As a PT I’m not convinced waiting until there is a limp before surgery is the right move. Muscle strength deterioration and other stresses on the rest of your body due to a limp can cause other problems. Muscle deterioration due to pain will impact recovery…saying all that, great video!!
You're absolutely right! I had a limp for 2 years before hip replacement and it has taken me almost 2 years to get most of the lost muscle mass back. It's important to get surgery before limping so you can jump out of bed and get on with your life in 2-3 weeks
Go for it insist you need it now you want it now. Your not getting any younger and to wait is to make recovery harder.make sure your best interest is the absolute priority.
I had my right hip replaced 20 years ago (age 50 and in near agony using a cane) and my left hip 3 years ago (in moderate pain but limping at age 66). Both were posterior approaches with metal prostheses and polyethylene liners. For #1 hip 20 years ago I was in the hospital for 4 days. For #2 three years ago I was in overnight. The orthopedist told me I could have it as an outpatient, but at that time due to Medicare rules, I would stay overnight. It is my understanding that now has changed. For both I was given preop exercises to do and each time the physical therapist told me they would know right away whether or not I did them so I did them 110%- a few more reps than asked. Both times in the postop stage the physical therapists complemented me on my good prep work. For my most recent surgery, once I was taken into the OR, each and every member of the team, after checking my identity and which hip I had signed my name to, introduced themselves to me and what their role was. I was shown large flat screen TV's on the walls of the OR with my hip X-ray from different angles with simulation outines of different devices that might be used. A representative from the prostheses manufacturer was present in the OR (not scrubbed, however) and also introduced herself. They put in a urethral bladder catheter 20 years ago. They did not 3 years ago. I did not need any blood transfusion either time. My posterior incision on my most recent left sided surgery is about half the size than that on the 20 year old right replacement site. In each case I had spinal anesthesia with sedation. I have no memory of either surgery. The first few days were painful for sure. Twenty years ago I used a narcotic for a week. Three years ago I used the narcotic only overnight in the hospital and just Tylenol once I was home. Each time the most painful thing was getting into bed at night. My wife would lift my leg gently as I used a rope support I had rigged on the bottom post of the bed. That was really painful for those few seconds. That went away for the most part after about a month. I dreaded getting into bed. Once in bed I was basically OK. I did not like sleeping on my back either time with the wedge between my leg. With the second hip surgery I was able to sleep on one side (I think my operative left side) after 6 weeks and that made all the difference in my sleep and morale. Both times for the first 2-3 weeks I experienced a kind of restless leg syndrome where I felt I needed to move my legs all the time. I was given Xanax to take at bedtime, but that helped minimally. The physical therapists who came to my home were encouraging and gently demanding. Twenty years ago I used a walker for just shy of six weeks. Three years ago I walked on uneven ground in the back yard (with close support of the home physical therapist) on post op day #2. I did not use the walker after post op day #2. After hip #1 I did not use the stairs for a month. After #2 I was using the stairs slowly and carefully with someone next to me on post op day #4. I did not want to fail the PT's expectations so I listened and did 110% of what I was told. I always did one more rep than I was told. Eventually I went to outpatient PT and I also had home exercises. I did all those 110% as instructed. I was pretty much back to normal after 2 and 1/2 months both times. I follow all of my hip precautions. They are second nature to me. The repairs were "tight." I can't put on my socks without a "sock assist," but I'm just totally used to that now. The same orthopedist did both surgeries. I am a family doctor and I am retired now. I tear up and have actually cried when I see the orthopedist as he gave me my life back twice. If you need a hip replacement due to pain, HAVE IT DONE. PAIN IS THE REASON TO HAVE IT DONE.
I always wondered why doctors don't communicate more. It would put people at ease if they did. They usually ask if you have any questions but the patient usually does not know enough to know what to ask.
I had both hips replaced 6 weeks apart last year. It was rough but I had lost all range of motion and could only shuffle with a walker. Two of the sorriest hips, said the surgeon 🙂 He gave me my life back. I am still amazed that I can easily walk into my shower! It's only a couple of inches high that I could only tackle with great difficulty, pain and grinding before. Orthopedic surgeons are miracle workers. Thank you, thank you!
Good for you I'm glad you had a positive outcome unlike me good luck with your new enjoy them do the things that you wanted to do for a long time as I lost mine and cannot do a treadmill I cannot walk but from to the bathroom to the kitchen and maybe to someone's car if I need to go to the dr. Other than that I'm confined to my house
@cindi8318. I am so sorry. What happened with your hip replacement (s)? You sound like you are very disabled, just like I was prior to my surgeries. Again, I am so sorry, you must be in a lot of pain too 😞
It is encouraging to hear that even with your "sorry" hips all went well! My hips are also sorry. In my case the doctor said they were atrocious. Both are calcified and one is fused. I have a direct anterior THR scheduled in 4-weeks. So, with a "sorry" condition similar to yours, I was wondering how the surgery would go during and after - i.e. would I survive to fight another day? Because of spinal stenosis and my sister's passing due to her elective THR at 56, 11-years ago (and in my early 70's), I waited to choose the scalpel, until my hip pain was worse than my spine pain! I've learned all too well, that pain is pain no matter where it's located. With a level of 8 pain in 3-areas, if one is resolved, a 2nd. and then a 3rd. is required to be resolved. And spine pain unlike hip pain is notoriously difficult to resolve. One MIT engineering grad and then med school ortho surgeon, recently told me if one is having spine surgery to alleviate pain, "DON'T, because it Won't". That's obviously not always true. But hearing a well respected hip and knee surgeon saying it, certainly gives one pause! With a friend that has had 6-joints replaced (shoulders, hips & knees) his lessons learned, were to also to wait as long as bearably possible to replace what we're born with, because the replacements aren't the same! That was before his leg was amputated due to a blood sepsis that gave him a 30% chance of survival. Although it wasn’t known for sure, because of all of the revision surgeries to his artificial knee area, to irradicate infection, that knee was a suspected hiding hole for the bacteria. Hence, after he was given choices, he chose door #3, to have his leg removed. At any rate, approximately 6-years ago, I began using a 3-wheel rollator to walk because of spine pain. Until recently, the hip pain was great, but less than the spine. That has changed and surgical roulette is now my only recourse. Hopefully all will go well and that I don't throw a DVT or PE as it's surmised that my sister did. We don’t know for sure what took her life, because a postmortem wasn't performed. But electing to have surgery to alleviate pain, isn’t a good reason for dying. Yet, I understand that statistically it doesn’t often happen. However, when it does happen, odds are no longer numbers on a paper; they become a dear human life lost too soon…sigh!
@telemachussmith1977 My family curse is osteoarthritis and prior to my hips replacements, I had a laminectomy and a facetectomy because of stage 4 lumbar stenosis. Pain was bad, but the main concern was nerve damage as I was losing feeling in my right leg. I understand your concern, there's always an element of risk with any surgery. For each of my surgeries, my fear was that I was going to come out worse, as quality of life to me is so much more important than quantity. I was not afraid of dying, I was afraid of being permanently disabled, more than I already was. THRs are quite safe, great improvements have been made, it's become almost a routine procedure. Sure, nothing is 100% safe, you'll always encounter the unfortunate person for whom things didn't turn out as they should have. The odds are in your favor though, and I wish you the best, with a speedy recovery, a newly found mobility and a pain free future.
I’m so sorry to hear that Steve had a bad day although he doesn’t seem to mind it giving him some new material. My experience was very different thanks to the excellent team that made sure I was well informed and comfortably sedated. The only surprise was how easy it was to walk and do stairs just hours after the surgery. Thank you to Dr Zalzal and team for making my hip replacement such a positive experience!
I'm scheduled to have a hip replacement, and I am terrified just like Mr. Carell. Finally a video that shows the patient scared, all the other videos show people talking about how great it is to have your leg sawed off. People keep acting like I'm buying a new pair of shoes and dismiss and minimize the whole thing. I'm having a real hard time with this.
I was nervous too. It's only this super success stories you hear/read about. My surgery went well, but week 9 I still need a cane. Everybody else talks about running a marathon the next day it seems.
It’s been approximately nine years since I had my hip replaced. I had a wonderful experience a fantastic, orthopedic surgeon and everyone in the operating room was fantastic. My surgery was done at a University Hospital, so when I entered the operating room it was full of medical students there to observe the procedure. I was glad that I could provide a learning opportunity by sharing my surgery with them & perhaps make them a better and more compassionate surgeon when they graduated
I too waited till I was limping noticeably. Mostly because I was scared to get it done. But now, 4 weeks after my THR, i can't believe the wonderful outcome I've had. My pre surgery fears, as it turns out, were completely unfounded. If you're hesitating in fear, you must put trust in your surgeon!
I was told for my first implant to wait until I felt I could wait no longer. The pain would come and go for years until it was pure fire 24/7 and then I had to wait 3 months for an appointment for surgery. Two minutes after surgery, it was like someone had flipped a switch. I felt better immediately. The staff had me up that day and my recovery was faster than I thought it would be. A few years later, my other hip was on its last "legs" and I decided to go with the implant quickly. Recovery was fast in both cases. I am thankful for the doctors I chose. It ended blinding pain and gave me back a better quality of life.
Telling people they have to wait till the pain is unbearable and mobilizing impossible is nonsense. The right hip was done when I was 50. It was reasonable to wait. As the the joint was only at its best for 16 or 17 years. Luckily that joint is still going. The technology has improved immensely. In 2001 I was in hospital for a week in convalescent for four weeks. NOW IT IS HOME SAME DAY OF SURGERY DONE . In the private WESTMOUNT CLINIC you stay one day post op. I was up in four hours. It is a week post on and I am down to only Tylenol 1 gram every six hours. I only used eight tramadol and no oxicoden spelling ?.
@@VandaPietrantonioTotal hip replacement is different from the “home same day” procedure, which is a ceramic cap on the femoral head, as opposed to a total, where they saw the top several inches of the femur off and pound a metal rod into the remaining portion of femur. So you see, completely different.
@mellocello187 THE surgery done today is totally different from the one I HAD in 2001. I had the epidural catheter left in for two or three days for pain control. The bending rules etc were longer and I was in rehab for four weeks. The surgery now is very different. Even if you have surgery in a regular hospital one goes home the same day. The private hospital I HAD it done at kept one one day longer in their convalescence floor to do physio and start pain mess. My right hip is titanium and is still functioning. The left one is not. CANADA REGULATES LIKE EVERYTHING WHAT IS USED.
One must remember that this is part of his comedy routine. My mother had a total hip replacement when she was 93 and another when ahe was 94. With local anathetic . Not a problem. She sailed through it and was standing two hours after the surgery. Of course she is not a drama queen. Also of the generation that seems to take life in stride. Also done in a Canadian hispital with Canadian surgeons. Maybe that's the sifference.
@keithdodd5689 NO. Not quite true. In QUEBEC you go on a list controlled by the government to determine your priority. The waiting list could be a year and a half +++. I chose to have my hip replacement privately and payed for it. Being 74 and having other medical problems I was low priority. I saw the DOCTOR on JULY 7TH. I had to wait months to see him on referral. I had my surgery the end of AUG. I can tell you I WOULD NOT HAVE GOTTEN THE SAME EXPERIENCE IN THE PUBLIC SYSTEM. THE "socialist" system is being eroded in QUEBEC as people walking in etc are getting priority for health care. I have been in and out of hospitals as outpatient for about five years and I CAN TELL YOU THE HEALTH CARE IS BEING COMPROMISED FOR CITIZENS BY THE INFLUX OF PEOPLE WALKING INTO CANADA ILLEGALLY WHO GET PRIORITY FOR HEALTH CARE. THEY COME IN SICK AND WITH CHRONIC DIEASES.
@@VandaPietrantonio Maybe your government is not funding your health care system adequately. And in North America, nearly every one of us "walked in" from somewhere else, at one time or another.
We “hipsters” love to exchange our war stories and I found Steve’s account hilarious! Prior to my own surgery I’d watched UA-cam videos and attended a pre-op hip class so I was quite well prepared. When I was wheeled into the O.R. I saw a lot of people and tools and just thought “Wow….all for me?” I found it oddly comforting. You’re so right - by the time I had surgery I was more than ready for it and had a “Bring it on” attitude. Great video!
@@michelenichele294 Yes. I can only speak from my own experience but by the time surgery came around I was more than ready to reclaim my mobility and move beyond the pain I’d been experiencing. While I certainly did NOT relish the idea of surgery when it was first mentioned (😱) I also knew it was my only option. You know if had to be in a lot of pain to be excited to be rid of it via surgery 😂
I am on week four of recovery from THR and my experience was nothing like Steve's. I am guessing it mirrored what I would have experienced from either of you doing my surgery. Watching so many of your videos before my surgery helped with my expectations before, during and after the surgery. Thx for your channel and for taking the time to inform and educate those of us going under the knife!
I’m having THR in about 4 weeks. May I ask how long you were needing walking assistance, as in a walker, or a cane? I’m a bit nervous, but excited to have this behind me.
@@Bum_Hip I was walking and driving a car on day 6. Do everything they tell you to do and you will be walking soon. I just did a half mile walk today. I also stopped using my cane by week three. What I did do was use my walker in and out of the house for first couple of weeks to make sure my gait was good. After limping for 8 months, it was definitely out of whack.
Keep in mind that the approach they use and your own health can make a huge difference. Anterior approach is supposedly quicker recovery. I had posterior 7 weeks ago and am feeling great. I think I used a walker for a couple of weeks then a cane for 3 more but it was more about feeling unsteady than anything. Once you get your balance back, you should be fine.
@@egk2584 Yes. I had anterior and understand the recovery is better than posterior. Glad your recovery is going well. Agree that health going into surgery is key as is following all the PT exercises post-op.
Getting my right hip replaced was the best thing I ever did! Recovery took a little longer than the surgeon said, but pain was gone. After 5 months, my repaired hip felt as good as new. John McHatton
I had my hip replaced 3 and a half months ago in Viña del Mar, Chile, where I now live. I waited 8 years until I could no longer walk to do the surgery, and then just told my husband to call a surgeon because i was ready. The next day I saw the recommended surgeon and I knew he knew what he was doing, so I just said "Let's do it asap" and 3 weeks later I was in the hospital. I didn't ask about the anesthetic or anything so as not to scare myself. I cried a bit at first, but someone came and sat with me while they set up and calmed me down. I woke up to a blue curtain below my chin and heard the sawing and then pounding, but cheerily called out, "This is the best day of my life!" several times. I felt no revulsion or horror at all. I loved it!
I had a repair to the ball in my hip replaced...anterior approach... woke up with Trendelenburg limping, speech impairment, writing impairment and eventualy lost a tooth. When I fell 3x I went back to the surgeon..."if it doesn't say so in the surgery report, it didn't happen". So I swore off MDs and stared to workout 3x a week. No one recommended exercise...but I still have all the after surgery symtoms but "Im in charge of my own health". From Tucson, AZ
I’m having a total hip replacement October 4th, and I am a bit scared, yet excited to be rid of this pain. It’s been worsening for about 10 years now. It’s time. Your videos are reassuring. Knowing this is a relatively routine procedure, with tons of good results is comforting. Thanks for putting out these videos, and educating us. Keep ‘‘em coming!
Had both done last year. It was a breeze!! Had waited way to long so recovery was a little slower due to muscle loss but surgery and initial recovery was amazing!!
@@ritasanders7499 my desire to get rid of this pain, and lack of mobility have superseded my fear at this point. I will be fine, and so will you. As an aside, personally, I don’t need prayer, I have no reason to believe anyone , or anything is listening. All I need is for my surgeon to have a good day!
That story reminds me of my back surgery. I was awake when they rolled me in and I too said it looked like a torture chamber. The table had levels and there were two guys doing what looked like sharpening medieval looking torture instruments. I called the two men Heebie and Jeebie. Since then I’ve recommended that anyone I know be completely out before going into surgery.
These doctors are far more helpful than my doctor was. I was scheduled to have a hip replacement recently, but all the planning leading up to it was a disaster. I got confusing, contradictory information on the planning steps. Different people were calling or emailing with instructions on blood tests, x-rays, dental clearances, in-home and oupatient PT, and everything else. When I'd ask someone a question, they would tell me that I needed to go ask someone else. My surgeon gave me almost no information. I finally had to ask her basic questions like what kind of pain medicine would I take after the surgery? Ha - nobody told me about shaving (but that's pretty obvious) or the other details - just that I needed to show up on certain date. I felt like I was dealing with my local DMV. I completely lost faith and decided to cancel the surgery and find another doctor who would be more helpful.
Good move there. Easy to get swept up in it all and go into “oh well, whatever..” mode. In an elective surgery you were wise to postpone until you’re fully informed and reassured.
Had mine 12 years ago (the year the earthquake hit DC) and was in and out in less than 24 hours and I have MS. Would do my other one in a minute if I needed to!! BTW I NEVER forget a word that either of you say!! 🤣🤣🤣❤️❤️❤️
The mother of a friend had a hip change with only a peridural anesthesia, so she was awake for the procedure. When her daughter asked her how it went, the mother said "the doctors were nice, everything went fine, but did they really have to bring the carpenters to fix the door during the operation? Couldn't it have waited?"
I never knew anything once they had me going into surgery, never saw anyone until recovery. I had good experiences with them! Thanks Docs for all your videos! I learn so much from you and it is good for me to know what’s ahead! Bless you both!
Thank you for taking the information Mr. Carell, Steve if I may, provided and breaking it down to explain it. I have had my two hips replaced within the last year and it has been a very positive experience. Granted, I was an OR nurse for 35+ years. But it’s a whole different experience when you become the patient. We have joint replacement classes that people are required to attend which really provides incredible information as you did today. Thank you so much for all the clarifications. You two do a great job. 👍👍
One thing I didn't hear mentioned regarding the type of replacement is if the patient has any allergies. My sister had knee replacement and was having a terrible recovery. The doctors decided to test her for allergies, and it turns out she's allergic to the metal used in the screws. So back in they went. Kinda think that should be tested beforehand.
Ah how unfortunate you are one of the 20%that don't get their expectations met.that is 1 in every 5.thats a high failure rate and a lot of people.too bad.
I've got my anterior THR surgery scheduled for mid-November. It's comforting to hear so many patients have done so well with theirs. My walker will be delivered tomorrow. I'm not too nervous, just looking forward to being able to walk mid-distances without pain again. I've been thinking about it for about 3 years, and am now ready to do it. I'm 65, so hopefully this one will last the rest of my life.
My hip replacement was great!! I was in extreme pain before the surgery and after surgery I walked without pain. My nurses said I was doing extremely well. I told them after all the pain, this is the easy part. Of course, there's a recovery period and physical therapy to regain strength. I will have the other hip done next year.
Guys, doctors, you. Canadians are so sweet! Apologizing for something you did not do! Carrell was obviously exploiting the situation to do his job. No doubt it would not have been so exploitable if you had been the surgeons. Thanks for being so humane and humble. You are great! And funny!
I had both hips replaced. The orthopedic surgeon had a program called Joint Camp. Patients went to this two weeks before their surgery. Here the explained everything that was going to happen from the time you checked into the hospital, until you were discharged. Lunch was served and all who attended received a diploma, and a binder with everything covered in Joint Camp and suggestions,exercises and other recommendations post op.
Had mine done Nov. Of 2021. Problem was I waited too long to seek help and developed Sepsys in the bad hip that resulted in a 6 month hospital stay. I then required 2 operations on the same hip. First they put in an antibiotic spacer, which stayed in for 2 months until the infection was gone. Then the permanent hip joint was put in. It literally changed my life. To date I've lost 160 lbs and I don't stop moving. Best thing that happened for me!!
I had my hip replaced this past February. I am a 62 y/o male, healthy, active, athletic, lean. My active life is my life. If this describes you the worst advice from doctors is to wait as long as you can. Get your hip done when it becomes a disabling factor in your life. I waited too long and was disabled for nearly a year. I have always been an advanced/elite skier and cyclist. Currently I am pushing watts to what I did in my 30's. I can ride with any group at any pace and outclimb most. Getting my hip replaced was the most life altering, for the better, event in my life to date. Get it done.
My cousin went to Denison University and lived next door to Steve. Last Summer I had a successful hip replacement at JIA in New Albany, Ohio but they put 3 holes in my esophagus with the ventilator tube. I was bleeding to death at home not knowing it down two units of blood. I spent 7 days and two blood transfusions at Marysville and Ohio State that saved my life.
I had my hip replaced one a half year ago it was a piece of cake and was 79 years old I am fine now and I have started to walk without a cane thanks to the doctors for giving my life back thanks
Had left Hip done end of July 23. 1st September back to work, minimal pain. Walker 2 days only. Wheeled into operating room, gave me spinal and sleep medicine. Next thing I new, was in recovery. Overall, good experience.
I really enjoy watching you two in your presentations, thank you & I really appreciate the comedy, I’m due to have both hips replaced, I have been using two walking sticks for 3 yrs & attended an osteopath & a physiotherapist over the years I hadn’t realised the osteoarthritis was so far advanced though until I finally changed my doctor & then got immediate results which feels like a new lease of life and something to look forward to as I was walking on all fours like a cat a lot of the time within the house & i’d become quite depressed long term whilst down on the ground, thinking ‘next stop grave’ so you can imagine just how happy I am to have this great opportunity to be able to avail of two total hip replacements which I see as a miracle in process, I’m truly grateful that doctors like yourselves are in our present day world, thank you
I had THR 3 years ago and i did a lot of research so i knew what to expect. Watched videos of tge surgery as well so i knew my leg was going to be put into positons that made it easier for the surgeons! I saw the table and all of the tools too but i just joked about being in Home Depot! Thanks Docs for this informative video for future THR patients. Always enjoyable!
Just had my 2nd posterior/lateral approach replacement 10 weeks after my first. After the first one i concentrated on exercing both legs post op and that has been a wonderful help with recovery this time. This one was a bit more complicated with a lot more pain but I'm still up and about on day 2 and will head home Day 4. Doing the exercises early was a huge help.
I feel fortunate to have had an excellent experience with my hip replacement, posterior approach (which is what I wanted). I chose general anesthesia because of a poor experience with spinal for ACL surgery 20 years prior. I was well educated about what to expect, partly from you two Docs (THANK you so much for your videos) but also by the video my surgeon made explaining the procedure and materials he uses in hip and knee replacement. I had very little after surgery pain and the layered approach of medications was over the top in my opinion. However, for those who experienced more pain than I did, I’m sure that they were happy to have so many tiered drugs at their disposal. It included Narcan for accidental overuse so you know it was a serious drug therapy. The horrendous part for me was the extreme restless leg syndrome the first week after, and I mean severe, 24/7, so little sleep I was hysterical, moving from one leg and then the other. I’ve had RLS for years but not like that. It really messed with my body, my recovery, my mind. My leg swelled quite a bit because laying down to get my leg up to rest was so problematical. My PT said that he’d had reports from some of his patients through the years about getting RLS after hip surgery. Do you have experience/advice regarding that possible side effect? I’m back to about normal now. On my worst day, I’ll just say it, I peed and peed and peed…the next day I’d lost 3 lbs of excess fluid and the extreme RLS subsided. I don’t know if there was any connection. Thoughts? But overall, the orthopedic center, the hospital, the nurse, anesthesiologist and nurse anesthesiologist, the physical therapist, all who interacted with me were caring and clear in instructions. I was the first up for surgery that day and was home in the afternoon. I spent 2 years walking with increasingly sophisticated walking aids because I’d been led to believe that the pain in my left leg was from nerve issues in my back. My hip itself never hurt. When I finally had an inkling that it might be my hip and saw the hip surgeon, that hip was toast! My other hip is fine. Who knew? I am one happy camper even though I’m still recovering and still using a rollator lightly and about to switch to a cane next. Thank you, all orthopedic surgeons, who take away so much pain and give us our lives back. And definitely, thank you two for these videos!
I have just had a prosthetic hip replaced (had a car accident so the original became loose). Hip replacement is transformative. The rehab can take up to a year, but living painfree is great. A gift. I know this sounds wierd but my surgeon is my hero. Seeing his face as you are counted down pre-op and seeing him when you wake up - as he tell's you how it went - awesome. My surgeon just amazing 👏 can't give him a more positive shout out. I was physically a mess - decades of sport - he gave me a new lease of life. I am so grateful 😊
I had my right hip replaced last week with a spinal block and no sedation. I’m sure it’s not for everyone but I found it fascinating. The teamwork was impressive and although my ex is an orthopaedic surgeon and she would often describe what her work entails, I didn’t appreciate the physicality (particularly the hammering) involved until now. Thanks for your channel.
Hi, Although I have commented before, a little up date. Approx 20 months ago I had a hip replaced. I started walking for rehabilitation and kept walking, just over 6,000 miles. Just a week ago I was cleared for my first marathon in October. You provide very helpful information thanks again.
My wife worked an an OR nurse (peri-operative). This is all spot on. I laugh because I call orthopedic procedures, “Black N Decker” surgery…all the power tools!!!
My sister had both hips replaced (different times) and told me she had to wash with a special soap the day before and morning of surgery. I had spinal surgery and I was completely unaware of anything that happened. Some kind of medication was injected into the IV line in the prep room and woke up with absolutely no pain anymore. These surgeries were all in the US.
OK, I'm watching, and I'm going to comment as the video rolls. I had a full hip replacement in May of this year, with the anterior approach. No, you don't need to shave your pubic hairs. In fact they tell you not to shave anything so you don't nick yourself and get an infection. They will use clippers on you if you need it, but it's not in your pubic area. The anterior approach is far enough to the outside of your centerline it's not really pubic. Miscommunication is a good point. The Hospital system where I had mine done requires a 2 hour pre-op class before you can get your surgery. They talk about all those kinds of things. They send you home with a boatload of material too. They did an excellent job trying to educate patients. Hard to imagine the surgeon hadn't talked about materials used before hand. Mine picks what he thinks is best for you, and yeah, ceramic on that new polypropylene doesn't squeak. I was wide awake when they took me into the OR, (had a block in my hip ahead of time) all the tools were covered, nothing scary, though that table is bigger in person than you might imagine from photos. I think he was just trying to be funny. Mine was a very good day. And thank you Docs. I watched all your videos first, and they were very informative and helpful.
Good evening doctors, I am a chiropractor, I hope you will not get in trouble talking to me, lol! I was studying athletic training, was a D2 college hockey player, obviously not good enough to make the pros! I graduated chiropractic school 1985, I continue to play“men’s leagues“, but had a major fall, fractured my right pelvis/ischium, destroyed the labrum cartilage, nine years later, I can’t walk, lol! I had the anterior hip replacement, my orthopedic surgeon was one of the first to do that in the Massachusetts area. Thank you so much for your expertise on the Internet, I am referring all my patients to watch your channel, you are entertaining as well, but you have solid knowledge. I’m glad to be aboard! Thank you.
FYI, I was back to working nine days after the surgery, but I’m kind of a meathead athlete! On crutches, but I knew how to move my body around exercise/rehab wise, etc. Thank you.
I’m not a surgeon, however I am familiar with different surgical specialties’ tool kits. Orthopedic surgeons’ kits look just like grandpa’s wood working shop, mallets, chisels, drills… just all very shiny stainless steel. Btw, these guys are great!
My doc never explained anything to me except that I woukd have a midline incision to yet my uterus and offending monster cyst. Now I found the OR fascinating, especially the DaVinci robot in the corner. I was a tad chatty and greeted the three who were in the OR gone up. They didn't have the back table set up just yet. I didn't get a greetings back....the circulating nurse was chuckling at some of what I was saying.....then the anesthesiologist got started and fairly quick it was lights out. They didn't shave my tropical rainforest...
I recently had THR aged 71, spinal injection plus some kind of sedative. I have no memory of the operation whatsoever. Best thing I ever did. Fast recovery, pain free and very mobile after 4 weeks. Life-changing in the best possible sense.
Question. If you travel a lot and have a metal implant, does it set off metal detectors at airports? And if so, do you need to carry documentation to prove you have had such surgery? (Before they take you aside and get "intrusive") ... ?? Thank you!! I totally believe in being extremely informed way before the surgery date so you can do your own research and make informed deciswions, not 20 minutes prior. Including shaving. Love Steve Carrell! This has been informative!! Thank you for posting this subject.
Love the video, thanks! When I went in for my TKR, the attending surgical nurse asked "which hip we are replacing today?". I said neither, it's my left knee for a TKR. I know the surgical team asks about the procedure you are about to experience for mistake proofing. However, the hip question really made me laugh! My TKR went just fine, hopefully no THR in the future :)
I've had a number of hand surgeries over the years and I like to see the OR before I'm knocked out. I've always been impressed with the efficiency and almost choreographed precision that takes place. There's little wasted motion and everyone seems to know exactly what to do and when. Of course my experience at any one time amounted to about five minutes before I was put under, but it's always interesting.
Thankyou for explaining. I've had foot surgery, lymphoma surgery, hubby hip... good to understand operation procedure...fascinating. grateful to all medical staff who are capable and caring, I freeze a flight response to blood holes punctures needles...thankyou.
When I had my hips replaced (not both at the same time) I wanted it to be video recorded so I could watch later. That request didn't go over well lol. thanks for going over this in a fun way. I'm big on knowing as much as I can so I ask questions a lot. Or a little if I'm given a lot up front. Medicine is an amazing field and I love learning about the things that will affect me.
Three weeks before my hip replacement, my femoral head slipped out of the hip socket. This happened while I was taking a shower. I could not stand up straight until after the surgery. The pain was off the charts and nothing was prescribed to deal with the pain until after the surgery. I went the clinic and had an x-ray done that confirned what the surgeon suspected had occurred. He said that this was not uncommon and the surgery would be performed as scheduled. The orthopedic surgeon is considered the top dog in the area where I live and I respect him greaatly. The only thing that made me an unhappy camper was that no one would call-in any medication to help me get through those three torturous weeks prior to the hip replacement. The procedure went smoothly and the re-hab was extremely fast compared to a TKR.
@@teleguy5699 Of course he did. He was just passing you off to you pcp because in general, surgeons will not prescribe pain meds before a surgery. You know what my pcp told me when I asked him for pain meds on the advice of my surgeon? He told me to go back to the surgeon and ask him again, as it was his case. Good luck with that. The opioid epidemic is the reason that doctors are shying away from treating pain.
I think this is a really good video. I had heart surgery several years ago, and although it is a different type of surgery, it was still a surgery and many of the things Steve and you talked about are things that I experienced as well, though not in a bad way.
I had great results from my surgery. I wasn’t able to walk one block without severe discomfort. I was up and walking that same day without pain. I would highly recommend the replacement.
Hey guys kym Adelaide its friday 1/9/23 im 10weeks today for my TKR still getting used to it im 66yrs old my orthopedic surgeon says it my take 12 months before its totally settled ,but its 100% better than the old knee ,but its showed me that the other knee is dodgy .i knew what i was in for before my preop meeting thanks to your video,s my surgeon was impressed with my knowledge he asked how i was so aware and i said Talking with Doc,s utube .The day of the surgery while lying outside the theatre while the anethasist was doing the spinal needle my surgeon came out to say hello and said dont worry ive watched your utube docs so im all good to go ,and he and the anethasist laughed ,so you guys arent the only comedic Doc,s .Bottom line guys thanks for the enlightment your channel brings us patients Cheers kymAdelaide
My husband age 85 had a hip replacement in Dec of last year, we attended a 3 plus hour pre- surgery. The actual surgery went well I was not allowed to see him due to Covid on his floor. What no one told us was it not uncommon for a patient to have a psychotic break it was only the nurse on the phone who told us it is not unusual especially in elderly people. He did recover it took several months.
I wonder who recommended the surgeon to Steve? Not sure if he'll be recommending this surgeon to anyone (!) This made for a great story but have to wonder why there were so many eyebrow raising moments - any 1 would have been enough but this was beyond unusual. I'm glad he's able to tell the story as he does - not everyone has the agency to come through this surgery experience as well as he did. Thanks Docs for using this as a way to educate us (and being gracious enough to apologize for others in the profession). You two are top notch!
I had both hips done in 2013 two weeks apart I should have them done 5 years before no more pain. I Would Recommend The spinal no pain for about 4 hours after surgery and then your on good medication.
I put off my replacement as long as I could. Finally gave in at 58. I had hoped for an anterior approach and didn’t think to ask and don’t remember discussing until finding out at my pre-op that my surgeon only did the posterior approach. Everything went great. The last thing I remembered was sitting on the side of the operating room table for my spinal. Woke up in the recovery room was up walking a couple hours later then home the same day. No physical therapy, just exercises to do at home. Pain was not that bad. I am a nurse and the thought of infection scares me as I have seen what that can involve. But I am probably looking at my other hip and a knee at some point and hope it goes as well as this one did. You guys are amazing at what you do and are right up there with the surgeon 😊.
My wife had her hip replaced in June and was nearly 100% in a few weeks. I was personally amazed at how fast her recovery was. The odd part is that, according to the M.D. that did the procedure, there's been a lot of improvement in recovery time, etc. in the last decade.
When I had my hip replacement no one told me that when I got home I would get little warning before having to pee. I could' barely get around so I had to make sure to have something to pee in close at hand. Small, but important detail. Otherwise - operation and recovery was no picnic - but I have my life back and can go anywhere now and have no pain!
It is absolutely an issue with me! TMI, right? I have resorted to sleep in "disposable" underwear for now. How humiliating, right? I'm four weeks post op, and hoping this is temporary. My overall experience with (R) anterior hip replacement was great, with the exception of a nurse who administered Narco as soon as I was in my room even though I had gotten off the guernie from recovery, and took two pain free steps to my bed and had told her my pain was zero. The Narco on top of the Morphine during surgery, and the Fentanyl i recovery was a bit too much! I went into respiratory failure and lost consciousness. A quick inj. of Narcan brought me back around. I was in respiratory distress on oxygen for the next seven days. Thankful to my N.P. daughter who was with me to be on top of that and basically saved my life!
I had an awesome Dr 2 yrs ago . I was born with a congenital hip, so I had the plate in from 2 yrs old to adult. When they pulled it out, I had a fracture of my femur . So now I have a plate from my hip, almost to my knee! But am doing great, no problems. My only complaint when I went into the OR was, I could see the lights and faint voices of the staff . It still freaks me out!!
I am so glad I watched these doctors back in early 2021 before my hip replacements, I had my left hip done in March and my right hip in July of 2021. Thank you again doctors you lessen my worries about the whole procedure and what to expect before and after. I appreciate you. My hips are doing fine. Sometimes my right hip causes me a tiny pain, but overall, I got my life back for sure because before surgery I was destined to sit on the sofa and live with pain for the rest of my life since no pain medicine or approach ever worked.
I think Steve was playing up the ardors of major surgery. I had both hips replaced 3 months apart 10 years ago in October. I was bone on bone due to severe osteo arthritis. It was like a new lease on life. I had one of the top sports medicine surgeons who did my surgeries. I was up and functioning the next day. No walker, no cane. I will say sooner is always better than later. And definitely do all the post surgery physical therapy. You’ll be weak as a kitten, and have to take a nap afterwards. But so so SOOOOO worth it. Total modern medical MIRACLE. Well, it’s basically a miracle that doctors and specialists manage to stay in school for 10-12 years! Lawyers too, but that’s a different post altogether!😍
One thing that wasn't mentioned . When I had a hip scope for a inter tear they need to slightly dislocate the hip to allow access . They do this by strapping your foot into a device that's made on the special operating table . It's similar to getting put on the rack in medieval times where they stretch you hah. My hip surgery was very successful but it took longer for my back to recover than my hip . When the hip gets pulled down it pulls the lower back muscles . But it was definitely worth it . I had that operation 15 years ago and I'm still going strong riding my bicycle about 200 miles a week and I'm 64 years old .
I just had my third hip replacement, and I’m only 54. Personally, the first two weeks after were the worst. By the way, I’m a new subscriber and really enjoy your channel.
This is funny and lightens a sort of scary procedure. I’m very active yet STUPIDLY waited until pronounced limp set in walking. Heading to surgeon monday to get this scheduled. I can’t wait to get my ACTIVE life back. Appreciate the commentary and also points to bring up to the surgeon.
Wow, I had a hip replacement last year, and my experience was the opposite of Steve's. Everything was explained well in advance of surgery, and I was given a booklet and a video from the surgeon's office covering every possible aspect of this surgery and the care afterward. At the hospital, everyone was great, and overall it was not at all bad. Maybe I am one of the lucky ones! Thanks for the laughs, Docs!
I'm exactly 12 weeks post-op, right anterior hip replacement. Just back from PT and I was doing squats, deadlifts, sled pulls, and a brisk pace on the stationary bike. I'm 59 and was bone on bone and waited about a year from my initial DX. Knowing what I know now, I would have scheduled it right away. I was mentally more drained thinking about the surgery than what actually transpired. Yes, they shaved me a bit but I also did that a week in advance so there wasn't much there. My doctor is a machine. He does 3-5 per week and came highly recommended. Once the anesthesia kicked in, the next thing I remember was drinking coffee and asking my Nurses when they were going to get started! I was up and walking the same day. Taking 5mg of Oxy for the first 6 days and then to Tylenol. Managing the initial first week of pain is critical but if you take your meds as instructed, like the excellent patient I was, you'll be fine. I would not hesitate to do it again, particularly knowing what I know now. There are always risks but the reward is I will be surfing in a few more months and that means everything to me. Mahalo😂
Had THR 10 months ago and still can't walk without limping and pain. I feel it every day and hate taking all those tylenols (taken off ibuporofen for liver concerns). Avoid this surgery. Yes, i had one of the best doctors in SF Bay area; everyone recommended him.
Here's an uncommon complication of full hip replacement at peripheral hospital that specialised in this surgery. (UK NHS) Patient had heard she needed to drink plenty. She went overboard and finished happily gaga from low sodium. Had to be sent to us on orthopaedic ward at general hospital to be given high sodium diet and saline IV. She was happily walking around and giggling. Her husband was frantic. Couldnt believe she would recover once her salt levels were corrected.
I learned a lot from your channel. I'm now 7 weeks since THR, posterior method and I just walked 2 miles today. I haven't had much problem at all except for trying to maintain the precautions. The not bending more than 90 degrees is the hardest. I'm sure i've broken it many times even while trying not to. My physical therapist says i'm doing great and has been impressed by my recovery. Only one thing i've found fault with. My dr seems extremely conservative. He wouldnt release me from precautionjs at 6 weeks and insists on 12 but then he started going on about following life-long precautions. My PT doesn't agree with that. I asked him how in heck i'm supposed to pick something up off the floor or tie my shoes if it's a lifelong thing?
Glad you are doing so well. He only says that because dislocation is such a difficult problem. With larger heads nowadays it is much less common. Picking things up can be done by bending at the knees rather than at the hips almost like a crouch keeping your back straight. But yes many patients go beyond the 90. All the best
Thank you for this. I’m getting a hip replacement and was a bit freaked out as I realized after the shock wore off I had way too many questions, which no patient should have. I think surgeons are so used to giving the message, “yep, you defiantly will need a hip replacement” as they begin exiting the room saying they’ll be sending someone else in the room. What in the bloody heck did he just say to me? I started researching and it talked about 90 degree angles and not sitting on lower furniture etc. I thought about my low riding toilet and the stairs to my room and started getting stressed. I called the office to get clarification on everything, to include our stairs, the toilet height, I also requested chart notes my exact diagnosis and copies of my X-rays. I do feel a bit better, but still ordered a toilet riser.
I'm seventy years old and I had my left hip replaced 3 years ago. I had the right hip replaced 4 months ago. They both came out fantastic. I play pickleball 4 days a week and go hiking twice a week. I never used a walker or cane after the surgeries.
My nephew who is only 30 years old had to get a hip replacement result of old sports injuries at Rhode Island south county hospital best thing he ever did he only had a great experience
My Dad lived with my wife and me. He was 85 when his hip started locking up and making a pop sound. As a result, he had a hip replaced and the procedure and recovery was uneventful. The funny part was when my Dad's surgeon stopped by the hospital room to see how my Dad is recovering. At that time, my Dad was in bed while we visited with him. The doctor walks in the room and sees my Dad in bed. He says loudly to my Dad, "get out of bed, you're not sick!". I never heard a doctor say that to his patient.
I had my right hip replaced Aug 2022 changed my life. Having the left one done Oct 2023 looking forward to totally being out of pain. Thank you both your talks about hips has made me feel better ,mentally. Also my doctor sends you home with a book with all kinds of information. Barb S Knoxville TN
Wow! Hope I never need one! I’m a big chicken with surgeries for sure! Had my gallbladder removed in May of this year and was terrified to what things could go wrong and what could happen afterwards as well. On August 30th this yr 3 days ago I had a total hysterectomy and terrified once again by what could happen during and post op complications. I went thru both very well. Now the healing process begins. I’m a big big chicken! Lol! Thanks docs for the video and poor Steve glad he made it thru! Y’all r the BEST!! ❤❤
I just got a total hip replacement done yesterday morning, and luckily it was not a bad experience for me. Of course I'm experiencing a lot of soreness and aching right now being less than 24 hours since the surgery, but I know it was for the best and once everything has healed up several months from now, hopefully I at least won't experience the pain I was having in my hip before the surgery.
This was both interesting and amusing. I had both hips replaced this past summer 2023. I waited quite long before having the surgeries (3 mo apart). I could hardly walk and in pain for about two years, the pain getting increasingly more intense. I was not asked what type of material the surgeon would use, rather he told me, which was fine because I had no clue anyway. I had the titanium stem and porcelain ball - not ceramic. I had a spinal in the OR, then Propofol which put me totally out, which is what I wanted. I had the posterior procedure. The OR team made me feel at ease and the anesthesiologist had a sense of humor. I could not be happier with the results and am walking smoothly and painlessly. Thank God for orthopedic surgeons!
Final thought: "I've fallen into the hands of secret torture cabal." Lights out. Just kidding. RN here. I've had a few surgeries and always enjoy talking to the team first to learn how they do things. Surgeons and anesthesiologists will usually light up and happily share when you show interest in their art. Thanks for an interesting and fun vid gentlemen!
I cant wait until i have my hip replaced. I cant stand the pain. Yes im limping to the point where i think im going to fall. Thank you. Your making my life easier. 😅
How cool is this video? Thank you so much. I recently had a knee replacement and experienced much of a similar scenario as Steve. Soon I will be receiving a hip replacement. So this helps me to know what to ask, in advance. I enjoyed this video, as always. Thank you from Southern California.
My brother insisted that his surgeon told him that his knee replacement incision would be on the back of his leg... I knew better but he was adamant. After surgery he told me I was right.😮 I sincerely believe he misheard & didn't clarify. He also likely didn't watch the videos on the surgeon's website (I did).
As a PT I’m not convinced waiting until there is a limp before surgery is the right move. Muscle strength deterioration and other stresses on the rest of your body due to a limp can cause other problems. Muscle deterioration due to pain will impact recovery…saying all that, great video!!
You're absolutely right! I had a limp for 2 years before hip replacement and it has taken me almost 2 years to get most of the lost muscle mass back. It's important to get surgery before limping so you can jump out of bed and get on with your life in 2-3 weeks
I am 65, and need one, and thinking better to do it before I get older
Yes why wait your quality of life is slipping is away .it is detrimental to suffer unnecessarily.
Go for it insist you need it now you want it now. Your not getting any younger and to wait is to make recovery harder.make sure your best interest is the absolute priority.
@@slimetimetv8517 just not sure if its bad enough yet
I had my right hip replaced 20 years ago (age 50 and in near agony using a cane) and my left hip 3 years ago (in moderate pain but limping at age 66). Both were posterior approaches with metal prostheses and polyethylene liners. For #1 hip 20 years ago I was in the hospital for 4 days. For #2 three years ago I was in overnight. The orthopedist told me I could have it as an outpatient, but at that time due to Medicare rules, I would stay overnight. It is my understanding that now has changed. For both I was given preop exercises to do and each time the physical therapist told me they would know right away whether or not I did them so I did them 110%- a few more reps than asked. Both times in the postop stage the physical therapists complemented me on my good prep work. For my most recent surgery, once I was taken into the OR, each and every member of the team, after checking my identity and which hip I had signed my name to, introduced themselves to me and what their role was. I was shown large flat screen TV's on the walls of the OR with my hip X-ray from different angles with simulation outines of different devices that might be used. A representative from the prostheses manufacturer was present in the OR (not scrubbed, however) and also introduced herself. They put in a urethral bladder catheter 20 years ago. They did not 3 years ago. I did not need any blood transfusion either time. My posterior incision on my most recent left sided surgery is about half the size than that on the 20 year old right replacement site. In each case I had spinal anesthesia with sedation. I have no memory of either surgery. The first few days were painful for sure. Twenty years ago I used a narcotic for a week. Three years ago I used the narcotic only overnight in the hospital and just Tylenol once I was home. Each time the most painful thing was getting into bed at night. My wife would lift my leg gently as I used a rope support I had rigged on the bottom post of the bed. That was really painful for those few seconds. That went away for the most part after about a month. I dreaded getting into bed. Once in bed I was basically OK. I did not like sleeping on my back either time with the wedge between my leg. With the second hip surgery I was able to sleep on one side (I think my operative left side) after 6 weeks and that made all the difference in my sleep and morale. Both times for the first 2-3 weeks I experienced a kind of restless leg syndrome where I felt I needed to move my legs all the time. I was given Xanax to take at bedtime, but that helped minimally. The physical therapists who came to my home were encouraging and gently demanding. Twenty years ago I used a walker for just shy of six weeks. Three years ago I walked on uneven ground in the back yard (with close support of the home physical therapist) on post op day #2. I did not use the walker after post op day #2. After hip #1 I did not use the stairs for a month. After #2 I was using the stairs slowly and carefully with someone next to me on post op day #4. I did not want to fail the PT's expectations so I listened and did 110% of what I was told. I always did one more rep than I was told. Eventually I went to outpatient PT and I also had home exercises. I did all those 110% as instructed. I was pretty much back to normal after 2 and 1/2 months both times. I follow all of my hip precautions. They are second nature to me. The repairs were "tight." I can't put on my socks without a "sock assist," but I'm just totally used to that now. The same orthopedist did both surgeries. I am a family doctor and I am retired now. I tear up and have actually cried when I see the orthopedist as he gave me my life back twice. If you need a hip replacement due to pain, HAVE IT DONE. PAIN IS THE REASON TO HAVE IT DONE.
I always wondered why doctors don't communicate more. It would put people at ease if they did.
They usually ask if you have any questions but the patient usually does not know enough to know what to ask.
mal practice concerns
I had both hips replaced 6 weeks apart last year. It was rough but I had lost all range of motion and could only shuffle with a walker. Two of the sorriest hips, said the surgeon 🙂
He gave me my life back. I am still amazed that I can easily walk into my shower! It's only a couple of inches high that I could only tackle with great difficulty, pain and grinding before.
Orthopedic surgeons are miracle workers. Thank you, thank you!
Good for you I'm glad you had a positive outcome unlike me good luck with your new enjoy them do the things that you wanted to do for a long time as I lost mine and cannot do a treadmill I cannot walk but from to the bathroom to the kitchen and maybe to someone's car if I need to go to the dr. Other than that I'm confined to my house
@cindi8318. I am so sorry. What happened with your hip replacement (s)?
You sound like you are very disabled, just like I was prior to my surgeries. Again, I am so sorry, you must be in a lot of pain too 😞
It is encouraging to hear that even with your "sorry" hips all went well!
My hips are also sorry. In my case the doctor said they were atrocious. Both are calcified and one is fused.
I have a direct anterior THR scheduled in 4-weeks. So, with a "sorry" condition similar to yours, I was wondering how the surgery would go during and after - i.e. would I survive to fight another day?
Because of spinal stenosis and my sister's passing due to her elective THR at 56, 11-years ago (and in my early 70's), I waited to choose the scalpel, until my hip pain was worse than my spine pain!
I've learned all too well, that pain is pain no matter where it's located. With a level of 8 pain in 3-areas, if one is resolved, a 2nd. and then a 3rd. is required to be resolved. And spine pain unlike hip pain is notoriously difficult to resolve. One MIT engineering grad and then med school ortho surgeon, recently told me if one is having spine surgery to alleviate pain, "DON'T, because it Won't". That's obviously not always true. But hearing a well respected hip and knee surgeon saying it, certainly gives one pause!
With a friend that has had 6-joints replaced (shoulders, hips & knees) his lessons learned, were to also to wait as long as bearably possible to replace what we're born with, because the replacements aren't the same! That was before his leg was amputated due to a blood sepsis that gave him a 30% chance of survival. Although it wasn’t known for sure, because of all of the revision surgeries to his artificial knee area, to irradicate infection, that knee was a suspected hiding hole for the bacteria. Hence, after he was given choices, he chose door #3, to have his leg removed.
At any rate, approximately 6-years ago, I began using a 3-wheel rollator to walk because of spine pain. Until recently, the hip pain was great, but less than the spine. That has changed and surgical roulette is now my only recourse.
Hopefully all will go well and that I don't throw a DVT or PE as it's surmised that my sister did. We don’t know for sure what took her life, because a postmortem wasn't performed. But electing to have surgery to alleviate pain, isn’t a good reason for dying. Yet, I understand that statistically it doesn’t often happen. However, when it does happen, odds are no longer numbers on a paper; they become a dear human life lost too soon…sigh!
@telemachussmith1977 My family curse is osteoarthritis and prior to my hips replacements, I had a laminectomy and a facetectomy because of stage 4 lumbar stenosis. Pain was bad, but the main concern was nerve damage as I was losing feeling in my right leg.
I understand your concern, there's always an element of risk with any surgery. For each of my surgeries, my fear was that I was going to come out worse, as quality of life to me is so much more important than quantity. I was not afraid of dying, I was afraid of being permanently disabled, more than I already was.
THRs are quite safe, great improvements have been made, it's become almost a routine procedure. Sure, nothing is 100% safe, you'll always encounter the unfortunate person for whom things didn't turn out as they should have. The odds are in your favor though, and I wish you the best, with a speedy recovery, a newly found mobility and a pain free future.
I’m so sorry to hear that Steve had a bad day although he doesn’t seem to mind it giving him some new material. My experience was very different thanks to the excellent team that made sure I was well informed and comfortably sedated. The only surprise was how easy it was to walk and do stairs just hours after the surgery. Thank you to Dr Zalzal and team for making my hip replacement such a positive experience!
That is so awesome! Thanks for sharing your story Michelle
I'm scheduled to have a hip replacement, and I am terrified just like Mr. Carell. Finally a video that shows the patient scared, all the other videos show people talking about how great it is to have your leg sawed off. People keep acting like I'm buying a new pair of shoes and dismiss and minimize the whole thing. I'm having a real hard time with this.
I was nervous too. It's only this super success stories you hear/read about. My surgery went well, but week 9 I still need a cane. Everybody else talks about running a marathon the next day it seems.
3 of my favourite Comedians, Steve & the Docs! 👌
Thanks!
It’s been approximately nine years since I had my hip replaced. I had a wonderful experience a fantastic, orthopedic surgeon and everyone in the operating room was fantastic.
My surgery was done at a University Hospital, so when I entered the operating room it was full of medical students there to observe the procedure. I was glad that I could provide a learning opportunity by sharing my surgery with them & perhaps make them a better and more compassionate surgeon when they graduated
Thanks for being that patient. They are critical for learning
I too waited till I was limping noticeably. Mostly because I was scared to get it done. But now, 4 weeks after my THR, i can't believe the wonderful outcome I've had. My pre surgery fears, as it turns out, were completely unfounded. If you're hesitating in fear, you must put trust in your surgeon!
I was told for my first implant to wait until I felt I could wait no longer. The pain would come and go for years until it was pure fire 24/7 and then I had to wait 3 months for an appointment for surgery. Two minutes after surgery, it was like someone had flipped a switch. I felt better immediately. The staff had me up that day and my recovery was faster than I thought it would be. A few years later, my other hip was on its last "legs" and I decided to go with the implant quickly. Recovery was fast in both cases. I am thankful for the doctors I chose. It ended blinding pain and gave me back a better quality of life.
Telling people they have to wait till the pain is unbearable and mobilizing impossible is nonsense. The right hip was done when I was 50. It was reasonable to wait. As the the joint was only at its best for 16 or 17 years. Luckily that joint is still going. The technology has improved immensely. In 2001 I was in hospital for a week in convalescent for four weeks. NOW IT IS HOME SAME DAY OF SURGERY DONE . In the private WESTMOUNT CLINIC you stay one day post op. I was up in four hours. It is a week post on and I am down to only Tylenol 1 gram every six hours. I only used eight tramadol and no oxicoden spelling ?.
@@VandaPietrantonioTotal hip replacement is different from the “home same day” procedure, which is a ceramic cap on the femoral head, as opposed to a total, where they saw the top several inches of the femur off and pound a metal rod into the remaining portion of femur. So you see, completely different.
@mellocello187 THE surgery done today is totally different from the one I HAD in 2001. I had the epidural catheter left in for two or three days for pain control. The bending rules etc were longer and I was in rehab for four weeks. The surgery now is very different. Even if you have surgery in a regular hospital one goes home the same day. The private hospital I HAD it done at kept one one day longer in their convalescence floor to do physio and start pain mess. My right hip is titanium and is still functioning. The left one is not. CANADA REGULATES LIKE EVERYTHING WHAT IS USED.
One must remember that this is part of his comedy routine.
My mother had a total hip replacement when she was 93 and another when ahe was 94. With local anathetic .
Not a problem. She sailed through it and was standing two hours after the surgery.
Of course she is not a drama queen. Also of the generation that seems to take life in stride.
Also done in a Canadian hispital with Canadian surgeons.
Maybe that's the sifference.
I might add under the Canadian " socialist" health system.
Thanks for sharing Keith. Embellished for laughs for sure.
@keithdodd5689 NO. Not quite true. In QUEBEC you go on a list controlled by the government to determine your priority. The waiting list could be a year and a half +++. I chose to have my hip replacement privately and payed for it. Being 74 and having other medical problems I was low priority. I saw the DOCTOR on JULY 7TH. I had to wait months to see him on referral. I had my surgery the end of AUG. I can tell you I WOULD NOT HAVE GOTTEN THE SAME EXPERIENCE IN THE PUBLIC SYSTEM. THE "socialist" system is being eroded in QUEBEC as people walking in etc are getting priority for health care. I have been in and out of hospitals as outpatient for about five years and I CAN TELL YOU THE HEALTH CARE IS BEING COMPROMISED FOR CITIZENS BY THE INFLUX OF PEOPLE WALKING INTO CANADA ILLEGALLY WHO GET PRIORITY FOR HEALTH CARE. THEY COME IN SICK AND WITH CHRONIC DIEASES.
Good on your Mother !!!
@@VandaPietrantonio Maybe your government is not funding your health care system adequately. And in North America, nearly every one of us "walked in" from somewhere else, at one time or another.
We “hipsters” love to exchange our war stories and I found Steve’s account hilarious! Prior to my own surgery I’d watched UA-cam videos and attended a pre-op hip class so I was quite well prepared. When I was wheeled into the O.R. I saw a lot of people and tools and just thought “Wow….all for me?” I found it oddly comforting. You’re so right - by the time I had surgery I was more than ready for it and had a “Bring it on” attitude. Great video!
Love that!
“Bring it on?”😱😱😱
@@michelenichele294 Yes. I can only speak from my own experience but by the time surgery came around I was more than ready to reclaim my mobility and move beyond the pain I’d been experiencing. While I certainly did NOT relish the idea of surgery when it was first mentioned (😱) I also knew it was my only option. You know if had to be in a lot of pain to be excited to be rid of it via surgery 😂
I am on week four of recovery from THR and my experience was nothing like Steve's. I am guessing it mirrored what I would have experienced from either of you doing my surgery. Watching so many of your videos before my surgery helped with my expectations before, during and after the surgery. Thx for your channel and for taking the time to inform and educate those of us going under the knife!
I’m having THR in about 4 weeks. May I ask how long you were needing walking assistance, as in a walker, or a cane? I’m a bit nervous, but excited to have this behind me.
@@Bum_Hip I was walking and driving a car on day 6. Do everything they tell you to do and you will be walking soon. I just did a half mile walk today. I also stopped using my cane by week three. What I did do was use my walker in and out of the house for first couple of weeks to make sure my gait was good. After limping for 8 months, it was definitely out of whack.
That is exactly why we do it marty and couldn't be happier to hear that. It's scary for sure. But some knowledge goes a long way to reduce the fear
Keep in mind that the approach they use and your own health can make a huge difference. Anterior approach is supposedly quicker recovery. I had posterior 7 weeks ago and am feeling great. I think I used a walker for a couple of weeks then a cane for 3 more but it was more about feeling unsteady than anything. Once you get your balance back, you should be fine.
@@egk2584 Yes. I had anterior and understand the recovery is better than posterior. Glad your recovery is going well. Agree that health going into surgery is key as is following all the PT exercises post-op.
I had my right hip replaced back in 2018. The pain from arthritis was awful. This surgery gave me my life back. It wasn't very painful at all.
Love to hear that
Getting my right hip replaced was the best thing I ever did! Recovery took a little longer than the surgeon said, but pain was gone. After 5 months, my repaired hip felt as good as new.
John McHatton
I had my hip replaced 3 and a half months ago in Viña del Mar, Chile, where I now live. I waited 8 years until I could no longer walk to do the surgery, and then just told my husband to call a surgeon because i was ready. The next day I saw the recommended surgeon and I knew he knew what he was doing, so I just said "Let's do it asap" and 3 weeks later I was in the hospital. I didn't ask about the anesthetic or anything so as not to scare myself. I cried a bit at first, but someone came and sat with me while they set up and calmed me down. I woke up to a blue curtain below my chin and heard the sawing and then pounding, but cheerily called out, "This is the best day of my life!" several times. I felt no revulsion or horror at all. I loved it!
I had a repair to the ball in my hip replaced...anterior approach... woke up with Trendelenburg limping, speech impairment, writing impairment and eventualy lost a tooth. When I fell 3x I went back to the surgeon..."if it doesn't say so in the surgery report, it didn't happen". So I swore off MDs and stared to workout 3x a week. No one recommended exercise...but I still have all the after surgery symtoms but "Im in charge of my own health". From Tucson, AZ
I’m having a total hip replacement October 4th, and I am a bit scared, yet excited to be rid of this pain. It’s been worsening for about 10 years now. It’s time. Your videos are reassuring. Knowing this is a relatively routine procedure, with tons of good results is comforting. Thanks for putting out these videos, and educating us. Keep ‘‘em coming!
Doing our best. You've got this!
Had both done last year. It was a breeze!! Had waited way to long so recovery was a little slower due to muscle loss but surgery and initial recovery was amazing!!
Had mine done in front ... anterior. Up to the bathroom soon as the wooziness from anastesia wore off
I am so scared too. I need my left hip replaced and am really scared. I pray you do well ❤
@@ritasanders7499 my desire to get rid of this pain, and lack of mobility have superseded my fear at this point. I will be fine, and so will you.
As an aside, personally, I don’t need prayer, I have no reason to believe anyone , or anything is listening. All I need is for my surgeon to have a good day!
That story reminds me of my back surgery. I was awake when they rolled me in and I too said it looked like a torture chamber. The table had levels and there were two guys doing what looked like sharpening medieval looking torture instruments. I called the two men Heebie and Jeebie. Since then I’ve recommended that anyone I know be completely out before going into surgery.
These doctors are far more helpful than my doctor was. I was scheduled to have a hip replacement recently, but all the planning leading up to it was a disaster. I got confusing, contradictory information on the planning steps. Different people were calling or emailing with instructions on blood tests, x-rays, dental clearances, in-home and oupatient PT, and everything else. When I'd ask someone a question, they would tell me that I needed to go ask someone else. My surgeon gave me almost no information. I finally had to ask her basic questions like what kind of pain medicine would I take after the surgery? Ha - nobody told me about shaving (but that's pretty obvious) or the other details - just that I needed to show up on certain date. I felt like I was dealing with my local DMV. I completely lost faith and decided to cancel the surgery and find another doctor who would be more helpful.
THAT WAS A WISE DECISION.
Good for you. I don't think hospitals were ever that good, but I feel like they are so much worse in the last few years.
Good move there. Easy to get swept up in it all and go into “oh well, whatever..” mode. In an elective surgery you were wise to postpone until you’re fully informed and reassured.
Had mine 12 years ago (the year the earthquake hit DC) and was in and out in less than 24 hours and I have MS. Would do my other one in a minute if I needed to!! BTW I NEVER forget a word that either of you say!! 🤣🤣🤣❤️❤️❤️
That is very sweet!
The mother of a friend had a hip change with only a peridural anesthesia, so she was awake for the procedure. When her daughter asked her how it went, the mother said "the doctors were nice, everything went fine, but did they really have to bring the carpenters to fix the door during the operation? Couldn't it have waited?"
You're not wrong !
many laughs :)
I never knew anything once they had me going into surgery, never saw anyone until recovery. I had good experiences with them! Thanks Docs for all your videos! I learn so much from you and it is good for me to know what’s ahead! Bless you both!
Ditto here.
But you and I don't need material for our comedy acts ha ha...
Mr Carell definitely does!
Thank you for taking the information Mr. Carell, Steve if I may, provided and breaking it down to explain it. I have had my two hips replaced within the last year and it has been a very positive experience. Granted, I was an OR nurse for 35+ years. But it’s a whole different experience when you become the patient. We have joint replacement classes that people are required to attend which really provides incredible information as you did today. Thank you so much for all the clarifications. You two do a great job. 👍👍
One thing I didn't hear mentioned regarding the type of replacement is if the patient has any allergies. My sister had knee replacement and was having a terrible recovery. The doctors decided to test her for allergies, and it turns out she's allergic to the metal used in the screws. So back in they went. Kinda think that should be tested beforehand.
It’s very unusual and testing is not a common practice under these conditions unless warranted.
my hip replacement was terrible. it was 21 years ago and i have had pain everyday since. i was awake for the entire thing as well.
😳😲🥺
Ah how unfortunate you are one of the 20%that don't get their expectations met.that is 1 in every 5.thats a high failure rate and a lot of people.too bad.
I hope you’re feeling somewhat better. It’s difficult when your recovery takes so much time. All the best.
I've got my anterior THR surgery scheduled for mid-November. It's comforting to hear so many patients have done so well with theirs. My walker will be delivered tomorrow. I'm not too nervous, just looking forward to being able to walk mid-distances without pain again. I've been thinking about it for about 3 years, and am now ready to do it. I'm 65, so hopefully this one will last the rest of my life.
Best of luck!
How are you in your recovery? All the best.
My hip replacement was great!! I was in extreme pain before the surgery and after surgery I walked without pain. My nurses said I was doing extremely well. I told them after all the pain, this is the easy part. Of course, there's a recovery period and physical therapy to regain strength. I will have the other hip done next year.
Guys, doctors, you. Canadians are so sweet! Apologizing for something you did not do! Carrell was obviously exploiting the situation to do his job. No doubt it would not have been so exploitable if you had been the surgeons. Thanks for being so humane and humble. You are great! And funny!
Thanks so much. Doing our best!
A Canadian 'Sorry' are words of sympathy for one's situation. Not an apology.
*Carell
I had both hips replaced. The orthopedic surgeon had a program called Joint Camp. Patients went to this two weeks before their surgery. Here the explained everything that was going to happen from the time you checked into the hospital, until you were discharged. Lunch was served and all who attended received a diploma, and a binder with everything covered in Joint Camp and suggestions,exercises and other recommendations post op.
Nice
Had mine done Nov. Of 2021. Problem was I waited too long to seek help and developed Sepsys in the bad hip that resulted in a 6 month hospital stay. I then required 2 operations on the same hip. First they put in an antibiotic spacer, which stayed in for 2 months until the infection was gone. Then the permanent hip joint was put in.
It literally changed my life. To date I've lost 160 lbs and I don't stop moving. Best thing that happened for me!!
I had my hip replaced this past February. I am a 62 y/o male, healthy, active, athletic, lean. My active life is my life. If this describes you the worst advice from doctors is to wait as long as you can. Get your hip done when it becomes a disabling factor in your life. I waited too long and was disabled for nearly a year. I have always been an advanced/elite skier and cyclist. Currently I am pushing watts to what I did in my 30's. I can ride with any group at any pace and outclimb most. Getting my hip replaced was the most life altering, for the better, event in my life to date. Get it done.
What kind of rides do you do? Average watts?
@@barfy4751 R to L output is 50-50 with 0 discomfort during ride and after. Biomechanics are excellent.
My cousin went to Denison University and lived next door to Steve. Last Summer I had a successful hip replacement at JIA in New Albany, Ohio but they put 3 holes in my esophagus with the ventilator tube. I was bleeding to death at home not knowing it down two units of blood. I spent 7 days and two blood transfusions at Marysville and Ohio State that saved my life.
Glad you’re ok
His first mistake was going to the Dunder-Mifflin staff doctor.
Ha
I had my hip replaced one a half year ago it was a piece of cake and was 79 years old I am fine now and I have started to walk without a cane thanks to the doctors for giving my life back thanks
Had left Hip done end of July 23. 1st September back to work, minimal pain. Walker 2 days only.
Wheeled into operating room, gave me spinal and sleep medicine. Next thing I new, was in recovery. Overall, good experience.
Similar experience.
I really enjoy watching you two in your presentations, thank you & I really appreciate the comedy, I’m due to have both hips replaced, I have been using two walking sticks for 3 yrs & attended an osteopath & a physiotherapist over the years I hadn’t realised the osteoarthritis was so far advanced though until I finally changed my doctor & then got immediate results which feels like a new lease of life and something to look forward to as I was walking on all fours like a cat a lot of the time within the house & i’d become quite depressed long term whilst down on the ground, thinking ‘next stop grave’ so you can imagine just how happy I am to have this great opportunity to be able to avail of two total hip replacements which I see as a miracle in process, I’m truly grateful that doctors like yourselves are in our present day world, thank you
Doing our best! Very welcome
I had THR 3 years ago and i did a lot of research so i knew what to expect. Watched videos of tge surgery as well so i knew my leg was going to be put into positons that made it easier for the surgeons! I saw the table and all of the tools too but i just joked about being in Home Depot! Thanks Docs for this informative video for future THR patients. Always enjoyable!
Just had my 2nd posterior/lateral approach replacement 10 weeks after my first. After the first one i concentrated on exercing both legs post op and that has been a wonderful help with recovery this time. This one was a bit more complicated with a lot more pain but I'm still up and about on day 2 and will head home Day 4. Doing the exercises early was a huge help.
Great job!
I feel fortunate to have had an excellent experience with my hip replacement, posterior approach (which is what I wanted). I chose general anesthesia because of a poor experience with spinal for ACL surgery 20 years prior. I was well educated about what to expect, partly from you two Docs (THANK you so much for your videos) but also by the video my surgeon made explaining the procedure and materials he uses in hip and knee replacement. I had very little after surgery pain and the layered approach of medications was over the top in my opinion. However, for those who experienced more pain than I did, I’m sure that they were happy to have so many tiered drugs at their disposal. It included Narcan for accidental overuse so you know it was a serious drug therapy.
The horrendous part for me was the extreme restless leg syndrome the first week after, and I mean severe, 24/7, so little sleep I was hysterical, moving from one leg and then the other. I’ve had RLS for years but not like that. It really messed with my body, my recovery, my mind. My leg swelled quite a bit because laying down to get my leg up to rest was so problematical. My PT said that he’d had reports from some of his patients through the years about getting RLS after hip surgery. Do you have experience/advice regarding that possible side effect? I’m back to about normal now. On my worst day, I’ll just say it, I peed and peed and peed…the next day I’d lost 3 lbs of excess fluid and the extreme RLS subsided. I don’t know if there was any connection. Thoughts?
But overall, the orthopedic center, the hospital, the nurse, anesthesiologist and nurse anesthesiologist, the physical therapist, all who interacted with me were caring and clear in instructions. I was the first up for surgery that day and was home in the afternoon. I spent 2 years walking with increasingly sophisticated walking aids because I’d been led to believe that the pain in my left leg was from nerve issues in my back. My hip itself never hurt. When I finally had an inkling that it might be my hip and saw the hip surgeon, that hip was toast! My other hip is fine. Who knew? I am one happy camper even though I’m still recovering and still using a rollator lightly and about to switch to a cane next. Thank you, all orthopedic surgeons, who take away so much pain and give us our lives back. And definitely, thank you two for these videos!
So very welcome. Thanks for taking the time to share your story
I have just had a prosthetic hip replaced (had a car accident so the original became loose).
Hip replacement is transformative. The rehab can take up to a year, but living painfree is great. A gift.
I know this sounds wierd but my surgeon is my hero. Seeing his face as you are counted down pre-op and seeing him when you wake up - as he tell's you how it went - awesome.
My surgeon just amazing 👏 can't give him a more positive shout out.
I was physically a mess - decades of sport - he gave me a new lease of life.
I am so grateful 😊
Thank you for sharing your story. Glad it's going so well
I had my right hip replaced last week with a spinal block and no sedation. I’m sure it’s not for everyone but I found it fascinating. The teamwork was impressive and although my ex is an orthopaedic surgeon and she would often describe what her work entails, I didn’t appreciate the physicality (particularly the hammering) involved until now. Thanks for your channel.
Hi, Although I have commented before, a little up date. Approx 20 months ago I had a hip replaced. I started walking for rehabilitation and kept walking, just over 6,000 miles. Just a week ago I was cleared for my first marathon in October. You provide very helpful information thanks again.
Wow amazing richard
My wife worked an an OR nurse (peri-operative). This is all spot on. I laugh because I call orthopedic procedures, “Black N Decker” surgery…all the power tools!!!
My sister had both hips replaced (different times) and told me she had to wash with a special soap the day before and morning of surgery. I had spinal surgery and I was completely unaware of anything that happened. Some kind of medication was injected into the IV line in the prep room and woke up with absolutely no pain anymore. These surgeries were all in the US.
Nice
OK, I'm watching, and I'm going to comment as the video rolls. I had a full hip replacement in May of this year, with the anterior approach.
No, you don't need to shave your pubic hairs. In fact they tell you not to shave anything so you don't nick yourself and get an infection. They will use clippers on you if you need it, but it's not in your pubic area. The anterior approach is far enough to the outside of your centerline it's not really pubic.
Miscommunication is a good point. The Hospital system where I had mine done requires a 2 hour pre-op class before you can get your surgery. They talk about all those kinds of things. They send you home with a boatload of material too. They did an excellent job trying to educate patients.
Hard to imagine the surgeon hadn't talked about materials used before hand. Mine picks what he thinks is best for you, and yeah, ceramic on that new polypropylene doesn't squeak.
I was wide awake when they took me into the OR, (had a block in my hip ahead of time) all the tools were covered, nothing scary, though that table is bigger in person than you might imagine from photos.
I think he was just trying to be funny. Mine was a very good day.
And thank you Docs. I watched all your videos first, and they were very informative and helpful.
Yes we agree it was mostly about being funny. Thanks for sharing your experience and glad we could help in any small way
YOU DR are absolutely AWESOME! TY so much xoxo
Welcome so much Barbara
Good evening doctors, I am a chiropractor, I hope you will not get in trouble talking to me, lol! I was studying athletic training, was a D2 college hockey player, obviously not good enough to make the pros! I graduated chiropractic school 1985, I continue to play“men’s leagues“, but had a major fall, fractured my right pelvis/ischium, destroyed the labrum cartilage, nine years later, I can’t walk, lol! I had the anterior hip replacement, my orthopedic surgeon was one of the first to do that in the Massachusetts area. Thank you so much for your expertise on the Internet, I am referring all my patients to watch your channel, you are entertaining as well, but you have solid knowledge. I’m glad to be aboard! Thank you.
FYI, I was back to working nine days after the surgery, but I’m kind of a meathead athlete! On crutches, but I knew how to move my body around exercise/rehab wise, etc. Thank you.
I’m not a surgeon, however I am familiar with different surgical specialties’ tool kits. Orthopedic surgeons’ kits look just like grandpa’s wood working shop, mallets, chisels, drills… just all very shiny stainless steel. Btw, these guys are great!
My doc never explained anything to me except that I woukd have a midline incision to yet my uterus and offending monster cyst.
Now I found the OR fascinating, especially the DaVinci robot in the corner. I was a tad chatty and greeted the three who were in the OR gone up. They didn't have the back table set up just yet. I didn't get a greetings back....the circulating nurse was chuckling at some of what I was saying.....then the anesthesiologist got started and fairly quick it was lights out. They didn't shave my tropical rainforest...
I recently had THR aged 71, spinal injection plus some kind of sedative. I have no memory of the operation whatsoever.
Best thing I ever did.
Fast recovery, pain free and very mobile after 4 weeks.
Life-changing in the best possible sense.
Question. If you travel a lot and have a metal implant, does it set off metal detectors at airports? And if so, do you need to carry documentation to prove you have had such surgery? (Before they take you aside and get "intrusive") ... ?? Thank you!! I totally believe in being extremely informed way before the surgery date so you can do your own research and make informed deciswions, not 20 minutes prior. Including shaving. Love Steve Carrell! This has been informative!! Thank you for posting this subject.
Love the video, thanks!
When I went in for my TKR, the attending surgical nurse asked "which hip we are replacing today?". I said neither, it's my left knee for a TKR. I know the surgical team asks about the procedure you are about to experience for mistake proofing. However, the hip question really made me laugh! My TKR went just fine, hopefully no THR in the future :)
Nice! Thanks for sharing
I've had a number of hand surgeries over the years and I like to see the OR before I'm knocked out. I've always been impressed with the efficiency and almost choreographed precision that takes place. There's little wasted motion and everyone seems to know exactly what to do and when. Of course my experience at any one time amounted to about five minutes before I was put under, but it's always interesting.
Agreed. It definitely is efficient in a well run OR
Excellent video. Thanks Dr.s
Welcome
Thankyou for explaining. I've had foot surgery, lymphoma surgery, hubby hip... good to understand operation procedure...fascinating. grateful to all medical staff who are capable and caring, I freeze a flight response to blood holes punctures needles...thankyou.
So very welcome
When I had my hips replaced (not both at the same time) I wanted it to be video recorded so I could watch later. That request didn't go over well lol. thanks for going over this in a fun way. I'm big on knowing as much as I can so I ask questions a lot. Or a little if I'm given a lot up front. Medicine is an amazing field and I love learning about the things that will affect me.
Very welcome Gregg!
Three weeks before my hip replacement, my femoral head slipped out of the hip socket. This happened while I was taking a shower. I could not stand up straight until after the surgery. The pain was off the charts and nothing was prescribed to deal with the pain until after the surgery. I went the clinic and had an x-ray done that confirned what the surgeon suspected had occurred. He said that this was not uncommon and the surgery would be performed as scheduled. The orthopedic surgeon is considered the top dog in the area where I live and I respect him greaatly.
The only thing that made me an unhappy camper was that no one would call-in any medication to help me get through those three torturous weeks prior to the hip replacement. The procedure went smoothly and the re-hab was extremely fast compared to a TKR.
Sorry to hear that. Seems odd you had to suffer. Glad it all worked out.
My doctor said if you have pain before the surgery, talk to you primary care. After surgery, they were great for pain management.
@@teleguy5699 Of course he did. He was just passing you off to you pcp because in general, surgeons will not prescribe pain meds before a surgery. You know what my pcp told me when I asked him for pain meds on the advice of my surgeon? He told me to go back to the surgeon and ask him again, as it was his case. Good luck with that. The opioid epidemic is the reason that doctors are shying away from treating pain.
I think this is a really good video. I had heart surgery several years ago, and although it is a different type of surgery, it was still a surgery and many of the things Steve and you talked about are things that I experienced as well, though not in a bad way.
I had great results from my surgery. I wasn’t able to walk one block without severe discomfort. I was up and walking that same day without pain. I would highly recommend the replacement.
Had my hip replaced seventeen years ago, and I could not have been happier.
Awesome!!!
Great information presented in an understandable and entertaining manner. Kudos!
Glad you enjoyed it!
Hey guys kym Adelaide its friday 1/9/23 im 10weeks today for my TKR still getting used to it im 66yrs old my orthopedic surgeon says it my take 12 months before its totally settled ,but its 100% better than the old knee ,but its showed me that the other knee is dodgy .i knew what i was in for before my preop meeting thanks to your video,s my surgeon was impressed with my knowledge he asked how i was so aware and i said Talking with Doc,s utube .The day of the surgery while lying outside the theatre while the anethasist was doing the spinal needle my surgeon came out to say hello and said dont worry ive watched your utube docs so im all good to go ,and he and the anethasist laughed ,so you guys arent the only comedic Doc,s .Bottom line guys thanks for the enlightment your channel brings us patients
Cheers kymAdelaide
That is hilarious! Congrats and keep up the good work.
Congratulations Docs and your recent 500k
🎉🎉🎉🎉
Yes thanks Tory! Thanks to followers like you
My husband age 85 had a hip replacement in Dec of last year, we attended a 3 plus hour pre- surgery.
The actual surgery went well I was not allowed to see him due to Covid on his floor.
What no one told us was it not uncommon for a patient to have a psychotic break it was only the nurse on the phone who told us it is
not unusual especially in elderly people. He did recover it took several months.
Yes post op can be hard on the elderly with the medication. And if they have a general anesthetic
I wonder who recommended the surgeon to Steve? Not sure if he'll be recommending this surgeon to anyone (!) This made for a great story but have to wonder why there were so many eyebrow raising moments - any 1 would have been enough but this was beyond unusual. I'm glad he's able to tell the story as he does - not everyone has the agency to come through this surgery experience as well as he did. Thanks Docs for using this as a way to educate us (and being gracious enough to apologize for others in the profession). You two are top notch!
Doing our best!
I had both hips done in 2013 two weeks apart I should have them done 5 years before no more pain. I Would Recommend The spinal no pain for about 4 hours after surgery and then your on good medication.
I put off my replacement as long as I could. Finally gave in at 58. I had hoped for an anterior approach and didn’t think to ask and don’t remember discussing until finding out at my pre-op that my surgeon only did the posterior approach. Everything went great. The last thing I remembered was sitting on the side of the operating room table for my spinal. Woke up in the recovery room was up walking a couple hours later then home the same day. No physical therapy, just exercises to do at home. Pain was not that bad. I am a nurse and the thought of infection scares me as I have seen what that can involve. But I am probably looking at my other hip and a knee at some point and hope it goes as well as this one did. You guys are amazing at what you do and are right up there with the surgeon 😊.
My wife had her hip replaced in June and was nearly 100% in a few weeks. I was personally amazed at how fast her recovery was. The odd part is that, according to the M.D. that did the procedure, there's been a lot of improvement in recovery time, etc. in the last decade.
When I had my hip replacement no one told me that when I got home I would get little warning before having to pee. I could' barely get around so I had to make sure to have something to pee in close at hand. Small, but important detail. Otherwise - operation and recovery was no picnic - but I have my life back and can go anywhere now and have no pain!
The pee is variable but sometimes this can happen
It is absolutely an issue with me! TMI, right? I have resorted to sleep in "disposable" underwear for now. How humiliating, right? I'm four weeks post op, and hoping this is temporary. My overall experience with (R) anterior hip replacement was great, with the exception of a nurse who administered Narco as soon as I was in my room even though I had gotten off the guernie from recovery, and took two pain free steps to my bed and had told her my pain was zero. The Narco on top of the Morphine during surgery, and the Fentanyl i recovery was a bit too much! I went into respiratory failure and lost consciousness. A quick inj. of Narcan brought me back around. I was in respiratory distress on oxygen for the next seven days. Thankful to my N.P. daughter who was with me to be on top of that and basically saved my life!
I had an awesome Dr 2 yrs ago . I was born with a congenital hip, so I had the plate in from 2 yrs old to adult. When they pulled it out, I had a fracture of my femur . So now I have a plate from my hip, almost to my knee! But am doing great, no problems. My only complaint when I went into the OR was, I could see the lights and faint voices of the staff . It still freaks me out!!
I am so glad I watched these doctors back in early 2021 before my hip replacements, I had my left hip done in March and my right hip in July of 2021. Thank you again doctors you lessen my worries about the whole procedure and what to expect before and after. I appreciate you. My hips are doing fine. Sometimes my right hip causes me a tiny pain, but overall, I got my life back for sure because before surgery I was destined to sit on the sofa and live with pain for the rest of my life since no pain medicine or approach ever worked.
I think Steve was playing up the ardors of major surgery. I had both hips replaced 3 months apart 10 years ago in October. I was bone on bone due to severe osteo arthritis. It was like a new lease on life. I had one of the top sports medicine surgeons who did my surgeries. I was up and functioning the next day. No walker, no cane. I will say sooner is always better than later. And definitely do all the post surgery physical therapy. You’ll be weak as a kitten, and have to take a nap afterwards. But so so SOOOOO worth it. Total modern medical MIRACLE.
Well, it’s basically a miracle that doctors and specialists manage to stay in school for 10-12 years! Lawyers too, but that’s a different post altogether!😍
One thing that wasn't mentioned . When I had a hip scope for a inter tear they need to slightly dislocate the hip to allow access . They do this by strapping your foot into a device that's made on the special operating table . It's similar to getting put on the rack in medieval times where they stretch you hah. My hip surgery was very successful but it took longer for my back to recover than my hip . When the hip gets pulled down it pulls the lower back muscles . But it was definitely worth it . I had that operation 15 years ago and I'm still going strong riding my bicycle about 200 miles a week and I'm 64 years old .
I just had my third hip replacement, and I’m only 54. Personally, the first two weeks after were the worst. By the way, I’m a new subscriber and really enjoy your channel.
This is funny and lightens a sort of scary procedure. I’m very active yet STUPIDLY waited until pronounced limp set in walking. Heading to surgeon monday to get this scheduled. I can’t wait to get my ACTIVE life back. Appreciate the commentary and also points to bring up to the surgeon.
You Drs are a trip, lots of good information and advice 😂
Doing our best Gloria! 😉
That was funny and informative. I am 10 weeks post op and doing great.
Wow, I had a hip replacement last year, and my experience was the opposite of Steve's. Everything was explained well in advance of surgery, and I was given a booklet and a video from the surgeon's office covering every possible aspect of this surgery and the care afterward. At the hospital, everyone was great, and overall it was not at all bad. Maybe I am one of the lucky ones! Thanks for the laughs, Docs!
We think he was mostly joking
I'm exactly 12 weeks post-op, right anterior hip replacement. Just back from PT and I was doing squats, deadlifts, sled pulls, and a brisk pace on the stationary bike. I'm 59 and was bone on bone and waited about a year from my initial DX. Knowing what I know now, I would have scheduled it right away. I was mentally more drained thinking about the surgery than what actually transpired. Yes, they shaved me a bit but I also did that a week in advance so there wasn't much there. My doctor is a machine. He does 3-5 per week and came highly recommended. Once the anesthesia kicked in, the next thing I remember was drinking coffee and asking my Nurses when they were going to get started! I was up and walking the same day. Taking 5mg of Oxy for the first 6 days and then to Tylenol. Managing the initial first week of pain is critical but if you take your meds as instructed, like the excellent patient I was, you'll be fine. I would not hesitate to do it again, particularly knowing what I know now. There are always risks but the reward is I will be surfing in a few more months and that means everything to me. Mahalo😂
Had THR 10 months ago and still can't walk without limping and pain. I feel it every day and hate taking all those tylenols (taken off ibuporofen for liver concerns). Avoid this surgery. Yes, i had one of the best doctors in SF Bay area; everyone recommended him.
I agree. I have a lot of post op pain.
@@vickiefmorgan 9 weeks later I do too. All these hero stories are depressing. It's only super successes stories you hear about.
Perfectly explained as always docs, thank you!
Here's an uncommon complication of full hip replacement at peripheral hospital that specialised in this surgery. (UK NHS) Patient had heard she needed to drink plenty. She went overboard and finished happily gaga from low sodium.
Had to be sent to us on orthopaedic ward at general hospital to be given high sodium diet and saline IV. She was happily walking around and giggling. Her husband was frantic. Couldnt believe she would recover once her salt levels were corrected.
Oh man!
I learned a lot from your channel. I'm now 7 weeks since THR, posterior method and I just walked 2 miles today. I haven't had much problem at all except for trying to maintain the precautions. The not bending more than 90 degrees is the hardest. I'm sure i've broken it many times even while trying not to. My physical therapist says i'm doing great and has been impressed by my recovery.
Only one thing i've found fault with. My dr seems extremely conservative. He wouldnt release me from precautionjs at 6 weeks and insists on 12 but then he started going on about following life-long precautions. My PT doesn't agree with that. I asked him how in heck i'm supposed to pick something up off the floor or tie my shoes if it's a lifelong thing?
Glad you are doing so well. He only says that because dislocation is such a difficult problem. With larger heads nowadays it is much less common. Picking things up can be done by bending at the knees rather than at the hips almost like a crouch keeping your back straight. But yes many patients go beyond the 90. All the best
Thank you Doctors.
Very welcome
Thank you for this. I’m getting a hip replacement and was a bit freaked out as I realized after the shock wore off I had way too many questions, which no patient should have. I think surgeons are so used to giving the message, “yep, you defiantly will need a hip replacement” as they begin exiting the room saying they’ll be sending someone else in the room. What in the bloody heck did he just say to me? I started researching and it talked about 90 degree angles and not sitting on lower furniture etc. I thought about my low riding toilet and the stairs to my room and started getting stressed. I called the office to get clarification on everything, to include our stairs, the toilet height, I also requested chart notes my exact diagnosis and copies of my X-rays. I do feel a bit better, but still ordered a toilet riser.
You two guys are amazing! So much fun, thank you for everything! 🙋♀️🇺🇸👏💕‼️
Thanks so much Janet
I'm seventy years old and I had my left hip replaced 3 years ago. I had the right hip replaced 4 months ago. They both came out fantastic. I play pickleball 4 days a week and go hiking twice a week. I never used a walker or cane after the surgeries.
You guys are God like!!
I had a colonoscopy and when I woke up I said to the nurse
Who ever said drugs are a bad thing!!?
My nephew who is only 30 years old had to get a hip replacement result of old sports injuries at Rhode Island south county hospital best thing he ever did he only had a great experience
Wow that's amazing
My Dad lived with my wife and me. He was 85 when his hip started locking up and making a pop sound. As a result, he had a hip replaced and the procedure and recovery was uneventful. The funny part was when my Dad's surgeon stopped by the hospital room to see how my Dad is recovering. At that time, my Dad was in bed while we visited with him. The doctor walks in the room and sees my Dad in bed. He says loudly to my Dad, "get out of bed, you're not sick!". I never heard a doctor say that to his patient.
I had my right hip replaced Aug 2022 changed my life. Having the left one done Oct 2023 looking forward to totally being out of pain.
Thank you both your talks about hips has made me feel better ,mentally.
Also my doctor sends you home with a book with all kinds of information.
Barb S Knoxville TN
So glad to hear that Barb in Knoxville! It is a life changer for sure. All the best
I love these three comedians!!
Thanks!
Wow! Hope I never need one! I’m a big chicken with surgeries for sure! Had my gallbladder removed in May of this year and was terrified to what things could go wrong and what could happen afterwards as well. On August 30th this yr 3 days ago I had a total hysterectomy and terrified once again by what could happen during and post op complications. I went thru both very well. Now the healing process begins. I’m a big big chicken! Lol! Thanks docs for the video and poor Steve glad he made it thru! Y’all r the BEST!! ❤❤
I just got a total hip replacement done yesterday morning, and luckily it was not a bad experience for me. Of course I'm experiencing a lot of soreness and aching right now being less than 24 hours since the surgery, but I know it was for the best and once everything has healed up several months from now, hopefully I at least won't experience the pain I was having in my hip before the surgery.
Brilliant, another great video and very informative. Thank you so much.
Very welcome!
This was both interesting and amusing. I had both hips replaced this past summer 2023. I waited quite long before having the surgeries (3 mo apart). I could hardly walk and in pain for about two years, the pain getting increasingly more intense. I was not asked what type of material the surgeon would use, rather he told me, which was fine because I had no clue anyway. I had the titanium stem and porcelain ball - not ceramic. I had a spinal in the OR, then Propofol which put me totally out, which is what I wanted. I had the posterior procedure. The OR team made me feel at ease and the anesthesiologist had a sense of humor. I could not be happier with the results and am walking smoothly and painlessly. Thank God for orthopedic surgeons!
Final thought: "I've fallen into the hands of secret torture cabal." Lights out. Just kidding. RN here. I've had a few surgeries and always enjoy talking to the team first to learn how they do things. Surgeons and anesthesiologists will usually light up and happily share when you show interest in their art. Thanks for an interesting and fun vid gentlemen!
I cant wait until i have my hip replaced. I cant stand the pain. Yes im limping to the point where i think im going to fall. Thank you. Your making my life easier. 😅
How cool is this video? Thank you so much. I recently had a knee replacement and experienced much of a similar scenario as Steve. Soon I will be receiving a hip replacement. So this helps me to know what to ask, in advance. I enjoyed this video, as always. Thank you from Southern California.
Very welcome. Best of luck
My brother insisted that his surgeon told him that his knee replacement incision would be on the back of his leg... I knew better but he was adamant. After surgery he told me I was right.😮 I sincerely believe he misheard & didn't clarify. He also likely didn't watch the videos on the surgeon's website (I did).
That's funny