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FiremanSam - need reassurance!

Ok, I may be neither young nor a firefighter, but I can tell you how I feel for your concerns and anxiety. I'm very fond of exercise, and that means more exercise than the average person my age, well even a younger age - with 10 marathons and 3 half-marathons, and lots of 10-12 ks as well as long-distance cycling and long-distance swimming. Even tried the Ironman Germany at Frankfurt but my cycling was too slow (not hip-related but due to the extremely hot weather). I was the same pre-op as you moping around and driving my husband nuts. I didn't want the surgery because I thought I would not be able to do what I enjoy - running. They said that was not to be recommended because it would wear out the hip - too much impact. And the first 2 surgeons I consulted weren't very helpful and treated me like an aging invalid and didn't take me seriously. You see there are people around who are quite happy walking to their cars painfree, but I wanted more. Then the surgeon where I had the op understood the situation of athletic people. He looks after athletes in the olympics and is a hobby athlete himself - I think he's done the ironman before.
To cut a long story short - I had the operation done in the end after leaving it way too long in fear of being restricted afterwards. But I'm by no means restricted now. I went back to running about 3 months post-op and my legs fees just great - much better than they even did when I was young, because it looks as if that hip has been a problem ever since I was a child. You will certainly be able to go back to work and do what you enjoy. Hip restrictions (the 90°C rule, not crossing the middle line) are usually not more than 12 weeks today, and some people have none and can go by trial and error.
I would find a surgeon how has some understanding for active people.
Besides, artificial hips are now more robust and many should last longer than the 25 years that surgeons mention. Mine is a titanium stem and ceramic ball, also ceramic lining of the cup. I think ceramic is more robust than plastic. Ask your surgeon.
About rowing: I don't know what Concept 2 indoor rowing is but I did go on an exercise rowing machine at my local gym and that was fun, too. Before the op, it would have been too painful. I don't think you'll have any problems.
I can't find any other firefighters on Bonesmart but I read the recovery thread of a 52 year-old roofer in the US. I believe, roofing is a job similarly demanding as firefighting. This roofer's alias is "Roofmaster". I think he had surgery in 2014. You can search him in Bonesmart. After his op he did roofing in freezing cold weather on snowed-up roofs. You will see his lovely photos in his thread.
So cheer up and take heart. And carry on posting here. We would like to follow up your story.
 
I totally understand your worries as a was 51 and very active and when I got the news I needed a hip replacement I was horrified and in complete denial. Short story I left it too long worrying about it and the pain got worse very quickly. No quality of life at all. 5 weeks into replacement walking with no crutches, driving (automatic) and have been told I will be able to ski and surf again. You need to find a surgeon as has been said before who understands your wish to carry on with an active life/job post hip replacement - they are out there. I have ceramic on ceramic with the largest "ball" he could fit in safely which he said will be extremely long wearing and stable and enable me to do all those things again. Don't get me wrong, the recovery period is a slog and it takes time to heal and build up those muscles again but it is an amazing surgery and I am looking forward to doing all those things again pain-free.
Best of luck to you. Try not to worry. I wish I had found this forum earlier in my diagnosis as it may have made me get on with the operation quicker.
San


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Really love to hear some positive stories. I've been reading through a lot of posts the last few days and would love to see how Sandyharman is getting on as he returned to playing football and running following ceramic on ceramic THR around 3-4 years ago.


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Thank you for your kind words. I'm finding this group is helping me to come to terms with my worst possible scenario following visit to ortho surgeon.

What time scale for longevity of your ceramic on ceramic prosthesis did ortho estimate?


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@Josephine
Hope it's ok to tag you into this as you appear to be very knowledgeable re THR.

I have my first ortho visit on 5th April following the discovery on first X-rays done that no cartilage in both hips and severe wear and tear.

I don't really get much pain in my left hip, but it's been stiff, and not as much movement in it as my right, for a good few years. My right hip has only recently started aching deep in my buttock, but it doesn't bother me really.

As you'll have seen from my post I absolutely love my job and having a THR really scares the living daylights out of me as I want to continue as a fire fighter for the next 15 years until I get to 60 and retire.

As I've only just had the diagnosis can you advise on questions I should be asking the ortho, Guy McWilliams?

Also, a colleague in the fire service had a THR 2 years ago, aged 31, with a ceramic on ceramic and was told to expect 25-30 years out of it by his ortho, Veysi. If this is accurate I'd prefer to have him looking after me.

Also what is the key to everything going well during op, recovery and getting back to being active??

Sorry to burden you with all this, but I'm just trying to do as much research as possible as, ultimately I want to work as a fire fighter until I'm 60 (45 years old in June) and get back to cycling, weight training etc



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@FiremanSam I can't say anything more than everyone has already said here -- and am finding a lot of encouragement for myself! Especially from @Constanze. I think what she and others have said about finding a surgeon who deals with younger, athletic patients is a very important point.

After my left hip MRI showed all the damage due to arthritis and AVN, my pain mgt doc said I'd probably need some kind of hip surgery if not a THR. I went back to the OS who did my knees, who I've known for years and respect, and he said "nothing wrong with the ball of the hip, no THR needed".

Now, here I am in his office using a rollater and not putting weight on the hip! I went to a hip specialist whose web page also lists "sports medicine" as a speciality and he was like "yes you need a hip replacement to do what you want to do" from the very start. Aka "get my life back". He said, yes, the ball is okay but he found a THR is better in younger more active patients. And he will be using the new Superpath technique. Not sure how available that is in the UK but Josephine would know.

Oh, and two days, the night before! I was panicking over whether or not was making the right choice about my knee replacement but I can still remember how GLORIOUS it was to stand up, less than an hour after waking up from the surgery and feeling that solid, strong knee. (Pain free of course too, but that was the morphine.)

Even with all the back and hip problems in the year following those surgeries, I am still glad I got those done. Can't wait to get this procedure done and back on the water! Although I'll be kayaking on the Thames in 6 days! Woo hoo! (Even if I have to crawl in and out of the boat!)
 
The other thing, @FiremanSam , the hip pain, besides having turned me into a couch potato, was affecting my back, right hip, and new knees. Getting this done will reduce all the strain on those areas and prolong further surgeries as long as possible. I probably did a lot of additional damage to my hips and back because I waited so long -- too long -- to get the knees done.
 
@FiremanSam many of us can relate to your concerns, it's part of the adapting process for getting a thr. Why not interview both or more OSs and see which one you like best? You can then ask about implant types and why he/she would choose that for you. The right OS will inspire confidence.

While waiting for Josephine, it's helpful to read some of the recovery articles in the library eg., amazing stories of hips lasting over 20-30 years! Also ck out the recovery side and read some of older threads of successful recoveries. Most had great recoveries and no longer post here, they've moved on!
 
@kayak59 I see upthread that you mentioned your opposite hip was painful prior to your THR. I had that as well and didn't think it possible. For me, the X-ray shows some OA in my right hip but ordinarily not painful, no problems. However, a month before my left hip went from being painful to being excrutiating, I couldn't lift my right leg up enough to get into the drivers side of the car. It was as if I lost all ROM in my right hip. Now 6 weeks post op from LTHR, my right hip is so much better. Not perfect, but not painful and my RoM is by far better.
I have back issues to begin with and I was in bad shape prior to LTHR. I hurt every which way.
 
Sam, thank you for putting this in your thread.
can you advise on questions I should be asking the ortho, Guy McWilliams?
There are actually quite a lot of articles in the Forum Library (access at the top of the page) and one of the articles in there is this one Choosing a surgeon and a prosthesis. Worth a read!
Also what is the key to everything going well during op, recovery and getting back to being active??
The key is you! By following the recovery articles you will be given and by NOT doing any physio or exercising.

You see, hips actually don't need any exercise to get better. They do a pretty good job of it all on their own if given half a chance. Trouble is, people don't give them a chance and end up with all sorts of aches and pains and sore spots. All they need is the best therapy which is walking and even then not to excess.
I'm just trying to do as much research as possible as, ultimately I want to work as a fire fighter until I'm 60 (45 years old in June) and get back to cycling, weight training etc
And you will - I promise you will.
 
Hi FiremanSam! My husband is a firefighter[emoji16] so I can understand how you feel. My doctor told me that my new hip would last me 30 years and I could go back to crossfit (he said I would rather you didn't lol) anything I did before the new hip I would be fine.


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@FiremanSam you will notice I moved several of the posts you left on another thread back to your original thread. It's fine to chat with others on their thread but posting questions about your own situation is best kept here so that you don't derail another member's thread. Thanks!
 
Very bad day today and feel really down. Just the thought if I need both hips doing then being medically unable to continue as a fire fighter as they only mention being able to carry on as a fire fighter with a single hip replacement.
Gutted


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they only mention being able to carry on as a fire fighter with a single hip replacement.
Who is "they"? You will find lots of information on this - most second hand from people who have not even had one THR let alone BTHR.

You really need to have a discussion with a surgeon about your own expectations from this surgery. Find someone who deals with younger, more active patients. They will work with you to get you back to work.
 
Who are the best surgeons for younger, active patients in the north of England??? The nearest cities are Bradford and Leeds, but I'd be willing to travel to Manchester and I also hear Wigan is the best hospital???
By "they" I meant having read through the fire service medical policies.


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Let me tag @Josephine for her input on a surgeon in the area.

Fire service policies sound a bit outdated! If you have no restrictions (and these days that's the norm) I see no reason why you couldn't return to work.
 
@FiremanSam in answer to your question re the life of my hip replacement (ceramic on ceramic) he said should last 20-30 years maybe longer if I look after it (no running, waterskiing or bunjee jumping are his only no's!) keep fit and keep my weight down.
There are amazing stories on this forum of people who have had double hip replacements so I would check that you would not be able to work again as it is a very successful surgery.
Hope you find some surgeons nearby that can help you with this.
Please don't be down. It's a scary thought but it really is a new beginning, not an end.
All the best,
Sam


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Can't believe all the positive comments and it truly does help. Just been to see my father to tell him how down I am as he's been in my position. He had his first hip replacement in 1992, the other in 2000, a knee replacement just before and then his first hip revised, but developed complications and now he has no hip joint in that side. He has numerous other medical conditions and has always been a 20 plus stone gentleman.
His word are to deal with what I face and that technology will have advanced a lot since his replacements.
I'm sure getting another job in an office wouldn't be a problem as I worked in motor insurance for 18 years before fulfilling my dream of becoming a fire fighter but I am not ready to give up my dream job!!!!


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