Hip Talk Forum About Hip Resurfacing

Hip Resurfacing General Questions => Hip Resurfacing Topics => Topic started by: JohnnyD on May 12, 2009, 04:52:36 PM

Title: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: JohnnyD on May 12, 2009, 04:52:36 PM
i am wondering where the line is drawn for deciding to go for it.
i have pain only sometimes.  yes, i have very limited range of motion.  too much bending down to pick things up will yield some pain but it goes away.
i can walk basically for hours without pain, sometimes, though, this is not the case and either my hip, groin, or knee will hurt.
sleeping on my side is pretty much impossible as i will wake up with some hip and groin pain.
situps and leg lifts will induce pain in groin and hip and si joint area.
sitting cross legged and/or "indian style" is out of the question.
carrying heavy things will induce some pain.  and squatting is out of the question.

basically, i can live life without it.  only, i cannot do things that i want to do, like ride a bike.  even more so, i want to go back to kayaking and surfing.  i am only 38.  my fears are that i will be not able to do much and will need a thr down the road if i go and get this hr done.
i had a doc say i need arthroscopy to fix bilateral fai, with some arthritis, and labral tears, which was a year ago.  i freaked out because of the recovery rate not being very high.  the films from a year ago pointed out "no narrowing of joint space," so i assumed that i was good to go and easy recoup.  but not so fast.
i hear of people not being able to twist or move with some aggression afterwards, perhaps forever afterwards.  not that i can do that now, but do i want that after "corrective surgery?"

anyhow- i am wondering how back you all were before you went under the knife, in comparison.
i am worried i might be making a mistake!

thank you
jd
Title: Re: what made you decide to resurface or "just stick it out" and not have surger
Post by: Tekka on May 12, 2009, 05:40:42 PM
Hello JD,

I am only 43 years old and 14 weeks after a LBHR, I was exactly like you, I could walk and train to a point but it is only now that I relise how limited I had become, the last two weeks prior to surgery I kept asking my wife did I really need the surgery....she finally had enough one day and said..you limp and walk like a ninty year old man, WHAT DO YOU THINK !!!.

It's not just the hip, it's the knee, the back, just about everything is effected, my wife say's I look five years younger, without the constant grimace I must have had on my face.

Only you can make the decision when you feel is the time to consider surgery, it is major mate and you do have to be patient with your recovery, but I sit here with my laptop on my crossed legs, for the first time in years.

I wish you well

Regards

Terry
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: bradley on May 13, 2009, 01:54:49 AM
I am 14 weeks post RBHR and have not looked back. In hindsight I should have had the surgery earlier . Let me explain. I have had osteoarthritis for 4 years and it progressively got worse - my limp was more pronounced, could not bend easily, avoided stairs, could no longer jog, was taking painkillers, and to be honest, I was changing my life gradually to accomodate my aching hip.
I now realise that I was actually kidding myself that "things are'nt so bad" when everyone around me could see that it was getting worse - I just did'nt want to admit to it as I was so afraid of the surgery. I quite honestly did not realise that I was so bad then!
The deciding factor for me was when I had to take a group of students on a long scenic hike down to a beach and I had to admit to them that I could not make it there and back. They asked "why?" . They asked why I did'nt do anything about it. I had to admit to myself that things were just going to get worse and not better and that I was behaving like an elderly person.
In retrospect, once you start to compromise your lifestyle you ought to start to seriously consider surgery. Best of luck!
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: swilliams on May 13, 2009, 02:33:19 AM
Hello JD

I'm awaiting my hip surgery but I have no doubt that I need it! How can I be so certain? For the last 4 years or so I have been suffering (varying amounts) - for the first 2 yrs I admit I was in denial, telling myself I'd pulled a muscle and stuffing down another couple of Paracetamol when the groin pain got really bad. After all I was far too young to have arthritis!!

From what I've heard it's common place that you don't suffer all the time and even now that I have taken the decision to go ahead, I have days when I'm almost normal (doubt my friends would agree with that statement)! But walk a lot, do an hours gardening etc., and it can swiftly become another matter entirely!

For me, and most others I suspect, this has been a process of "slow erosion" - you don't suddenly wake up in pain and think "must be resurfaced"!! What happens is slowly, over time (like water dripping on a stone) and without really thinking about it you start to compensate for your body's inability to do the things you've always done e.g. you walk less; you put on your shoes in a different way; you struggle to cut your toes nails; you avoid hard seats; you avoid stairs; you can't get up from the floor etc. Then, one day, you suddenly realise you're in pain more often than not and that you have stopped doing lots of things you used to take for granted. I asked Mr McMinn about this and he said "the decision to go ahead is pain driven" and I think that pretty well sums it up but it's also down to how much inconvenience and erosion of life quality you are willing to tolerate.

It's your decision, of course, and anything with an element of risk has to be carefully considered but, for me, life's too short to waste it limping around in pain when there's an alternative!

I wish us both luck,
S x
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: bothdone on May 13, 2009, 05:32:47 AM
Three things did it for me for my first BHR in 2004:

*   a physio friend of mine stopping me as I was walking (limping!) past him at an athletics track.    He said if you don't get that hip fixed soon you'll cause all sorts of problems with your back.

*   waking up in the night with severe pain and not being able to find any comfortable position.

*   knowing that there's a window of opportunity for a BHR.    Leave it too late and the option for BHR goes out of the window.

I had my other hip BHR at an earlier point.

Having said that, every person is different.    Do what you feel is best for you.

Ed
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: jackmac32 on May 13, 2009, 11:11:43 AM
I will be 43 in July and I too am on the fence.  I have been in pain for the last 3-4 years, but it hasn't really affected my lifestyle until the last 9 months.

I am contemplating the surgery in the Fall because:
- I am getting tired of waking up in the morning and wondering if I will have a "Bad" or "Decent" day in terms of pain.   It's a "Cummulative"-type thing...even on days where the pain isn't "that" bad it keeps adding up.
- I want to take my kids to Disney again next year, and walking around there like Quasi-Moto doesn't appeal to me.
- I am used to playing tennis all Summer, I know this year is down the tubes, so if I do the surgery in the Fall, I may be able to salvage next Summer.
- Surgery is always "Hanging over my head" and knowing the condition is only going to worsen makes me want to get it over with.
- I look forward to watching Seinfeld Re-Runs during my Re-Hab....
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: Todd on May 13, 2009, 11:20:15 AM
JD,

That line is obviously going to be different for each of us.  From this website I found a group whose stories, symptoms, questions and concerns resonated with my own painful situation.  By reading about those who then went through the surgery, I was absolutely certain that I was making the right decision at the right time.  Those stories helped me to know what ups and downs to expect during recovery, how to choose a surgeon, what questions to ask, and what expectations I should have 6mths and 1 year down the recovery road.  

I think you finally get to the point of being tired of the pain, tired of not being able to do what you enjoy doing, and compensating and making decisions based on how your hip feels.  It's been very liberating to have gone through the surgery in Janurary on my left hip, and seeing what a difference it has made.  I'm 7 days post op on my second hip today, and can hardly wait to see how much better I feel in a few more weeks.  

Title: Re: what made you decide to resurface or "just stick it out" and not have surger
Post by: kwarendorf on May 13, 2009, 03:06:02 PM
"i cannot do things that i want to do, like ride a bike.  even more so, i want to go back to kayaking and surfing.  i am only 38."

Doesn't this answer you own question?  :)

Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: Chillman on May 13, 2009, 09:28:58 PM
Hi JD!

I was reading your post and thought "Gee...that sounds like the way my thinking was going..."  It took me over a year, seeing  3 drs. and not getting well rounded information from them, I was frustrated and thought that I too could just '...live with it..." 

But one day, I realized that I don't do anything that I used to enjoy doing.  I've been active in too many sports to mention, always physically active on the homefront with improvement projects, inside and out.  I've been telling myself "...I'm just getting old, 50 is right around the corner..." then I looked at what my 70+ old parents are doing, working out every day, swimming, walking, running!  And I thought to myself, that not only am I getting older - I'm falling apart, and I really want to be able to crawl around and play with my first grandchild who is due in June.   

So, those are some of the things that made me decide to move forward to find out if I'm a candidate for the resurfacing.  Either way, something is going to be done to these hips, and I for one am REALLY looking forward to it! I'll take the rehab, the discomforts that I've read from so many people on this board.  Because my quality of life is simply existing with a smile on my face, I want to get back to living, with a real smile on my face :)  !

Good luck, whatever your choice JD!
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: msantine on May 13, 2009, 10:42:26 PM

JD-
What Ed said about the window of opportunity is so true.  I just found out that I have such a large cyst on my femoral head that resurfacing is impossible.  I didn't get good medical advice early on, and I wish I had known about this.  I was told to wait as long as I can by one doc.  Another suggested an osteotomy for my dysplasia prior to a THR.  Anyway, I just waited, and now it's too late.

If you do decide to wait, just make sure that you keep up to date on what is going on with your bone structure.  Good luck to you!

Mary
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: JeanM on May 14, 2009, 01:11:03 AM
Hi JD,
My advice from my own personal experience is to get it done sooner rather than later.  Just the fact that you're posting this question on this forum tells me something of your current condition.  I first started having pain at the age of 28.  That was 14 years ago and I was told by 4 different surgeons that I needed to find a way to manage this for as long as possible because I was only 28 and I had the hip of a 70 year old.  I did manage it very well for 12 years.  I swapped out hockey for cycling.  During the last two years, my snowboarding started to deteriorate as well.    Until finally, last February I had a free Monday morning on a powder day.  I popped 5 Aleve, hoping that they would kick in during the 20 minute drive up the canyon.  Once at the resort, I sat in the nearly empty parking lot while it was dumping outside and I realized that there was no way that I could turn my board that day no matter how many Aleve I took.  I fought back tears and drove home and immediately got on the Internet and started to research a solution.  It was that day that I realized that my hip condition had crossed the sacred line because now it was getting between me and a Utah powder day. 

Thank goodness I found this website.  During the next several months as I contemplated the surgery and did a great deal of research, I then started to realize how much I compensated for my hip in my everyday daily life.  It creeps on you slowly.  Slowly over time you find that you begin to incorporate various workarounds in order to get through common everyday situations.  It happens so slowly that you don't even notice how clever you've become at implementing workarounds because to you they're normal.  But, ask the people around you and they usually notice the slight limp, the weird way you bend down to pick things up from the floor, the complete aversion to malls, shopping or sightseeing, the difficultly getting out of a car, the reluctance to press in a clutch on a manual transmission car (left hip),  the fact that you never run, etc...

The thing is that this process happens so slowly that is can be difficult to ascertain normal from compensation due to your pain.  Your idea of 'normal' starts to become skewed.

I had surgery on August 27th last year.  I'm about 8 1/2 post-op and I could not be more pleased with the results.  I feel fantastic!  I got some great snowboarding in during March and April and I can't wait until next season!  But, even more importantly, I can function like a normal person.  I can wear high heels again.  I can go grocery shopping without a plan for minimizing my walking.  I can run up a flight in stairs.  I can do anything.  My hip feels rock solid.  I have absolutely no pain.  The only thing is that I still have some stiffness in my hip when I lunge on my operated side and fold down (like in yoga).  But, I'm pretty sure that stiffness is the result of some remaining scar tissue that needs more time to build elasticity.  I'm confident that it will resolve itself with more time.  Since my surgery, I've found that each month brings further capability. 

You'll know when it's time.  When that time comes for you, go to the very best hip resurfacing you possibly can.  This is a complex surgery and I believe that experience truly does matter.

Good Luck!  As you know, You'll find plenty of support and great information on this forum.

Jeanie


Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: B.I.L.L. on May 14, 2009, 01:49:18 AM
I put it off for almost 8 years.  My reasons were:

It was costing me money because I could not do my job nearly as fast as I needed too.

I was pissed by the end of every day because of hip pain.

It was all I thought about all day, everyday.

It was affecting EVERY aspect of my life,  movies, hikes, bike rides, long car rides, surfing, dirt bikes, swimming, shopping, washing the car, working, walking the dog, taking a leak, whatever else you can think of was affected.  Sleeping was the only thing that didn't hurt, and most of the time I wouldn't get a good nights sleep because it hurt too much.   

Pain meds.  Eating vicodin and norcos every 4 or 5 hours can't be good for you, especially year after year.

Aside from that it wasn't so bad  ::) :D :D

I am at 7 1/2 months out and wish I did it 5 years ago.


Thats my reasons but you need to do whatever feels right for you, I don't know how miserable you are yet.

If you do decide to go for it make SURE you get an experienced re-surfacing  doctor who has done hundreds, not a thr guy who has done a few.  Just my $.02  8)
Title: Re: what made you decide to resurface or "just stick it out" and not have surger
Post by: JohnnyD on May 14, 2009, 08:47:19 AM
thanks for the replies, everyone!
i do have big cysts on my femoral heads.  yikes.
i never had pain aside from knee pain until a sports accident where i tore up the abdominal muscles.  i think since that took 18 months to diagnose, the hips got much worse during that period.  so i was very, very incapacitated for 2 years, then started to get better.  but not better enough to be "normal" again.  i think that perhaps the improvement i saw after the 2 surgeries for the sports hernias made me a bit blind to where i actually am with my lack of lifestyle.
the thing that freaks me out is the fact that i am only 38.  i have already had 7 surgeries in my life.  i hate waking up after surgery (can you relate?).  i am not afraid of many months of rehab, i am used to being out of shape and dealing with lack of activity.
i realized this morning that i no longer sleep on my side due to discomfort.  and for 4+ years now i cannot sit on a hard surface.
dr su, here i come.
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: embcrna05 on May 17, 2009, 06:43:44 PM
My husband is 45 and had his done on 12/22/08 by Dr. Su.  He reached the point where he was tired of not being able to play ball, plus he was in constant pain.  Now he is a changed man.  He will be able to return to playing basketball, and reffing basketball, in June.  He started back to golf in March, right after his 3 month followup with Dr. Su.  He is getting his life back.  So, just like the others, the decision is totally yours, but I haven't seen any posts where someone has been sorry for going ahead with the surgery.  Good luck to you. 
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: msmith on May 17, 2009, 07:00:54 PM
For me, it came down to the fact I was tired of the pain, and similar symptons some of the above have mentioned.

Also,I've had to change what type of job I want to do, a few times, and now I've find one htat I really enjoy, plus I've gone back to university, where the course I'm doing is 75% practical, I'll need to be very mobile for it.

Getting my surgeon to agree to doing the op, as my main problem, at 34, he said I was to young, but we've done all the pre-op stuff for it, and I'm just now counting the days down... 16 days as of this posting. :D
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: UPwingnut on May 18, 2009, 07:00:16 AM
Johnny D:
I am just entering my second week post op. I am naturally dealing with pain and stiffness, but without hesitation, I would do it again. I had my right knee done twice, my right shoulder, and now my left hip. I spent some tiime contemplating because I was ONLY 49. General public folks were constantly negative about replacement because "once you do that, then what". The general message was to wait as long as possible. The folks I know, know almost nothing about resurfacing. So, how did I make my decision? A couple of years ago, I went back to see my ortho doc after a very successful knee scope and follow up with Synvisc. He looked over my hip and said there was nothing more that he could do with it and to let him know when I couldn't take it anymore and/or would be ready for surgery. He was leaving that weekend to go and learn about resurfacing as he couldn't get trained in the U.S. In the two years that I waited, I was in pain most days. I walked less with my dogs. I started golfing using a cart instead of walking the course. I played and officiated less hockey. I stopped biking. I started using Benedryl to try to get some sleep.
A couple of kickers as I followed the general public sentiment to "wait as long as possible". I saw my doc a few months ago. I saw more detailed x-ray images. My hip bone was essentially square, there was significant impingement and three lovely fingers of arthritis. He told me surgery was inevitable but to wait until I was ready. Inevitability was a huge wake up call.
Second, I had quit playing hockey in mid season (January) because I couldn't sleep and couldn't take the morning after. I greatly limited my officiating, and never worked games on back to back days. My partner commented on my decreasing ability to pivot (square bone, round socket-go figure).
Ultimately, I sat down one morning, stiff and sore and asked myself, What am I doing? I was slowly but surely losing all of the activities that not only brought me joy, but were very good for my general health. And I was losing these because... I should put off surgery as long as possible???!!! And quality of life during that time.... It just became crazy in my mind (not that my mind doesn't tap into that place on a regular basis ;D) to just keep enduring day to day. For what??
So, I love golf, I love hockey. I had to make a call. I finished the hockey season (at least officiating) and set up my surgery knowing I will miss most but hopefully not all of this golf season. I'm hoping to pick up some short game in July or August and try to start playing full after that. I'm enduring moments right now, knowing the future is VERY bright. I was excited to get the surgery and excited to be done. Now, I'm just trying to keep things under raps, and measure success SLOWLY so I don't screw up the works BUT, I would do it again in a heartbeat. God bless, and good luck with your decision. At 49, active and male, resurfacing was an easy call for me. Keep reading this board. For me I received a well rounded insight here.
Take care,
Joe
Title: Re: what made you decide to resurface or "just stick it out" and not have surger
Post by: JohnnyD on May 18, 2009, 02:33:56 PM
thank you, again.
i am leaning towards resurfacing now instead of the arthroscopy i have been suggested by my first doc.

Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: Debbie on May 19, 2009, 09:58:17 PM
I too have a torn labrum and my first doctor suggested that I have arthroscopic surgery to repair it.  The problem is that I had a repair done to my knee meniscus and while it helped, I have not had what I would consider to be a complete recovery.  The labrum repair is similar, and has far less dependable results.  The recovery is not much less demanding than the recovery from a resurfacing according to the information I have obtained.  Therefore, I am choosing to have my hip resurfaced June 5th which I think has a lot better chance of helping me significantly than the arthroscopy.  The doctor that is doing my resurfacing has told me that the arthritis likely caused the labrum tear and only fixing the tear is unlikely to solve much of my problem.  Your situation may be the same?
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: West106 on May 30, 2009, 07:10:01 PM
Hello - Such a relief to me to see others with indecision on the choice of surgery.  At some points during the day I do feel okay, but I live in NYC; so I reminded of the pain everyday when I need to climb the stairs out of the subway, and then walk to my destination.  Pat, I thank you so much for creating this site and allowing all of us to learn and share.  After reading just about every post, the one common theme I see is that most of us are type A, and the pain has slowed us all down.  Ultimately, I got sick of the change of pace (too slow); so I have scheduled my surgery for June 6th with Dr. Boettner of Hospital for Special Surgery.  I am more excited than nervous because I REALLY want my old life back.  I am 41 years old and at times I can barely walk across the street while the walk signal stays green, this is not a quality of life I am willing to except.  Seven days and counting.....
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: MarilynRS on May 31, 2009, 03:08:10 AM
I agree, that it is a relief and so very eye-opening to read of other people's indecision times and the process of deciding on surgery.  I recognize all of the processing, all of the agonizing about getting one's body cut apart. 

It's been a very long process for me as well.  I know that a year ago, people were telling me that I should do surgery.  Of course, had I done it a year ago, it would have been THR because I had not yet learned about resurfacing.  I just kept thinking "no way, stay away from me, anything but..."  The THR surgeon I consulted told me I would be back.  He was right, because now I'm so ready...   I suppose that even if resurfacing had not been developed I would be ready now because I am so crippled.  But with resurfacing, I look forward with hope for a more "normal" younger lifestyle than that surgery would have allowed me.  I'm so grateful for this site.

I keep reading the success stories, hoping that I also will be among them.  I'm still scared at times, but I feel there really is no other choice for me.  I can only walk with 2 canes.  Do I want a wheelchair next?  No!  I want my life back.  I want to play with my children.  Years have sped by and there have been so very many things I've missed and haven't been able to do with them, or for myself. 

I have 6 weeks to go until bilateral.  I will keep reading and re-reading everyone's accounts.  It's good to know of difficulties to better prepare and of the amazing successes to fan hope.  I'm starting to talk about "when I have hips" and what I might be able to do...   :)  It's fun to smile and talk with my kids about that.  And they're excited too.  Marilyn
Title: Re: what made you decide to resurface or "just stick it out" and not have surger
Post by: kwarendorf on June 01, 2009, 04:20:42 PM
Quote from: West106 on May 30, 2009, 07:10:01 PMso I have scheduled my surgery for June 6th with Dr. Boettner of Hospital for Special Surgery.

He was my second opinion. He was great and I know they do good work at HSS! You will be in very good hands :)
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: rickt on June 01, 2009, 08:39:37 PM
 ;D  HI my decision was based on age  i was first told i had arthritis and here is some pills and live with it that did not fly good with me so i got a second opinion and was told i had a torn labrum.I went to get that fixed but he told me i had bigger problems and needed hip replacement so that started freaking me out i didn't know what to do next i thought only old people get that so i did research on alternative hip replacement options and came up with resurfacing. ::) now i started looking into this option I know in my head i will  need a total hip replacement or something later but found resurfacing to give me more time to do things before slowing down due to age  I am 44 and post op 6 days and not regretting this at all the first moment i woke up i new all the time i spent researching and finding the best doctor for me was all worth it and i hope this will get some one to slow down a minute and research research research because there are options for every one     rickt
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: DirkV on June 02, 2009, 12:31:52 AM
Hi JD,
I'm a 15 and 16 months post op as a bilateral. At this point, I'm so happy I had the surgery done - and that it was successful. Like many accounts, I gradually shed components of an active life - tennis, running, hockey (my primary sport), bicycling - in that order in the 4 or 5 years before surgery.
An aside on bicycling. After a 'professional' fitting at a local bike shop to see if I could do anything to keep riding with arthritic hips, and no relief and hanging up the bike, I saw a coach who specializes in fittings, and was able to keep riding right up to surgery. I did have to get a new bike (guy who does the fit doesn't sell bikes :-) )that allowed me to have a position that minimized ROM step-over, but it's a good bike that still serves me well post op.
The re-claiming of riding allowed me to put off surgery for a year plus. It would be hard to imagine a lifestyle without some kind of semi-serious activity.
Like you I was still able to do a fair amount of activity, and I wasn't in constant pain. I think my aha moment was an accumulation of 3 or 4 days during a vacation time when I suggested my wife and kids go to a movie, but I'd not go because I had a few chores to do around the house. So I hobbled around mowing the lawn and climbing a ladder to do some work on a roof and got in a black mood because I was doing work in pain while they were sitting in a movie. The pain and bad mood sneaks up on you until you forget that you were the one who made the plans for the day. Then a day or so later, my son asked if I wanted to shoot some hoops and I said no because although it wouldn't hurt to walk around and shoot, I'd always jump a little to try to grab a rebound or try to run a couple steps to get a loose ball, and then I'd be in pain the rest of the day. Then again a couple days later, we were planning a family hike and rather than some outback adventure, it was what loops can we do where the gimp can circle back if necessary. I have a great family, and they didn't have a problem accomodating the infirmity, but I realized that the impact it was having.
What this surgery offers is the chance to get that stuff back. From the mental perspective, you'll know when you are ready. From a post-op perspective, it has been great to re-acquire activities in life. My latest aha moment was talking with an ad hoc acquaintance about the visiting the Grand Canyon, and this guy's advice that a hike to the bottom is the best experience. My wife and I started to discuss the vacation plans of the next couple years (bike ride across Iowa is already penciled in) and how we might fit that in. Never did the thought occur: what about my hips.
Good luck!
-Dirk
Title: Re: what made you decide to resurface or "just stick it out" and not have surger
Post by: JohnnyD on June 08, 2009, 05:14:30 PM
thanks again for the replies!
i am still going to see dr su in 5 weeks.
yes, i am excited to gain back an active lifestyle again.  yet, still, these days with no pain is keeping me on the fence.
i swam 3 days last week with no pain as a result...or did it cause pain later on?  i did have several bouts of pain, in the groin, near pubic bone, and in the gluteals, usually at night.
i have noticed that there is an increase in nights of pains when i am laying on my back.
this is sort of new.  maybe the arthritis is growing?

i am wondering- how common is the gluteal pain with people that need hr?
is it common to have issues bending down, especially for periods of 30 min to an hour, like when gardening?

thanks again for all of your help
jd


Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: Tommy on June 08, 2009, 05:30:47 PM
I had gluteal pain REAL bad, at night was the worst but sitting on it for to long time was bad to. I had gel-pack injections as treatment it work for awhile in the groin and the front of the hip but never stop the pain in the rear.
                                       Tommy
Title: Re: what made you decide to resurface or "just stick it out" and not have surger
Post by: JohnnyD on June 08, 2009, 06:38:25 PM
i used to have really severe gluteal and sij pain in 2005, i couldn't even handle the elastic on my boxer shorts touching the backside for about 2 months.  and i couldn't press on the break pedal in my car without using the right foot as well, and, i couldn't handle walking in any shoes but crocs since they have the most cushioning. 
in feb 05, i had an accident where i got bilateral sports hernias.  2 months later, still undiagnosed, i thought i felt better and went out for a skate, but took a fall on to my left hip.  i think it was then that i really damaged my hip because things went from groin/lower ab pain to posterior pain really quickly from that point.
currently it is not nearly as bad.  before, i couldn't walk.  that is why i am "on the fence," but when i read this thread, i again realize that my parents, in their mid 60s, can do more than i can at 38 years old.

Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: Pat Walter on June 08, 2009, 10:12:18 PM
Hi Johnny D

I just wanted to add that sometimes pain is not the determining factor to how deteriorated a hip can be.  Some people feel a lot of pain with moderately deteriorated hips while others can have very bad hips and not feel as much pain.  Only a surgeon looking at your x-rays can determine how bad your hip/s are.  Sometimes you can wait too long and miss the window of opportunity for a hip resurfacing.

So it is best to get several expeirenced surgeon's input about your hip condition.  Then you have good info to make a decision on.  The expeirnced surgeons will not replace hips that are not ready to be replaced.  They don't need to make work for themselves.  So feel confident the best surgeons won't suggest you have a resurfacing if you don't need it.

Your life can easily and quietly slip away as your hip/s deteriorate.  You just don't even realize how much you have given up to make sure you don't have pain.  Bad hips can steal away your active life without you realizing it until it can be too late.

I don't know how bad your hip is, but again, it is best to get input from the doctors first - then decide what to do.  You can't make a rational decision without facts and only the experienced surgeons can give you those facts.

Good Luck.

Pat
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: larry2458 on June 10, 2009, 04:18:16 AM
until reading some of the above posts i thought i was alone in having good and bad days.
another thing that strikes a chord is giving up the sports you love,in my case running,and doing the only things left,cylcing,walking and swimming to try and stay active.
as somebody else said i think being able to cycle gave a bit more life to my hip.

pat mentioned some people being in more pain than others and there being other reasons for an op.
for me it was range or lack of movement in my hip and back.its only since the op that i realise how slowly i used to bend or kneel down due to a stiff back.being able to squat on my haunches now is such a pleasure.
                                                go for it
                                                 larry
Title: Re: what made you decide to resurface or "just stick it out" and not have surger
Post by: JohnnyD on June 14, 2009, 05:13:43 PM
thanks again, everyone
i have in fact lost my active life---but i haven't been able to tell what was the cause of that because i suffered a bilateral sports hernia in 2005 and it wasn't properly diagnosed until 18 months later.  i think the cause of the sports hernia was partly due to a bad hip setup- my muscle imbalances that were initiated to compensate for the bad hips eventually lead up to the tearing of the abdominals and groin muscles. 
1 year post op for the sports hernias, i still had some groin pain on both sides and one side had the gluteal pains.  the trochanter pains crept in slowly from there.
then 2 years out post-op, they dx'd me with bilateral hip fai with labral tears.  and that is where i am today, one year after that dx.
so it is tough for me to tell what is the cause of so much pains- atrophy, hips, etc...
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: hawaiieric on June 15, 2009, 03:03:43 AM
Back to the posting Question...

When you start acting not your age..as in older then you are..
I was told I was looking like an old man walking around..now I feel great!
I was also told by those before me, why didn't I do it earlier..so why wait?
If you know its bad, and not going to heal..do something about it...
Eric

btw, now 7+months out..my body is coming back to its normal age...as in younger then life...I feel great..and I only encourage RESURFACES for active people like me..................live life!
Title: Re: what made you decide to resurface or "just stick it out" and not have surger
Post by: JohnnyD on June 18, 2009, 08:30:47 PM
thanks eric
i will see what dr su says in one month.  i guess i will make him the decider.
what gets me worried is the overall atrophied state i have been under- i am 15 pounds underweight.  my shoulders atrophied from misuse and i need to get them stronger before i can use crutches!
i am excited to get back into sports.  my surfboards and kayaks are getting bored, as is my beach cruiser.  and how cool would it be to be able to rollerskate, it's been since i was a kid and i am looking forward to boogeying down the sidewalks in style.
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: UPwingnut on June 19, 2009, 09:10:22 AM
I am 49 and only 6 weeks post op and already would do it again, in a heartbeat. I had two moments of 'alright already let's do it.'  I had met with my doctor a couple years ago, for a follow up on my right knee surgery and told him it was fine, but I was starting to have left hip pain. Well, I hadn't "started" to have it, it was just more obvious, with the knee healthy. At that time I was still functioning fairly well and playing hockey and golfing and so on. My first 'do it' moment was in mid January, 2009 when I quit playing hockey in mid season because I couldn't take it while playing, and the next morning was even worse. I was still officiating however, because it wasn't as bad. My mood was clearly getting worse as well. I am not in stellar physical condition, but I have always been active.
At the end of the season I went to see my doc again and this time he said surgery was inevitable. The head of my hip bone was squared up, I had severe impingement, and three lovely fingers of arthritis. The inevitability of surgery was my second 'do it' moment. As it appears you have, I researched the whole thing, and was very concerned about NOT being able to do the resurfacing. Replacement brings about situations I don't want to deal with yet, and my doc said I was a good candidate for the procedure. He reviewed all of the cautions of doing either procedure and left me with it. I phoned back a few days later and said, 'let's do it.' 
Anyway, it's very early and I could just be lucky, but I'm walking my old 30 minute exercise route already, I did some 'best ball' golf over the weekend where I chipped, putted and swung a few irons. I am focused on some low level public skating by the end of July (if I continue as I am) and I fully intend to try hockey again, by November. My guide is to start at a low level for the activity (like putting, then chipping for golf) and if there's no discomfort, carefully try the next level. There is no way I'm going to try a full driver swing for a long time yet, because of all the torque. I'm perfectly content being out on the course already, with my wife and our friends.
For being as young as you are, I sure wouldn't want to do the replacement if I didn't have to, but that's my opinion. As for crutches, I spent very little time on two crutches, and was off crutches completely, after two weeks. My doctor still marvels at the differences in recovery between replacement and resurfacing.
Anyway, good luck with the process. Gather all of the information you can, including your body condition, and then do what's best for you.
Take care,
Joe
Title: Re: what made you decide to resurface or "just stick it out" and not have surgery?
Post by: katielinco on June 21, 2009, 07:47:49 PM
Hi JD,

I had 2 arthroscopic surgeries to repair a labral tear and then open surgery for FAI.  The recovery was a beast but I sent my films to Dr Gross and he didn't see any deterioration of the joint, so I thought it was my best course since it preserved all of my bone.  That was 2.5 years ago.

In January of this year, I stood up and almost fell over.  I had been doing some PT for tendinosis of my hamstring (which was probably the REAL problem when I had surgeries #2 and #3) and after about 2 months of trying to see if we could fix this new problem without invasive measures, she agreed that it was mechanical and at some point, I would probably need resurfacing or replacement.

I sent my notebook of surgical reports, x-rays, etc. to Dr Mont.  He first recommended a cortizone injection which he did and then wanted to wait and see how it worked.  Full relief lasted less than 2 weeks.  I had surgery on June 11 and I feel better than I have in years.  ;D  He found bone spurs/osteophytes all around the head of my femur.  If you look up bone spurs on WebMD, it says that they often develop in response to the body's attempt to heal itself.  I think, and it's only my opinion, that my body was not happy with the other attempts to fix what was going on and when I started to have problems in Jan, it was because of this.

I think surgery to repair FAI may work for some but for me, it was a waste of a lot of my time and energy and I wound up in worse shape than before.

10 days post-op with resurfacing, I have NO pain.  I haven't take any pain meds since day 4 and that was Tylenol.  Every surgeon has a different recovery protocol and with Mont, the restrictions are in place for 5 weeks.  That's a piece of cake compared to my last surgery which required 6 weeks of crutches.  Today, I'm walking with 1 crutch and can stand on both feet with no assistance.  Sleep is still the most difficult issue but I hear that's common and I'm hoping I will be able to sleep on my side in the next week or so.

I traveled from the Denver area to see Mont and thought that would make it harder.  Ultimately, the hardest thing about it was getting in and out of the car at both airports.  The flight attendants took good care of me and security was a breeze.

Good luck!
Katie
Title: Re: what made you decide to resurface or "just stick it out" and not have surger
Post by: JohnnyD on June 22, 2009, 08:25:48 PM
thanks again for the replies.
katie, what happened to you with the arthroscopies is what my gut instinct is telling me will happen to me if i take that route.  after 7 surgeries under my belt already, i have learned to go with my gut a bit more.
yet i am still nervous!

as jeff clark said, prior to his recent resurfacing..."i don't want to be simply pain-free in a rocker...i want to rock!"

so i will find out for sure where i stand with dr su on july 15th.

my bigger fears are, more than just a left-sided surgery, are the need for bilateral.  the left leg is the way more bothersome in so many ways.  the right, apparently with the worse impingement, and more arthritis, doesn't bother me as often and is definitely stronger.  because i lack any gluteal muscles and barely have leg muscles left, i just don't know how well i'd be able to come back from bilateral surgery to the point to where i can surf and kayak again in 1 year.