case, I had both. All the procedures I wanted and a vastly experienced surgeon at doing them.

Here is my surgeon's explanation of Superpath:
https://www.chowhipandknee.com/superpath-total-hip-replacement-hip-knee-specialist-phoenix-arizona/
If you prefer to read scientific papers, here is a description:
https://pmc.ncbi.nlm.nih.gov/articles/PMC9318286/

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Hi Steve, great to hear from you again.

On the subject of surgeon selection, you suggested finding someone with - "extensive experience doing the exact procedure, great hands and a great mind."

Well said. We had moved and I had to find new ortho surgeons. In addition to your criteria, I added - 1) a surgeon in their mid 30s to mid/late 40s, 2) a surgeon with a good med school/residency.fellowship pedigree (ala Mayo, Cleveland Clinic, and 3) someone who had done hundreds/thousands of procedures with excellent patient feedback.

Hope you are well friend. I had my left shoulder replaced in August last year. Recovery has gone really well but it demands a lot of patience versus knee and hip. (I have one hip and one shoulder that haven't been replaced, yet.......)

Joe

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Profile picture for heyjoe415 @heyjoe415

Hi Joan,

Wow good for you getting a successful HR at age 84! That's amazing! I'm 71 and have had both knees, right hip and left shoulder replaced. Post-op PT sessions and home exercises are absolutely necessary. Although I didn't get in-person PT, but did get a list of at-home exercises.

I'm a little surprised your surgeon prescribed the combo narcotic painkiller with Tylenol. I think I was prescribed just oxycodone for the first few days, and then switched to Celebrex for another few days and then to Tylenol.

Anyway, good for you Joan! I love to hear these stories, especially as I head toward my 80s, and hopefully 90s!

All the best.

Joe

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@heyjoe415

You beat me Joe. I am only 80 although inching closer to 81. I had my left hip replaced about three years ago and my right knee about four months ago. I had RXs for Oxycodone, celebrex, small dose aspirin, and extra strength Tylenol. I ended up not having to use any.

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Profile picture for steveinarizona @steveinarizona

@heyjoe415

You beat me Joe. I am only 80 although inching closer to 81. I had my left hip replaced about three years ago and my right knee about four months ago. I had RXs for Oxycodone, celebrex, small dose aspirin, and extra strength Tylenol. I ended up not having to use any.

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Hello again my friend! Great to hear from you!

Wow a THR in your late 70s and a TKR at 80! Congratulations! I love these success stories!

I was given the same post-op meds you were. I never used the oxy and I think I took a few Celebrex after the nerve block wore off from my TKRs. The post-op pain is just not that bad most of the time, and as you know, rehab begins within hours of surgery.

I did get my left shoulder replaced about 6 months ago. That's been the toughest rehab but not because of pain. It's a long rehab, done in stages, and requires patience - not my strong suit. But again, very little reliance on pain meds, maybe a week or two max.

The recovery from the aTSR has gone incredibly well. I was back in the gym 5-weeks post-op on the spin bike (with my arm at my side for a few sessions!) and I just started doing chest presses and weight-assisted pull ups, 6 months post-op (chest presses and pull-ups come last in the sequence of post-op exercises). The horrible pain is gone and I'm an happy guy!

Thanks for reaching out Steve! I hope these success stories of joint replacements encourage others to 1) ask a lot of questions and 2) lessen the fear around the procedures.

Yes, surgery is always a big deal, especially joint replacement. I think the procedures are now incredibly advanced and , absent complications, are very safe and effective - IF the patient does the rehab!

Joe

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