DON'T Make This Mistake After Hip Replacement Surgery.
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- Опубліковано 8 чер 2024
- Famous Physical Therapist's Brad Heineck and Bob Schrupp discuss the precautions you should follow after having Hip Replacement Surgery. The precautions can vary depending upon whether the hip replacement surgery was done with an anterior approach (front) or posterior approach (back).
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1995 had total right replacement age 50. During the following 25 years played racketball, rode horses, down hill skied and age 62 took up singles tennis. Age 75 had some parts replaced and still going strong.
Which approach did you did?
Which doctor did the procedure?
@jack o'lantern I really do believe "pick the dr, not the procedure" . So many variables and opinions I found myself going nuts trying to make that decision. I read that quote somewhere and I do believe its valid and it helped me. I had hip replacement at 45 and while I really liked my Dr. my results were not ideal. He was highly regarded among his peers and in the community. He did not do the anterior approach, but I felt comfortable with him and I dont believe he did anything wrong but the bottom line is you just dont know how you will respond. No matter what they tell you, because all I heard was "oh, you will do great" considering the condition you are in. I was in excellent shape at the time. My recovery was horrendous. I was still using a walker after 6 weeks, not typical of a hip replacement and it really was about two years before i could say, oh yeah thats right i had my hip replaced. My body fat was low and in my legs must have been 2-3% if that. I almost feel that might have been more of a negative than positive. Everyone I know that was heavy or had a lot more body fat than I all remarkably better than I.Of course this anecdotal, but I almost feel like it might have been better to have some extras body fat, so pack some extra fat on ya before getting done. Who knows, certainly not me but making the decision you are going through now is difficult and I remember doing so. I feel for ya. If i had not like and trusted my doctor I can trell yopu I would be much more cynical and angry about the whole ordeal and that wouldn't have served anyone well. So, Thanks Dr Mark Heller.
I'm having total hip replacement 9/9/21. I suffer from PTSD, don't know if I'm going to be able to get through thiis. Was worried be fore I started watching this tapes now, I' totally freeked.
@@judir.4437 i'm having ptsd.I should have it done.The pain as it is now is do debilitating.Good luck!!
What type of hip you put?
Had both done at 59 years-old 8 weeks apart the most easily done surgery ever I was walking 2 hours after. Little pain for 2 days only took ibuprofen total hip replacement. Cause. Arthritis in the socket. Be calm don't. Be scared
Unfortunately I just had a post-operation hip dislocation. The worst that that’s ever happened to me. I’ll never forget that pain. Listen to these guys.
I am so sorry to hear that. What did You do wrong ? Thank You
I no the pain well! It's been 4 years and I am still very vigilant when I move my body.
I have been living with my total hip done since 2000. I had it revised in 2017 and I can do everything except heavy squats. Do what you feel comfortable with, and don't be scared into a life with no activity.
You are limited no running, no jumping no sky diving.
What was your approach after revision ? Really we can do anything after a while ? Thank You.
Thr is limited consult the top five hr surgeons. I have hr no revisions.
finally after 3.5 years....no thanks to the covid.... full left side hip replacement, and after a week,,, i have tears of joy.. if you have any pain, get it done sooner than later. don't let them try to convince u that you are too young. get it done right away.. pain free now till the end of my life. i am currently 49 years old, my birthday is in june.
My husband had posterior hip replacement Friday 8/27/21
His pain was suicidal the first day
Got a little better Saturday
Sunday his pain is excruciating again
Even his heal is hurting and the good leg😭😭😭
@@singinprofessor5260 They have to help with his pain
@@singinprofessor5260 that’s terrible!
@@singinprofessor5260 I can absolutely relate. Day 8 post op of lateral thr..BRUTAL pain especially the first 3 days. Day 8 still not fun and very painful..at least able to sleep a little more. I cannot relate to anyone who says it’s just an uncomfortable surgery. Btw, I’m 47 and was a very active guy before my hip decided to become too painful to walk. Good luck to you!
@@anthonym8001 yesterday day 8 for me was horrible. I do not do well with the OxyContin gives me lots of gas and constipation and raises my blood pressure. Today, day 9, I hope things go better for me. 🙏🏼
Wow, I hadn't seen this advice anywhere else, so sensible-and valuable, You guys are always extremely helpful. Thanks!
Had a posterior THR 6 weeks ago. I'm walking comfortably with one crutch or stick 2Km daily, inside I'm starting to walk with no support at all. The best thing I did prior to surgery was to look at as many actual operations on UA-cam as I could. I was totally relaxed going into surgery and haven't looked back.
Thank you for making it extremely visual for faster and easier learning! It was hard imagining the precautions by just reading
Great video with lots of helpful information. Thank you.
I had left hip anterior surgery on 11/30/22. My hip pain had been about an 8 or 9, I basically could not do anything without a great deal of pain. This is in addition to a left knee that needs a replacement and chronic lower back pain. I would say my post surgery pain was about what I expected. It was well managed in the hospital and I went to rehab for 4 days where it was still well managed. Of course I did have pain, certain movements felt like 1,000 bees were stinging me all at once. Now home for 4 weeks, and with no precautions, I have been keeping up with my PT exercises (a must) and my pain is minimal. I would say that the worst part is getting comfortable sleeping but that is improving. It is a joy to have relief from the constant sharp pain. Thank you Dr. Alpaugh, great job!
Were you/are you still forced to sleep flat on your back with a wedge pillow (or equivalent) between your thighs/shins to force your legs apart? if so, for how long? (hope you don't mind me asking - I'm trying to figure out if I can tolerate post-op ... and I can handle "bees")
Super helpful! Thank you so much!
I am 67 and heading into my 5th week after posterior THR. Been without walker or cane since middle of week 3. I only used extra strength Tylenol for pain the first week. I am sleeping on my back and non surgical side with pillow between my knees. I do experience sciatica and thigh pain that will wake me during the night but sleep is getting better. I see PT 2xweek and of course do my at home exercises. I still have alot of discomfort in incision area but doc said by week 8 that should be mostly resolved. My advice is to follow your doctor's hip protocol and most importantly keep moving so you don't get stiffness.
Thank you gentlemen. Great advice!
What are the precautions for a surgery that was cut on the lateral side of your leg? Originally, I was told some of the precautions that you mention for posterior and anterior. Thanks for the help!
Best video ever ! Easy to understand and excellent explanations
Thanks for this, I am scheduled for my total hip replacement in 2 weeks and have been watching videos of them, my surgeon is performing the anterior approach, from what I've seen and read, I'm very happy about that!!
I’ll be having THR next month as well. Wishing us both all the best in the world. My fear is dislocation. I pray this never happens. I’ve been though enough.
Had Bi-lateral staged THA, right weeks apart, in June and August, 2021. Had Anterior approach. No hip precautions. No pain..could sleep any way I wanted. Actually woke up to discover I had rolled into my left (surgical) side, about 3 nights after surgery, while sleeping. That freaked me out a bit. Anyway, Anterior Hip replacement was piece of cake, for me. Was walking a mile, with no came and no pain, 5 weeks post surgery, and went back to work at that time. Kudos to Dr. Tim Wagner, in Rochester,,NY.
I have learned so much from the most famous physical therapists in the world, in my opinion. Bob and Brad, many thank.
My advice was to bridge ASAP, so I started the day I had my operation and have done it every day since, to date I am 4.5 weeks
since the op, I am walking with out an aid, or a limp, I am riding my push bike every day for an hour and I turned 72 last may. This operation was one of the best things I have done. Don't put it off.
That is so helpful! Thankyou!I am having my op next week here in Greece....we don't get a lot of advice so I am picking tips up on internet! Thanks again.x
Just get up and start moving as soon as your new bits are in , thats the best way to a fast recovery ..
Thank you very much for this useful video
Excellent info. Thank you!
Please provide exercises for FRMORAL NECK FRACTURE dynamic hip screw(DHS) . Rgds.
You guys are so helpful, Thanks
Thank you doctor for the reply, will speak to my doctor about it.
Amazingly informative. Better than the "joint replacement class" I attended pre-op. Thank you!!
Great information yet again, grateful Aussie here!
I was told to add bridging as one of the exercise!!! It kinda helps relief my backache, but since you mentioned its a no no, guess l gotta stop doing it. I had a right hip replacement 5 months ago by the way.
Your video was a great help, my wife needs a hip replaced, and you covered a lot more in 8 minutes than the hospital did in 4 hours!!
Wife had surgery, everything went great, she is walking better in 4 days than she has for the last 2 1/2years. Thanks for the tips, glad to find useful video's like these....
Thank you for your response.
Love you guys..thankyou! Short sharp and too the point. Hella helpful to me post anterior THP
Hope this post helps someone out there.i was due for an anterior total hip replacement but just before I was to be wheeled into theatre my doctor said your leg seems to be more noticeable shorter than your right leg so I have decided it will be better to do the posterior approach as it will give us more room to do the hip and get your left leg the same length.this I thought was a bad start but I am pleased to report that all went well and I am now pain free.i was walking normally in 6 weeks without any aids and going upstairs with ease.i put this down to gods help ,I also did my best by doing gym work months before my operation losing excess weight any eating healthy I will never be able to repay my doctor and his team for what they have now given me so thankyou.
Thank you !!
Thank you for another great video!
Thank you Sirs!! Just had a bilateral hip replacement so it's great to have this information as the external hip rotation was not made aware to me.
I need both of my hips replaced as well, but they’ve recommended one at a time, possibly 6 weeks apart. I’m getting apprehensive the closer it gets. Were yours done at the same time? Eeek
Very good informations
I just got my right hip replaced. Very painful. Great surgeon in NJ. I love your videos and they keep me staying positive.
Abductions were extremely difficult but now much easier (still a challenge) at PT 2 months after posterior hip replacement surgery.
Interesting, I had almost no pain
I"m in NJ and need the right hip worked on. What doctor here did the work?
64 Just did Both side's Full replacement 19 Day's i'm walking no walker and no cane but right side more pain then left side but suk it up butter cup Thank you Lord for watching over my body while i sleep Good luck to you all ps i lost 70 lbs and exercised lots before surgery
I had posterior 10 days ago . No restrictions...but I found myself doing some of your “no’s”
Fantastic video! A picture speaks a thousand words. Better info than offered by the surgeon OR the physiotherapist.
i got no info from anyone, nurses, doctors physio etc
I'm sitting in the hospital right now. I just had a posterior hip replacement. In 2019, I had a posterior replacement. You have to follow the instructions! Good video.
Thank you
Thank you so much.
Rt Anterior HR going into 4th week now. Thanks for your. Ideas. I have a great Dr. And have had great PT. You videos have been a great help!
Going to have both hips done, anterior, in 3 months. How long are these precautions needed. I don't want to think about avoiding certain movements forever. How has it been for you?
@@juneschalit5531 I believe after 3 months your clear to live your life!
2 weeks till my hip replacement. Thanks to videos like this I feel ready. Can't wait to be able to dance again.
how you doing now ?
@@bitbleed better, every day I get stronger and stronger. This was my 1st experience with surgery and was taken aback by the lack of strength I had and just the whole process of healing and all that goes with it. I feel empowered to face the second hip replacement as soon as my body is ready again. Thanks for asking🙏❤🌎
I had posterior hip replacement on left side do to breaking neck of femur in half, 4 years earlier. At that time I had had plates, pins, and screws to fix the break. Before the left hip replacement I had anterior right hip replacement. I also had spinal stenosis and spondylolisthesis of the L 4-5 level of my spine. I do not regret the hip replacements to much but the back surgery has had me in horrible chronic back pain since the surgery 5 1/2 years ago. Could the difference in hip replacements have anything to do with the back pain and still right hip pain? My body is so physiologically off. I am sick of pain and pain relievers!!
Had my left a year ago ..fully recovered and did my right just before super bowl 2022...its going great..used a walker 1 day..switched to cane ...use cane sometimes after 6 days...hurts like hell for a couple days but starts fading soon..hurta less than before surgery...thank goodness for hip replacements..
Am having a hip replacement in May. Your video really helped me to feel better re the post surgery exercises..Thanks so much..
im same as you Marg I'm having my hip replacement end of may, very good video, thanks
@@DAVIDCHARLINE hey,how are you both?
How did it go
3/17/23 I had anterior hip surgery 2/15/23. The very next day, the hospital physical therapist gave me a sheet of exercises to do, one of which was bridging, which I have done about 30x every day since then. Have recommendations changed for this exercise?
Thank you for posting this, my comment is not to disparage you.
Thanks for sharing. 💕
I had anterior hip replacement 2 wks ago. Was walking right away. The past 4 days I’ve had to use the cane due to pain in my upper inner thigh and now my knee. Is this due to muscle alignment and getting a custom to walking without a limp?
If hip replacement done through modified Gibson's approch or Moore
How long does it take tu strengthen the abductors and regain full range of motions?
Please do a video on a Lateral Total Hip Replacement complications.
I just had both my hips done laterally. Would love to see it too
I had anterior surgery, which is the best way to go - for a full hip replacement. The recovery is faster with better results. My physical therapy started on the third day after my surgery. On the first day of physical therapy, I was instructed to do the bridge exercises. It helps to build the muscle around your glutes, it has been 4 months since my surgery and I am doing very well. I was told I cannot ever return to running or jogging. However, I love hiking, walking, bicycling and lifting weights.
Of course I had an outstanding physician who specializes in anterior hip replacement and knees. I am sure the hip replacement can come out of the joint by doing excessive sports, or jumping, running or possibly a surgical error, or a medical anomaly. Whatever the case it is man made and not God made. We need to be careful with our new hip.
Anterior surgery has improved since this video was made. You need to look at the latest research in the last 5 years on anterior hip replacement. Thank you for the informative video, but please update it.
Sent from my iPad
Thank you both, I am considering hip surgery after I pole planted my right leg and pushed my pelvic up...
Thanks guys
And when you say no hip flexion greater than 90 etc. etc. no crossing the legs etc. tetra no bridging etc. tetra for how long? Do you mean for the rest of your life? Or just until you feel better? What if you want to do yoga again?
good two know thanks guys , just had mine done cant sleep , will try pillow🌹🌹🌹🌹🥰🌟
🌹🥰
Thank you very much
Thank yall
thank you-I had the anterior and am doing good so far.
Can you now do any movement? Having both hips done soon and am nervous.
I had left hip replaced (right is fine) I have been living with a right knee problem for years which has caused me to limp slightly putting more weight on the left hip for years.
Question: could the right knee be the reason the hip socket/ball was in such bad condition?
Is this action not to be done for few months post surgery ?
What are limitations for side-entry hip replacement?
Thankyou
How long after surgery should these precautions be in place.
How long do you recommend for precautions? I live alone and after hip surgery mo ago, I have started to pick things I drop up.
Im a 55 YO. Just had a posterior THR surgery 4 weeks ago and although I had some physio, most of what you explained wasn't taught to me. I've done a few of the 'not to dos' subconsciously and now I'm so scared.
How long after do you have to follow these precautions?
So glad i've seen this but would like to know how long you cannot do these movements for post surgery?
Did you get a response?
? How long after surgery is this location less of a risk?
Thank you for this video. I am due for total hip replacement and am very worried about all the precautions and the recovery time. I have been putting it off for a number of years and hope i am doing the right thing.
Can you tilt back like in a dentists chair after this surgery?
I sympathize with you .Don't put it off any longer ....it will all be good ,,, better than you can expect , but DO YOUR EXCERCISES !.
Had a anterior THR in July 2019. The Doctor cleared me to go home three hours after surgery with ZERO restrictions. Recovery was a snap. Walking without a cane or crutches within 24 hours after surgery.
And three months out from surgery, I have resumed running. The running isn’t coming easily but it coming along albeit slowly.
WOW that is what I needed, having right hip replaced 10/29. I'm 64 and not in good shape plus over weight.
But this has snaped me into doing the best I can to change that. I'm sure I'm having surgery the way you did. Thank God for new technology and Dr that know this procedure. I have fallen too many times when hip gave out, bummer for sure. Good Luck in the future.
Nancy Hunt good luck. You sound like you have tremendous drive.
Wow ! I just had a posterior HR, after waiting over 2 1/2 years , so a lot of residual pain from arthritis . I admire you for being able to walk without cane/crutches so soon . How old are you ? I'm 79, and still using my walker , 25days post op.
Delores Torresan Delores, I'm 62 y/o, fairly fit and a little overweight and had the anterior approach. My surgeon said I was an ideal candidate for the THR. From what I can see on the different social media groups about Hip Replacement, recovery results are all over the place. Recovery from the posterior approach is much more difficult. You don't seem to be all that unusual. Hang in there and all the best. I hope you have a great holiday season.
The left leg that was operated on is now swollen down to my toes. Should I be weary of this or wait till I see the doctor next week?
nice video. but how to check if that hip is dislocated already. i mean what are the pain centers. actually i had total hip replacement six months ago but now i am not able to stand without a walker. i cant put weight on my left leg. but i can sit . how to know what is wrong?
Most popular around here is Anterior. I researched, had both done 2016-2017 Anterior. Age 70ish. No problems. Hip #2 was same day surgery.
Any tips-having both hios done in 3 months anterior approach. Same age. Would appreciate input. thx.
thanks so much for this video. going to need a replacement and well im kinda freaking out but this was really helpful
+physicaltherapyvideo thank you! i have a wait ahead but when it comes time ill remember that :)
+AyaHigashi Wish you all the luck!! Just had the surgery on the 9th. On day 4 of recovery!!
how are you feeling? is it really painful after or just sore? im so worried. when the time comes its gonna suck i think haha.
Not going to lie; recovery HURTS. But I do know that it is going to be all worth it in the end. Just do exactly what your doctor says and everything with be fine.
My first therapy session is tomorrow so I will give you an update.
Don't let anything discourage you; after recovery is over with you will be glad you did it .
+Dino Mireles I look forward to it then. a bit worried but I'm glad they want me to wait. I can atleast mentally prepare myself before it happens
How long after hip surgery are you allowed to bend and pick up and golf without fear of damaging the hip?
Could the bridging movement cause loosening in the hip if done to soon or should it be not done at all? I have had re-replacement done in my right hip, this past March. I'm having such pain still. Is it normal to still be in such bad pain. They have had me doing this bridge movement the whole time. Thank you if you can give me an answer. Teresa
Thank you both for doing this. It's most helpful.
For Anterior how long are restrictions for? Indefinitely? I am 6 days out from Anterior approach, but I also have a dropped foot , same side.
Thanks so much for this video. I recently had hip replacement surgery. I will play this over and over again until I have it all down perfectly.
Me also same situation... How long we care about all this.. our entire life or particular period
Is there some exercises to do after a hip replacement
excellent
I had posterior THR. Does the risk of dislocation go away after 3 or 4 months? Or is it a lifetime of precautions?
Sir after how much time after surgery I can prescribe bridging to my Patients in thr cases.as u told bridging is contraindicated
Thanks for your content. With a posterior hip replacement, how long before I make cross my legs please? Thanks.
You will have to discuss that with your doctor as it can vary.
Are these restrictions only for 90 days after surgery or permanent? Please clarify !
Yes PLEASE CLARIFY !!!!
Thank God at 75 never had a hip replacement being so careful and doing the right move is the key to healing
In a couple of weeks, I will have anterior hip replacement which my ortho surgeon specializes in. I am grateful for the miracle of modern medicine.
I am 1 month post op today but it doesn’t feel like it I just returned home from the hospital after a 4 day stay following my second dislocation, now I am absolutely petrified to do anything since it didn’t take much more than standing up from a chair for the 2nd dislocation, the 1st happened while I was trying to put on those compression devices on my calves. My surgery was anterior but both dislocations were posterior, there is no describing the pain! I feel a bit better reading all
the success stories but I would be happy to take any advice I can. I came home with a hip brace I wear all day unless I’m laying down and a large triangle shaped foam pillow that straps to my legs both are helping but I am still so scared with every move I make😱.
How do you feed the dogs. My surgeon does the posterior. Yikes! I also cross my legs all the time and know l will surely mess up there.
Make that half a dozen plus one re dislocation of hip after hip replacement surgery. Play it safe even if you feel great shortly after surgery. Thank you for your great information but NOW YOU TELL ME!! Take care.
Yha so far so good,gotta keep stretching just took the dog for a 1/2 mile walk and did a little work out in the back yard.I gotta remember not too over do it though
For how long after surgery do you need to avoid doing these moves? Forever?
Had total hip nov. 18, 2022. Still in pain, MRI says tendonitis of illeoposis tendon.. hip flexor tendon of operative leg, weakness, groin pain, inner thigh pain. Treatment?
Please make a video for the lateral approach hip replacement.
At what point in recovery for anterior CAN you do those things again? How many weeks?
I just had mine done with the lateral cut. I felt great
Can I ask please is this for the first 12 week after THR or really for life. I have a RTHR and never noticed as much how my feet point inwards until I had my left foot pinned. I think the right side is slightly inward and I have had a posterior HR....they did say they were going to do Anterior. I have hypermobility. So do I have to be more carful of dislocations? Thank you in advance and always loved your videos.
My brother just had this surgery- not sure if his was anterior or posterior but he isn't sure how he is supposed to go to the bathroom to take a poop. Maybe you could explain best way to move when doing that.