^^this. I recommend a healthy dose of denial
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^^this. I recommend a healthy dose of denial
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How you doing Ice? How many miles are you walking per day?
Just passed 5 weeks. Walking about a mile a day. Got a couple other issues, I fucked up my back 2 weeks before the hip surgery and that's been slow to get back, I'm not even sure exactly wtf is wrong with it (I do know exactly how I did it, there was trauma involved, I wish I would stop doing dumb shit and hurting myself) and the other hip is pretty arthritic and hurts, so I'm trying to balance things. I guess I'm doing pretty good all things considered.
Honestly my back is more of an issue than my hip right now, but it's been getting better slowly. There is constant crazy amounts of cracking from my spine, it sounds like somebody playing castanets. I've never heard anything like it. But the pain has been ramping down to the point that I can work out some again if I'm careful, so that's good.
I pretty much got my ass kicked again this fall/winter, but I won't go through the whole list right now. It's not as bad as Fall/Winter '17-'18 but it's been crazy. The main thing that keeps me going is I tell myself to suck it up and keep going because even all added together it's not as bad as what you went though. "It could be worse, remember what happened to Ken!" has been kind of my motto.
http://www.thehip.com/albums/
somehow seems appropo for all you people with a tragic Hip
Ice,
LOL, I did have a pretty bad run. 2019 has been a little better; I made it a year without any major surgery or seeing a doc for anything but a yearly checkup!!
2017-18
Bilateral hip resurfacings
FX femur
Kidney stone
Shingles
Removal of mandibular tori and 2x molar implants
My primary physician says if I would quit hurting myself, I would be pretty healthy.
54. Bec de Rosses run 6 months after hip replacement. Keep skiing. https://unofficialnetworks.com/2019/...ement-verbier/
Dude is an inspiration.Quote:
Originally Posted by goldenboy
Lots of inspiration in here. Tough as nails some of these mags. Continued healing lads
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Ha, my Doc said almost the same thing, then he said I'm lucky to have good jeans...err, genes. I do tend to rally.Quote:
Originally Posted by TNKen
2017 for me saw 2 broken ribs, then a couple months later a serious concussion with a subdural hematoma that had me in the neurological icu, and then a fractured pelvis. I got through 2018 pretty well, and on into the fall of 2019 before the carnage resumed. I'm not gonna tally this go-round up yet, because who knows if it's over.
wow. legend indeed.Quote:
Originally Posted by goldenboy
Quote:
Originally Posted by iceman
Hope skiing brings you joy again soon Iceman.Quote:
Originally Posted by iceman
I know a snowboarder that would ski with you. He happens to have an affinity for the green.
haha, I'll keep that in mind for next year, R.Quote:
Originally Posted by Buzzworthy
IMHO: Shoulder surgery hurts way more than the hip.Quote:
Originally Posted by BFD
Hips are no big deal. Left hip anterior approach 2/13/2013.
Probably 500+ days skiing since then, over 400 in just the last three.
I just avoid hard bumps.
Walking in the pool and doing a lot of ROM movements helped me the most.
FWIW
Total shoulder regarded as most painful surgery.
People often say hip hurts less post op than the preop hip pain.
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I just saw a health note that said Vitamin D really helps after hip replacement.
Not gonna tell ya to rub the cream on the achey crackling shit, cause you know that.
100% true. Within a couple of weeks, less than pre-op.Quote:
Originally Posted by detrusor
Sounds good J. Hope things continue to heal well!
Quote:
Originally Posted by iceman
Curious if you got any skiing in this year before the shit hit the fan. I took a bicycle spill last Labor Day and had total hip replacement (posterior) the next day. Just a few weeks before my brother had offered to pay for a trip to Colorado to ride for my 60th. He lives in Austin and would drive with a couple of road bikes. When i fell i thought the trip was off, but I never canceled my flight.
I was able to walk with a walker the next day and then without a walker 2 days later. I had a couple of in-house rehabs and then a couple at a rehab place. Once i got on the bike at a rehab place it felt really good and I thought i had a chance for the trip. Rehab lady laughed when i told her and then I checked with my doc who also thought i was nuts.
Long story short I went on the trip 5 weeks after surgery and had a great time. Rode to the top of Vail pass from Frisco day 1, and lesser rides for the next 2 days. I had no stamina but otherwise my hip was not that sore. I got about a dozen ski days in this season and after the initial fear of falling the first couple of days it was not a big deal. I'm sure I'm not the skier that most on here are, so it's not like I'm killing the mountain, but i was pretty close to where i was previously.
I did a bit of indoor cycle classes and I agree with Mazderati on pool time. I never liked swimming indoors, but i forced myself to get into it and was swimming 2500 meters a few times a week and that really felt good and loosened things up. I had gotten a spring pass at Killington and was curious to see how it held up in soft bumps, but....
I'm sure you'll be out there next year if you don't kill yourself by then.
Heal fast.
Well, here goes nothing on May 31. Part of me want to postpone the new hip given that I'm skiing hard 100+ days a year and touring. but there's no range of motion and always some pain. I'm probably just really used to it. And everyone says they wish they did it sooner.
Going with anterior approach at Steadman so it should go well, I hope.
Anyone with experience going ceramic on ceramic vs ceramic on poly? It sounds like CoC might be a good choice given my younger-ish age of 50 and really high levels of activity, but it's the one thing I'm still pondering.
Any other tips and tricks welcome. This is pretty much my first real surgery, tonsils in 2nd grade don't really count...
Damn! You would have been one of the last people I know that I would have expected to get this done. Good luck! Hope you are out ripping in no time.Quote:
Originally Posted by goldenboy
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I skied and climbed with a condition called Legg-Perthes in my left hip til opting for hip re-surfacing procedure in 2013. I was 59 then and the Dr. had doubts due to how deformed and un-natural the hip was. Glad I went with it though. 11 seasons of skiing and tours since and the worst it has felt was a compressed (unrelated) nerve that felt like my hip was on fire. You are correct in stating many say they should have done it sooner. The technology 11 years ago didn't offer ceramic if I recall so I'm probably stainless. It's just a shell (socket) with a matching cap over the ball end so the bone structure remains largely intact. Good luck with your procedure and I suspect you'll make a quick re-hab with skiing possible a couple months following.
subbed. going to see the ortho surgeon on tuesday.
And i haven't changed my opinion. 75 now, had my right hip replaced two years ago, no issues, ski and mountain bike and lift just like before. So happy so far.Quote:
Originally Posted by rod9301
And the hip replacement fixed my knee issue, just like my doctor said. At the time i thought it was bullshit, but he was right.
I had zero internal rotation on my right hip, so all rotation was from my right knee. After the thr, internal rotation was normal, so the knee pain went away. Remains to be seen for how long
.
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Thanks Telee! There are a tone of relatively young and super active people like me with trashed hips and replacements. I don't even remember liking to sit "cross legged" in elementary school, so this seems somewhat inevitable.
rod, glad to hear yours have gone so well, it seems like almost everyone who gets a THR is pretty happy with the results. Hips are wild in that often the pain shows up in knees and the lower back while everything compensates, or so everyone says.
Ceramic on ceramic hips can squeak. It's real thing and I've seen it in person. None of the docs I know are doing it because of that. Metal on ceramic instead. Google it, it's crazy.Quote:
Originally Posted by goldenboy
And my hip started to hurt in 2020, only when skiing bumps and when i would bend a lot at the hip to absorb a bump.
Nothing too bad, but i figured that it's not going to get better, so i did it in 2022.
I think it's important to do it early, while you're still very strong
My doctor said i didn't need any pt, just stretch. And he was right.
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Yeah, that's the biggest concern. It sounds pretty rare. I don't think anyone is using metal anymore, the balls are almost always ceramicQuote:
Originally Posted by jerlane
I think you're right. There has been concern about trunnionosis from the metal on metal of the metal head on a metal neck.Quote:
Originally Posted by goldenboy
just celebrated 9 years out on a ceramic ball set in a metal cup with a space age polymer lining. 431 ski days, 11,676 mtb/gravel miles. walk, walk, walk
Good luck GB. I’m getting a cortical steroid injection into my hip in two weeks to hopefully delay my (new), hip as long as possible
I had my surgical consult this afternoon. Ceramic ball with poly washer in a Ti cup. He explained that the poly will outlive me anyway.
I’m going to hold off until Fall so I can try and enjoy bike season but should be skiing by late Feb ‘25.
It was also interesting that he said I’ll be back within 5 years for the right side.
plugboots- I got an injection at the beginning of the year and it helped a lot for 2/2.5 months. I think I'm still getting a little bit of help from that, but not much. To Peruvian's point, I felt a bit of discomfort in my right hip for the first time after that shot. I guess once the left was feeling good, I could actually notice the right. I think I've seen stats that something like 80% of people that get a THR will get them both done at some point.
Thanks.Quote:
Originally Posted by goldenboy
Good luck, never met but we have probably have crossed paths at CB a time or two
My right hip has been fucked for a few years now after various accidents. Doesn't seem to be getting worse and no pain during activities, but I know the clock is ticking. I have to really struggle to pull my sandal straps over my heal when standing up due to my hip doesn't want to swivel up very far, so taking shoes on and off is slower than it should be, otherwise still pretty functional, though I know ROM loss is gradual and I am probably just used to the ever changing new normal. Long drives it aches, requires leg stretches to release IT band. IT band is always tight since my acl surgery and I am sure it is more my hip than my knee. My mom has two THR and I was also never flexible as a kid.
Mostly keeping my head in the sand till it gets worse.
Keep us posted.
Well, I'm definitely bored so I might as well give the play by play. I got the surgery in Basalt on the 31st and luckily they finally opened Kebler pass that day so I was home in CB by 6pm. It wasn't that bad that day and I was moving around pretty well. The next couple of days were pretty rough with the anaesthesia wearing off and the swelling getting worse.
I left the choice of implant up to the surgeon, he said he would do all ceramic as long as the cup size was a 52 or bigger and that's what I got. I think I'll be happy with that, I think I would need a new poly liner in 20 years at my activity level but maybe not.
It's been a much bigger struggle to get off the crutches than any of the surgeons I talked to said it would be. They uniformly said 2 or 3 days and I'd be off crutches. I'm at day 10 and very much using crutches which is really bumming me out. The surgeon said sometimes stronger "younger" guys like myself sometimes struggle more, because there is a lot more muscle to move out of the way for the implant, thus more trauma to the muscles. Part of me thinks it's all mental and I am not trusting the leg and I should. It isn't too painful right now, 3 Tylenol a day is where I'm at now. I never did take the heavy painkillers, just Tylenol. I maybe should have the first couple of nights, but I also wanted to poop and that was literally the first time in my life I've been constipated (from the narcotics of the surgery)
First PT tomorrow. That's been a bit of a shitshow. The biggest PT provider just stopped taking Blue Cross, so the other one up here in CB had 0 appointments available in June with all the BC/BS people like me trying to go there. So I'm stuck going to choice #3 in Gunnison, which is a bit of a bummer.
/sweetblog
Lots of metal heads still implanted, it’s age and activity dependent.Quote:
Originally Posted by goldenboy
Ceramic head and poly liner is the standard for young active people. The newer highly cross linked UHMWPE liners, especially the Zimmer ones with Vitamin E, are very durable. I don’t know anyone using ceramic/ceramic.
I’m assuming you had a direct anterior approach and not antero-lateral?
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Yes, direct anterior. I suppose you're right and metal is still being used, but none of the surgeons (I saw 5 total) mentioned it as something they would consider. I was trying to find the best surgeon for sure, so it seemed well worth it to get multiple consults.Quote:
Originally Posted by MagnificentUnicorn
Agreed that ceramic/poly is the most popular in the states. CoC has long been much more popular in Europe and Australia. CoC is more expensive and requires a more skilled surgeon. At least that's what my research showed. "Ceramic is the hardest implant material used in the body, and has the lowest wear rate of all, to almost immeasurable amounts (1000 times less than Metal-on-polyethylene, about 0.0001 millimeters each year). Consequently, there is usually no inflammation or bone loss, nor systemic distribution of wear products in the body." The newest poly liners are .01/yr
I would have been fine with poly, but it would have almost certainly required revision at some point later in my life.
Maybe it was a mistake, I don't know. I do know highly active people that went CoC and are happy with it.
I don’t think you made a mistake at all, I was just clarifying some of the information posted. Like the idea that it takes a more skilled surgeon to use ceramic/ceramic. The skill is in the placement of the femoral stem and the acetabular shell. There’s no additional skill needed to place the head of any kind on the stem trunnion or the liner of any kind in the shell. I’m not saying that your surgeon wasn’t skilled. I’m saying this from the perspective of 35+ years of assisting in total joint surgery and having been a vendor rep for joint implants.
I think you should have great longevity from your new joint.
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Yep. Ever since getting mine done I've had so many acquaintances and friends of friends reach out about their hip issues. Had no idea how many young people were dealing with hip issues until I had them.Quote:
Originally Posted by goldenboy
For years I just thought I had tight hip flexors from skiing so much and a bad lower back from overcompensation after breaking my thorassic spine. Turned out my hip joints were just fucked.
Metal on metal still exists but only for resurfacing/Birmingham hip replacement as far as I know. I got one of these in Dec 2022 at the age of 39. As long as everything's implanted at the right angles then the risks of any issues are very low.Quote:
Originally Posted by goldenboy