Can I run after a total hip replacement
ฝัง
- เผยแพร่เมื่อ 27 เม.ย. 2023
- What style of runner are you? Is it true that after a hip or knee replacement, you can't run? Whilst most of the information, studies and anecdotal evidence lacks rigour, some principles can be applied. Find out from Dr Chien-Wen Liew, orthopaedic surgeon - Adelaide, Australia, what parameters he uses to determine if you can run after a joint replacement.
To learn more, and read more from questions submitted from patients, please visit: www.drchienwenliew.com.au/hip... - ภาพยนตร์และแอนิเมชัน
I got a new hip 5 years ago. I'm a martial artist and a runner. When I run, I strike mid-foot. That being said, my surgeon told me to run no more than 6 miles at a time. And I have held to that.
TY for this share. 🙏
Best explanation I've heard. Thank you
I’m just thankful to be able to walk better!
I’m a THR who refused to stop running. The Pose Method of running developed by Dr Nicolas Romanov requires a mid foot strike with high cadence and low ground contact time both of which reduce ground impact significantly. It does require training, very preferably by someone properly certified to train the Pose Method of running.
Absolutely fantastic - we love hearing people doing what they want to do! Safely of course!
Thank you very much Doctor. Your advise is very helpful.
I'm in my 8th week after posterior total hip replacement. I have been running on the mid to forefoot for the last quarter century +. I plan to give it a go after the three month recovery timeframe. I'm 67, it's a bit about going out on my terms. Nothing drastic just 10 to 15 miles a week. If I can't get back on my forefoot then I'm done. I won't risk a heel strike for multiple reasons. When people talk of the "pounding" I generally suspect they have never really stuck with running long enough to get out of the pounding mode and into more of a glide. I used to scare people while passing from behind because I didn't make any noise. I have spoken with my surgeon, a second surgeon and three PA's and all but one PA seem to be quite encouraging. My wife and my sister think I'm nuts. Right now I'm focused on reaching my darned foot so I can tape up and tie my shoes.
The question is not „can“ you run with a hip replacement. Of course you can. The question should rather be, „should“ you do it. While it’s of course technically possible, you need to be aware that this will wear down the new hip faster.
But how fast? There are no studies to that. And if it’s part of your life quality, do whatever you feel like. That’s the whole purpose of the new hip 😅
Its like should I drive my car in all weather and tow a heavy trailer ,
Yes , you can , it will probally wear out quicker but if you go steady it should last a long time
Excellent explanation doc, thanks. I had a hip replacement a couple of years back and have since done some running on an anti-gravity treadmill under the supervision of a physio. It's a wonderful feeling to be able to run again but I'm only happy doing it knowing that I'm putting a fraction of the weight through the hip that I would be if I were running on the road. As someone who ran 2/3 times a week and enjoyed 10ks it was hard accepting I'd have to give up running on the road. I'm letting a bicycle take the strain now.
THANK YOU!.. The most intelligent sensible answer to the question of running post (THA) total hip replacement. I am a forefoot runner & used to run bare foot. I feel a lot better knowing I can run with my experienced light forefoot style on grass like a cross country or on sand, and not fear the occasional short run on the road if gliding along on my forefoot while only being 10.5 stone. 67kg..As a man..
Glad you found it useful! Whilst we don't generally recommend running, it's not a hard no for everyone.
One thing not discussed specifically is if a runner prior to surgery can continue to run for training and health. Say 2-3 miles a day, several days a week, at a moderate pace. It makes sense that if you were not a runner, this is not a good idea to run a marathon. But what if you are a runner, and you want to continue to train at a moderate level. New studies are showing how exercise helps the body in ways we didn't understand before. So I am wondering if running in a prudent style would actually help prolong the hip longevity because of the strength and cardio building aspects of the training. Thank you for this video, it is a brilliant explanation.
I would say this: whilst I totally agree that exercise is ESSENTIAL in your overall health and healthspan - running may not be the best option for this if you've had a joint replacement. This might mean that you need to try other things which are just as effective - like rowing or cycling which essentially place no implant on the joint. If you HAVE to run, then ensure your strike is soft rather than a heel strike.
Excellent! Thank you, doctor
You are welcome!
I was wondering the same. I'm 48 and ran competitive for 26 years. 3 years of that semi pro. Training for me included long tempo runs at VO2 max and rubber track workouts once a week on spikes. It's been 8 months since my double hip replacement. Ive managed to speed walk multiple times a week, but my lower legs still swell and i get shin splints in one leg. My muscles often ache too. I have found that omega-3 fish and krill supplements have helped with the aches tremendously. After 8 months I can finally do a slow trot in the grass or carpet hallway at work, maybe 200 meters. It's really depressing not being able to ever run again. I literally have dreams about competing. When I was 20, that was my first time breaking a 5:00/mile pace.
It certainly is disappointing, especially for our younger patients like you who still remember running. Most of our patients don't really remember being runners, as it was usually a long time ago. One of the important things is to avoid giving the expectation that running is normal after a hip replacement. Whilst it can be achieved, it takes training, a coach and time to recover a different running style with low impact. It can be done, but you need coaching to ensure its done safely which is why its best to advise those who have an average enthusiasm for running to avoid it altogether.
@orthopaedics360 agreed. The times I have ran, it felt extremely odd and I could only run on the balls of my feet. I forgot how to heel strike run. I don't ever plan on running again, which is extremely depressing, but I at least want to know I can if needed. Example: I need to get out of the way of a moving vehicle or a dog chasing me. I've actually had to run once crossing a street. Surprisingly my cardio is still very good amd my heat rate still sits upper 50s to low 60s. I used to have a sitting heart rate of 50 bpm. I am going to start taking cinnamon supplements in 2 days. We'll see if that helps with some of the joint pain I seem to be getting in my knees. I've narrowed the swelling down. It's mainly being caused by sitting in an office chair all day. If I get up 7 or 8 times a day and walk, I do not swell.
B vitamin complex helps a lot with swelling
As a person that’s had a hip replacement 11 years ago I have taken up running.
I could run around with a frisbee or play football with the kids, but this is much more taxing on the body if I hadn’t learnt how to jog and run beforehand. doing that activity for a short period of time in burst as much more likely to cause injury than affied trained and learnt how to run anything from a mile to 5 miles. That said extensive physio weights preparation was needed first before doing this so. Running around playing frisbee or football, is Stillmore taxing on the body than running a few miles or longer distance
I JUST WANT TO GET BACK TO JUST JOGGING IN MODERATION I AM NOT TRYING TO RUN HALF MARATHON OR A MARATHON
Thanks for the candid and detailed explanation. My next question, can I ski after a total hip replacement? I am 54, and currently on my 6th week after the surgery. I know I will miss this season, however, I am curious about my chances at skiing in 1 year from now. Before the surgery, I was doing XC perhaps as long as I remember myself, resort alpine skiing for about 40 years, and I was getting into the backcountry last few seasons. The surgery was done using the anterior approach. I understand that everybody's story is different, however, general considerations and statistics will be much appreciated. Thanks.
I do not limit skiing at all for my patients. Probably avoid the huge jumps.
Sweetheart I'm having Hip replaced .
2nd hip !!
I heal quickly. Running long distances SMH ❤😘
This is why i opted for a Birmingham hip resurfacing procedure instead. Much more rugged.
I would recommend researching some of the hip resurfacing issues that are cropping up, including Birminghams. We don't have a lot of surgeons happy to put in resurfacing in Australia these days
@@orthopaedics360
What are the issues cropping up? Most of what I've read recently seems to be advocating it even for older, active people now.
Of course, that's the way it is with doctors as well. Most appear to be salesmen advocating what they do as the best, making it difficullt to cut through the BS and decide what is best for the layman.
I'm in need of a new hip now and going through that unfortunately.
Hi Doctor. What about shot put? Which is easier on the hip - the glide or rotation style? Thanks
Depending on the approach to your hip - with anterior approach, we would allow the movement once you had fully rehabilitated but like always, it's not a common movement meaning that it's not that tested. If you were to do it and be fine, then we would let others know of your experiences. Hope that helps!
@@orthopaedics360 Thank you for replying but ... Hmm! Feeling that rotation puts too much twist-strain and that the glide's first movement is somewhat jarring I've gone ahead with a step-back movement, more fluid I think, and it is 'feeling' fine thus far. I am going to have a go at the over 70s Asia title. Wish me luck.
Can't wait to hear how you go. @@dougschorr4347
I would be interested in your thoughts on using a footbike(essentially a scooter with bike wheels)..popular in Finland. Its a forefoot strike, lower weight bearing on contact than running but similar movement to the running action. Might be a compromise for those wanting ro run long distances.
Not familiar with it, but sounds fine
The impact at titanium/bone is (to me) an ever-present concern. Titanium will win every time. I just had the other hip replaced, and am aware of gravity, shock and twisting.
Titanium is one of the closest matches to the modulus of elasticity of bone. Compared to stainless steel, titanium is far closer to the forces and movements of a prosthesis. This actually reduces the chances of a catastrophic failure of the construct.
Good observation. But after a cremation, titanium stands proud among the ashes...
@billyandrews4728 when I'm cremated, I'm going to have my family sell my hips on the black market🤣
Make the urn? Hmm..
Can we do advanced surfing after a THR? Because a lot of it, especially going backhand, is in your hips. We surmise the surfer (good surfers that is) is heavily curtailed? And you need to tell us which approach you specialise in too.
I have many patients who surf and it is absolutely fine to surf after a hip replacement that I perform. I do not place restrictions on surfing.
Had a thr 2yrs ago still can't walk let alone fckn run.
What are your thoughts regarding weightlifting movements, such as squats, leg presses, thigh extensions, lunges? I had anterior approach 6 months ago
Almost all are absolutely fine.
@@orthopaedics360-Thank you for answering this question.
Hey doc is it possible to shadow box after a Hip replacement? Im 24 years old and I got mines recently 3months ago.
YES
It will soon be OK though--there is a better prosthetic in the design stage.
What about playing senior softball.
Usually completely fine. Try not to sprint
Hi Doc, what about basketball?
I would not recommend the high jumping and impact of basketball. Modified basketball is fine, but I would be concerned about landing awkwardly from a high height, or from sprinting on a hard court.
Why can i bend my leg fully when im walking? If i try to run on th grass, my legs just straight, i can omly move it in the pool, and that's not much either
Sorry, Im not sure what you mean - can you clarify? Have you had a hip replacement?
Great ☹️. So after my hip replacement I will have a good hip but now cardio will suffer. The only thing that makes me feel mentally and physically on a natural high is my ritual of 7 long fast 100 yard runs. . Now I will have heart issues. This sucks.
I too have to get thr😢
Switch to cycling. That will cover your cardio needs and is recommended by every orthopedic surgeon I can think of (I've had both hips replaced).
You can get a similar, if not better burn with rowing, ski erg, cross trainers or bikes.
I'M 54 YR OLD FART. :/ I HAD MY LEFT HIP REPLACED THIS PAST OCTOBER.IS IT OK TO RIDE MY BEACH CRUISER THIS COMING SUMMER?
Totally fine
Can I still teach advanced tap dancing ?
Of course - sounds perfectly fine.
How about 7 -100 yard runs on grass?
Sounds fine. Like with everything - do what feels OK. Grass is better than road,.
What about playing tennis?
No restrictions.
Can i play football after THR ?
No
Ah, 'run' as in as a hobby or sport. So it's OK to run across the road, at least!
Absolutely fine to run across the road!
Thank you doctor that yopur advise to go trotting on grass with weight on front balls of feet is good .
Thats not true. If toure flat-footed, running on your toes can destroy your shins. Come on doc... Come on
You shouldn't run "Flat footed", you should be an experience forefoot runner. Most experienced runners run this way.
I must be lucky. Flat footed and been a forefoot runner for several decades no shin issues.
I think he meant he's flat footed not that he runs that way@@orthopaedics360
@@orthopaedics360 this is like saying "you shouldn't do squats with a wide stance." I am flat-footed, and I run over 100mi a month. Everyone's different, and you should be open to understanding other people's way of doing things. Not everything is for everyone and not everyone is for everything.
The jarring motion of running is not a good idea on a good day. Just stop. Find an exercise that does the same thing without hurting your joints. You will suffer in your senior years.