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Ceramic on Ceramic - Help !

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Hi There !
Update as promised....

Finally had my appointment today with Adrian Taylor which lasted about half an hour.

After a full examination his exact words were my hips were rotten..... :-) and my right leg is now longer than than other, he also noticed that I struggle to lie flat on my back...

I was also surprised to hear that my right leg muscles were weak which I was amazed by since this is my kicking foot ! Also I do lots of running !!

I was given 3 options:-

1) Battle on for longer if possible

2) I can have an injection that will take some of the pain away for a max of around 3 months but he said in my case it will probably only last 2 weeks !

3) Hip Replacement (Caramic on Ceramic)

He said if I choose the hip replacement then 37 is a very young age to have it done however it was probably the best option for me.

I was very honest and said that I am desperate to return to running and still play a bit of football(soccer)
He said he didnt recomend running or football as it will wear quicker and risk dislocation but he said thats up to me.
I am guessing that if running and footy was out the question he would have have said "strictly no football or running!!! ? rather than just not recomending... thoughts please !!!

I am now booked in and the waiting list is around 8 weeks (eeeeeek)

Im delighted that I have got Adrian Taylor thanks to all your help!! and also happy its been done by a provate hospitall via NHS (Nuffield)

The only worry I have left is the risk of dislocation by running or playing football - what are your thoughts on this as this is important to me. (although wont stop me having the op) Can anyone help with this ?

I sometimes get the feeling surgeons want to tell you what they think but cant take the risk so its hard to get out of them what they are actually thinking....

So on the right road to recovery !!! Will keep you all posted as normal :-)
 
Sounds like you have a good plan. You won't regret THR! No more pain!
sandyharman said:
I sometimes get the feeling surgeons want to tell you what they think but cant take the risk so its hard to get out of them what they are actually thinking....
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The returning to sport question has been much debated. There are ways you can return to running. Take a look at this thread started by @Z15 For those who REALLY want to run or jog or similar …… Read this one about several success stories Stories of amazing hip recoveries . We have members who play hockey, hike, trail bike and yes play football. It takes a heck of a lot to dislocate once your hip has settled. As your surgeon says - the choice is yours. I'll tag @alexthecat who is very active and has been since her THR.

The bit about doing this too young - I just don't agree. Why would you wait in pain and risk more immobility? These things last a very long time. I really would not worry about this issue.

Well done on getting your surgeon of choice. You are on your way!
 
@sandyharman

I am a Masters triathlete and an almost 6 weeks out from my ceramic on ceramic. My OS is one of the top in Canada and trained with the doctor who pioneered the surgery, Joe Mattea. I was told that swimming, biking were great but I would have to give it a year until I started to run again. He also told me that I would have to find a new running method such as Chi running which doesn't use heel striking. That is the problem with the running, the fact that most people are heel strikers which drives the force right up through the hip. I also use a combo of running and walking called the Galloway method. I think for you the issue of quick stop start and rapid pivoting. Ultimately up to you but you need to research the running issue further. I had to give up kickboxing as the pivoting and strong side kicks were too much for the hip.

Good luck and get your hips done in any event before you end up in a wheelchair or falling and breaking a hip....then you would get the surgeon on call.

Cheryl
 
I do run post-THR, but I don't play football. Not that I couldn't. It's just not something that interests me. I'm confident that I could if I wanted to and you will be able to as well.

Dislocation is very rare, especially once you are fully recovered. The best way to reduce the risk of dislocation is to have a really excellent surgeon. You've already done that.

You will be physically able to run and play football post-THR. Once you are recovered an artificial hip works just like a healthy, natural hip. I say this because I had THR due to a hip fracture. My other hip is 100% healthy. My artificial hip feels just like my natural hip. It's really a personal choice if you want to run and play football.

Doing that may cause your hip to wear out sooner. Or it may not. No one really know how long these modern hips will last. If your hip does wear out, you will still be many years in the future and you will benefit from all the improvements that will have happened between now and then.

My choice, as I said, was to continue running. I nearly died in the accident that broke my hip. Then I nearly died again in the hospital. Those experiences have convinced me to make the most of my life right now. The present is all we really have and it's important to enjoy it fully. The future will take care of itself when it gets here and, whatever happens, there's no reason to be afraid of it.

Okay. Well, that was preachy, wasn't it? Good luck. I know you'll make the right decision for you.



Sent from my XT1060 using Tapatalk
 
@alexthecat @sandyharman

I 100% agree with your philosophy. I was diagnosed with a rare form of cancer this spring, did an ironman in June, then 4 days later had the successful Cancer surgery and 8 weeks after that a new hip! So yes I will continue to run And by the time my hip wears out, there will be something even better!

@sandyharman --- hope you don't think @alexthecat and I are being bossy as the point is.....just do it as you don't know what is around the corner. You need to sieze the day, get your hip done and in 3 months you will not remember the pain you suffered prior to hip surgery.

Cheryl
 
Living for today is the only way to live...
 
@sandyharman
Sounds like things are all coming together for you.
It's a bit too soon for me to give you a full report as I'm only 7 days post op, but what I can say is the anticipation of the op is worse than the actual op itself! I hope that makes sense.


Sent from my iPhone using BoneSmart Forum
 
We have lots of members who have returned to reasonably extreme and active sports following their THR's - and no reason at this stage to squash your dream.. You might like to check out these articles..

The following is a link to an article which provides some approximate timeframes around the healing phases and processes (and relevant nutritional information) for you to read.

Healing Phases & Nutrition

This second link is to other nutritional articles which you may find interesting.

Nutritional advice for pre op and recovery

But first the BoneSmart mantra

- rest, elevate, ice and take your pain meds as prescribed by your treating physician

- if it hurts, don't do it and don't allow anyone, especially a physiotherapist to do it to you
- if your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again
- if you won't die if it's not done, don't do it
- never stand when you can sit, never sit when you can lie down, never stay awake when you can go to sleep!
- be active as much as you need to be but not more than is necessary, meaning so much that you end up being in pain, exhausted or desperate to sit down or lay down!

And then the very important hip recovery articles.....

Pain management and the pain chart
Healing: how long does it take?
Chart representation of THR recovery
Dislocation risk and 90 degree rule
Energy drain for THRs
Pain and swelling control: elevation is the key
Activity progression for THRs
Home physio (PT)
Post op blues is a reality - be prepared for it
Myth busting: on getting addicted to pain meds
 
Hey folks, just read through all your replies and I couldn't be more grateful for all your advise, I'm so glad I've joined this forum to listen to all your stories and advise !!
One thing I have learnt from you all is putting things into perspective !!
Keep your comments coming and I will of course keep in touch !


Sent from my iPhone using BoneSmart Forum
 
How do you find out how many ops your surgeon has done?
 
Rats - you are right. Who is your surgeon? You might start a thread asking about him/her. We have several members who are in Scotland.
 
@sandyharman - I'm no runner (or athlete of any shape or form come to that) but I was told for approx 15 years that I was "too young" for a hip replacement and that it "wouldn't last". Finally I changed hospitals and met a surgeon who said it was up to me. And I decided to have the surgery because frankly I want the quality of life and mobility NOW while I can make the most of it. I don't so much care if my mobility is reduced at 80, I want it now at 50 ! And as others have said, none of us know the future, and none of know how long our new hips will last. I decided to have the new hip, had the op in July and haven't regretted it for a moment. You are, as they say, a long time dead... :-)


Sent from my iPhone using BoneSmart Forum
 
Sorry, I don't know of any such site in the USA. I'll tag @Jamie - maybe she knows of a site similar to our National Joint Registry in the US.
 
sandyharman said:
He said if I choose the hip replacement then 37 is a very young age to have it done however it was probably the best option for me.
Click to expand...
Well, there y'go! From the lips of the master!
sandyharman said:
He said he didn't recommend running or football as it will wear quicker
Click to expand...
A ceramic on ceramic? I don't think so! They're pretty near indestructible!
sandyharman said:
The only worry I have left is the risk of dislocation by running or playing football
Click to expand...
Well it's a risk, not an inevitability. Though playing footie might involve a higher risk because of tackles and the like.
sub36 said:
Do you have that kind of link for USA surgeons?
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The UK has been the first to produce this kind of database which arose from the national joint registry and it was very tough to do. Given than the US is so much larger, it's going to be a big ask to have such a data base over there. Also given that they don't even have a joint registry yet!
 
sub36 said:
Jaycey,

Do you have that kind of link for USA surgeons?
Click to expand...
No, nothing like this exists in the USA. There is a link to show how many Medicare procedures are done annually by surgeon, but something that that really is not of value to you. Jo's right....doing it for the US would be a huge task and probably one that's unmanageable, even given today's technology.
 
Sandy,

I am almost twice your age, I had both hips replaced in the last two years. My surgeon said I could do whatever I wanted, including downhill skiing -- at which I am skilled -- if I wanted. I won't, no need for messing up my now pain-free body taking a bad fall. If I were you, I wouldn't play football either, but then I am cautious. But I think football, with the nasty tackles, is much more dangerous than skiing.

About your age: Let's say you need a replacement to your hip again, it would likely be 30-40 years from now. You obviously want to live a good pain-free life over those next 30-40 years. Worry about another replacement when you are 70, perhaps by then they'll have an easier surgery or a better solution.

Good luck!

Mark
 
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