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Do I need hip replacement?

Discussion in 'Hip Replacement Pre-Op Area' started by Janis51, Apr 17, 2012.

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  1. Janis51

    Janis51 New Member

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    I have had an x-ray for both hips that show osteoarthritis. Only the right hip hurts. It has done for over a year! The doctor has suggested referring me for hip replacement. How do I know I need one? I also have fibromyalgia which causes muscle problems and do not want my hip replaced only to find out it was something else causing the pain/discomfort. I can walk a mile and do 20 minutes on a cross trainer. I went on holiday to Florida and walked with my grandchildren around the parks for hours. The pain/discomfort was off and on. On kneeling down today it was extremely uncomfortable even though I was on a padded kneeler. I would appreciate your saying how you were feeling before being referred.

    Also have any of you had 'Anterior Minimally Invasive HipSurgery'. If so have you had any problems, either obtaining it or after effects?

    J x
     
  2. Josephine

    Josephine Forum Admin and Mother Hen Administrator

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    Hi there and welcome to BoneSmart.

    I take it the "doctor referring" is your GP? Then wait until you see the hip surgeon. I can faithfully promise you that they have more than enough work to do without adding in people who don't really need them!

    And going to a surgeon doesn't inevitably mean you have to have surgery. Roughly 60% of new patients surgeons see are just given advice and reassurance and told to come back if things get worse. You may well be one of those! But your GP is not a hip surgeon which is a speciality of great expertise. You want the best advice, don't you? :wink1:

    I saw a surgeon about my right knee in 2006. I didn't have surgery until 2009. My left knee was also dodgy and later in 2009 I had a small surgery to wash out the joint. It's still going strong though the xray looks awful!

    See, xrays aren't everything. You have to add in the history and the patient's story to make the diagnosis. Some surgeons also like to do MRI scans as well.

    In my life I have see xrays that looked "oh gor blimey!" and yet the patient was getting about fine with minimal pain or discomfort. Whilst with another xray that looked pretty okay, the patient was in extreme pain and maybe even in a wheelchair! You just really can't tell by xrays alone!
     
  3. DallasSarah

    DallasSarah Post-Grad

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    Hello Janis,

    Stopping by to say hello and to say sorry for the pain in you are experiencing in your hip on and off. Please let us know how your appointment goes with the surgeon.

    All the best,

    Sarah
     
  4. sharonslp

    sharonslp Forum Advisor

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    Janis, I walked around for a good 5 years, waffling over replacing my right hip. The first clue that I shouldn't have waited is that I limped a lot, and it threw my gait off....even though I could still walk a mile. The second clue was that I started needing daily medication...which alleviated a lot of pain, but not the limp. The third and final clue was when my arthritis advanced to bone on bone kind of pain. It was unmistakably worse, and no longer alleviated by Celebrex. That's when I caved and said I'm ready.

    With hindsight, I waited a good two years too long. My other hip is making itself a nuisance now, and I'm not waiting for a limp, or bone on bone pain. I'm having it done this summer. I do not expect to become pain-free. I have no idea if I would be diagnosed with fibromyalgia, but I have a lot of muscle pain and fatigue. Sometimes really strong, and sometimes barely a ripple. But I'm still glad I don't have the grinding awful pain from my hip. The grinding pain is different from muscle pain. Every step hurts in a hard, sharp way.

    Everyone said ..."You'll know when you're ready." And everyone is right. Once I was ready, I wanted it done yesterday! You'll know when you're ready.

    Sharon
    .
     
  5. Elizak

    Elizak Senior

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    Hi,
    Your orthopedist appointment will give you a lot more information. Hip replacement is a major surgery with significant time, pain, and effort involved in recovery. There are also risks involved. If you google "do I need a hip replacement," there are many questionnaires from various health organizations that may help you to decide. Also, there is something called the Harris hip score that may give you some insight.
    Good luck and hope that your pain can be relieved without surgery.
     
  6. Jaycey

    Jaycey Moderator

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    Welcome to BoneSmart! Indeed your appointment with a surgeon will give you much more information. I limped around for literally years thinking it was my back causing the pain. My hip finally collapsed and the rest is history.

    Speak to your surgeon and then come back and tell us how it goes. There is lots of information here to help you make the decision to move ahead.
     
  7. swimbody

    swimbody Junior Member

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    Hi Janis51. Welcome to the board. My own doc says everything is dependent on your tolerance for pain. I will need a hip replacement on my right hip. No question but it's all predicated on my tolerance. I think you can work with your surgeon to come up with an agreeable long term plan. Welcome once again.
     
  8. Janis51

    Janis51 New Member

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    I would like to thank you all for this information. I was worried that I may end up worse than I started! You have put my mind at ease (a bit :wink1:). I'll keep you all up todate when I get an appointment (I cannot even get one one with my gp at the moment).

    thnaks again

    Janis
     
  9. DallasSarah

    DallasSarah Post-Grad

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    Stay in touch Janis!
     
  10. Janis51

    Janis51 New Member

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    Will do Sarah. Still haven't managed to get a doctors appointment yet. Discomfort is increasing. I've been viewing hip replacement ops on you tube (maybe I shouldn't). I have to admit I am really scared of having an operation. I used to work as a ward orderly on ICU and have seen too many things!
     
  11. Rosebrooke

    Rosebrooke Member

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    Welcome to Bonesmart! You will find most of the answers to your questions on this forum so don't be afraid to ask! I have bilateral hip dysplacia as well as acetabular protrusio and have been told by my specialist that yes my hips need replacing but they won't do it until I have reached the age of 50. Decisions on surgery are not just dependant on pain levels but quality of life as well. Ask yourself how many of things you do everyday have you stopped or modified doing so you did not hurt yourself. when you get to the point where you find normal tasks difficult you know you need to change something! Good luck getting your answers and ask as many questions as you like.
     
  12. Kaaper

    Kaaper Junior Member

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    Janis,

    Welcome to BoneSmart!

    One thing you need to ask an orthopedist is how bad the degeneration is. That helps you make the decision, if there is one to be made. Ask if the joint is necrotic (dying or dead) which an MRI will clear show.

    Nothing to freak out over yet. Let us know how it goes. And, again, welcome! :doggieshmooze:
     
  13. Janis51

    Janis51 New Member

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    Thanks to all again! I have finally managed to get an appointment to see my GP at the end of this month and can then discuss seeing a specialist. Will post again after I have seen them. Janis x
     
  14. Jaycey

    Jaycey Moderator

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  15. Poppet

    Poppet Honourary Moderator

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    Welcome to the BoneSmart family Janis51

    We will be keen to know how you go with your GP's appointment.

    I can imagine you being anxious having worked in ICU, check out my signature.. but all turned out well and here I am having the time of my life at almost 6 months... :thumb:

    hugs xx
     
  16. Janis51

    Janis51 New Member

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    Thanks Smja, I don't even know if I need an op yet so will try to look on the bright side. kind regards, Janis
     
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