Doctor of Physical Therapy Answers Your 10 Most Common Questions About Total Hip Replacements
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- Опубліковано 17 чер 2024
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In this video, I want to answer the 10 most common questions that I get related to my hip replacement and hip replacements in general.
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Intro (0:00)
1. How is my hip doing after 13 years? (1:21)
2. What's the best surgical approach and materials to use for the implant? (2:06)
3. Should I see a physical therapist after the surgery? (3:45)
4. Do I have to follow the post-surgical precautions forever? (6:52)
5. What stretches can I do to improve my range of motion? (7:29)
6. What exercises should I avoid? (8:41)
7. Can I go back to running, high-impact activities, and contact sports? (10:17)
8. What's the best way to maximize the lifespan of my total hip replacement? (14:03)
9. Do I worry about having to get a revision? (14:54)
10. Can I have a normal sex life? (15:44)
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VIDEOS
Total Hip Replacement at 19 Years Old: • Total Hip Replacement ...
Total Hip Replacement Exercise Progressions: • Total Hip Replacement ...
Total Hip Replacement Q&A: • Total Hip Replacement ...
How I Train: • How I Train With a Tot...
Training & Q&A: • You Can Be Fit, Active...
PODCAST
Total Hip Replacement at 19 Years Old: • 86. Total Hip Replacem...
BLOG
Total Hip Replacement (Everything You Want To Know): e3rehab.com/blog/totalhiprepl...
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Disclaimer: The information presented is not intended as medical advice or to be a substitute for medical counseling but intended for entertainment purposes only. If you are experiencing pain, please seek the appropriate healthcare professional. - Навчання та стиль
Thank you so much for watching! Check out the blog with references: e3rehab.com/blog/total-hip-replacement-question-and-answer/
I’m an orthopedic surgeon in training and I find your advice on the topic eccellent. Personally I recommend my patients physioterapy 3 times a week, no more and no less, especially in the first 3/4 months, in order to regain mobility, strength and confidence, and to continue and be active for their lives.
I’m glad there’s people like you on UA-cam. Go on with these kind of contents.
I just want to say a big thank you to you and everybody working with this channel. I feel that you are very professional and thorough with your explanations and your advice has helped me so much with my training as well providing me with insight into the research behind it in a way that even I as a layman can understand. It inspires me so much to hear about your story and how you have overcome so many obstacles in life, much love!
Wow. I did not consider myself new to the channel but I also did not know your personal history. I always thought your information was valuable but your journey is extremely inspirational and commendable. I will now watch with a new found respect and appreciation for experience.
Absolutely exceptional video, I see a lot of individuals for THA rehab and it's definitely more of a mental game than physical game shortly after surgery
My favorite channel for practical information in my practice. You guys are the bomb-digidity - cheers fellas.
So helpful! I’m in the process of planning a total hip replacement surgery. Such a relief to hear I can get back to being active and working out etc.
Thanks. That was very helpful. For me, it was obvious from the beginning that you are an outstanding physiotherapist from the amount of pains you present in your videos and the exercises to heal and strengthen the body.
This is without a doubt one of the best physical therapy channels on UA-cam. Especially for those of us with hip issues! So inspiring and educational!
Thanks so much for sharing your story and giving hope to the rest of us!
I’ll be turning 55 next month and had both hips replaced in 2021, the left on January 13th and the right on October 13th. I had joined a group conditioning class when I turned 45 and had also been taking a spin class and yoga class until COVID-19 hit and they were cancelled. So I was in somewhat good shape prior to the first surgery.
Last summer, I developed bursitis in my right hip due to overcompensating for the pain on the left as it was healing. This summer, I developed it on the left side for the same reason.
I went back to group conditioning twice a week after being out for about a year in January 2022. At that time, I was also riding a spin bike for 30 minutes 2-3 times per week, but I realized that spinning was aggravating my bursitis so I haven’t done any for the last two weeks. I also resumed online yoga in January and that does ease the pain some. I’m seeing my PCP this coming Thursday September 8th and will talk about it with her.
I’m hoping to be back to normal activities like hiking by next summer. Your videos keep me feeling optimistic that I’ll be able to get there eventually.
Thanks again!
Great vid, had both done (2015 and June 2022) and all of your info is spot on… thanks for all of your content!
Great video, very helpful .Just had hip replacement 3 months ago and love your comments and inspiration. I'm 66 and very active. Cycling is my favorite. Thanks again..
I am so thankful to have found your channel. This is by far the most information I've gotten since my surgery a year and half ago. I have started working out although I still use a cane to walk, with all this helpful answers you've provided are giving me hope that I will get stronger and get rid of my cane.
Great video! As always!
Can you so a general "common Q&A"?
I think a lot of people would relate:)
Thank you for this (and your other hip-related) video! 👏
I've had my hip replacement just a week a go (46 years old). I was always a very active and sporty person and my hip started to give me lots of issues. I wanted to go back to "normal", so I decided to undergo the surgery.
On the very next day after my surgery, I was even able and allowed to walk without support / crutches. I didn't experience pain or instability issues ... which is crazy 😀
One week after I can walk normally and perform some basic exercises in a rehab facility.
I think the way you feel and move after the surgery varies a lot ... by age, how active were you before, how does your body deal with the implant etc. ... but I think being active before and after benefits a lot. And today's technology is even more advanced than several years ago (Titanium / Ceremic / Poly Layers). I'm very happy that I did this surgery and can't wait to be very active again! 😄
Awesome video Mark!
Thanks, Sultan!
I needed to hear this. TY
Awesome info!
Thanks for the great video! Any thoughts on metal ion levels (Chromium and Cobalt)? What are short and long term impacts of elevated metal ion levels? Also, any thoughts on snapping hip syndrome/dancers hip? I had hip resurfacing surgery 2.5 years ago.
Thank you for your videos, inspiring and motivating. I am 59 year old woman, active although slight over weight. Was doing Crossfit 3 x week prior to surgey. I am now 7 weeks post surgery, and consider the surgery a success. However, I am having pains everyday in my groin hip flexor area, and on the muscles surrounding the joint on the posterior surgical leg. I am also now having quite intense pain in my knees? I am following the physio protocals and write every exersise down. 3 times a day i have been advised to do my exersises. I am now allowed in the pool and on a stationary bike at to walk. Follwing all these and not over doing it, however wake up, hip flexor pain, hinge movements feels like its crunching in deep anterior hipflexor. How long does one expect to feel painwhile exersises? frustrations, sometimes feels like i have more pain now then before? Thanks for any feedback.
Content: I always come to E3 Rehab for correct and actionable data. I would love to see a short episode on the state of the profession (PT). I have had my share of sports injuries over 5 decades, and what I see in the field is not promising. These young DPT's at the clinics seem so uninterested and disconnected (almost bored). After a few discussions they are thousands in debt and averaging about 70K/year in these clinics. Just curious as to your thoughts on the profession, the education etc. Thanks so much.
Hello, just found your content and it’s so great. I too have AVN of both hips and currently 4 weeks post op of my right hip replacement. I will eventually need the left one replaced too but I currently do not have any symptoms. Doctor has recommended hip core decompression surgery for the left, wanted to see if you would recommend it? I almost feel like if it’s not broken don’t fix it but I also know it could buy me time. I don’t know, I’m torn. What would you do or what’s your experience?
Can you do the same or similar video about knee total replacement?
Had my left hip replaced on 7-11, it feels amazing .October will be my 12week mark which the doctor told me I can be pretty aggressive with it . I asked what do you consider aggressive ? He responded with as long as you don’t sky dive onto concrete you’ll be fine lol
Thank you for the video. What do you think about dualmobility endoprothesis? Im very active and i need to choose. Br!
Hi Mark,
A big thankyou for your really helpful videos. I am a 64 year old physically active male and had a new hip 3 months ago. I was wondering if I can do full body press-ups at this stage without causing damage to the prosthesis?
The reason that I ask is that I still have some stiffness and discomfort in my hip from time to time.
Many thanks in advance for any suggestions.
Cheers
Steve
Same as you, I got AVN after high dose steroids during cancer treatment. Right THR at 35yrs old. Question... I'm terrified of falling. Before the replacement, I loved to snowboard, skateboard, rollerskate / ice skate. Should I be avoiding these things or is it reasonably safe for me to do them again? Advice please!
Totally agree....but....the recovery time differs immensely....posterior requires 12 weeks of restrictions and sleeping on your back.
Hi I’m having a total hip replacement in 7 weeks I’m 62 years old I’m very fit I can’t run anymore I am a iron man and ultra runner but now I am concentrating on rowing and biking on concept 2 machines I’m 70 in the world at the moment averaging 30k a day my question is do you think I will be able to maybe run say half marathons at a steady pace in the future thanks Shaun
I’ve had a THR 8 weeks ago ceramic/titanium implant, feeling great, recouping well. Now I have a far infrared sauna and would like to know if I will be able to use it, and whether it will cause more harm than good. Thanks.
I’m 10 weeks post RTHR posterior.. my Dr does not do PT and I want .. Dr says the risks are to great ..but I think I am to young not to have PT ..everything is super tight ..so here I am on my own watching YT videos
In case of Avn , usually both the hip requires to be replaced. How is your left hip doing?
i want to ski again bit afraid of any potencial fall
Marc, did your corticosteroid use adversely affect your grades at the time and did it cause any OCD side effects?
Hey buddy. Have gone through two arthroscopy’s due to labrum tear. Whats the process of getting a private consultation with you ? I am in Australia, so it will have to be an e consultation. Just wanna discuss strength issues. And exercises.
Hi Marc. I feel pain in my left quad when I rotate my leg internally. My right leg does not have this issue and it really does not interfere with any activity let it be squat or playing soccer. It seems to occur only when I rotate quite quickly. Can you guide me what may be the problem?
Hi Dr. I have bilateral total hip replacement 18 months ago. Can i squad deep? If yes then this wll not 90 degree position. Plz reply
Q2 best exersize for reducing billy fats plz
I had a left hip replacement about 7 weeks ago and am having thigh pain and struggle to walk without a cane. Cementless components look ok on the X-ray. Do you have any experience with these symptoms or suggestions?
Por favor... podría hacer traducción al español en sus productos y videos🙏 Gracias
ACL sprian
Early degenerative osteoarthritis
My age 55 knee bending problems
Hello, i got Osgood Schlatter on the left knee back in september 2021, i have done the single leg raise while lying down on floor excercise, sometimes bridges with 1 leg, and the Osgood Schlatter disease stopped (atleast when i was scanning my knee with X-Ray) in may 2022, since April 2022 i have it on right knee, im doing the same as i did when it disappeared on the left knee, 3 weeks already, i have been doing the excercises that my fitness trainer said me to do, if you want i can contact you to a social media to send you those excercises, altho, he said that those excercises will last for 2 weeks and the pain will reduce, the pain is still the same and really annoying, is there a way you could help me?
What is your thoughts on snowboarding? I’m talking about cruising, not jumps or park riding.
I've done it a few times without issue.
For how long should they not break 90 degrees….I’m 5 yrs out and 43 yrs old from a car accident. I have 5 plates and 18 screws in the socket…. Please advise as my Dr has retired since and new Drs think I need to be 85 yrs old 🤔🤦🏻♂️ I should also state I’m posterior
Thank you for this! I’m 44 and had a total hip replacement in May of this year. I did PT after, which I found pretty useless. I’m currently experiencing pain in my quad on that side. I also can’t get into, or out of, a deep squat. It’s so confusing. Do I focus on strengthening or mobility, or do I just leave it be? Months into healing and I feel like I have more questions than I have answers.
Me,too,pain in quad muscles because of the therapist.so,no more therapy for me for the next weeks.How are you now,after a year?
Hi sir, i am Manoj 32 years old. I have affected by AVN at Left hip joint at feb 2023. Right leg normal (No AVN)
I have done Hip Replacement surgery ( Uncemented implant ) 14/feb/2024.
After surgery my left leg are lengthed compare to normal Right leg (Shorten).
Now i can use Walker to movement by walking. I can feel left leg are lengten and right leg Shoretn (Normal length).
My doctor said to me , you can continue walk, your pelvis automatically adjust to balance.
It's is possible or not. What i can do in this state, kindly reply for your valuable opinion.
Regards
Manoj V
India
Great video. Thanks for sharing. My hip was replaced at 23. I’m 36 now and the only complication I have is my sciatica pain. But I still surf and do all other activities. Even ride dirtbike but I keep it mellow.
This is a great video Thank's E3 Rehab...
I had a full hip replacement a year ago this week, strangely enough. I was wondering if any one out there reading these Q&A's gets a strange sensation when doing an activity ?
It's kind of hard to explain but here go's, if I move sudenly it's like something snapping or slipping or pulling. The first time it happend was kind of scary, but it's happened multiple times since and to a lesser degree than the first time. " Probably because I'm more prepared tho"... But I can get it doing somethig as simple as lifting my leg to get into bed. Infact that's probably the best way to explin it, as the first time it happened was getting into bed.
I'm kind of thinking it's a muscle issue or fascia. And is there any way to strengthen it. Or should I just live with it and it will get better with time.🤞 I kind of notice it more also if I go to kick a ball to my grandson. I exercise regularly but avoid any thing that may cause it to happen like kicking or switching my movement too sharply.
I would be keen to hear of any body who shares a simular experience.
Cheers Martin.
Hi, Martin. Is this something you've discussed with your surgeon?
No I saw him about 6 weeks after and he was pretty happy with my recovery at that point. Although I did tell him I’d encountered some problems but he seemed to think everything was fine and I was healing normally. I live in the UK and it’s a little hard to get appointments with the actual surgeon after covid and on the NHS.
I think I’ve recovered pretty well, I have no limp, or pain it’s just this nagging thing that still seems to be here a year on.
I had a similar issue on occasion (1.5 years since surgery). My surgeon advised it was just the IT band. It goes away when I warm up and now it almost never happens.
@@wallacegossen1892 Thank’s Wallace, I kinda thought it was a muscle issue but wasn’t sure what to do about it.
Definitely not as bad as when it first happened. It felt like something snapped.
When I spoke to my surgeon I got the feeling it wasn’t his area, he was more interested in how I was healing the joint was moving ok and the scar was fine, so all was good. He did say that some people heal really well but have setbacks & it was definitely a set back 🥺
I do some lateral band exercises that seem to help, and my leg has got stronger squatting with light weights & I can now do single leg squats without assistance, hopefully with a little more time every thing will be good.
Cheer Martin.
After hip replacement they can use protein
👍
I have a complicated case that - Drs and Many big Top phyisos are not able to solve - If you can
The fine gentlemen has great, powerful 🦵 legs. Well done!