Hip Talk Forum About Hip Resurfacing

Hip Resurfacing General Questions => Hip Resurfacing Topics => Topic started by: greateressex on August 05, 2013, 08:44:49 PM

Title: How do you know?
Post by: greateressex on August 05, 2013, 08:44:49 PM
Hi. I'm new to this.  I'm scheduled for hip resurfacing in September. I'm just wondering for those people that had this done when did you know you were ready for this.  Did you second guess yourself? Did you think before the surgery something will go wrong ? Or is this a common theme before surgery. Do you not just wait til the pain is unbearable before you go through with it.  Some days the pain is not bad but some days you cant walk.How do you know the doctor advice is the right one? A lot of thing go through your head.  Its crazy.
Title: Re: How do you know?
Post by: catfan on August 05, 2013, 08:52:13 PM
I was in no means in serious pain before I had the surgery, but decided I wanted to regain the ability to do activities I was given up.  For example I wanted to be able to take a hike with my wife and not be afraid to go to far fearing the pain would start. 

I could have waited several years until the pain got so bad I could not stand it, but I knew at some point I would need to do something so why not address the issue now versus suffering for 2,3,4,5 more years.

I am only 4+ weeks into my hip resurfing and feel I made the right decision, but only time will tell...

Good luck with your surgery...
Title: Re: How do you know?
Post by: greateressex on August 05, 2013, 09:16:21 PM
Thanks. I hope it goes well.  Did you do anything thing different before your surgery.  Exercise your hip muscles,lose weight? Is it true if you strengthen your hip muscles it helps recovery?
Title: Re: How do you know?
Post by: curtieman1 on August 05, 2013, 10:17:18 PM
Greater, I think the risk of waiting too long can make you not a candidate for resurfacing. The hard decision is made to have surgery. I think most everyone on here can say that once they decided to have surgery they started having second thoughts. You will have days with little pain but the the bad days will let you know you made the right choice, at least that's what I found.
Good luck with surgery.
Curtis
Title: Re: How do you know?
Post by: Jason0411 on August 06, 2013, 03:03:52 AM
I made the mistake of putting mine off. Had the oppertunity to have it done in August 2011 but bottled it because on the day I went to see McMinn it didn't feel too bad. By November I was almost in tears trying to walk a few hundred yards and had my BHR 6th December 2011. I think I was on the tipping point as in August I had a little cartlidge but in December was bone on bone.
Go for it and get pain free ;)
Title: Re: How do you know?
Post by: greateressex on August 06, 2013, 06:20:41 AM
Thanks. It's nice to talk to people that have gone through this. Makes you feel better about the decision you make:)
Title: Re: How do you know?
Post by: MikeF on August 06, 2013, 09:31:22 AM
I'm three weeks and a day from my resurfacing. I had hip arthroscopy in June 2011 by a different surgeon. I will forever wonder if I hadn't gone to the surgeon who did my resurfacing instead, if I wouldn't be two years ahead in my life right now. 
Just to be brief......if you're asking the question (like we all have) get it confirmed from your surgeon and go for it. Good luck and stayactive on this site.
Mike
Title: Re: How do you know?
Post by: hernanu on August 06, 2013, 12:26:03 PM
Quote from: greateressex on August 05, 2013, 09:16:21 PM
Thanks. I hope it goes well.  Did you do anything thing different before your surgery.  Exercise your hip muscles,lose weight? Is it true if you strengthen your hip muscles it helps recovery?

I think anything you can do to strengthen yourself helps. Losing weight will help in many facets, so if possible do, but if not it's not a deal killer.

Arm strength is important early on, for dealing with crutches, getting up and down from / into seats (of all kinds).

Core strength is important also, so pilates or something like that will help.
Title: Re: How do you know?
Post by: greateressex on August 06, 2013, 08:11:39 PM
Good luck Mike. Hope all goes well
Title: Re: How do you know?
Post by: kimberly52 on August 06, 2013, 08:30:44 PM
I was one of those who kept dealing with it for years and would "try" to maintain my once normal active life and dealt with what I called "payback pain" for a very long time.  I would hike, bike, or whatever and would pay dearly in pain afterward.

It wasn't until I was Christmas shoppingin the mall this past winter that I went to take a step and could ot bear weight without excrutiating pain.  Needless to say, I had a horrible time hobbling to my car that day.  This started to occur more often and I finally cried uncle and scheduled my surgery.

Today is my 4-month anniversary with my new hip and I look back and wonder why did I put myself through all those limitations and deal with the pain.

I have had a somewhat long recovery compared to what I read about most on here.  I still have soft tissue that is still healing and experience tenderness and do continue to have stiffness but mostly because of sitting too long at work. Laying on either side is still uncomfortable for me.  However, those things a minor inconveniences.

Prior to surgery I could not stand still for more than 10 minutes without pain.  A few weeks ago I was at an event and after 2 hours standing still in the crowds, I was pain free.  When it dawned on me how long I had stood without the pain, I just had a flush of joy run through me knowing that I am healed.

When you have had enough, you will know it.  No one can tell you, it is to you. I too looked here for the answer and learned that the answer was with me all along. And if you have doubts whether you need to have it done, no competent surgeon would ever do this or any other surgery if they didn't think it would benefit the patient.

My best wishes to you in making a decision that is right for you.

Kim


Title: Re: How do you know?
Post by: Lauren Lee on August 07, 2013, 10:19:29 AM
Following a snowmobile accident 30 years ago, I had on and off pain every year or so. PT and antiinflammatories calmed it down and I went on with my somewhat limited life due to poor range of motion and fear of re-injury. Over the past couple of years the pain became more chronic- sometimes better, sometimes much worse and always unpredictable. I was waiting until I was a little older for a THR and then I heard about BHR.
I had my surgery on June 17th and was feeling so good two weeks before that I thought about cancelling it. I had gone to a retreat, received prayer and thought for sure that I had been healed. Not that I doubt Gods ability to heal, but I had also just finished a 6 week course of PT following an acute flare up. I made an appointment with my doc to confirm. It was all still there...the OA, the osteophytes, the narrowed cartilage space, bone on bone in spots. So I got my healing another way and 7 weeks later I am doing great! I read the OR report and during the surgery the doc put the new joint through its paces and called the ROM "excellent". I haven't had range of motion in the hip for decades. Even my PT, immediately post op, said my ROM was better than it had been pre-op-even with the restrictions.
I was a little afraid pre-op-it is a major surgery which impacts everything you do and I did have some minor complications- allergies to medications and skin issues but overall it has been a steady improvement day by day.  The first two weeks were the hardest...not so much with pain, although there was some of that (controlled with meds)  but everything I did  was a supreme effort and took so much longer. And you are fatigued.  The skin allergies I had to medications, laundry detergent (never will know for sure what caused that) were probably the most uncomfortable part of all ...but it all passed and between Benadryl and Vicodin I slept a lot.  I would definitely agree that it is important to work on upper body strength. The OT coming to my home was invaluable in giving me practical solutions to maneuvering our unusual home set up and correcting some things I was doing in regards to my activities of daily living.
For me now was the time. I was not getting any younger, in reasonably good shape, and the hip wasn't going to get any better unless there was some kind of miracle and quality of life was slowly being eroded. Now I feel younger, I am in better shape than ever, my hip is healed and my quality of life is on the uptick.  So I got my healing on June 17!
Best wishes to you as you work through your trepidation and move forward! You are in great company!
Title: Re: How do you know?
Post by: Elsie on August 07, 2013, 11:54:00 AM
Kim, Just a little over five months out, I'm just now starting to consistently enjoy a significant diminishment of what I've called my startup gimp, a/k/a "stiffness" upon walking after sitting (I, too, sit a lot at work).  Mostly now I hobble not because of the LBHR but because of the osteo in my other hip.  As you expressed, there are still so many joys despite some continuing mild deficits in our resurfed hips due to the healing curve.  For me, what I was calling bursitis for 30 years (and on a strong prescription NSAID for as long) is gone.  Chronic low back problems, gone. Groin giving out upon standing, gone.  Chronic hamstring pain gone!  My gluteous medius was quite torn up and it was repaired during the surgery.  Quite amazing what I was enduring for so many years and how much pain was referred to other areas.

Greater, I, too, have been wondering about the right time to do my other hip.  At 58 I feel that I am close approaching the candidacy deadline as related to a resurf.  Logistically it really behooves me to have it done next mid-August.  I will have new accruals of sick leave and vacation and on top of short-term disability I stand to have overlapping payments and even after my $2400 annual medical deductible will be ahead quite a bit of money, unlike my first hip this past March when my paid leave was exhausted, having been dealing with so much pain from the labral tear and having taken so much time off from work.  FMLA leave isn't available to me until next March in any event.

I echo Catfan.  After biking, hiking or even just swimming my native hip aches and is very stiff.  It sometimes wakes me up and I quickly have to change position.  That said, another salient question is surgically being a clinical candidate, that is, will an x-ray (or MRA) make me a surgical candidate in terms of my surgeon's willingness?  Do I get to make that choice if the x-ray only shows moderate osteo?  It seems a horrible shame to have one new, excellent hip but have to curb my activities because of the other hip despite what the x-ray shows (or doesn't).  Certainly it's possible that my surgeon can look at the x-ray and say sorry, your hip is not yet a clinical candidate for such a major surgery.  I am going to see him in the near future to ask these questions.  It would sure be nice to have almost a year's head up!


Title: Re: How do you know?
Post by: podgornymd on August 07, 2013, 10:22:36 PM
The apprehension and indecision you have are normal. I had those same feelings and i am in the medical field and have alot of experience with hip replacement patients.

My story was alot like yours in that i did not have years of pain.My pain started last october and i ahd injections including stem cells but nothing worked and ended up getting BHR in april. I had days where i felt pretty good but knew i had to be careful and became sedentary and usually i am skiing and biking.

I am 3.5 months out and it hasnt been an easy recovery but i know in the long run it will be worth it.

I had friends my age 48yo, who i bike race with who waited 2-3 yrs to have a THR and wished they had had it done sooner. I could have waited but i did not want to lose anymore time. I lost out on last ski season and have lost out on my biking season and will lose out most of this ski season . If not for work i would have done it sooner.

But in the end it comes down to personal decision and you have to be ready.Hope that helps

Eman
Title: Re: How do you know?
Post by: greateressex on August 08, 2013, 06:01:21 PM
Guys. Thanks for the stories. This site actually makes me feel better,just by reading your stories. It's amazing how many people are going through or went through this process. I wish everyone the best recoverys.
Title: Re: How do you know?
Post by: Charvel101 on August 12, 2013, 09:35:25 AM
Hi I am being done next week and I have the same thoughts ,,, I have had days last week I ran up stairs and felt fine walked straight and stood comfortably ,, almost changed my mind ,, this weekend I was hobbling again ,,, truth is you get used to it ,, the pain dulls !!!! movements you can't do you stop and adjust ,, before you know it you don't bend , crouch , sit crossed legged , run , jump or twist but you still keep managing ,, I believe we are adapters and we kid ourselves don't we.  I want to be able to keep up with normal life and not second guess every movement as I'm sure you do ,,, it's tough but I think it's less about pain and more about ability to do the things we want to .

Good luck I hope I've called it right to I feel early but then I can't do so Amy things I could a year ago even.   

Chris
Title: Re: How do you know?
Post by: HippyDogwood on August 12, 2013, 05:15:43 PM
Quote from: Charvel101 on August 12, 2013, 09:35:25 AM
Hi I am being done next week and I have the same thoughts ,,, I have had days last week I ran up stairs and felt fine walked straight and stood comfortably ,, almost changed my mind ,, this weekend I was hobbling again ,,, truth is you get used to it ,, the pain dulls !!!! movements you can't do you stop and adjust ,, before you know it you don't bend , crouch , sit crossed legged , run , jump or twist but you still keep managing ,, I believe we are adapters and we kid ourselves don't we.  I want to be able to keep up with normal life and not second guess every movement as I'm sure you do ,,, it's tough but I think it's less about pain and more about ability to do the things we want to .

Good luck I hope I've called it right to I feel early but then I can't do so Amy things I could a year ago even.   

Chris

Good luck Chris - I am still "fighting it" but that doesn't make me right and you wrong, but from what I've read you MUST totally back your decision once you've made it. There is mental, as well as physical recovery and you have to stay positive that you have made the right decision to stay focussed on the light at the end of the tunnel.

I'm still not quite there yet, in terms of being able to make that decision and may well be the worse for it, but I keep coming to this site and reading about how others have changed their lives for the better. I guess there is a stubborn streak in me but make sure when you go into that operating room you have done with your doubts and can be positive about the decision from the getgo

Good luck
David
Title: Re: How do you know?
Post by: Miguelito on August 13, 2013, 08:19:14 AM
OP,

I had my doubts and fears about the surgery like (almost) everyone else. What (largely) erased them was deciding not to take what I perceived as my "chances" with a local surgeon, and going out of state to one of the acknowledged leaders in the field, in my case Thomas Gross MD in South Carolina. A large part of my previous doubts arose from meeting with other doctors who were either skeptical of HR or downright opposed to it.

After I mailed my "application" to Dr. Gross I felt a burden lift off of me. After I spoke with Dr. Gross two weeks later I was convinced I was making the right decision for me and the whole process was a lot less stressful and uncertain for me from then on.

I am quite certain I would have been a lot more nervous and uncertain if I hadn't had such great faith in my surgeon.

Good luck!

Mike

P.S. You also mentioned the question of when. I have reflected more on why I decided to have HR when I did, instead of waiting. Frankly it was just the pain. I think I over analyzed my decision making previously, but in reality I just wanted to escape the pain. Now it faded significantly shortly before surgery for a little while, but I never forget that night when I had to crawl because I couldn't walk (and didn't have a stick handy).
Title: Re: How do you know?
Post by: luann again on August 13, 2013, 09:15:42 AM
Hi Greater,
Yes, all your thoughts regarding surgery TOTALLY normal. Every emotion you described feeling, I experienced also. When it comes right down to it, I knew it was time to do surgery when the thought of NOT having the procedure was far more troubling than the thought of going through with it. Does that make any sense? I was in so much pain and missing out on so many activities that the thought of being disabled was scarier than going through with the surgery that could give me back my life. ( And it has!!!!!) All of us here are with you!   Luann
Title: Re: How do you know?
Post by: Reno on August 13, 2013, 05:11:24 PM
Hi Greater, Chris and All-

I am a newbie on the site, and over the past three or four weeks it has been a lifeline...  Like you, Greater and Chris, I am awaiting my surgery, THR of the left hip.  I have chronic avascular necrosis and my left hip just collapsed without any warning about three months ago. There was no question for me, as to whether or not to have the surgery.  Rather, it was how soon I could get in to see the surgeon who is renowned here in Cincinnati Ohio. My surgery date is in less than two weeks now, on Aug 26th. Woo Hoo!!!  On the other hand, I am scared to death. I feel like I am half way across a river, can't go back, but afraid to go forward.  But, I am so looking forward to being without the pain in my sick hip. Some of you seasoned vets talk about the pain post-surgery as healing pain. I am looking forward to it!

Chris, I wish you well with your pending surgery, and Greater I wish you well also in September.  I will update you with my progress, and I will be on the lookout for yours.

Take care.
Reno.
Title: Re: How do you know?
Post by: whyme on August 13, 2013, 07:52:25 PM
I know because the X-Ray shows no cartilage left and the bone started to deform, because the surgeons said it was time to do it, because I prefer to sit and stay at home than going out, because the after cycle has got worse (still ok during cycling), and the after swim got worse, because my father walks better than me (he is 80 and I'm 46) and he has one THR from 6 yrs ago or so, because dressing/undressing is not funny, because getting in and out of the car is not funny either, because I stopped running almost 2 years ago (the pain was not worth it anymore, and I was getting slower and slower, and there was no enjoyment in it whatsoever), because now people notice I'm limping most of the time ...

Having said that, it looked still far away only 11 months ago, and I still reach my toes, and haven't taken any painkillers to date, and for some strange reason the pain while sitting on a sofa has disappeared completely in recent months ...

I've my surgery scheduled in 3 weeks (04-Sep) and of course there are doubts as things might not go according to plan, and I know it will be hard for a while, and now I realize the post-surgery sporting goals might happen or not, but there is no better option... So I'm optimistic most of the time!
Title: Re: How do you know?
Post by: greateressex on August 13, 2013, 08:42:50 PM
Wow guys, it's amazing I never would have though so many people going through the same things that I am going through. It's nice to talk to people and listen to stories and hear what is transpiring in there lives. I'm a Canadian  guy so I actually waited 1 and half years to see a doctor in London. I did my research on him and I just knew he is the one. I believe that it's the surgeon who holds the most important card  in to determining how long your hip resurfacing will last. This site actually gave me confidence going into my surgery. I think now I just want it over with and to move on with physio. I wish everyone the best!  Thanks for all the stories!
Title: Re: How do you know?
Post by: nevinyoung on August 14, 2013, 06:20:25 PM
I am two days post left hip resurfacing with Dr. Mont in Baltimore.

I was not in SERIOUS PAIN unless I actually did something. If I sat around like a couch potato, I would get occasional twinges and aches, but no real pain unless I walked a few blocks or spent too much time in the aisles at the supermarket.

A "traditional" hip guy who does not do resurfacing thought that was great. He said "you're 44, limit your activities, wait until you are 55 or so, and then get a total replacement!" To my protest that I would be wasting ten good years of my life, he basically said "some of my patients can't even go from the couch to the bathroom without pain. You are doing great compared to them."

What a terrible attitude for a doctor to have. Telling someone 44 years old to sit on a couch for the next ten years and turn into a diabetic lump with heart disease. I had to push him for information on resurfacing-- and push him hard.

I am two days post surgery and of course I don't know what the future holds yet. But I can't believe that people won't at least try to restore themselves to an active life and not die a couch potato.
Title: Re: How do you know?
Post by: Juno on August 15, 2013, 10:43:43 AM
Nevinyoung -- AMEN!!!
Well said.
Title: Re: How do you know?
Post by: Lauren Lee on August 15, 2013, 10:30:48 PM
I was hanging out...contemplating steroid injections....enduring unpredicatable hip behavior and then excruciating pain if I did something to flare it up...and waiting to be old enough for THR too. No one said a word about hip resurfacing. Found out about it from a receptionist at the hospital when I went it to have a hip xray. She had had a BHR. Without her I probably would be getting poked with a needle and not getting better, as I am now.
Title: Re: How do you know?
Post by: maxx6789 on August 16, 2013, 06:38:26 PM
it is amazing how different doctors can be so different. i was always active and i reached the point were, yes, i could move around the house but hating even going to the shopping mall due to all the walking/standing.

one doctor said i was not ready and wait it out, two doctors said i needed a THR, two doctors said i needed a BHR. so happy i have two BHRs!! i will never forget one THR doctor saying that i could never go surfing with a THR. i have surfed 10+ times this summer, am surfing better than ever, and enjoying every minute of it!!

Quote from: nevinyoung on August 14, 2013, 06:20:25 PM
A "traditional" hip guy who does not do resurfacing thought that was great. He said "you're 44, limit your activities, wait until you are 55 or so, and then get a total replacement!" To my protest that I would be wasting ten good years of my life, he basically said "some of my patients can't even go from the couch to the bathroom without pain. You are doing great compared to them."

What a terrible attitude for a doctor to have. Telling someone 44 years old to sit on a couch for the next ten years and turn into a diabetic lump with heart disease. I had to push him for information on resurfacing-- and push him hard.

Title: Re: How do you know?
Post by: hernanu on August 16, 2013, 11:22:35 PM
Great to see you're doing well, maxx... Glad you're back to surfing.
Title: Re: How do you know?
Post by: Jaks111 on August 17, 2013, 05:01:23 AM
Good luck, Im in the same position as you I got my letter yesterday my date is 11th September and I'm dreading it I know I need it done been putting it off.
I have mr treacy based at the roh birminghami know I'm in good hands but still don't want it done.

Jacki
Title: Re: How do you know?
Post by: hernanu on August 17, 2013, 12:06:57 PM
Quote from: Jaks111 on August 17, 2013, 05:01:23 AM
Good luck, Im in the same position as you I got my letter yesterday my date is 11th September and I'm dreading it I know I need it done been putting it off.
I have mr treacy based at the roh birminghami know I'm in good hands but still don't want it done.

Jacki

I get it Jacki, I don't think any of us wanted it done either time. I knew that I needed it, so in a way, I actually did want it done the second time around after having seen how much my first hip improved.

As the clock ticked towards the second, I was looking forward to having the only pain in my life be a positive, from recuperation. I know the fact that we have to go through these sucks.

The first time, though I was as leery as you of it. This was my second major surgery (the first fixed a collapsed lung), but was my first done as a conscious choice.

Nothing is guaranteed, but you have improved your chances markedly by your choice of surgeon. I can quote the positives, but the thing that really fueled my desire  to have it done was the depressing pain from OA.

I saw it was not getting better and would not. All I can tell you is that from this side of the fence, the pain of recovery lightened as it went, instead of deepening like the previous. To me it was like coming up from deep waters.

You'll see the difference - the OA is done right when you awake.
Title: Re: How do you know?
Post by: maxx6789 on August 17, 2013, 12:53:02 PM
Quote from: hernanu on August 17, 2013, 12:06:57 PM
You'll see the difference - the OA is done right when you awake.

yes, this is so true. as soon as i woke up in the recovery room, the dull, constant OA ache was gone.

the day of my first operation - i was about 99% nervous and 1% excited about the future; the day of my second operation - i was pretty much just 100% excited about the future.
Title: Re: How do you know?
Post by: lgbran on August 18, 2013, 08:35:02 PM
Hoping to have BHR Nov 10 Year.After years of pain in right hip and paying the price for years of long distance running it's impacting on everything I do.If I could I would have the surgery tomorrow,however reduced our medical cover a few years back due to financial restraints and the November date is the earliest. I just hope the surgeon isn't on holidays. I sought a second opinion as the first surgeon I consulted doesn't perform this operation. Luckily I consulted a specialist who has performed this numerous times. I've had cortisone shots , take pain killers and the degeneration in my hip impacts on all I do. I am sick of people saying what's wrong with your leg?. I cycle most days , swim and I've noticed of late my left hip is now sore and in the past month my lower back is killing me. My brother in law had a THR a year and a half ago and hasn't looked back. I am so so looking forward to this operation, moving around pain free and being active.stumbling across this forum has been a god send and I look forward to continuing to contribute pre and post surgery
Greetings from Australia
Cheers lgbran
Title: Re: How do you know?
Post by: hernanu on August 18, 2013, 08:40:28 PM
Nice to hear from you and welcome, Igbran!

How many resurfacings has your surgeon done?
Title: Re: How do you know?
Post by: lgbran on August 18, 2013, 09:11:26 PM
Will have to pose this question to him. My local GP says he is very good. I'm seeing him early September so hopefully he can provide a bit more info. A THR will not allow me to be so active. my days of running long distances are gone. I'll be happy to ride, swim and live pain free. There are a number of surgeons in Melbourne who perform this operation. Come to think of it I think Simin Williams mentioned he had performed 300 of these with 3 failures when I mentioned about the negative press BHR had received. I don' think  this operation is performed in the numbers it is in the States or in the U.K. I'm just going with my gut instinct. I wasn't impressed with the first surgeon( A very young surgeon) who wouldn't even consider it. Thanks for the warm welcome. I plan to visit this forum as often as possible to get all the help and inspiration I need. I'm staring to realise how big it's going to be but am looking forward to it post op
.
Title: Re: How do you know?
Post by: Granton on August 19, 2013, 04:01:36 AM
Quote from: lgbran on August 18, 2013, 09:11:26 PM
Come to think of it I think Simin Williams mentioned he had performed 300 of these with 3 failures when I mentioned about the negative press BHR had received.
.

They sound like good numbers. Given all the negative press, I think you are being brave. BUT, if you have the right surgeon I think you are right. My experience is that the quality of the outcome is outstanding.

It is a shame that so many people who would benefit are being frightened away from, or not given access to the procedure.

David
Rt BHR, Mr McMinn Nov 1999
Lt BHR, scheduled 8th Oct 2013