Treating Hip Arthritis Without Surgery
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- Опубліковано 8 вер 2024
- Join orthopedic surgeons Dr. Zalzal and Dr. Weening in this episode of Talking with docs as they discuss non-surgical treatment options for hip arthritis. Discover how lifestyle modifications, exercises, joint injections, nutrition, and complementary therapies can effectively manage hip arthritis symptoms without resorting to surgery. Gain valuable insights to make informed decisions about your hip health. Don't miss this informative episode of alking with Docs!
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The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practice medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.
#hiparthritis #kneereplacement #arthritis #hipreplacement #kneepain #jointpainrelief #physicaltherapy #lasertherapy #inflammatory #backpainrelief #shouldersurgery #jointache #northport #arthritic #herniateddisc #backpain #osprey #sciatic #englewood #solostep #venice #laserhealing #flphysicaltherapy #physicaltherapist #lightforce #deeptissuelaser #hipreplacementrecovery #hippain #hipreplacementnotjustforoldpeople #jointreplacement
For anyone here for hip pain - I take opioids for lupus and it didn't touch the hip pain (I'm talking about the type when you lay on your side or when you sit on the bottom part). Then my doctor prescribed lidocaine 5% patches. It's been a life saver. I can go all night and sleep well because the pain has gone from an 8 to a 2. Please, talk to your doctor about the lidocaine patch. The over the counter one is 4% and doesn't help me. The prescription one really does. I hope this helps someone.
Thank you for sharing.
Also very expensive, like $100 for a box of 30. Most insurances don’t cover Lidoderm patches. Personally, I pay this out of pocket because they do help.
@@Stewmade64 I didn't know that my insurance company pays for it.
@@WriterBren you are very lucky.
Treating symptoms not the cause and also using big pharma products instead of natural painkillers like THC is a slippery slope for your immune system . Be careful.
Eight weeks out from total hip replacement anterior approach. I am still amazed every day at how well I'm doing. Walking 3 miles a day. Gardening, with a few minor range of motion limitations that I'm working on with stretching exercises. Truly a life changer for me🙂
🎉
Lucky you. I miss walking...😢
How are you now?
@@kchilz32 7 months and doing great! Honestly, I don't even think about it unless someone asks. As I said before, this has been a total like changer for me.
@@DebT445 that’s great to hear! I can’t wait to get this pain far away.
I had total hip replacement of both hips. The results were wonderful. I got my life back. Prior to surgery, I could hardly walk, the pain was so bad, It was pretty debilitating for two years and got worse as time went by. I tried the OTC pain killers and topical, none of it helping. When I finally went to the orthopedist, he showed me the X-ray and said my hips were crumbling. I had my hip replacements 3 months apart, as that was recommended. I'm now 10 months out on the first hip replacement and 7 months out on the second. Hip replacement is miraculous and I would highly recommend it if needed.
Hips ‘crumbling’ is pretty bad !
@@louannhuber2651 It was about as bad as it gets. The pain was indescribable. Now, I'm pain free and living my life. Thank God for orthopedic surgeons!
Congratulations to you! "The results were wonderful" and you "Got your life back." That's so encouraging to me! I'm where you were; I can barely walk because of the pain, and I used to walk MILES at a time...I miss it so much! I need my right hip done and I finally have an appointment with the surgeon next month to get it done🙏 I have arthritis due to my accident 5 yrs ago; broke my femur. I have heard other success stories like yours, and I can't wait to do this. I had to lose about 35 lbs to qualify. So glad it's made such a big, positive impact in your life!! 💯👍👍
@@tonydelariva7163 - Wishing you all the best Tony! I'd also like to add that I had very little pain post surgery and a smooth, successful recovery.
@@louannhuber2651 - It was, Louann. The pain was indescribable. I'm now pain free and doing all the things I love to do. The orthopedic surgeon that did my surgery was very experienced and did an excellent job.
It's refreshing to know there are surgeons who want to help you correct problems before surgery becomes necessary. Thank you.
Alright you two. I need to hear this! Three surgeons told me “You have a bad hip” -and my discomfort & immobility confirmed it: THR. So I did. 2021. Thank GOD for THR. Got my life back. I mean, I’m not running (in my 40s I ran 3-6 mi/day). Or hiking. But I’m not in pain!!!!! It was an 11 on a scale 1-10. I’ll stay tuned for the vid. Thank you ❤
Having my THR done in October. I hope to have the same outcome as you! May I ask how long it took you to walk without any assistance from a cane, or walker?
@@Bum_Hip congratulations on your future surgery. This ought to be life changing for you. I was very scared to undergo surgery and delayed it as long as I could. I’m sure you’ve heard most of us regret putting the surgery off, since the relief was tremendous after surgery. I can only speak to my own experience… here’s what I can share:
Trust your surgical team. You’ve chosen your surgeon and they are VERY skilled.
Ask for some anti anxiety meds and I mean good ones 😉 as soon as possible after you check in for surgery. I did and cannot tell you how much that helped.
After surgery follow your instructions; foot pumps exercises, take your pain meds on schedule, aspirin, medicine to avoid constipation (senakot) from the pain meds ( this will all be in your instructions). Don’t be shy about keeping a schedule of pain meds for the 10 days to two weeks after surgery. Managing the pain helps you heal. Get a walker, get a raised toilet seat. Pull up all your throw rugs and store them away. Healing is a spiral, not linear. You may feel better after two weeks then feel some discomfort. For me that happened even 4 mo post surgery when I had to go back on a cane for a few weeks. This is major surgery but it’s the surgery of the century in terms of excellent outcomes. If your leg is like mine, you may experience a pronounced heaviness in that leg for many days (weeks?) post surgery as your muscles retrain themselves. Do your ankle pumps (this will be in the instructions). I can say I felt like myself again 10 mo post op, with absolute relief immediately after surgery. With the incision and surgical trauma, you’ll have new worries and responsibilities as you heal that differ from the disorder that got you here to begin with. My friend told me “at some point, you’ll need to trust the surgical team “ and he was right. As soon as I stopped trying to control every aspect pre-op, my spirit became more in sync with getting the care I needed. This has been a long post, I hope it’s helpful. Congratulations to you! We are very fortunate to get the care we need. And to answer your original question… I used a walker to be safe for several days, maybe weeks. Take no chances was my motto! I was not cleared to drive for 2 mo?? I can’t remember exactly. Now, my extreme sport cousin was riding his bike outdoors 2 weeks post op. I’m telling you you’ll feel great! I didn’t like watching my cousin ride his bike I thought it was reckless. Be well! You can do this!!
Discomfort and immobility can be muscular not joint/bone. Get a CT scan and xray to be sure about the condition of your hip!
You two Docs are AWESOME. Thank you for all you do!!
Great advice on shoe lift. Had to work that out myself about 2 years ago. Good hip side became lots shorter & gave me crippling lower back pain. I build this side up with shoe inserts. Works magic.
Orthotics do work! It was a miracle for me.
A video about SI joint arthritis would be great😊
Getting ready to have a total hip replacement on Tuesday the 27th. I’m excited and looking forward to it ! Had bilateral knee replacements in 2018. This has been a long road!
Hallelujah I'm happy for you. I'm having mine in 2 weeks. Hope you are doing well
How was it?❤
I had hip replacement about 5 years ago. Woke up after surgery with the worst pain in my life. The gave me deluded and sent me home the next day. Quit a bit if pain for awhile, moved to a cane for a month or so. After that I never felt better. I have arthritis in both shoulders but learned to deal with it. My GP says it takes a year in recovery and no promises. You guys are the best!
Oh wow that sounds rough and thankfully uncommon. Hope it's ok now.
They got my tension and spacing wrong. First didn't stay in cup. Year latter I had a full handfull of loose bone removed from muscles and tendons surrounding hardware. Added stem spacer, bigger 36-42mm ball and bigger thicker offset cup. Radiation treatment next day to limit bone regrowth. 3 years latter I still have lots of pain. Can carry around 40 lbs until hip pain stops me. Search for good doc. My first was workcomp choice.
Dilaudid?
My approach is completely different. At age 56, the physiotherapist told me that I would need a prosthesis fairly quickly due to arthritis. An X- ray photo showed 'light wear and tear' in my left hip, and the left leg turned outwards. Instead of waiting for that, I cautiously started running. This has been further intensified, my lifestyle has been adjusted and I am now 62, I run interval training - on trails or off grid- almost every day, live on the floor, sleep on the floor... and I never notice anything about my hip anymore! I worked hard on flexibility exercises, and my left leg is now pretty much straight, and I also do callisthenics... I only wear barefoot shoes and this is also helping me feel more mobile and strong. Sometimes just making your own plan is best!
Me too ! Same way 👊🏻👊🏻
Perfect. Sadly the doctors and physio did not make money on you. Try not to feel guilty.
Tried all of that also lost lots of weight. Still didn't work and now have 2 new ceramics . I'm working on saving my knees now!
Hope you are healing well,
Is it because you were doing too much sport earlier in your life?
@@amirkamile4887 No!
I really like all the videos from Talking with docs. However don't expect these remedies to put off a hip replacement, if you are in difficulty. I have had both hips replaced, one at 49 and the other eight years later. My right hip was disintegrated. I walked with a pronounced limp and could only walk 200 meters. I wasn't in much pain but there was no range of motion. Nothing is going to reverse arthritis damage. I was pretty athletic up to that point and not overweight. University track and field, cycling, badminton, skiing etc. I do like ice cream and chocolate though. The hip replacement took some time to heal but made a huge difference in my quality of life.
We agree. No way to reverse it. Just delay it
I came here looking for a way to reverse bone on bone arthritis and dysplasia, I'm also 49 and been very active previously, I'm scared to have surgery, but looks inevitable 😢
@@emmahodkinson2761 Unfortunately you can't reverse damage. There is resurfacing of hip joint and less invasive hip replacement procedures. In my case they were not good options. So I went with the same procedure that the surgeon had done thousands of times. You may want to consulate a few surgeons on what is best for you. Risk of infection is an issue if you are that unlucky 1 in a hundred. That said I delayed a year before getting a replacement. Made no difference. You really appreciate how much we rely on walking. I've biked thousand's of miles since my replacement, long walks, golf etc. Takes a few months to recover but well worth getting a replacement.
@@emmahodkinson2761I did mine and its been 2 yrs now. Best thing/decision. When I was not able to walk for more than 5 min and I feel that’s the time for THR. It took me 3 months to recover completely (doc said usually 6 months). Started walking the very next day guided by physio. Left hospital the next day and started working on recovery . Very diligent in physio and strengthening of glutes muscles. Start with walking with a walking stick for 5 min and work up to stairs, Now I have full range of motion and can do most exercises like full asian squats, except I dont run or jump or bike. . No loading on the hip. Do resistance and strength training. Pain free and enjoying life. Did it when I was 62.
Thank you I had an injection and it helped. It made walking easier but there is still discomfort. It's been 6 weeks and it is still helping.
@@anita.111 Cortisone plus some other ingredients not perfect but it is helping. 3 times a year is the limit
@dungteller367 Yep I've been the injection route several times-cortisone+kenalog+lidocaine. Worked perfectly for a few years but I'm finally at the point of diminished returns; they don't help anymore. So FINALLY getting my THR in about a month. Had to lose a bunch of weight first. No biggie. I miss walking and exercising! I hear so many success stories and I'm very optimistic🙏Best of luck to you, whatever you decide! Yes, every 4 months is the limit. When they work, it's Heaven...just not working for me anymore.
I've had both my hips replaced. Amazing difference. Thanks for all the information, that is a lot of stuff a person can try!
do you mind me asking hold you were?
@@lindadove8298 hold?
@@GreggBB
What's your age is the question. I think...
@@Ve-suvius early 50's
@GreggBB
Early 50's alright.
A friend of mine had these problems in his 40's already.
But the doc wouldn't him to have the hip replacement.
The joint should survive you he said, and he considered him too young.
If the artificial joint is worn out, ready to be replaced, that seems to be a problem?
Enjoy the bantering back and forth and sensible information. Thanks!
My friend’s mom had knee replacement years ago, but later found out the pain was actually her hip. She did have her hip replaced & it made a huge difference.
Wow
As managing the condition for quite a while: DOCS are RIGHT!!
In my case weight control and exercise are the best ones!
Thanks!
Good advice, but...at some point the pain, or the inability to live your normal life will get to you and you'll say, "enough". Nothing will make you 20 again, but total hip replacement took away my osteoarthritis pain, gave me back strength and flexibility and even improved my mental outlook.
If these suggestions work for you though, excellent.
Exactly, The depression from this pain is the worst. I’m gonna have to just come up with the money for the surgery. The Canadian system will make me wait years cause I’m “only” 45 and I can’t wait that long to get my life back
@@goldenkris10 I'm sorry to hear that. You'd think coverage would be based on severity. I hope you can find a solution.
@@goldenkris10 tenho 46 e vô fazer aqui no Brasil 20 mil reais
I am also getting ready to have a hip replacement . U both r good Thanks for the information
I was 35 when I had my left total hip replacement. I had avascular necrosis. I have Crohn's disease and I thought my lower part of my stomach was where my pain was coming from but they figured out it was avascular necrosis and was already a stage 4. After that surgery about a year later I was still having trouble lifting my leg then they went in and did a release of the iliopsoas tendon. Then about five years later I started having pain in my leg again and they replaced my stent with a longer one and then I had a hematoma after that procedure. I appreciate you doctors and all of your knowledge and sharing it. Good evening from Lone Grove Oklahoma my friends!
Thanks for watching in Oklahoma!
I wish our doctors in America would do the test you two do. Your information is so helpful. Thank you so much.
@lindakelley4332 - What test are you referring to, please?
Where r they then?
I have bad hip and groin pain. It’s greatly limited my activities of daily living. The worst thing, I haven’t been able to break a sweat and have that great feeling after intense cardio exercise. I feel so out of shape.
I empathize with you. I have hip arthritis, osteoarthritis. I'm 67 & since I was in my early 20s been big on walking--for hours. Atleast 1hour & like to take a hill. The endorphins are what made me addicted to it--& just nature & getting fresh air is great.
I miss it terribly! I do have a treadmill at home that inclines to 12'. While I was just diagnosed & desperate to find a comfortable way to walk, I used my treadmill but at a much slower speed (at first!) about 2 mph, & put the incline at 8'.
While starting out, I felt the grind in my groin area, but it was bearable. It eventually lessened as I walked my treadmill everyday.
Starting out, you want to get the synovial fluid going in your hip joint, so sit down and with knees together then move your knees outward slowly, back & forth like kids will do, keeping your feet planted in one place.
Do that for a couple of minutes & get on a treadmill. I can't walk on concrete no matter how padded my soles are, but walking on an incline, on my treadmill is really helpful & the pain subsides.
Do it slowly at first then build up speed where you are comfortable.
The incline helps. I'm on 10'-12', at 3mph, for 30 minutes everyday without fail & it will give you that sweating workout you need. It works those muscles of your thighs & glutes which you need to strength.
One last thing: I bought a very nice Infrared pad for my hip. At a website: www.Infraredlight.com, I bought their smallest pad. It's $169 but worth every penny!! Their website shows you their manufacturing plant & they put pride into a quality product.
If you have nerve pain, too, like I do in my knee because of hip inflammation, it calms the pain down completely so I can sleep. You may want to look into it. I can't live without it.
Maybe these hints will help you. I wish you well & a better new year.
@@andreah6379 such good advice & tips - thanks for sharing.
I'm completely with you on that one!!😢
Search for PST (pulsed signal therapy) I was on the same boat as you before pandemic. I did the treatment and nowadays I play bball, jump rope every day and lift weights.
I’m 35 and suffering groin and hip pain after moto crash, I get these neurological strikes up through my pelvis . Just when I start to break a sweat with a workout I have to stop because I know my next few weeks will be wrecked . It’s such a fine balance trying to stay in shape
Any suggestions welcome beside using a cross trainer and low impact
Great info. A friend was going to get that gel injection but cost to her was going to be about $400 then again 6 months later. That's here on Vancouver Island BC. While she was debating about it, she started hearing of people who found it didn't help them. There's absolutely no way I would have been able to pay for them. I have enough troubles paying for pneumonia and stronger flu shots. 😊
I'm really surprised your health plan doesn't cover those vaccines! I tried shockwave therapy ($600) and was so optimistic because I'd heard many positive things about it but it absolutely did not help me at all. I asked for my $ back and they did refund me. Not everything works for everyone!
I do CBD and THC once every 3 weeks. I can't really explain this, but I have taught my self "strength of character" to learn to hold out from Cannabis time to cannabis time. I would shorten this time when it comes to that. The advantage of this is: 1) I have at least 4-5 days bliss after I had my CBD,THC. Then I have my time leading up to my next session. There are no side effects for me. I don't see pink elephants, other than becoming super relaxed. I sleep very well for 3 weeks. I don't feel dependent on CBD and THC. It is very good to know that I can shorten the time between uptakes and it won't matter. I have been doing this for about 3 years now and I still don't feel the need to take more. THC and CBD helps me find the exact spot of the pain and I concentrate on that very spot. (Sounds a bit hippy-like ,but no). I am now 68 and I think that I will go on like this for quite a while.
I'm 67 & just desperately missing being able to walk long distances. Or just walk comfortably, so I needed to calm down.
The thought of eventual surgery made me very anxious.
A nurse suggested CBD, THC for it.
CBD & THC both turned me into a useless zombie. We're talking smallest dose of 5mgs, each.
CBD is horrible that way. I tried the THC separately & found pain relief for 1 day, but sleeping through it made me feel like it was a waste, too.
My goal was to feel calm, without pain & able to add 2+2 correctly & awake. Neither work for me.
Oh well. I see some ppl, like yourself really like it.
Can you guys consider doing a talk on dental visits after hip surgery? I've heard different information about the efficacy of antibiotics. Thank you! 😁
After 21 years, I still take a pre antibiotic before dental procedures, as instructed by my orthopedic surgeon. **another doctor said I didn’t need them bc I’ve had my THR for many years, I told him if I got an infection it would go straight to my hip, and it’s me who would suffer, not him. I insisted on antibiotics. I take 4-150 mg one hour before the procedure. I had four teeth pulled & got gum infection and took 2 rounds of amoxicillin before it was healed. It’s your body, don’t let anyone else tell you how to treat yourself.
The "reverse hip" is a new thing. A doctor friend I've known for about 30 years is a board-certified orthopedic surgeon. He also holds a degree in mechanical engineering. He is a biomechanical expert and holds over 100 patents. Some time ago he invented the "reverse hip" which has been tested in Canada and is now undergoing final testing in the U.S. The "reverse hip" will likely be the standard of care once it is approved in the U.S. It's called "reverse" because the "ball and cup" are opposite to the way our hips were naturally made. I've seen videos of tests on cadavers where the leg is manually contorted and there was no dislocation no matter how far the leg was twisted and stretched. Any other mechanical hip would have dislodged during such torture. I too have hip arthritis in both hips, the left being worse. I won't consider a hip replacement until the "reverse hip" is approved, hopefully next year. I believe it will be revolutionary. If anybody is considerating a hip replacement in the next few years, it might be worth waiting if possible. JMHO.
Never heard of it. Thx.
Good to know. I know that the materials used in hip surgery are much improved to last now up to 25-30 years, which is a big help. No one wants to have to repeat their surgery.
Once our FDA approves this new technique, I would think it's also a good idea to wait to see how really effective it is. I know you trust your Doc friend but I wouldn't want to be the 1st patient who has this done being that it's still so new. Personally, that's just me.
Hello kindly send me the contact details of the your Doctor friend.
I wish you had addressed platelet-rich plasma injections. That seems to have more research behind it (albeit mixed) that some of the options that made it into the top ten. That said, this was a very helpful video. Thanks.
Worked after my hand wrist surgery but did nothing for my hip. Waste of $600
Managing so far. For several years now. I do the stretches they gave me faithfully and walk daily or use my elliptical. I am hoping that counts for something. I can do most things I need to do except squat down, I either kneel or do a modified squat to bend down and pick something up. Ain't pretty, but it's gets the job done. Thanks docs,
You guys are great. Thank you for continuing to post these videos. I don't have hip arthritis but I do have it in other joints. I've found that over the counter CBDs are useless. Not saying that they won't work for everyone. I find that topical NSAIDs work pretty well for me.
Very nice
My hip pain was bad, but after physical therapy, it got worse. Went from constant discomfort, to genuine pain. THR scheduled in October. I can’t help but think I could have put it off longer if not for that lady bending me like a pretzel, and stressing that joint for a couple weeks.
Some professionals are less professional than others...
Hard to say but likely not. Good luck
The PT I had messed up my knee rehabbing my THR. 🙄
both my hips physical therapy made my hip labral tear pain worse & Drs yet again missed it - posterior tear on this hip and superior on other. Had both hips replaced 8 years apart & now I can focus on my spine l4/l5 spondolythesis & SIJs to avoid those surgeries. Seems you have to suffer 2+ years before they will operate. Nothing helps my arthritis pain but strong pain killers yet only use them occasionally to have a pain vacation so are not addictive. Yet, I'm terrified of addiction. Incidentally I had genetic testing and I don't process codeine & tramadol & none of my Surgeons ever believed me - so I suffered AFTER surgery more!
@TalkingWithDocs
both my hips physical therapy made my hip labral tear pain worse & Drs missed it - posterior tear on this hip (superior on other). Had both hips replaced 8 years apart & now I can focus on my spine l4/l5 spondolythesis & SIJs to avoid those surgeries. Seems you have to suffer years before they will operate. I do all those things yet Nothing helps my arthritis pain flair ups but strong pain killers yet only occasionally to have a *pain vacation* so are not addictive. Yet, I'm terrified of addiction having worked in medical & social services. They have side effects so a few hours pain flair up vacations with side effects enough use for me. Incidentally I had genetic testing and I don't process codeine & tramadol & none of my Surgeons ever believed me - so I suffered AFTER surgery more! Sometimes a mini break from constant severe pain helps keep you alive. Hypermobility Ehlers Danlos Syndrome here so I know decades of pain & Drs & Physical Therapists etc yet they ALL missed it except my great hip surgeon!
Wow awesome video! I have left hip pain from a car accident in the 90’s ER dr told me I would need surgery nope not doing that as of now. This was when I was in my 30’s I’m in my late 60’s now and ER dr also told me I had arthritis setting in to the left side of my body when I was in my 30’s. I have a high tolerance for pain though! My third to oldest sister has a high tolerance to pain as well. Thanks for this video! Very informative!
Glad you liked it!
Hubby is in the surgery sweepstakes for his right hip. Hoping he'll get it done in the next few months. Such a long wait time. He's in such pain. 😢
Hang in there!
Question: What topical gels can you recommend for hip arthritis that are most effective? Are there specific brands over the counter that I can buy? Thank you!
Love your information on these crucial topics !! Thanks
Yup, I love my hips.
Red Light Therapy and PEMF Mat has helped when everything else in book didn’t!
Not permanent
Meal digested, washing up done, cup of tea and bisc...I mean, Kale-cake in hand. Doc-ready.
What about Prolo? I had it done and complete pain relief for two years!!
Thanks for sharing your wisdom!
Glad it was helpful!
Thank you for this.
No worries!
Thank you for the shout out about GLAD! We've had many happy patients graduate from the program at Clarkson Sports and Physiotherapy 😊
Dang I will have to give up high hurdles lol. I couldn't do low hurdles when I was young. I have started using topical pain reliever on my knee and it helps but you have to read the directions and apply the correct amount . Thank you docs
Welcome. Good luck
You guys make great content, thank you 😊
You both really helped me a lot..Thank so much!💖💝
Can you talk in depth about these "regenerative medicine" treatments that are all over, and claiming hip and joint pain in general success? Do they work at all? sometimes? Hate to cut my bones in half if there are options.... Thank you!!!
I have had some relief with Sam E.
Agreed - nice to know there are orthopedic doctors that encourage correcting problems without feeding the insurance monster too much food. I unfortunately needed to find my own way at least some help from the orthopedic field after stating forcefully "there will be no total hip". (Yes there was significant loss of range of motion of the hip). Being a Physical Therapist (PT) helped and I ran into the "no no" areas of standard PT as well. Advanced practice PTs in the orthopedic field did better. Was hard to deal with the discrepancy between the most recent research and the fact that only certain processes were offered. - not including the benefits of the most recent research. You did not mention the best methodologies that worked for me with advanced practice PT, and I won't mention them here, other than to encourage going to advanced practice PTs if PT is chosen. So now - nearly 2years later, I can get down and up from the floor with ease, am only limited by a few degrees of hip extension. Can crossed leg sit with nearly full range of the hip, side sit on both hips with no pain, jump and hop on each hip, run,, etc. Can crawl all over the place - NO pain. Yes occasional problems, but I have a program that does not require much time on my part to keep on improving the last few degrees of limited range and getting rid of the occasional minor flares. Also did not use anti-inflammatories much, Tumeric yes, I did let the pain govern my actions to protect the hip.
I have degenerating sacroiliacs. Horrific pain. Had a few shots over the past years. So far so good.
Nice
Regarding pain, how long does spinal tap pain last? I had this done for diagnostic reasons 5 years ago and I still feel burning in my lower back when standing for a few minutes. Thank you for all you guys do.🇨🇦
Sounds like nerve pain. It was probably damaged during the procedure
My hip pain journey started when I was about 50 and started as mild osteoarthritis (x-ray) and has progressed to severe with some bone growth (osteophytes?). I'm now almost 61 and surgery is scheduled for Oct.18. I have treated my pain, when it becomes really annoying, with Aleve (naproxen); I've used it sparingly as I was concerned with potential side affects. Interestingly, I joined a gym about 10 months ago in anticipation of the surgery and trying to get my hip muscles (and the rest of me) in as good of shape as possible. It's actually helped with my pain, so much so.....I'm now wondering if I should put off my surgery.
I just had hip replacement surgery. I am 63. Make sure you get anterior type. Much easier to recover from.
@@wrld2nite746 Thanks. I'm having the Anterior approach as well. I was sold when I learned they don't cut muscle/ligaments to do the replacement, which I believe is a big part as to why recovery is faster.
@@anita.111 Hip thrusts, kettle bell squats and leg extensions have been the primary exercises. I do some leg/hip stretches prior to doing the exercises. I also spend a few minutes on an elliptical machine to get warmed up....find it easy on hips. Good luck with you hip!
@@anita.111 I have postponed the surgery until at least next April.👍😃
@@anita.111 Yah, I'm pretty happy about the situation. Definitely try to manage it without surgery as long as you can. 👍
What about PRP injections to the hip with ultra sound guidance.. ?????
My first question, how do I know its arthritis is the cause of my sore hip. Maybe a link to some vids that distiquish types of "hip" pain eg, arthritis, bursitis, impingement, piriformes, sciatica etc.
Really, the ONLY thing, the best thing to do is get a X-ray done.
Here's why:
I am very healthy at 67. Love to walk long distances since I was in my 20s. My upper thigh would hurt 15 minutes into my walk then IT band pain, then I got sharp groin pains, an ache in my glute--they all come & go.
I didn't want to have to see a doctor so I went on YT & went through a number of possible diagnoses myself. I thought I could do it myself having been schooled on professional massage, & medical billing school. Wrong.
Once I decided to give up & see the Doc, I got the needed X-ray & I saw how way off I was!! You think you know your body, & can clearly understand those videos alot of pros from Physical Therapy put out but you aren't helping yourself unless & until you know EXACTLY what's wrong inside.
Go to the Doc. No way out of it. Until then, videos are useless & may make you worse off.
An x ray.
Thanks for making this video. Very informative. I've had 2 separate orthopedic doctors tell me that I need hip replacement. I've had a steroid injection that lasted 2 weeks and cost a small fortune. I'm currently in physical therapy working on strengthening and rom. I've been prescribed meloxican with no relief. I'm going to start water therapy in a few weeks. I have a question for you. Ive beetold that doctors won't approve me for surgery until i reach a certain bmi. Im really at my wits end because the pain is so intense and i have no relief. Ive fallen because my leg gives out. Im now having to use a cane. What's a person to do in this situation?11:23
What about if you can barely walk most time. The pain is so bad I scream when I walk if it hits a certain spot.
Thanks for sharing Dr's ❤❤❤.
Thanks for talking about this I have osteoporosis in both hips and lower back and the femur head and pelvis I am doing PT my surgeon told me I am in the grey area because I am so young
Ice, massage, Australian Dream cream, and stretching helps. Now to incorporate some of your methods. Thx.
good video, i have arthritis in both hips, torn labrum and a partial thickness tear at the femoral neck on my right hip, been in physio for about 6 months now, taking tramadol and not really making a big difference, also have type 2 diabetes which rules out injections, I am an electrician and really need some new options, my family doc has pretty much told me to find a new career which is not so easy at the age of 55.
@@ttalkman thankyou, kinda what i thought when my doc said this.
It can be complicated for sure. Best of luck
Yeah that is often not practical
I’m close to applying for SSDI for my 2 hips. I work still but am having difficulty with the 8 hour shift and different activities. All the best…
Thanks Doctors for that information
Thank you lads ❤
Our pleasure!
A total hip replacement is a last resort. You should always try non-surgical treatments first. Having said that, I just had my third THA and I’m only 54.
We agree
Glute strengthening exercises worked for me . Takes the "load" off your hip joint and has worked for me for the last two years. Lots of great instruction on You Tube. Worth a try and not difficult to do ,the more you build the glute strength the less pain you will have.
I have hip placement jan 2nd. I have had injections 2 of them hope they dont cause infection in new hip. Ill call surgeon or wait til preop.
Typically they would wait 3-6 months before surgery. Good luck
I have another question I asked before but I haven't seen you talk about it yet I am curious How do you help patients who suffer from medical PTSD and FND (functional neurological disorder of the brain) when they need surgery? I would love to see a long video about that. Thanks for all the great information and education you provide here! I would really like to know how to approach and help the patient who suffers from different forms of mental illness out of their control. How do you personally handle it.
Hi Linda. That's a great question. The best advice is to see a professional like a counsellor or possibly a psychiatrist. As for us personally we do our best to be sensitive to all of the issues that patients bring up and do our best with the combination of education and empathy to get through things together.
@@TalkingWithDocs Yes I already see a specialist. I was just wondering because not a lot of surgeons talk about people who have mental health issues and how they work with patients with different conditions.
same here! Tell all my Drs like my counselors say & is worthless... I'm told I tried to get off OR table & Hip Dr said it took him & all the others in OR to hold me down - Told everyone I had PTSD????
@@debbes6477 so you must have been unaware of what happened to you. Did you have general or regional anesthesia? What makes me upset is that anesthesia docs at least some of them are dicks and sedate you before you are ready which the patient is already nervous and scared and now they are going to be sedated that way. That is what happened to me there is no reason for that behavior! I reported his ass. Doctors should be talking and comforting the patient letting them know it is time.
SHOCKED that you did not mention, PRP, prolozone, or prolotherapy! you make your living doiig surgeries, so not surprised you failed to mention these
Temporary
Thanks guys always a wealth of information 🌟🌟
Does Stem Cell Therapy Deliver Results? I'm contemplating it for my hip despite the expense. At 48, safeguarding my natural hip is vital. While I manage the pain currently, I yearn to regain my ability to do certain yoga poses and surf more. If I were older, I'd choose hip replacement immediately. Interestingly, my 86-year-old mom is already scheduled for the procedure.
I’m patiently, waiting for an hip replacement in Alberta. It is taking forever. 10 months just to see the surgeon 😢
It's not good for sure. I've been waiting almost 2 years for right hip revision (replacement of the replacement) in Sask.
It's a problem here too
Wow that's long
I was on hip waitlist for 26 months in Ontario. Ended up causing 3 disk impingments. Will NEVER have anyone operate on my back. Not worth any now but live with the pain.
In Alberta as well and will be 2 yrs. to the month (October) since I started the process and finally getting a date for the hip surgery to be done. The surgeon I had first picked actually had almost a 4 yr. wait....just for the consult!! I decided to find another surgeon.
Thanks Docs!
Great thank you
Like your jokes, love your straight-talking (or is that the other way round?...comedian dabbling in surgery...). Thanks for sharing!
Thanks so much
Talk to your doctor...if you can find one.
Thanks for the info doctors!
Our pleasure!
Ice gel packs are my best friend.
Awesome
Thank you
Thank you for this video. Question: so called functional medicine treatments for OA include ozone treatment for pain relief and prolozone regenerative therapy. Would you please cover these treatments in a future video?
Very informative...thanks
Love your videos. Informative and entertaining. Wish you were here!
I saw a video you did on bunions recently, too. If you had a patient with both bunion and hammertoe and a hip that needed replacing on the same side, which would you recommend for surgery first? My inclination is to get my hip fixed first since I think your guest suggested the toes are so affected by the proper alignment.
almost 100% bone on bone on remaining natural joint. wishing i didn't have to go through another total replacement as the pain Rx did not work at all, aside from being on my own, which makes recovery tricky. Miracles welcome. lol
Hang in there. It will get better
Great video as always. Interesting THR and also accessibility of all these treatments and methods from international perspective. Another surgery option has been arthoscopy which I have had on one hip. It seemed to not be helpful and since had both LR THR. Interested to know your opinion on that as in Australia contemporary information seems to indicate not a successful procedure for many.
Good Boys...just starting to learn that Diet HAS a lot o do with your health...
There is hope for you two yet..
We have been saying this for years.
Good thumbnail for Halloween 👻 pointing at that scary arthritic hip.
Taking meloxicam for my hip pain, surgery is never going to be an option until its between a wheel chair and walking
I'd consider surgery but I live alone and don't have anyone to assist me through recovery.
Thank you for your videos! I am 2 weeks post op. My surgery side leg is longer. X-ray showed surgery side pelvic bone is lower therefore making legs uneven. What to you recommend for correction?
I have been waiting for hip replacement surgery but have an open wound that has taken over a year so far to heal(peri-anal abscess)..I go to the gym and ride the recumbent bike and hip pain is through the roof for a few days after...No pain during exercise but hours later, severe..Recommendations??
Do your best to stay fit while you wait and get that wound healed!
Answer me this. I have severe knee and hip arthritis on the same side and just last month had total knee replacement which I'm doing very well but now my hip is giving me more problems because I was told do to my leg being straighter than before. My hip is now making lots of clicking sounds as I'm excersising and it's affecting my sleep too. Going in for hip replacement sooner than expected I guess.
Yes this can happen. It will typically be easier than the knee 😀
Due to not 'do to' .
I had injections but they didn't work it work for two weeks and I was bk in pain
You could be like me-my first cpl of hip injections worked wonders for the LONGEST time. Then, in February I finally got one that only lasted a week or so. My doc told me I'm now getting "diminishing returns" bc I've had several. Ugh. But he's right, and now I'm looking at THR as the alternative. I've been getting acupuncture but it really doesn't do a thing. I'm really missing my LONG walks. I think I need weight loss surgery to lose weight.
Great video, thanks! What are your thoughts on Platelet-Rich Plasma (PRP) Injections for treating hip arthritis?
One of the surgeons I consulted with said PRP is just delaying the inevitable (surgery), costs a lot and a 50/50 chance it may work on you.
These two doctors do a great job explaining hip surgery.
My knee is bone on bone and I need knee replacement. But my hip hurts more than the knee on a 24/7 hr basis. My ortho won't do anything because I need the knee. I do ice it and put ointment on my hip. But still excruciating!😢
It would really depend if your hip pain is related to advanced arthritis. Simply xray will rule this out
Thanks for another informative show! I would love to see a talk on nerve sheathing tumors and other neurological growths. This is something that I'm have to deal with and have had trouble finding a neurologist/surgeon with experience with these tumors. I have a rapidly growing tibial tumor behind my left knee and any information is appreciated.
try mayo clinic or medical universities
If in Canada, visit a Certified Orthotic Clinician for your foot orthotics!
Hahaha food an inflammatory subject….I love you guys❤. No hip problems here but I enjoy your videos.
Well lucky u. I barely have hips . So much bone loss. Girls,take your HRT. Bone shrinkage sneaks up on one . I first notice half my head was gone. I kid u bot. The back of my frkn sKull shrunk!
Had a chance for a replacement little over a year ago, turned it down...Im not taking any meds yet(on a regular bases)
The part that gets me is now Ill have to go on another waiting list(2 years?) and the limp I have I think is affecting my knee...o well, only 55 trying to make it to 60
What about PRP?
I fractured my ball and socket in 1989, saw the same surgeon who put me back together in 2018 because of pain he xrayed and said it was my back. I mostly get the pain after setting at my desk in front of my computer. Don't do that the pain is manageable. And I do get the referred pain in my knee which leads me to believe it is a nerve. I still don't think it's in my back though. One thing you didn't touch on is stem cell quacks. I presume they are still out there hawking their wares.
What about cobalt poisoning? What are the stats? Is it a big concern?
Thank you so much for this video!
You are so welcome!
Looking forward to hearing from you both on the hips 😀