What Activities Can I Do After Total Hip or Knee Replacement?
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- เผยแพร่เมื่อ 10 เม.ย. 2018
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People often ask what activities are permissible after total hip or total knee replacement. This video discusses some common activities that patients ask about.
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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 practise 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.
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Left hip total at age 58. Messy surgery, painful, left leg 1 inch longer than right. Lateral replacement In 6 weeks in rode my Harley 200 miles to visit a friend. Back to the gym in 8 weeks. Right hip total at age 59. Great surgeon, got both legs equal length , not much pain. Posterior replacement. Rode Harley in 3 weeks. Left hip is very flexible, right not so much. Still work fine. I am 70 now. Both are all titanium, no poly inserts. Second surgeon would not have used all titanium if I didn’t have one already. My research showed better range of motion with less chance of dislocation. No problems. Got a job in Motorsports promotion. Rode Harley all over the country to the shows, lots of walking. I’m not so active now but hips still hanging in there. Retired last year from electrician, a/c mechanic, auto shop work. Caretaker for an animal rescue. I quit cutting down trees and climbing ladders so much.
Nice work John. Thanks for watching, subscribing and sharing with someone if you did.
You guys are so fun to watch. I am having a total hip replacement in about a month and your videos on the subject have reallly put me at ease. Thank you so much for making these videos!
Hi Belinda! So glad that you are enjoying the videos and that they are helpful. Good luck to you in your upcoming operation. Thanks for watching
Thank you, Thank you. BEFORE I was scheduled for a total hip eplacement, I did as much research as I could and discovered your videos. I think you are both encouraaging and made me feel more prepared than would have. I had my surgery on February 24, 2020 and am now at home recovering. I think I was better prepared because of your videos. I am 74 years old and was very apprehensive of having the surgery. But TIME dictated that I get this done. I only had my surgery 6 days ago. My first reaction after 2 days was "THE PAIN !!!". All I remember hearing from friends who had this procedure were comments, "I was playing tennis that same day", or "I ran in a marathon the next day..." and those were NOT my experiences. But no one said "Results can vary in the pain level you have, the duration of recovery etc" then I would have been prepared. But of all the information I found YOU guys were the BEST. Everything is over now, I live in Cincinnati Ohio (probably MILES away) so why am I taking time to write now? Because I APPRECIATE the time you took to make the videos using your obvious experience. Your videos helped me very much. Regards, John Dossey
Hi John. Wow, that was really nice. We are so happy that we were able to help in any way with your process. Glad to hear you are on the mend and have a new life to look forward to with your new hip. We will continue to do our best. Thanks again for taking the time to write, and to watch. Take care
John I feel your pain. Got my hip replaced. Hurt my hip sept 12 2019 went to way too many surgeons, doc A. Oh you need mri ct X-ray colonoscopy etc and see your go for pain since
Dang it my cat hit send. Mine was scheduled about a month after you so I got swept up in the corona virus crap. So lots of doing nothing losing muscle gaining fat and getting stiff and sore not to mention the amount of pain meds I was on. My 2 gp wanted and tried cutting me off ended up in the er and got gp 2 boss as my doc now. I do not like the surgeon that did the surgery and he knows it. I am 58 it took almost 300 days till I had it replaced it’s been 8 weeks since surgery I have cried from pain frustration being trapped I lost count. I have yelled and cussed owww so many times why wife doesn’t even flinch. I am still on pain meds I have been on so much and for so long 350 days they are having to do a slow taper off. Good news John I walk to the end of the street will OUT a limp.....then limped home. John the best to you and yours sir I do hope you recover 100% I call my surgeon Dr Tesla said that’s cause you make so much money ( he had the nuts to smile but not for long) and most Tesla drivers are dicks you drive yours till the battery goes flat then buy a new one. I called him a few other things plus I fired him. My gp is a wonderful Dr. my name is James and I live in western Washington. Good night sir
The difference between a full hip and a hip resurface is a lot quicker at resurface level
I get it..I had friends telling me they were driving and back to normal in 2 weeks..oh it's a piece of cake...now into 2 weeks after my hip..I'm still in discomfort...not pain...I thought something was wrong because I wasnt as advanced.....I just dont believe everything my friends tell me anymore......been watching all these talking with doc videos..they are great ..helped me realize I'm doing fine....
Had my TKR 13 weeks ago and have been able to kneel on it without discomfort, but don't do it unless I need to. Glad to get the info docs! Your always a joy to watch, keep the videos coming!
We certainly will Pamela. Thanks for watching!
I really appreciate these videos! They are very informative and reassuring... I will be having a total knee replacement surgery in August on the 10th.and these have helped.
Good luck Sharon! Thanks for watching and subscribing
Thank You , for giving me hope and less affraid of having an possible hip replacement.
Glad we could help Sharla! Thanks for watching and subscribing
So helpful! Thanks very much.
You're welcome Eleanor. Thanks for watching and subscribing
Love you guys, you are such a help for my upcoming hip replacement and love your down to earth approach, thank you so much
Hi Hannelore! So glad you enjoyed the videos and found them helpful. Good luck with your upcoming surgery.
Thanks so much, your down to earth caring is wonderful, may you be blessed in your work.
Hannelore Devlin right on few days ago I had a knee replacement for second time at the same knee. Four years of pain and my surgeon 👨⚕️ tell your knee replacement is well attach. Go can go to a trip, my foot I can only go the the beach not water. The replacement were in place forget about the leg. I went to anew surgeon he found the problem and know recuperating from my surgery. I advise to everyone who needs a replacement do your homework and those guys advices after your surgery does not go to run do menial things like gardening no big jobs or extremely exercise. The swelling can long to 2 months or 2 years. Anyway
I learn things that I do not know before. I feel better more positive and more cheerful 😃 really the doctors are good glad I found the channel.😍
Great series chaps, it’s made me a lot more confident about my total hip replacement this coming Wednesday.
I’ve been a keen rower and cyclist for years. Am I good to carry on with those two? Rowing in particular because of the leg bends involved.
Many thanks, Steve.
Hi! Thanks for this and the other videos in the series Docs. Thanks too, Dr Weening for the two hips (L 6/15, R 12/17)
Two questions:
1) is carrying my 32 pound golf bag really bad for me (as some have said) ?
2) now able to squat again (like baseball catcher) when reading greens, feels great to be able to do again, something to avoid?
Hi DeValera22. Thanks for the positive comments. Carrying the golf bag is likely not bad for you - not for your artificial hip specifically. With respect to the deep crouch, this is something that should be done VERY carefully. The deeper the squat or the more extreme the range of motion the higher the chance is that you could reach the upper limits of your implants and possibly lever the "ball" out of the "socket". Maybe not so deep. Just hit your putt harder and for the back of the cup to take out some of the break! Good luck.
Hi I am from the UK 🇬🇧. Thank you for all your videos, I have just had a THR yesterday. So still in the hospital. Day 1 today. Physio starts today. It’s quite painful but with pain management it’s not too bad. Again thank you for all your informatio. 🇬🇧🇬🇧🇬🇧🤩
Very welcome Tracey
~Had a total knee sx & making the right choices to keep it....thankful... protecting it every day...love you docs
Good stuff!
Thanks docs.
Hi Dawn. You are very welcome. Thanks for watching.
You doctors are wonderful. Enjoy your sense of humor. I would have liked u to have done my knee replacement.👍thank you for your time.
Hi ginni! So glad you liked the video and hopefully we can help in your journey. All the best. Thanks for watching, subscribing and sharing if you did.
Thank you both for the great videos . Not had TKA yet, bit scared had a few Arthroscopy etc. Pain getting worse both knees sports most of my life. My passion is swimming ( crawl) . I have only just started reading that some swimmers say their legs start to sink after Knee replacement .
Hi Swim 4life. Very welcome. Best of luck. Thanks for watching and subscribing if you did
Hi y’all! Love the info. thanks. Just wondering how one can go about asking a question, and whether you’re open to that kinda thing? Thanks for responding.
Hi Ron. Very welcome. Just ask the question here. We do our best to answer them all. Thanks for watching and subscribing if you did
It's really awesome that you take the time in your busy lives to answer so many questions. Here's hoping that you spot mine. My greatest fear about a knee replacement is the device that is implanted in the knee. I've read that they are comprised of cobalt chrome and titanium. It sounds and looks very cringey. I'm afraid I might feel it in there and once it's in, it can never be undone. How do they determine what metals are bio compatible to the body? Do they not leach into the bloodstream?
Hi Jenny. Yes we do try to answer every comment. So with respect to metal it is quite inert and well tolerated. There have been problems with metal on metal bearing surfaces and ions leeching into the bloodstream so many surgeons choose to use a metal on plastic or ceramic bearing surface. For the knee it is the metal femoral component on a plastic liner to the metal isn’t an issue. Great question. Thanks for watching and subscribing if you did
Heys, Docs. Love the videos; very informative and entertaining. My wife and I are seniors, and are avid golfers. She will be getting a full knee replacement on her left side. Since golfing wasn’t mentioned in this video, would you please comment on this sport’s impact. Thank you.
Hi Randy. Glad you liked them. Yes golf is ok and many knee replacement patients golf. Best of luck to your wife. Thanks for watching, subscribing and sharing with someone if you did.
I cant wait to be able to cut the grass and power wash and walk into town and go for walks with friends...you guys really give me hope for after TKRs
Glad to hear that Ruth. You’ve got this
Thank you!
Very welcome Rich99! Thanks for watching, subscribing and sharing with someone if you did.
hi great information...thank you for sharing..if you can answer me this one question, I would be most grateful..What about squatting with a barbell.....?
Hi Richard. Thanks for the positive feedback and your question. Yes squatting with a barbell would be allowed however you should be careful not to squat too much weight and not to go below 90 degrees - so no low squats. Hope that helps. And thanks for watching!
Hi from NZ, Docs. I've enjoyed many of your videos. Very informative. (I probably should subscribe!)🙂
I'm waiting for my THP, and want to know if I'll still be able to take a bath after my surgery (not right after, or course, but further down the track - say 3-6 months). In my mind I think the getting up might be tricky. Would appreciate your thoughts.
Hi Trish. You definitely should subscribe! And tell your friends! Glad you enjoyed the videos. So bathing after a total hip possible. Early on it can be a bit tricky but as long as you go slowly and carefully it should be fine. If you have other specifc questions always best to discuss with your surgeon. Good luck to you and thanks for watching.
Had a FALL, out of bed, and landed on my KNEE. I was totally recovered from my hip replacement, and the fall didnt appear to do any damage at all to my hip. But as my knee improves, I notice when I try to bend my leg to get to my ankle to put my shoes on, I can feel some pain in my HIP after all. I have AVOIDED going to the doctor so far. I am experiencing improvement. Is it possible that I can survive this stupid fall without any further surgery or medical attention. I am doing my exercises. I wish you guys were in Cincinnati. You have given me such good advice. I just didnt expect a STUPID fall.
Hi John. So if you are improving it typically means that you will be able to survive the fall. If something serious like a dislocation or a fracture occurred you wouldn't be walking. Yes be careful of course. Thanks for the kind words. We are in Ontario so moderately far from Ohio. All the best and glad we could help. Thanks for watching and subscribing if you did.
Thanks for the info, im getting replacements so I can continue to garden. 😊
Perfect!
I never knew that your knees were not meant to kneel on. I've done that all my life for work and anything else that I found easier to do on my knees. I did build up some kind of little cushion on them. I have since become disabled for other reasons and now that I'm feeling better I tried kneeling on them and it ain't happening. They hurt like hell. I probably will need new knees in the future as it runs in my family and was very happy to hear that you can kneel on them because I always heard you couldn't. I have acid reflux so it is difficult for me to bend over for any length of time. Great video.
Hi John. Sorry to hear that. Best of luck with your decision. Thanks for watching and subscribing
Hello docs. Had right THR in April, had right TKR 7 years ago, and had left THR 11 years ago. Still recovering before back to work, but I find cycling, either static or outdoors was best for my recovery, but I will be back playing squash soon (although limited to back court!). My first hip replacement I was back at work in 4 weeks but this time I find it much harder (maybe because I am 62?). I am also a plumber? on my knees but with padding to lessen the impact. I agree, I couldn't run even if I tried! I treat it (hip) like a new chapter in my life, what can I try now? Love your channel, none like this in UK. Love the humour.
That is awesome john. Best of luck during your recovery. Thanks for watching and subscribing
Love your videos! Thank you for the scientific information. I'm 66 and I've recently had both hips replaced (staged 8 weeks apart) due to rheumatoid arthritis. Both my hips have 3 screws each and I was on 50% weight bearing after both surgeries. So, my recovery has been slow but steady! We are ranchers in MT and work cattle on horseback. As far as activity, what is your opinion on riding horses after dual hip replacement? Thank you!
Hi Jan. Getting on and off can be tricky and obviously if you ger bucked off it will be a problem. Proceed with caution. Glad you are ok out there in beautiful Montana
I have watched several of your videos on TKR. Thank you for sharing this information, it has been quite helpful. I am having TKR in 12 days and I am having some anxiety. I have seen the before, after and when you get home videos and I have watched rehab videos as well. I am not an active person but I do walk every night, about 1/2 mile or so. I have a gym membership as well. Please tell me what you think the best exercises would be good for me. I really appreciate you two and Dr. Weening, you have a great smile!
Good luck Caron, I'm having mine in 4 weeks too. Your Dr. should give you a list of exercises to do prior to surgery. I'm doing mine everyday.
Jay G. Thank you for the info. I see my surgeon this morning for paperwork and instructions. Good luck with your surgery!
Hi Caron. If our calculations are correct you are 6 days from your surgery. Very exciting and very anxiety inducing for some. As far as exercises to do before, the best exercises are the ones outlined in the physiotherapy video. Work on getting your thigh muscles as strong as possible before surgery. And remember controlling pain and swelling after surgery is the best way to improve your range of motion as quickly as possible. Good luck and keep us posted! And thanks for watching and for your kind comments.
Hi Doc's, I always enjoy your video's because of your clarity & humor. I have had my right hip replaced 2 yrs ago. My left knee replaced 1 year ago. I am now scheduled to have my right knee replaced in Sept /21. My question is when I'm walking I have pain not only from my right knee but up through the hip. The right leg is bowlegged & I assume my Surgeon will straighten my leg. Am I wrong to believe my pain is from the alignment of the leg? By the way my favorite activity is cycling.
Hi Ron. So yes they will straighten it at the time of knee replacement and alignment can cause pain further up. The hip is also doing more work because of the bad knee. Many patients find relief in the joint above and below after replacement. We agree cycling is great. All the best Ron. Thanks for watching, subscribing and sharing with someone if you did.
Thanks Docs. As usual very valuable advice. I’m 9 months post op total knee replacement now. How about stationary cycling, is that advisable and how long should each session be? I also used to belly dance n twerk, would it be ok to do this once in a while or should I avoid it. Also since my op I’ve been wearing trainers, like air max, of course there’s other brands available. I’m trying to say I find these are better types of footwear as your contact with the ground is nicely cushioned and makes walking much more comfortable for me. Probably coz I live on a hill and have to get up and down it a couple of times a day. Thank you for the videos, pl keep them coming. ☺️🙏🏽
Hi Deborah. So stationary biking is a great activity. Belly dancing also would be ok. In general try and find comfortable shoes with good support. Sounds like you are doing all of the right things. Thanks so much for watching and for your support. We will definitely keep the videos coming.
I recently learned about the dual mobility implant (as opposed to the traditional replacement). This seems like an interesting alternative as it provides greater range of motion and less chance for dislocation. Are you familiar with this type of prosthetic and do you have any opinions regarding it? Thanks.
Yes Ken we are familiar and use it regularly. At this point we do not routinely use it for primary hip replacements unless there is a higher than normal risk of dislocation. Best of luck. Thanks for watching and subscribing
Hey! What's old is new again! Helpful to remember a stool when gardening, and I plan to get back into Nordic skiing...that OK? I had a total hip replacement, getting second one this autumn.
Yes sounds perfect Deborah!
Yaaa. Doubles Pickleball. Thank you for all your videos and information.
Very welcome DBJones.
If kneeling while gardening, would knee pads be something you would recommend? BTW, love your videos and your sense of humor. Thanks. Al
Hi Al. Thanks so much and glad to hear you like the humor. We try to keep it useful but entertaining. So yes knee pads or a pillow or a blanket to reduce the discomfort. All the best. Thanks for watching, subscribing and sharing with someone if you did.
Thank you so much for making these videos, I found them by chance. Having a THR in 5 days. Before my problems started, I used to cycle several miles daily. When would it be safe to start cycling again?
Typically 8-12 weeks. Best of luck. Thanks for watching and subscribing
Thanks that was helpful I found it very hard to kneel before when I had my knees replaced before, you have to create other ways.
Hi Darlene. Yes kneeling on pillows is the best way for most patients. Thanks for watching.
Guys, I totally love your series and they helped me before and during my total hip replacement (October 2022) and continue to help me now, THANK YOU!! I take the point about running for exercise and I now mainly cycle or hike instead. On racquet sports, tennis is obviously ok (listening and adapting to any hip discomfort as you say), but can the same be said for squash/racquetball? if contact is avoided, both with other players and the walls? and taking extra extra care not to fall? Thanks again 😎
So the issue is with the deep knee and hip bend and plant in those sports. It likely is ok but definitely discuss with your surgeon before. It is critical to stay addict so if that's your thing, that's your thing. All the best to you!
I've been binge watching (and obviously loving) your videos since I ran across them. I will be needing a TKR in the near future. I ripped out my entire meniscus and shredded all the auricular cartilage several years ago when I landed awkwardly while running. I'm a passionate photographer, mostly of insects found on the ground. This requires deep squatting, with frequent rises. Kneeling takes too long and is too disturbing to insects to be practical. Do you think I likely be able to repeatedly deep squat and rise using my legs only over a period of several hours? Hopefully this makes sense! I exercise regularly and have good quad and core strength, but the pain is becoming unbearable.
Hi Rose. Everyone is a little different but yes we think this is possible. Best of luck with your surgery and photography! Thanks for watching and subscribing if you did
Hello Doctors. How about yoga and stretching, swimming? Can you go over which specific warm up exercises and stretching that is not advisable. Thank you
Hi Fida. We can't recommend specific exercises but yes yoga, stretching and swimming are all good exercises. Using pain and common sense as guidelines are always a good idea. Don't do anything too extreme. And go slowly to start. Hope that helps.
Any Murray is doing well with his hip replacement. I should imagine post op he had a massive incentive to put the work in.
Just heard you say you wouldn't recomend running.
Also I heard you can't kneel on a knee replacement. I think you said it depends if it hurts or not.
Thanks for all your vids very informative and helpful.
Very welcome Anna. So you are allowed to kneel but some people find it uncomfortable. Running is possible but probably not good for the plastic liner. Thanks for watching, subscribing and sharing with someone if you did.
Talking with Docs has been so helpful and uplifting both pre and post surgery. Thanks! Regardingthis particular segment: I'm 4 months post surgery and my life is fairly normal now except that I wish I could skip! After retirement, I decided to teach preschool part time and half of my activities involve skipping. There's nothing funnier than an old gal with a total knee replacement trying to skip like a 5 year old! Will I regain that ability, ya think?
Hi Eva. Thanks for your positive feedback. We are so glad that you are doing so well after surgery. In general we recommend against any high impact activity however it is not unreasonable to think that you will regain the ability to skip as your strength and range of motion continue to improve. Good luck!
I love it my skipping friend!! How lucky for your preschoolers to have you!!
Hilariouse ha,ha,ha😂🤣⁉️🌅Skipping
I had a partial hip replacement 9 months ago for my left hip after an accident. I am an avid golfer (right handed) and I want to play again. I am slowly getting started again. Should I be able to play again without limitation? My good friend had THR several years ago. He has better range of motion than I do and his replaced hip feels the same as his good hip. My hip still feels pretty stiff. Do you think I will eventually achieve results like my friend's or do I need to accept my hip the way it is? Thank you for answering questions. I cannot find much information on partial hip replacements on the internet. So far, I don't like mine much. Everyone I know who has gotten a THR, including my 80 year old sister, has had better results that I had.
Hi Lawrence. Tom Watson almost won the British Open after his hip replacement so with some hard work you should be able to get back to many of your prior activities. Hope that helps. Thanks for watching and for subscribing if you did.
When you talk about running, I think you need to mention body weight and also running speed as both these will greatly influence the impact on the joint. Some people have run ultra-marathons after hip replacement, and have done so for years. But they are all without fail light and such long distances are run at a more sedate pace than shorter distances.
Hi Derek. The weight and pace don’t matter - artficial joints were not designed for this. Yes some people to choose to run on them but this will ultimately lead to premature wear. Thanks for watching and subscribing if you did
pickleball rules! thanks for all these great informative videos. super helpful for my upcoming surgery... and hope i can get out on the pickleball court soon. any thoughts on the cementless vs cemented knee replacement?
Hi pecan the cat. You are very welcome. With respect to cementless knee replacements, they are becoming somewhat more popular for certain patient populations but we are currently only doing cemented knee replacements which have a solid track record. Good luck with your upcoming surgery.
@@TalkingWithDocs ok cool. thanks for the reply. I'm 4 weeks post op from the cementless replacement and so far so good. keep up the great vids.. love you guys!! (and def try pickle ball.. it's a blast!)
You guys are great , I had a total hip replacement 5 years ago, uncemented ceramic on ceramic, I weight train using barbells and kettlebells, 3 times a week , my surgeon said is ok but not to go too heavy , so I don't deadlift past 40 kilos , and squat max 20kilos, though a few physiotherapists have said I can go much heavier with proper form ? What's your take on it ? I absolutely love lifting and could not imagine doing anything else 😨 having said that I don't squat too low at all , mainly straight leg deadlifts , presses , and kettlebell swings and jerks , what you think long term?
Hi rosemary. Sounds like you have a good approach to exercise. You could probably go slightly heavier but yes no low squats and nothing crazy. Thanks for watching and good luck!
@@TalkingWithDocs thank you so much, I appreciate your advice, I think I will go slightly heavier but gradually and over time , you guys are fabulous 🥰 thank you 🥰🥰👌🏿👌🏿👌🏿🤗🤗🤗🎷🎷🎷
Hi rosemary. You are very welcome! Good luck and keep moving!
@@TalkingWithDocs thanks guys 🥰 I love you 🤗
Would you recommend returning to a Pro Golf Circuit , where the rigours and demands of back to back schedules are too too heavy; Would appreciate your reply . You have very kindly replied to my query earlier also. Though I am still younger, howerver, , due to tri-compartmental OA , I am about to undergo the bi-lateral knee replacement. I wanna ge active and wihtout pain killers as I havre a liver issue too.
Hi lj. It would likely take 6 months or more to fully rehab and get back to form but there are a few players on the Champions tour that have total knee and hip replacements. Best of luck during your recovery. Thanks for watching, subscribing and sharing if you did.
Fun Dr !!
Thanks for watching and subscribing
I love to hike the grand canyon and i am facing a total knee replacement. Love to know your thoughts, thank you
We think you should plan on doing that! Best of luck. Thanks for watching and subscribing
Hey doc's,I had thr on 4/23/19 an was wondering if I could mow lawn on riding mower at this point..thx!
Hi William. This is always a good question to discuss with your surgeon. The most important thing is to be safe and sensible. Thanks for watching.
You guys are great. So, strength training, deadlifts, squats, snatches, clean and jerks? I also train and teach martial arts, kickboxing and street self defense. Oh and surfing. That's my biggest concern. I'm aware of the load baring from the Oly lifts and strength training. I can do with out 300lbs+ squats. I'm 54 and very active. Thanks for any feed back.
Oh surgery is next Tuesday 6/8
Hi Ronald. So with surfing it would the crashing that would be an issue with respect to fracture and dislocation. The surfing itself would be fine. The main issue is repetitive pounding and extreme range of motion. Hope that helps. Best of luck to you! Thanks for watching and subscribing if you did
would a ceramic socket be better in general for longterm use in the total hip replacment? and what are your thoughts on osteoporosis and total hip replacement?
Hi Mer. Usually osteoporosis is not a big concern unless severe. There are some studies that suggest ceramic on plastic may wear better however metal on plastic is a excellent bearing surface. Thanks for watching and subscribing
Thank you so much you guys for your Channel Subscription. All this is sure great what you drs are teaching us. I like the Hip Replacement Knee replacements. I have had both of them done. The Hip about 10 yrs or 12 yrs ago and my knee about 6 yrs ago. All were bone against bone and when it's like that There is no relief in sight except for the Replacements. All caused from when I was younger I had broken bones from Motorcycle and Snowmobile Wrecks Broken bones. Ih yea same year I had my knee replaced I had a six hr neck and spine surgery. And that one was also from years ago. Having all that done I am ever so Greatful to Jesus God and my Gaurdian Angel's. I feel so much better with far less pain. When it's cold outside I might get aches from the cold but not that big a deal. Before I go. Have to tell you something kinda funny
When I had my hip replaced I have also Myasthiena gravis and with that I couldnt have the normal Anesthesia when they put you out. They have to give you something else I was out and don't remember but the Dr when he started the power saw I awoke and started talking to him. Dont remember tho. Kinda feel like the six million dollar man with screws and plates. And you know something else if I knew all this zi still would have ridden motorcycles and snowmobiles.
So glad you are ok Kurt. Thanks for watching and subscribing.
Makes sense.
We thought so Mary. Thanks for watching and subscribing
I have two total knee replacements. It’s very painful to kneel, however I have found a pair of kneepads at Duluth trading company which makes this activity possible and fairly comfortable.
Hi Mike. Thanks for sharing. Yes kneeling can certainly be difficult. Good luck going forward. Thanks for watching and subscribing if you did.
Love listening to your videos........what about golfing. I have two new knees and a new hip.
Yes Marylee - go golf! Glad you like our videos. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs thanks for info ....... had LKR on 5/19 and have to tell you pain is so bad. Actually nerve pain. I’ll continue to watch your videos
These videos are great, really informative and down to earth. I am now 4 weeks after an anterior THR, recovery going very well. I cannot seem to get any authoritative information about doing Yoga after a THR. I've been told that the 2 major activities I need to be careful with are hyperextension of the operated leg, and secondly external rotation of more than 45 degrees. But I would love to get some practical guidance of how tthis translates into a Yoga practice, what can be done, when, how much, etc. Thanks!
Hi Harvey. Thanks for the kind words. So for yoga, it is a bit tricky because you do want to avoid specific movements and the approach you had determines which ones are the most dangerous. Always best to talk to your treating surgeon. Our generic advice is slow and steady and avoid extremes. Glad to hear you are doing well. Thanks for watching and subscribing if you did.
@@TalkingWithDocs Many thanks!
Good morning doctors what is your opinion of taking the hardware out of a patient's ankle I had surgery on my ankle I have two metal rods and two metal screws and I don't have no Circle motion I want to go see another pitaya trous and his opinion is to take the hall without asking you please doc what's your opinion on this I please ask you for a feedback thank you so
Hi Kimberly. If you think that is the cause of the problems it may help. It is important to know that it may not. Some of the residual problems may simply be related to the injury. Good luck. Thanks for watching and subscribing if you did
one week since total hip R. I am 61 and determined to surf and snowboard. Both sports require what I think you mean by "planting and twisting" I understand there is the risk of a fall or wipeout or any accident but how would the required body motions like bending the knees and twisting at hips and upper body using leverage to turn the board and leaning into turns etc hurt the replaced joint? I have enjoyed these sports since I was a little kid and maintain a high level of fitness. I've been slowed down a lot but I don't want to quit.
Hi Steven. These activities would typically not wear out the hip but then extreme range sometimes experienced during falls could lead to dislocation. Stay safe and good luck. Thanks for watching and subscribing if you did
Hello Docs and fellow subs! I will be having a THR Left non dominant leg in a few months. I own a small lawn service and utilize stander mowers. I s a recommendation of yours the replace the standers with sit down zero turns. And what about me uses the mowers at all? I appreciate whatever input you guys can provide. Thanks for your time.
Hi Cutty. Best of luck with your surgery. As for the mowers, as long as your hips are not severely flexed you should be ok. Just be careful. Thanks for watching and subscribing
@@TalkingWithDocs Sirs, could you describe flexed please.
Good morning Doctors. I'm a recent new viewer to your channel.
I have a serious service connected knee disability and need a total knee replacement on both knees. My left is the worst one as it was the one I injured. The right knee needs a TKR due my impaired stride.
I will be gettibg surgery shortly. I had been an active Living history pre 1840 and Civil War reenactor. Will I be able to oce again fully participate in thise activities. The ground by in large can be bit rough and uneven.
Thank you in advance for your kind response.
Hi Denis. Good luck with your surgery. We think there is a high chance of being able to re-enact the old civil war stuff. Good luck. Thanks for watching, subscribing and sharing with someone if you did.
THR just 6 weeks ago, healing a bit slow. I haven't ridden horses the past couple years, but i did ride for 50 years and I miss it so much. Almost age 67, female, and I think I have to give it up forever now, I just can't risk another fall or being thrown. Can I garden and sit on the ground, kneel and squat down for gardening? Thank you for all advice! Merry Christmas!
Hi Sue yes the risk of falling off the horse is real. So kneeling is ok. Some types of crouching not really ok. Want to avoid extreme positions of the hip. Best of luck. Thanks for watching and subscribing
2 and 15 weeks out from partial knee replacements. My goal for next 1-3 years (saving up money will determine when) is to hike the tallest mountain in Australia. (I live in the US.)
Hello. In July 2022 I had both knees totally replaced. My left knee was bone on bone and the right knee was almost just as bad. With that in mind I wanted and needed to prepare myself for the surgery. I came across the informational videos of Doctors Zalza and Weener and boy did I make the right decision. I watched as much of their videos as possible, that included 1am - 6am. This of course drove my wife crazy, so being the nice person that I am, I moved to the recliner. I'd watch videos of the actual process which further allowed me to understand what I was in for and what needed to be done. Doctors Weener and Zalza spoke in a lighthearted yet informative manner including a fair amount of humor. They were like a medical tag team. I recommended that a friend of mine watch their videos before and after their surgery. In closing, I'd like to say that these two guys are great, and did a wonderful job at putting me at ease.
Hi Keith. We , Dr Zalzal and Dr Weening, are so glad that we could help in any way. Congrats! Thanks for watching and subscribing
So......contemplating hip replacement and not using your advice in place of my primary ortho willing to replace my hips but right now I have difficulties drawing up my feet in a classic figure 4 to put on socks, after a well healed paterior/lateral hip replacement should you rotate and pull your feet into your lap for socks and shoes? AND can hip replacement patients ride horses? I have also read some information where it is discouraged to even bend over to touch your toes. Lastly any concern for scuba diving related to pressure changes?
Hi Eric. You should be careful with deep flexion or external rotation. The chance of a dislocation is quite low but not impossible. Horseback riding needs to be carefully done especially getting on the horse. As for scuba we think that is likely ok. Hope that helps. Thanks for watching and subscribing if you did
What about golf ? Specifically if driver swing is 100mph or above
Hi Michael. It should be ok. Best to discuss with your surgeon. Hope that helps. Keep swinging. Thanks for watching, subscribing and sharing if you did.
What is your opinion on chopping wood after THR? Thank you.
Should be ok. Just be careful not to fall. Thanks for watching and subscribing
Pickle Ball; where the nuance is the utter unresponsiveness of the ball off the paddle... Shoulder injury due to overswing is the risk there.. Good talk guys but you forgot a big one in the US... Can I ride my bicycle? My doc said yes. I am at 5 and 4 years out for two total hips done by a great surgeon. They have both been flawless.. My hips were so bad before hand and I am so thankful for the new pain free mobility that I am still afraid to ski.. I would love to.. I am even afraid to ski cross country because I like to go fast down hill... So I baby them.. no need to do impact stuff as there is plenty to keep an active person busy Including cycling.. 3000 miles in the last year for me... hiking, elliptical, stair master, spin classes, swimming on and on.. Thanks for you videos.
Very welcome Brian. Yes we love the bike. Great way to get low impact exercise. Thanks for watching, subscribing and sharing with someone if you did.
Shirley here, I was very active in sports u name it I did it, that why I needed hip replacement at 70, wore everything down to the bone. I plan on ski tennis horseback riding anymore anyway.
I am going to have a total hip replacement on my left side so my question is … are about the activities I enjoy doing! I love to swim laps, ride my three wheeler motorcycle, and horse back riding! What do you say Doc’s????
Hi Kathryn. You can probably do all of them just carefully. Also review with your surgeon. Good luck! Thanks for watching and subscribing
Scheduled for right hip replacement December 17th 2020 my question after I go back to work in april 2021 can I resume the amount of walking that I do now for work ( 10 miles a day 5 days a week I own a lawn landscape company) I'm currently grinding my way through this season and needed to know if 50 miles a week of walking would just wear the hip out real fast ( the hip is spose to last 20-25 years ) I work 8 months off 4 months if I were to guess just for work I walk 2000 -2500 miles a year .
Hi Michael. Typically low impact activity like walking is well tolerated and not a direct link to wear. Best of luck in December. Thanks for watching and subscribing if you did.
How do you feel about classical ballet ?
We like if Janette. And it’s probably ok after total hip or knee within reason. Thanks for watching and subscribing if you did
At 79 my first hip replacement was great and recovery was normal but the second hip replacement at 80 was not so....four years later, I am still crippled, I have a lot of pain, one leg shorter than the other and it's very difficult to even walk slowly.
Hi Sandy. We are very sorry to hear about your difficult course. Every case is different. It is difficult to know why the second one was different. Sometimes legs are different lengths but that usually isn't a significant functional issue If you have severe pain, that should be investigated as that is not typical. Good luck and keep us posted. Thanks for watching.
What do you think about martial arts n kicking pads or heavy bags after getting a Birmingham hip resurfacing? My guess is that it may loosen the metal on bone over time? Is that a fair guess? Thanks.
Hi K T. Any excessive load on the hip is ill advised. No guarantee that it would damage the hip but better safe than sorry. Thanks for watching, subscribing and sharing with someone if you did.
I had a THR 12 days ago. The left hip is scheduled for replacement in 4 months. I plan to start stationary biking soon and regular biking In a few weeks. I am assuming from the video that squats are not on the approved list of weight lifting moves? Thanks. Enjoy the videos.
Hi M. Squats can be ok but have to be light and not very deep. Thanks for watching and subscribing
I like your hats
Why thank you very much Mikevdog. Thanks for watching and subscribing if you did
what abou squatting? deadlifting? Thanks docs
Yes F C. Likely less weights and just not so deep with the bending but remember you want your joints to last as long as possible. So be careful. Thanks for watching and subscribing if you did
Both of my hips are bone in bone. Two questions, I’m 77 years old, would you advise having both done at the same time,and because I am my wife’s sole caregivers there a procedure that would allow me to be mobile in a week or so. I can handle themendous amount of pain. Just want to know if there is a quickie replaced that I can undergo, by the way, I’ve been a subscriber since you two started.
Hi Ronald. First, thanks for your support for the last 4 years. With respect to your hips, some patients have bilateral hip replacement. It is less common than bilateral knee replacement. Best to discuss your situation with your surgeon to see if it's possible. The main risk is a slightly higher risk of complications as we age. Best of luck to you. Thanks for watching and subscribing if you did.
I am wanting to replace both knees. I am a martial arts instructor and teach Muay Thai Kickboxing and Brazilian Jiu Jitsu. How do you feel about these?
Hi Ken. Thanks for your question. We think those activities are very interesting but may be difficult to continue at the same level after knee replacement surgery. The main issue will be deep knee flexion. Ultimately the decision to replace your knees has to be based on pain and the goal of improved function needs to be carefully assessed preoperatively to avoid disappointment. High impact activities in the setting of a knee replacement can lead to premature wear. These are all very good questions for your surgeon. You can likely continue to teach but may have to modify it somewhat. Hopefully that answer helps. Good luck and thanks for watching.
Yeah
I'm an active 80 yo woman (back packing, camping, long road treks, 4 wd trips off road). I am 3 1/2 months after emergency hemi hip replacement following femoral neck fracture. almost limp free, tendons, muscles, etc still tight but improving, I work my PT hard. With rest stops and hiking poles I hike on level trail now for 4 miles. How soon can I expect to be hiking in the canyons and mountains again and how soon would I be safe digging up turf with a shovel for a patio.
Hi Trilby. Most of your recovery will take place by 6 months. Not everyone gets back to all of their activities but sounds like you are motivated. Good luck. Thanks for watching and subscribing
Hi Docs, I teach dance and choreograph, and I need a tkr (severe osteoarthritis in all compartments). The odd thing is that I have no ACL nor PCL--due to injuries during my dance career YEARS ago, which is probably why I developed traumatic arthritis. I was largely asymptomatic up until very recently. I also run, but not much and not often. You've said that TKR doesn't help with instability, which is what is bothering me now, but given that I haven't had the supporting ligaments for years, wouldn't the TKR help with that?
Hi Lorien. A total knee replacement can definitely help with stability. The implant design does the job of the ACL and often the PCL depending on whether you choose to save it or not. So for you it will help your knee feel more stable for sure. Sounds like you have lived with it for a long time. Good luck with your procedure and keep us posted. Thanks for watching
@@TalkingWithDocs Thanks Docs! That helps with my decision making process. Yes, I've lived with it a long time, but as I said, largely w/out symptoms. I'm pretty sure I spent the last part of my dance career on one ligament (that included jumping & turning A LOT). So either I have a very low pain threshold or I figured out how to move without the help of ACL/PCL. But now, well, different story. I actually wouldn't even consider a knee replacement except that I need to continue to be able to move pretty vigorously, and it's getting harder to do. So thanks again.
Very welcome Lorien
I think its all depends on patients health, implant ,surgeon's skill
Hi baloo the bear. Yes there are many factors. Patient health is probably number 1. Surgeon skill 2 and the implant probably 3 as the implants are all actually quite similar. Thanks for the comment and for watching.
TKR scheduled next month...my goal is walking through Disney! The scooters r getting old😊
Hi Renee. Great goal! Best of luck. Thanks for watching and subscribing if you did.
Why I am looking to have Hip Resurfacing vs Total Hip Replacement....much more likely and able to return to everything you want to do without as many concerns, especially 6 month to a year after surgery.
Hi Tom. Some people favor resurfacing. Each procedure has unique risks and benefits. Have a chat with your surgeon. Thanks for watching and subscribing
@@TalkingWithDocs - The only issues you hear about resurfacing is metal ions, but that risk is low and now even lower since they identified why some people had more friction....and femur neck fractures, which of course isn't possible in THR because they cut it entirely off. Seems more risks involved in replacements. Additionally, if a revision is necessary, you can simply go to a THR from a Resurfacing, but revisions from THR is much more complicated.
I understand Resurfacing isn't done on many women due to higher rates of osteoporosis and smaller bones, but for males under 60, especially larger framed males, who are active Resurfacing is much better option for living life the way you want......simply take it easy the first 6 months and monitor metal ions levels going forward.
Just seems it's less common because it requires additional training and certification on top of the procedure taking more time and that good candidates for resurfacing is a smaller percentage of the population with hip issues.....thus many surgeons would not see it as worthwhile to obtain the training and spend the time and money to learn it.
Am I missing something? Love to hear it if I am!
Come to Pittsburgh, please do my knee. You guys are a team. Thanks. 🐧🏒. Vegas Golden Knights. Christy
Thanks Christy. We would love to go on tour and see Pittsburgh. It could be a mobile surgery tour. Maybe on a big RV. Good luck to you and go Knights!
Hi there doctors ,hope you are well I had to have a left hip replacement i couldn't lift my leg onto my motorcycle footrest so was essential surgery for me .
My question is this i live miles from civilization,,if by chance I dislocate my hip ,can you tell the audience how I may be able to relocate it myself?thanks
Hi Dave. It would be nearly impossible to put back in by yourself. Patients have to be sedated to do it. Thanks for watching, subscribing and sharing with someone if you did.
Hello, Docs. I am on my second day (June 15) post op total right hip arthroplasty. I am doing well and not in pain. Trying to figure out what I can do. Can I lift weights with just my upper body? Can I ride a stationary bike? I have two international conferences coming up in the end of July and beginning of August. Is it too soon? Should I cancel them? Thank you for any insight.
So this should always be discussed with your surgeon but we would say yes to the weights. Probably no to the bike for a little while. We recommend no travel at least for 6 weeks and often 12 but see how it goes and reassess. Best of luck. Thanks for watching and subscribing
What about kayaking on a gentle lake or canoeing?
Sounds reasonable lisa. Careful getting in and don't tip it! Thanks for watching, subscribing and for sharing if you did.
is surfing and/or stand up paddleboard possible?
Hi Joseph. So yes they are. Like most activities you need to weight the risks versus the benefits. The main risk would be falling and doing damage to your implant. We would say paddleboarding over surfing. Hope that helps.
I was diagnosed in oct /2018 osteoarthritis in my hip no warning how long can I wait to have the surgery I have had 3 injections works for a little while
Hi Robbie. There is no specific time limit. You should try and wait as long as you can. It is a very personal decision though. For some people it can be years. Hope that helps. Thanks for watching.
Someone asked your opinion of Dual Mobility Implants, which increase joint mobility and lower the risk of dislocation. From reading, they seem ideal for people involved in highly mobile sports, like me with aerial silks, involving a lot of hanging upside down. Why are they not used much more frequently or even as default? I see no disadvantages.
Hi Judy. The main issue is when there are more parts involved there are more potential locations for failure. As well as cost.
I'm having soon a double knee replacement. I used to like walking long distances and walk trails in nature parks ,also loved to dance, will this things return to my life? Also loved to go to the gym. Can I go back?
Hi Carmen. Often patients are able to return to activities like you mentioned after joint replacement. That is the purpose of the surgery - quality of life restoration. Hope that helps. Thanks for watching and subscribing if you did.
My question is not the joint itself but the muscles and ligaments that work the knee. I am 80 and replacement is recommended but most of my pain is in the muscles and ligaments, how much relief can I expect with the muscles and ligaments?
Hi Jeanne. It is hard to say. If you have severe arthritis hopefully the majority of pain will go away once your knee is replaced. Good luck. Thanks for watching and subscribing if you did.
I didn’t hear anything about bicycle riding say about 25 miles most on road.
Yes John. Cycling is excellent. Thanks for watching, subscribing and sharing with someone if you did.
I like to kayak fishing Iam doing that for years when will I be able to kayak after surgery
Hi Robbie. Likely 3 months but it would depend on which procedure you have. Best to discuss with your treating surgeon. Good luck and thanks for watching.
After TKR. You may have simply assumed viewers knew this but ... bicycling. Esp. comparing a recumbent bicycle with the standard upright bicycle (not stationary). Good? Bad? Excellent? Terrible?
good question and not answered by the Docs. I would advance this question one further: how about riding a bike on the road? I suspect one fall off the bike could be really bad!
What you should not do, is stand up in a bus before it has stopped. I did that, fell because the bus made an unexpected turn - the result was a bad fracture of the femur which needed a third knee replacement. Back to field zero, after I had worked for a year to make again a two-hour hike, after having one hip and two knees replaced within a year.
Doctor told be, that I might do everything except falling. OK. No mire bike, no more downhill skiing, no more cross-country skiing. Snowshoeing is possible, also hiking in moderate terrain (needs some planning in the alps), at home the elliptical is ideal.
Yikes Irmgard. Thanks for watching and subscribing
I previously assumed that running is ill-advised because it would crack/pit the metal, but if it's just the plastic, you can replace that as many times as you want, can't you?
Hi ziiip. So you can replace the plastic however as it wears it causes an inflammatory response that can weaken the cement bond and lead to loosening. Each time your knee replacement is revised it becomes more difficult and the outcome less predictable. In general, it is simply better to find an alternative to running for exercise. Hope that clarifies things. Thanks for watching.
I had I knee replacement, tripped over cord, got to a kneeling position in getting, the knee replacement sooo painful, couldn’t get up,had to use other knee to push up on sofa, won’t have the other one done
Oh no adonna! Be careful. Thanks for watching and subscribing if you did
What about inline skating? Skateparks? Horseback riding? Mountain biking?
So yes to all. As long as you don't fall. It's all about risk tolerance
Been watching all of your pre and post videos of hip replacement. Thank you. But now I am depressed watching this video. I need to have a rod removed and a left hip replacement! I am 73 old and been a long distance cross country hiker and it sounds like I will be limited to my passion in the future. Am I correct? Please say No. What happens when your hip replacement is dislocated? Thanks and keep up the good work!
Hi Lindley. Long hikes should be ok. Just no running. If it is dislocated you fall down, go to the hospital by ambulance, have the doctor pull it back into place while heavily sedated and hope it doesn’t come out again. Thanks for watching and subscribing if you did
Thanks for the information I feel so MUCH better now and looking forward to hitting the trail again. Thanks for all the good work.
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