Advice after hip replacement with osteopenia

Posted by jjjjkb @jjjjkb, Oct 28, 2024

I had anterior hip replacement Sept 2024. My surgeon has released me from all restrictions yet there is very little research about the healing process/bone remodeling for those like me with osteopenia.

My t-score was -2.3 a week before surgery yet I have read that the prosthesis will reduce t-score, thus pushing me into osteoporosis.

I seek advice on protocol for increasing activity given the low bone density. Generally, strength training increases density, but my concern relates to the bone remodeling. I wonder if it will take longer for my bone to secure to the prosthesis and if strength training should therefore be light? My surgeon says to follow the regular protocol of those with normal density, but I find no studies on this and want to make sure prosthesis never loosens.

Thank you for any insight/advice you may have.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@egagne

Thanks for the info and encouragement. May I ask what drug you are taking that put you back into osteopenia. I agree that staying up with PT and then staying active are key.

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I had a 12 month treatment with Evenity. Only side effects were some fatigue the day after, but only the first month. Then, an infusion of Reclast. After that infusion, I went out for Mexican food. Went to work the next day. I know that this isn’t everyone’s experience, but it has been mine.

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@jjjjkb

Beware of drugs. Read Great Bones by Keith McCormick for natural road to improving density.

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Keith McCormick is not opposed to drug treatment.

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