"Anterior" Total Hip Replacement Precautions- BEWARE!

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  • Опубліковано 20 сер 2024
  • Famous Physical Therapists Bob Schrupp and Brad Heineck describe the precautions that should be followed after undergoing an "Anterior" total hip replacement. Warning- Most hip replacements are not done with an anterior approach- you need to ask your surgeon.
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КОМЕНТАРІ • 132

  • @Blanco83
    @Blanco83 3 роки тому +46

    Most Doctors who criticize the Anterior Approach are not trained in the procedure and most likely push the antiquated posterior approach. I had the Anterior Approach on my right hip, I had no pain, no limp and was back to normal within ten days. That being said I took it easy and did not do anything silly like try to run a mile. Had P/T twice a week for four weeks. The big thing with the Anterior Approach is there are no restrictions. The chance of dislocation are much higher with the posterior and lateral approach. Bottom line is if your surgeon does not do the Anterior Approach do yourself a favor and find a surgeon who does.

    • @TheAnonyy
      @TheAnonyy Рік тому

      I had a posterior thr 2 weeks ago I had no restrictions, things change

    • @jmo2104
      @jmo2104 Рік тому +1

      I completely concur with you Ken White!!

    • @debjh8983
      @debjh8983 9 місяців тому +2

      I agree with Ken White. I had my anterior 5 years ago. I was home within four hours of the surgery and back to work in four weeks. The posterior approach is antiquated and they cut through your tendons and muscles.

    • @teleguy5699
      @teleguy5699 4 місяці тому

      Facts!

    • @alfenner3309
      @alfenner3309 2 місяці тому

      ​@@debjh8983 I know individual results are different from person to person. I am 6 weeks today out of Anterior hip surgery. I cannot put much weight on my hip/leg. I'm still using a Walker. I do use my cane inside my house on occasion because I heard i should have shook the waker by now, but the pain is crazy on the side constantly of the hip and thigh and weight bearing is not there yet. It has diminished over the weeks, but still persists.

  • @sharonlongines7386
    @sharonlongines7386 2 роки тому +32

    I had an Anterior right hip replacement the last day of August last year. I stayed one night in the hospital. They had me up and walking the hallways the next day after my surgery and doing a few exercises. I awoke from surgery that same afternoon, Pain free. I had no pain whatsoever! I had in home PT for 2 weeks. In 2 weeks after my surgery I was walking on my own, no cane or walker. My doctor lifted all restrictions and said I could do whatever I felt comfortable with. I could even drive again. It was the best thing I could have done for myself! I had been in so much pain for years! I had not been able to walk normally up and down stairs for many years. Today I can go up and down the stairs without even using a handrail. I also love to dance and so glad I can do that again as well. I do not regret having this surgery at all!

  • @bantumwt
    @bantumwt 4 роки тому +24

    I had an Anterior hip replacement 3 days ago. I was out walking the sidewalks today with a walker. Very little pain. No restrictions.

  • @martinlucas8442
    @martinlucas8442 4 роки тому +10

    Had mine done Dec 5th. No restrictions. Back to normal in 6 weeks. Only advice from surgeon was “don’t do anything stupid”.

  • @AlanInAZ1
    @AlanInAZ1 6 місяців тому +2

    I had a total hip replacement anterior approach in November 2013. Operation and recovery went smoothly and there were no restrictions.

  • @faithnicole847
    @faithnicole847 7 років тому +14

    I had a left anterior hip replacement 4 days ago. Spent one night in the hospital and now home. PT was supposed to start with me at home, however, my insurance has denied me PT for one month. My surgeon is on vacation, so I can't speak with him either. I am using these videos for my home exercises. THEY ARE WONDERFUL! Even though, I'm still in pain and slow moving, I can really tell the difference from me just sitting in a chair with my leg propped on a pillow. Each day my leg gets stronger and stronger. Thank you.

    • @bruno2235
      @bruno2235 2 роки тому +1

      How is your hip replacement now 4 years later?

    • @danielaarbelaez6948
      @danielaarbelaez6948 9 місяців тому

      What's your insurance? pretty much you don't have Insurance the therapy is really important

  • @vickih3491
    @vickih3491 8 років тому +5

    THANK you for this great explanation of the anterior precautions. I was not told about this in the full manner which you explained. While in the hospital end of day, last day in hospital before discharge, I was bridging to lift myself on bedpan but did not even think about this being a possible concern. The staff at the hospital did not explain this and each person that helped me with the bedpan never mentioned what I was doing and that it was a move that I should not do. WOW! glad nothing happened--I am now starting my 9th-week post op and will see surgeon for first time this week. It is great to get more info about anterior precautions. THANK YOU again. keep up the great work.

  • @donniecox9616
    @donniecox9616 7 років тому +10

    I'm almost 6 weeks out from surgery. I had the anterior method and I'm doing great! I would recommend finding a highly recommended doctor in your area!

    • @alitufek9044
      @alitufek9044 7 років тому

      Donnie Cox cvbb

    • @rose-yf3jb
      @rose-yf3jb 6 років тому

      Where u did ur operation please ? In which country ?

  • @kayslowey-sly2138
    @kayslowey-sly2138 3 роки тому +5

    I had anterior replacement in April. I had 4 restrictions. Three of them were exactly what Bob and Brad said.

    • @christopherrich6190
      @christopherrich6190 Рік тому

      Are these restrictions permanent? Meaning, I can never move like that again, or is it a temporary restriction until I've healed enough and then I will be able to make those movements?

    • @malditaako9060
      @malditaako9060 8 місяців тому

      ​@@christopherrich6190 same question here

  • @jmardinly
    @jmardinly 4 роки тому +7

    My therapist TOLD me to do bridges. I started 2 weeks after surgery; no problems.

    • @enza3770
      @enza3770 6 місяців тому

      Some therapists don’t know what they’re doing because mine had me do bridges, and when I called up my orthopedic doctor, he told me to find a new physical therapist that I was not to do the bridge

  • @margaretcaine4219
    @margaretcaine4219 3 місяці тому

    I'm 8 weeks post op. Home in under 24 hours. Walking without crutches within a couple of days. I had very little pain but some numbness and bruising.
    I was back playing golf at 2 weeks (9 holes), 4 weeks (18 holes), walking the course. I'd recommend highly. It's such a relief to be pain free again, and feeling strong, climbing stairs normally etc.

  • @enza3770
    @enza3770 6 місяців тому +1

    I just had an anterior approach hip replacement, and this is not a dated video because my Doctor Who is very young just gave me the same precautions

  • @tootsla1252
    @tootsla1252 5 років тому +22

    What? You're way off on this. I had two anterior approach replacements with excellent outcomes, from the St.John's Hip and Pelvis Institute in Santa Monica - they've been doing this approach for 20 years. I had ZERO movement restrictions. I got full function and range of motion back immediately. Aside from the wound healing discomfort, I had no pain immediately. Just had my 10 year X-rays - perfect mo signs of wear whatsoever.

    • @ellobo1326
      @ellobo1326 5 років тому +8

      Tootsla 125 Wow. That is encouraging. I am having right anterior in 3 days. Haven’t talked with surgeon about precautions yet but he is very experienced at anterior and has a good reputation. I hope I am fortunate enough to have same experience as you did. Thanks

    • @morelifelivemore
      @morelifelivemore 2 роки тому +1

      Paid off

    • @dionicioysassi1564
      @dionicioysassi1564 2 роки тому +1

      You are dropping the same comment on every hip replacement video

  • @nicholasferrebee3543
    @nicholasferrebee3543 7 років тому +6

    I am going to school to be a PTA i greatly appreciate the visual content you guys provide.

  • @elsplace896
    @elsplace896 5 років тому +4

    Thanks for your informative videos! But yes please turn up volume. I'm getting anterior in late Nov. or December. It kills to sit and work, but work is the only thing keeping me sane for now.

  • @bantumwt
    @bantumwt 7 місяців тому

    The anterior method has NO muscles cut. And the recovery time is generally much less. I had the anterior surgery and was cleared to return to work at home remodeling in 13 days. It was wonderful.

  • @jbaugnet4344
    @jbaugnet4344 8 місяців тому

    I had an anterior total left hip done in 2012. It was good for 1 month and dislocated. Dr put it back in place, another month later, it dislocated again! I was 32 y.o. 😢
    43 now, so the revision worked.
    I am super flexible still.

    • @enza3770
      @enza3770 6 місяців тому

      What were your symptoms? How could you tell if it dislocated because I’m wondering if mine has dislocated also?

  • @Elizabeth-rp1pi
    @Elizabeth-rp1pi 5 років тому +17

    This information is SO DATED! in 2019 you do not have ANY restriction after an anterior approach total hip replacement!

    • @mendozaconsultation
      @mendozaconsultation 5 років тому +1

      I'm a big guy, 410. Have medical issues including hip,no cartilage. They want me to take off 100 or lbs before they'll do my surgery. My ? Is. I don't have a fracture in hip just the arthritis. Why won't they just replace the cartilage ? Why do they need to cut off the bone ?

    • @ebutuoyebutouy
      @ebutuoyebutouy 4 роки тому +2

      @@mendozaconsultation U can't insert a new cartridge shell. I wish that was the case. I myself had total hip replacement 23 months ago. Surgeon chose to do posterior.

    • @TheAnonyy
      @TheAnonyy Рік тому

      @@mendozaconsultation there's no way to replace cartlidge lol

    • @ninaj84
      @ninaj84 Рік тому

      There are 2 restrictions - my mom just had her second anterior replacement yesterday. First restriction is you cannot turn your feet out to the sides, like a plie. Second restriction is you can't stretch your operated leg backwards, like in a lunge.

    • @chrisjones7294
      @chrisjones7294 Рік тому +1

      I think what approach being done is determined by the individual. I did a lot of research, went to seminars and talked to multiple doctors before I had my hip replaced in 2009. Even back then there were NO restrictions for the anterior approach method. At that time I was 39 years old. The posterior approach had many restrictions and a much longer recovery time with more pain involved. Being as young as I was and still wanting to participate in sports I had the anterior approach done. Yes it hurt but kinda felt like I had been hit by a bat. Wasn't too bad. No complaints there. I didn't need PT. Just did exercises on my own. Was completely off crutches in a week and was ready to go back to work on light duty in 2 weeks. Advances have been made since then and doctors are more experienced now than ever before. I highly recommend the anterior approach but of course talk with your doctor about what's right for you. Also don't limit yourself to one doctor talk to a few like you would getting estimates with a contractor. Do your research. There is a lot of information now on the internet about it. For me, this was the best way and am about to do it again for my other side with no fear of the outcome of the hip. Don't let doctors or physical therapists scare you from this approach. It has a high success rate. Good luck to you all who need a replacement. I feel your pain and have experienced your fears. God bless you all and may God bless your surgeon to have the best outcome what ever way you decide to go.

  • @juditholund9417
    @juditholund9417 6 років тому +10

    My Total Hip Replacement Journey - Anterior Approach • August 29, 2018 • Dr. Salyapongse • Dublin, California
    Hello everyone. I would like to share my Total Hip Replacement journey with you.
    I am Dr. Judith Gayle Olund, having earned my Doctorate Degree in Organizational Leadership in year 2012; however, today I will share with you a much more personal journey - my decision for a total hip replacement.
    Over my past 70 years, I have enjoyed a wonderfully active life that began with dancing lessons as a young child and have continuously enjoyed all physical activities throughout the years; even until most recently often dancing at the local pub Friday and Saturday nights for two to three hours straight.
    So yes, I ignored my slow but sure developing limp (over at least five years) and was finally diagnosed with osteoarthritis in my hips over one year ago (bone-on-bone). I never really considered surgery, feeling confident that perhaps losing a little weight would help with my developing limp. So...I did work at it; I lost some weight and also began a wonderful collection of shoes hoping that they would solve my “walking problem" which was becoming more and more pronounced.
    More recently, it was becoming a "challenge" to walk from the dancing pub to the pizza joint just three blocks down the road. My friends were wonderful, allowing me to lean on them (literally) as we went for our snack in the early morning hours. I had never really been a pill taker during my life, but I began to take a couple of NSAIDS just before going out to my social affairs in hopes of walking better and hiding my "little limp.” Not possible; but, my friends were always so kind.
    Finally I had a checkup with my general doctor Dr. Calvin Lei at Stanford Health Care in Pleasanton, California. We discussed my walking issue which resulted in a referral to my now orthopedic surgeon, Dr. Aaron Salyapongse of Webster Orthopedics in Dublin, California; however, after my first consultation with the surgeon...I remained very hesitant. Maybe all I needed was a shoe lift - funny how we rationalize when we just aren't certain about things.
    Well, when my general labs were assessed - funny thing: I wasn’t even eligible for surgery because my blood sugar was a little high; and more importantly, my blood platelets were below the "normal" level important for surgery. So, I thought that just might be a "stop sign" for any surgery. Okay then - decision made. I thought it could be months before considering surgery again. Who knew?
    Dr. Lei, my general doctor, soon referred me to an oncologist in order to checkout my blood platelet situation. Dr. Kavitha Raj, a wonderful oncologist with Valley Medical Oncology Consultants in Pleasanton, assessed my condition and informed me that while my low platelets were normal for me, my platelet count must be in a normal range for surgery. Okay, so I took some prescribed medication wondering how long this could go on. Who new?
    A few days after the follow-up blood test by Dr. Raj, I unexpectedly received a phone call from Dr. Salyapongse’s office saying that I had been approved for total hip replacement surgery and was asked if I would like to schedule a date for surgery. I was definitely in shock...expecting to have months to reconsider surgery. I was then offered a surgery date in just two weeks which had opened up due to a cancellation. If I had not secured this opening, I would have had a month wait for surgery....that is, if I had decided to go ahead.
    We penciled in the date. Two weeks.
    So...because I was instructed not to take NSAIDS for ten days prior to surgery, I quickly realized how those little pills were actually masking my discomfort to a reasonable degree - more than I thought. By day eight without pills, I was reaching for the walls in my home (not wanting to put weight on my left hip); and, I was also compensating for my diminished hip movements by over-using my right knee which was becoming notably over worked. It was my time. I had a choice. Show up Wednesday morning for surgery, or go shopping for a cane and hideout more at home in the future.
    I showed up for surgery: Total Left Hip Replacement by Dr. Aaron Salyapongse, - Anterior Approach scheduled for September 29th, 2018; having just celebrated my 70th birthday two days before.
    I would like to share my surgery experience to add to your information gathering....but always remember, we are each uniquely different.
    I showed up for total hip replacement surgery with Dr. Aaron Salyapongse at six-thirty a.m. on September 29th, 2018, for admission to the Stanford Health Care / Valley Care Hospital in Pleasanton, California.
    Paperwork complete, it was now time - my time. I was escorted down the hall to the pre-op section and quickly asked to take two pills. I followed instructions and swallowed. Okay, I was then given my hospital gown, toothbrush, toothpaste, non-skid yellow socks to wear, and then asked to change and go potty; also, to brush teeth. Now it was time to get comfortable on the bed. So, I did.
    Three pre-op nurses were soon hovering over me -- each doing their task including the IV, asking many questions, and establishing monitors and so forth.
    I froze.
    What was I doing here? I questioned all my decisions in one moment.
    I asked the three nurses if it was normal to get "cold feet" about this time? My sudden tears prompted a three-nurse-cheering team offering kind supportive words of encouragement. My one minute freeze was over.
    Soon the medical team and my family surrounded me. Dr. Salyapongse, my surgeon, now in his light blue scrubs was asking me what procedure he was about to perform on me. I replied, "A total left hip replacement, anterior approach, 4 inch incision, then moving the muscles with your fingers giving access to the ball to be sawed off, which made way to the socket area which would be replaced with new materials; then a "test" implant (to hold the new ceramic ball) would be fitted before implanting the permanent titanium implant."
    He was impressed and said I could help : )
    Well, somewhere along the line, the anesthesiologist mentioned that Dr. Salyapongse preferred that his patients have a spinal. Whoa…a spinal?
    I didn't have much time for debate to my amazement because the “meds” were doing their thing and a good "cocktail" was lingering in my I.V! : ) So then, after being wheeled into the operating room, I barely cared when asked to sit up and lean forward for the "dreaded" spinal. I leaned over with no cares: at some point, the anesthesiologist administered two shots. I couldn't really tell. Afterwards, I was asked to lay back and I did.
    It seemed liked the next moment when I heard the words "wake up you're done." Done? I was having such a nice sleep after months and months of restlessness.
    ***
    After surgery: No pain. No nausea. No dizziness. I took one pain pill as more of a precautionary measure by end of day one. I was up and walking shortly after surgery to go potty (using a walker primarily to prevent any falls).
    Day one after surgery: No real pain. I called it my "brick leg" but no pain. I was up and walking (using a walker primarily to prevent any possible falls).
    Day two after surgery: I returned home, remade my new bed downstairs, and went upstairs for a shower. Nice. No pain.
    I am presently enjoying my recovery time (Day 6) and continuing to take meds for continued healing and good health. I feel amazing. No more anguish when I walk. Of course as to be expected...I will continue with healing and adjusting to my new life, my new hip, and my new ability for excellent mobility.
    My biggest lesson learned - let others help you when you can. Trust in the positive side of things. Accept blessings when they are right before you....and always give thanks.
    Dr. Salyapongse, I thank you for your excellent skills and for your dedication to help others, providing them an opportunity for a second change of continued mobility and healthy living.
    ***
    Footnotes:
    -- Thank you to my dear family and friends for good thoughts and sweet prayers.
    -- Thank you to the medical staff and all related personnel who cared and helped so graciously.
    -- Mostly, I thank my Father God who clearly urged me to trust others and let others help me because He does care about everything we encounter.
    -- Recommendations:
    Dr. Calvin Kyaw Soe M. Lei (General at Stanford Health Care in Pleasanton)
    Dr. Aaron Salyapongse (Orthopedic Surgeon/Webster Orthopedics Dublin)
    Dr. Kavitha P. Raj (Oncologist / Valley Medical Oncology Consultants)
    Stanford Health Care - Valley Care, Pleasanton, California

    • @Exacqua
      @Exacqua Рік тому

      Thank you for your story. Hope all is well.

  • @susanfast2106
    @susanfast2106 6 років тому +6

    Just a caution that this is old information. I just had anterior approach and have no precautions or restrictions. I was back to bridging exercise in three weeks and hip abduction after the first week.

    • @rose-yf3jb
      @rose-yf3jb 6 років тому

      Susan Fast please can you tell me where u did your operation ?in which country ?

    • @rayintoledocebuphilippines5517
      @rayintoledocebuphilippines5517 5 років тому

      No precautions for me either - St. John’s medical Ohio USA

    • @lizrey4854
      @lizrey4854 5 років тому +3

      I just had anterior hip replacement, and had same precautions from my surgeon. Baltimore, MD. Each person is unique; likely important to check with your own surgeon.

  • @rscranman2002
    @rscranman2002 3 роки тому +4

    So...no walking then eh? ;)..... These precautions are quite dated and most surgeons for this approach MAY say no extreme hyperextension and no extreme external rotation....but the hip does go into some hypextension with gait. I've helped treat hip replacements for over 20 years. Always asked the surgeon.

    • @adg4506
      @adg4506 2 місяці тому

      If you follow what they say, you wouldn't be able to walk after anterior hip replacement surgery- no restrictions expect do not stretch/go into end range of hip moments.

  • @getamylemley
    @getamylemley 2 роки тому +2

    Could you please put a date in the blurb above? You mention a 2011 textbook, but it is now 2022. Fifteen to 20 percent of THR are anterior - not a lot, but a lot more. Your videos are all so helpful; just thought you might want to update this one with new stats and a newer textbook reference.

  • @jennfontan188
    @jennfontan188 3 роки тому +4

    I had the anterior approach on June 4 and have had nothing but problems since. I am still extremely swollen and in alot of pain. I just want to feel better

    • @guitarzan2626
      @guitarzan2626 2 роки тому +1

      Me too

    • @justina2333
      @justina2333 2 роки тому +1

      @@guitarzan2626 I had mine 3 weeks ago and I have major nerve damage causing pain, numbness and burning over my entire quad muscle. I thought I was going with a good doctor but I clearly didn't.

    • @guitarzan2626
      @guitarzan2626 2 роки тому +1

      @@justina2333 yes I'm 4 months out and my quad is still sore and weak. I think it's part of the process. I began to improve at around 5 weeks. I'm 57 and big and tall so it sometimes takes a while. Hang in there I know its awful pain but it will ease off. Good luck to you. I hope it gets better. The first 5 weeks I was really regretting the surgery but it did get somewhat better. I'm now glad I did it.

    • @justina2333
      @justina2333 2 роки тому

      @@guitarzan2626 Thanks, for the insight. I to am a big and tall guy. I have made some major progress day by day. But that whole thigh thing has been really disturbing and without it I'd probably feel great! This is a video of me walking yesterday on day 24 of recovery. ua-cam.com/video/ba4bkVlkrOM/v-deo.html

    • @kdr6268
      @kdr6268 Рік тому

      @@justina2333 I had anterior hip replacement surgery in August, '22. Same outcome as you: A lot of pain, numbness & burning over my entire quad muscle. I'm still doing PT and movement is better but the pain is still intense. Supposedly, I have an excellent surgeon...but perhaps he did a hack job on me. I hope you feel better soon.

  • @guitarzan2626
    @guitarzan2626 2 роки тому +1

    Had the anterior surgery in late January and totally regret it. Get a second opinion. Three months later I still have lots of pain. This is the biggest mistake I've ever made.

  • @suzyq2426
    @suzyq2426 8 років тому +4

    My surgeon gave me zero precautions. I was told to do whatever felt ok with me and that I had no physical limitations. He also told me no phys. therapy was needed. I was given 6 exercises to do in the hospital and I have continued to do them. At my first and only post of 3 weeks later. I saw the surgeon's assistant. She gave me no guidance for increased activity or exercise. I asked and she said do whatever feels ok. When I asked if I could ride the recumbent bike she said only for 5 minutes and didn't give me any progression guidelines. My next appointment is not till 2 months from now and I'm at 6 weeks post op and still need a cane. I can't tolerate all my weight on my hip. I see videos on youtube that show patients much older than I am. I'm 47. That can walk without assistance week one or two or even 3! I went to my primary doc and she was worse. She did give me a referral for a phy. Therapist. I asked her what could I do in the meantime, could I ride the bike longer? Could I do upper body weight training? She recommended I walk on a treadmill! I told her I needed the cane and she told me to hold on to the side rails. Of course I didn't take that idiotic advice. So dangerous on many levels! I can't believe she would recommend that! Any advice?

    • @peggymcdonnell1379
      @peggymcdonnell1379 12 днів тому

      Oh my goodness, you sound like me I am in such still bad pain in the front of my leg and on the side down by my knee I had anterior my doctor doesn’t think I need physical therapy and I have all these restrictions. I can’t turn my foot out. Turn my foot my leg to the back can’t arch my back. I’m just a mess not knowing how to move around… And I am the same I did a hip and knee replacement group and a hip replacement group on Facebook. I’m learning more from them from either one of my doctors… I’m 70 and I don’t know I don’t know what to do either I feel for you.

  • @user-vt9oy7pr9h
    @user-vt9oy7pr9h 4 місяці тому

    I had this recovery so good.

  • @DieselJLUx2
    @DieselJLUx2 2 роки тому +1

    Y’all need to update this video. 2011 textbooks have changed lol

  • @claudiaharbourt9370
    @claudiaharbourt9370 11 місяців тому +2

    Dislocated my hip, getting off the loo....Obturator dislocation at that, 3½ months after an anterior approach ..almost 2 yrs later, i still have pain. Everytime I read a commet about people waking up from this surgery, and not having any pain, all i can think is What Happened with me. Had my Left hip done 7/26/21, still w pain, just sorta waiting for this one to dislocate as well....everyone is different, and its very frustrating to constantly hear, "You'll be fine," and I'm not. Still waiting for a pain free day.

  • @anitasmith405
    @anitasmith405 7 років тому +2

    I had a left hip, posterior, replacement in 2008. I had to have my right hip replaced in 2015, and, it was done anteriorally. Due to the differences in precautions, and, length of time between the two surgeries, I partially sublexated my left hip a few months ago. I was in PT and had been doing well. I have a fear of having to have the left hip revision, due to all the horrible complications and cases of a permanent limp. I am not an old person and I value my quality of life. I was told that if a revision was done, they would put in a different cup that would prevent the ball from coming out of the socket. Thoughts? Suggestions?

  • @gaillmani1942
    @gaillmani1942 Рік тому

    Needs to be Updated 2022 Nov very limited restrictions>No twisting, foot point out or in, no backward lunges as directed by surgeon/PT

  • @TKRM2007
    @TKRM2007 3 роки тому +1

    What time period are you talking about? I never used a walker or crutches. Walking normally 20 hours after surgery and tennis two and a half weeks later. Doubles, not singles. Only Tylenol post 20 hours after surgery. Dr Kim at the Stedman Clinic in Vail. He is the Tom Brady hip surgeons.

    • @way2golf496
      @way2golf496 2 роки тому

      Mind if I ask was your surgery elective or did you have a fracture?

    • @margaretcaine4219
      @margaretcaine4219 3 місяці тому

      Your experience of hip replacement is similar to my recent one, but I was back at golf rather than tennis. I waited a month to resume sport but felt I could have gone back to golf earlier.

  • @200firstst
    @200firstst Рік тому

    Nice explanation guys!

  • @20Hikecdt23
    @20Hikecdt23 Рік тому

    Thanks I’m having anterior surgery tomorrow 8/28/23 to left hip.

  • @That1Dude3000
    @That1Dude3000 8 років тому

    Digging the Blue and Grey combo on every video lol

  • @jrhur10
    @jrhur10 2 роки тому +4

    Having done thousands of anterior total hip replacements, I can tell you that nothing in this video is accurate. Most people who dislocate will do so posteriorly because most of our daily activities are directed posteriorly. If you dislocate anteriorly with simple daily activities as suggested above after an anterior hip replacement, chances are the hip replacement was not done well. I give patients minimal posterior precautions and no yoga warrior poses beyond warrior 1.

    • @BobandBrad
      @BobandBrad  2 роки тому +1

      Sorry Dr. Hur. If you want to be interviewed on our podcast. Contact us!
      Thanks!
      Bob

    • @anthonymorris9139
      @anthonymorris9139 Рік тому

      I am having an anterior hip replacement in 6 weeks time. Do you think I would be able to drive an automatic car 2 to 3 days after surgery. The brake and accelerator are on the opposite side to the hip. I live a 3 hour drive from the hospital and was thinking of driving home if it would be possible?

    • @TheAnonyy
      @TheAnonyy Рік тому

      Hi I had a posterior thr 2 weeks ago with NO precautions. I have hip dysplasia

  • @clareparfitt8908
    @clareparfitt8908 Місяць тому

    I had anterior hip replacement 5 months ago. The practice I went to only does anterior. I'm 59 and a very active athlete. The first two weeks were really hard. It took me awhile to be able to walk without a cane-two and a half months. After that I rapidly improved and started doing hard hikes. At three and a half months I did a 30 mile 3 day backpack trip. I'm now doing hikes with 4k elevation and a heavy backpack. I feel great, but I still have some minor pain in the front of my thigh and the side of my butt. I still can't sleep comfortably on that side. At 5 months I assume there are no more precautions? I plan to start skiing again next season, by that time it will have been a year.

  • @Pushyhog
    @Pushyhog Місяць тому

    mine was lateral R from the side, mo-17-july-2024.

  • @kevguon23
    @kevguon23 7 років тому +5

    Hi guys, why no Bridging? The hips start in flexed position ( knees/hips bent and feet flat on bed), and raising buttocks towards ceiling i.e. up to 10-12 inches the hips would still be in flexed position. The precaution is not to extend hip past neutral. Just curious. Thanks!

    • @callmelittled
      @callmelittled 6 років тому +1

      I believe its only a "no-no" in the first few months (or until okayed by surgeon), but it is acceptable after some healing has occurred and the hip is being held in the socket more firmly.

    • @hedyschiff5219
      @hedyschiff5219 Рік тому

      Bridging was part of my exercise packet from PT and the surgeons office. I contacted them both after seeing this video and they both said it was fine.

  • @cookiecookie9594
    @cookiecookie9594 8 років тому

    Oh ok we have a Doctor in our area and he's good he stays full

  • @muttley9520
    @muttley9520 7 років тому +1

    'good hip' lol. You guys are great.

  • @TheEmmochka
    @TheEmmochka Місяць тому

    My knee was killing me for a first 2 weeks 😢

  • @a.k.9425
    @a.k.9425 3 місяці тому

    How soon after anterior hip surgery can you put you socks on

  • @cookiecookie9594
    @cookiecookie9594 8 років тому

    They said u can get up the same day why you can't Ben backwards is it cause the surgery are just after recover do it get better and you can bend backwards

  • @natepulliam9191
    @natepulliam9191 2 роки тому

    Wrong. Had Anterior replacement. In Pysical therapy the next day and they stretched me in all directions that you condem. Walking the next day.

  • @sharonh5399
    @sharonh5399 6 років тому

    Thanks for the info. I had hip arthroscopy 7 months ago. I still get pain in my hip and I have a feeling it will need replaced at some time. Be fore the surgery I never had groin pain, only pain in the back and outside. Now I have groin pain at times. My labrum was torn and i had cartilage damage. The labrum was repaired and I had microfracture done.

  • @dennisnolan2544
    @dennisnolan2544 9 місяців тому

    You said you don’t want to lay prone anyways. There are no letter s in ANYWAY!

  • @mikepreciado9063
    @mikepreciado9063 8 років тому +1

    i had hip sugery allmost 3 years ago and i have had pain everyday and i will like to know if thats normal ?

    • @frogie011
      @frogie011 7 років тому +1

      mike preciado
      Hi Mike, I had hip replacement 2013, no not everyone suffers with pain everyday, I don't, however I do sometimes feel tenderness or an ache in hip area (anterior ). Don't give in or give up. Seek help, information whatever you can.

  • @TheDajamster
    @TheDajamster 8 років тому +2

    So, considering the kind of movements people have to do day to day, is recovery easier with the anterior surgery?

    • @vickih3491
      @vickih3491 8 років тому +5

      +TheDajamster I am in 9th-week post op and have done fine. I've had major surgeries in past and really did not like the idea of having more of my muscles cut into, so this anterior approach definitely was the right decision for me. Muscles are not cut so allows for less pain and easier recovery after surgery due to less precautions. I did not need any pain medication within about week or less of surgery; if I took any it was Tylenol. It is so nice to know I did not have to worry about bending forward, I know this made things a lot easier for me at 67yrs and overweight. I could sit in chairs and get out of chairs in a more normal way because I was able to bend forward.

    • @TheDajamster
      @TheDajamster 8 років тому +3

      Vicki H
      Thanks for the insight! When I get mine done, I'll specifically look for a doc that specializes in the anterior method.

    • @patriciaproulx7289
      @patriciaproulx7289 5 років тому +1

      I was told by my physio therapist that the Anterior Approach is the best way to go as it is non restrictive where the the Postlateral approach is restrictive foe 3 months

  • @muttley9520
    @muttley9520 7 років тому

    Can you recommend a stick or a cane to walk with? Mum has a frame but it's too big to get much use out of it in this house. If she had the right hip replaced does she use the cane with her right or left hand (might sound a silly question)?

  • @cookiecookie9594
    @cookiecookie9594 8 років тому +3

    Ur volume is not to loud it's hard to hear you

  • @tinaoliver4643
    @tinaoliver4643 6 років тому +1

    Hi, I had a question about the bikini cut incision site. My incision was made way below the crease. I have been reading about this. I also believe that the cut that was made horizontally, was cut all the way to the bone? I'm not too sure if that's even possible. There is a big indentation where the incision was.and it seems like the muscle has slid down the front of my thigh. I am now 6 months out. And have been having pain for about 4 months now. This was supposedly due to tendinitis of the Psoas tendon. I was brushed off every time I saw the surgeon post op. When I told him of the pain he assumed it was tendinitis and said it was common. I do not believe it is supposed to be common. I have pain in my thigh all the way down to the knee. With numbness in spots, this was all numb before and just recently turned into pain. I get a very sharp pain in this area by the knee also.
    I decided to have a second opinion because the surgeon did not even ask to see my scar the last three times I went. The surgeon never ordered an MRI only one X-ray whenever I came in. He specifically had told me that the scar wouldn't be less noticeable when in a bathing suit but a bathing suit doesn't even come close to hiding this scar. This new doctor told me he will be ordering an MRI and some fluid would be drawn and sent to a lab in some other state, the only place they do this testing. The new doctor said just by feeling the length of my legs that it was about an inch longer than the non surgical leg. The first surgeon did not ever check for length abnormalities even though I told him about the pain.
    Now I am having a new pain and it feels like a sharp pinching pain in the pelvic bone or that's where it feels like it.
    I need some advice wether this scar is located in the wrong place and an opinion if the surgeon cut through muscles to get to the joint would it have been a incorrect procedure. I am scared I will be deformed and walk with a limp for the rest of my life.
    I thank you in advance for your responses and suggestions.

  • @cookiecookie9594
    @cookiecookie9594 8 років тому

    Is this a good surgery come on what you think guys😃

  • @kathycarey1287
    @kathycarey1287 5 років тому +2

    please provide textbook name and author you reference. thank you

  • @swisslogic7619
    @swisslogic7619 7 місяців тому

    These two are such goofballs.

  • @darlenesmith943
    @darlenesmith943 8 днів тому

    I've had both hips replaced anteriorly, never had a bit of a problem. Woke up with absolutely no pain, was able to walk without a walker or cane within a few days but used the walker if going any distance just to be safe. People I know that had the posterior approach took much longer to be able to walk unassisted. I went home both times a few hours after surgery. I didn't require PT but did have exercises the surgeon provided to do at home twice a day. There are fewer precautions with an anterior approach than the posterior approach. I would advise anyone looking at hip replacement to consider the anterior approach.

    • @BobandBrad
      @BobandBrad  8 днів тому +1

      Thank you for sharing your experience! That'll definitely help some of our viewers. We appreciate you!

    • @darlenesmith943
      @darlenesmith943 8 днів тому

      @@BobandBrad Thank you.

    • @BobandBrad
      @BobandBrad  8 днів тому

      @@darlenesmith943 you’re welcome!

  • @athersam
    @athersam 4 роки тому

    Thanks for the insight. Is the restrictions life long after the surgery?

    • @cloudyyy681
      @cloudyyy681 4 роки тому +1

      No, typically only 6-8 weeks depending on what your surgeon tells you. 10-12 weeks would probably be safest however.

  • @jewell1243
    @jewell1243 3 роки тому +1

    This information is not accurate as of 2021! I am going to have my hip done and most of everything you said is not true as of now!!!!

    • @ebutuoyebutouy
      @ebutuoyebutouy 3 роки тому +1

      I wish u best of luck for your surgery BUT PLEASE BE CAUTIOUS! I had replacement 23 months ago. Was considered to be a model patient. 24 hrs after release took one pain tab and then no more. At 6 weeks physiotherapist, the idiot, overdid it and I was hurting for 2.5 weeks. In Feb during the TX big freeze attempted to fix a burst pipe, got into an awkward position and was hurting bad for 8 weeks. Yup, get active but treat it carefully. Good luck!

  • @Eyereole
    @Eyereole 10 місяців тому

    Screw “anterior,” double-screw “posterior” … SuperPath micro-invasive technique is the way to go

  • @ghusaghusa2135
    @ghusaghusa2135 3 роки тому +1

    Next time process your video for better VOLUME

    • @BobandBrad
      @BobandBrad  3 роки тому

      We do the best we can with the audio. Some people have issues but we have tried fixing it time and time agsin.

  • @richardchandler3820
    @richardchandler3820 Рік тому +1

    Just had my anterior hip replacement done last week and I have already had sex! Ooops! 🥴

  • @user-vf8bs5ii7v
    @user-vf8bs5ii7v Рік тому

    I had an anterior hip replacement followed by a 21 day stay in a rehabilitation facility. Whilst there I had 3 hrs of different kinds of PT per day. To my horror tonight I see that there is a precaution about doing bridges and that was one of the exercises my therapist had me doing along with bending at the knee and lifting my leg towards my bum.
    How worried should I be?

  • @kathleent6653
    @kathleent6653 2 роки тому

    I had hip replacement surgery June 10th 2022, Anterior I’m not aloud to bend past 90° no putting socks on for me!! 🤷‍♀️

    • @TheAnonyy
      @TheAnonyy Рік тому

      I had posterior 2 weeks ago I had no restrictions

  • @Taranaki66
    @Taranaki66 Рік тому +1

    This is a seven year old video. It is inaccurate and should be deleted.

  • @grahamdougherty226
    @grahamdougherty226 8 місяців тому

    6 days post Anterior hip replacement and can't bear weight on my leg. I hope this gets better because it doesn't look like it's working for me. If this fails my career is in jeopardy. I just need something positive to happen.

    • @howardwager
      @howardwager 8 місяців тому +1

      Hello. I had anterior hip approach done 13 days ago. First 5 days were rough. I get a little better every day. I still have measurable discomfort. I still need my cane. I am walking 1200 steps a day for the past five.

    • @grahamdougherty226
      @grahamdougherty226 8 місяців тому

      @@howardwager Thank you for your response. That's awesome news! I have deep bone pain going on at night up three times a night but last night I slept all night to 5am. I need to keep going the way out is the way through!

  • @d1ldobaggins
    @d1ldobaggins 3 роки тому +1

    These guys are quacks. The last place you should be getting medical advice is UA-cam. Talk to your surgeon

  • @anthonyginther6883
    @anthonyginther6883 Рік тому

    LIE NOT LAY!!!!! LIE PRONE....lay is the past tense of the verb.

  • @hg5573
    @hg5573 2 роки тому

    Blah blah…. I’m fine with mine.