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Thu, Oct 3 8:20am · Calcium and Vitamin D for bone density in Bones, Joints & Muscles

Hi, @ellerbracke I was told by a physical therapist once that the best way to build bone was doing weight-bearing exercises — walking, etc. Is your exercise weight-bearing or more in the pool, etc.? Have you talked with your doctor or PT about that?

Thu, Oct 3 7:03am · Walking without a hip joint in Bones, Joints & Muscles

Hi, @moemoe. Oh my gosh, you are such a strong person! 16 implants and all of those complications. If you could bottle that positive attitude, I would buy a lot. I feel ridiculous even posting to this site when I read about all of the brave people who are facing their problems with great attitudes toward recovery or improvement. Reading your post this morning is again making me rethink having hip surgery. It is scheduled for next week. The only reason I am having it is because my hip joint has been gradually fusing to the socket so that it does not move independently of the hip. It collapsed several years ago but I had no pain in my hip — just in my lower back on that side, down the side of my thigh and into my knee. I now depend heavily on a cane. We don't go too many places because I worry about slipping with the cane, falling because leg can't move to the side, or getting up steps, etc. I get tired from walking/standing too long. I walk stiffly and bent over. But I can sit and sleep well and walk for almost a mile but slowly and with two canes on a local trail. Friends and family have encouraged me to get back to life with hip replacement. But seeing all of the major problems on this site that can come from this decision, I keep second guessing. I am so conflicted. You have my very best wishes that you find the right doctor/hospital soon for much improvement and then a great recovery.

Fri, Sep 27 6:25am · Hip replacement surgery set; worried about rehab schedule in Joint Replacements

Thank you, @debbraw and @contentandwell. I had my pre-surgery appointment Thursday and apparently since I have a husband at home as my caretaker, that is good enough for me to not have in-home PT. Since we live in the country, there isn't anyone around much closer. Ended up opting for the complex where my doctor's office is — even though about 5-10 minutes further — since I was told that if PT had a question, he could call in the doc or one of his colleagues.

Got a new worry! When being shown by pre-op PT how I would have to sit down/get up afterwards — keep operated hip leg straight while bending and putting extra pressure on my very arthritic opposite knee — started getting a lot more discomfort in that knee than normal. Anyone else end up stressing an opposite problem joint during recovery? Wondering if putting an ace bandage or something would support it during recovery.

Wed, Sep 25 7:15am · Hip replacement surgery set; worried about rehab schedule in Joint Replacements

Hi. I'm hoping someone here might have advice. After getting totally confused and recently even made fearful by doctors, I have decided to go for hip replacement. Kinda brief background: Had AVN in hip after doing splits on icy concrete. Problem not discovered for a few years when I had pain down side of leg (NEVER in or at my hip). Told hip joint had collapsed and leg shortened.

Have had to walk with cane. Getting increased pains in back and same side knee because they are the new pivot points. Two docs said they would NOT do THA because I have no pain; two said joint was too stiff for their approach. One said that I may go through operation and not see any improvement and what was the big deal if I had to rely on a cane and have back or knee pain. He said it would be nothing compared to if I got a dislocation or infection. I said aren't those chances "supposedly" small. He said yes but if I got either, I would wish I had never had a replacement. That made me wonder why anyone ever gets a replacement.

However, then I found a doc who seems assured that I will see better quality of life because of better ROM (no/little rotation in that hip now) and that while problems can happen, precautions are taken and chances are small.

So I scheduled the surgery in early October. Just saw the PT schedule for it and found that I will be in the hospital overnight, then go home which is 45 minutes away. Then the next day I start PT sessions back at the hospital 45 minutes away. The PT is to be 2x a week for 6 weeks before re-evaluation.

I've read elsewhere that the tissue first needs time to heal. Would anyone mind sharing their experiences regarding how much PT is reasonable after posteriolateral approach THA?

Thank you.

Wed, Sep 4 7:28am · Muscle atrophy from collapsed hip in Joint Replacements

Good morning. Thanks for the info. So the second surgery (posterior) was worse? That's the one recommended for me by the only surgeon who will do anything. Was the problem because of the deformed hip and the muscles were attached differently? I ask because the doc said my abductor muscles did not seem "disrupted" although atrophied — making it seem as though they were adequate for surgery. I was told that the posterior approach only cuts the gluteus max muscle and the tensor fascia latae – not the minimus and medius muscles. You mention pain on the side of the thigh between the hip and the knee. That's where I had pain initially — never any groin or front thigh pain. I got probably seven sessions of Class IV laser through a chiropractic office and that pain went away. Perhaps look into that. I also see that the one doc who proposed anterior and was ready to operate at the first meeting has removed his online notes from that meeting and instead put his "I would not recommend surgery" (a 180-degree turnaround) as the notes for the second meeting. I'm thinking that docs do not like to be questioned. Only the posterior doc says (in two meetings) that I should get better and more mobile after surgery (posterior) although it will take some time and work. I am so confused! Would you say that your surgeries were worth it now — even with the pains and soreness?

Tue, Sep 3 6:33am · Muscle atrophy from collapsed hip in Joint Replacements

Hi, @ethanmcconkey First, my subject line is wrong. It should be collapsed, not shattered, hip. My computer must have autocorrected the writing. Anyway, regarding my thoughts on the lone doctor's option: I am torn. I can get around now with one cane or two but am stressing the knee of the leg that is longer and causing arthritis in my back on the low side. I imagine that will only get worse. But I worry when I read here about all of the many things that can go wrong during these operations and after. If I don't do it, I might never know if I could have gotten "better." Is it best to just take a chance and deal with what comes when — or if — it comes?

Tue, Sep 3 6:25am · Muscle atrophy from collapsed hip in Joint Replacements

Hi, @holybible Thank you for your thoughts. First, it appears my computer "autocorrected" what I wrote. I do not have a shattered hip, I have a collapsed hip and that makes a big difference. Did you have an anterior or posterior approach for your first replacement? I had read that anterior apparently has a risk of femoral nerve damage. Can any type of neural manipulation (Barral Institute has some info) help your nerve pain or has that not worked? I worry, too, about a dislocation if I do undergo surgery. I've heard of two people this summer who had several repeat manipulations because their joint dislocated. Which buttock muscles were atrophied? Gluteus max? medius? minimus? That is great (and encouraging to me) that you can walk without a cane now and can go to the gym. I hope your nerve pain can be solved soon.

Mon, Sep 2 6:58am · Muscle atrophy from collapsed hip in Joint Replacements

Hi. I’m back with an update and more questions. I have the “odd” — some docs have said “lucky” – problem of having a totally collapsed hip with NO pain in the hip. (I fell on concrete and not diagnosed until it had collapsed) However, the collapse has made one leg about 1.25 inches shorter than the other. I use an insert to bring the leg up a bit but too high and it brings on pain. I also have almost zero range of motion to the outside with that leg. My pain shows up in my knee on that side (the knee itself has no problems) and in my lower back on that side. Because I have no pain, two ortho docs would not replace my hip (it’s done mainly for pain, I was told). Three others said they did not want to replace the hip because they might injure my atrophied muscles (from years of not being able to full extend/work the muscles, etc.) and I could be in worse shape after. Now one doc said he thinks I would benefit from the posterior approach to the surgery that it would avoid my atrophied glute medius and minimus muscles. He thought I could exercise my atrophied muscles back into shape but it would just take longer. I am 68 with a BodyMassIndex of 35.

Have any of you dealt with atrophied muscles? I’ve had this problem for about 6 years but do floor stretching exercises and walk about a a half mile a day with two canes to keep me straighter. I would really like to not have to depend on a cane since I live up north and worry about the cane slipping on wet/frozen ground and I worry about falling since I can’t put that leg out to catch myself, etc. Plus I figure if I don’t take a chance now, I will never know if I could have gotten better.

Any thoughts on my situation?