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Author Topic: Martial artist and school owner needs input  (Read 3673 times)

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johnnydog

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Martial artist and school owner needs input
« on: August 01, 2011, 04:29:52 PM »
Hello all. I am 55 (in a few days), very active but hip pain restricted at this point. May 2010 I had several large bone spurs removed from my right hip socket and head of trochanter. Pain has been intolerable so follow-up last Friday reveiled the procedure failed and basically bone on bone friction is the problem. My ortho referred my to his staff hip/knee joint specialist but stated there's not any option but replacement or resurfacing. I've done a lot of research and resurfacing seems the best option for me. The surgeon is very decorated and received the specialization training at Cornel so that all seems OK.

I meet with him in the morning and wanted to know from all of you if there are any specific questions to ask that maybe you have, in retrospect, wished you had asked. Also if there's any active martial artists out there I'd REALLY love to know what your experience has been post-op.
I'm also a personal trainer and lacrosse trainer. Thanks to anyone with input!

Luann

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Re: Martial artist and school owner needs input
« Reply #1 on: August 01, 2011, 07:55:55 PM »
Somewhere on this website Pat (website inventor/owner) has a list of questions that are very thorough and important to ask. A search here should bring them up. I had HR due to bone spurs and I very active now. However, I have never done martial arts! Good Luck! Lu
F age 45 right hip C+ Dr.Sparling 6/02/10

johnnydog

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Re: Martial artist and school owner needs input
« Reply #2 on: August 01, 2011, 08:50:50 PM »
Thanks Lu. Emailed back and forth w/ Pat today. Thanks for responding to my question.

hernanu

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Re: Martial artist and school owner needs input
« Reply #3 on: August 01, 2011, 10:48:10 PM »
Hey Johnny, welcome to the site, you'll find a lot of information and support here. I'm a martial artist with 35+ years experience (a very attractive 54 years old   ::)). Mostly Korean, with my black belt in Tae Kwon Do, a good grounding in HapKiDo, and sprinkling of Gung Fu, Hwarang Do, Goju Ryu with some boxing thrown in. Probably would have done MMA, that came too late. Also very active in soccer, basketball and general weights, etc.

There is a good group of martial artists on the site, some who run a school, others (like me) that prefer to just work out. Check out the martial arts thread, you'll find some good stories and people to ask questions of. Personally, I had to give up active martial arts about three to four years before the surgery due to drastically limited ROM, grueling pain and the inability to launch anything on the bag or in sparring. Obviously the kicks went first, but the hands went next, since I use the legs and hips to drive those punches. Severe bummer.

At the beginning, about 5 years before the surgery, I could do the (frontwards) split, good flexibility in kicks and light enough to do jumping kicks (wheels, crescents, etc). Sparring was good, sliding footwork, etc. All of that went within a couple of years, and I reached the point where stretching below the knee with my hands was impossible. This when I was used to bending down and touching forehead to knees. Real bummer.

After the surgery, my ROM was limited, but that pain and all of the bone spurs, etc. were gone. As an example, I went into Physical therapy after a month at home with my sideways ROM measured at 30 degrees. Normal is 45 degrees. After a month and a half of PT, I was at 55 degrees, and with continued stretching it has improved to the point that I'm being more careful, since I don't want to overstretch while parts of my leg are still not strong enough. I'm taking a systematic approach to recovery, since I'm pretty sure some of my muscles atrophied during the last few years leading to the procedures.

I've had both hips done, and can say that the recovery of strength and ROM was pretty similar for both. I am now at almost a year on one hip (left) and 8 months on the right. The right is weaker than the left, but it is still pretty strong. I just worked out and did 3 sets of 30 leg presses with 200 lbs. I can do front kicks to mid section with reasonable snap, and am starting on slow roundhouses about knee high. Like I said, I'm being conservative, not due to lack of confidence on the hip, but because I want the muscles that do the support to be as strong as the other, larger muscles. Patience has been hard, would love to be doing jumping kicks right now, but I want to get to hit the bag with authority before I get fancy. I am punching the bag without any holding back, can do about 10 or 15 rounds (1 minute) of bag work with speed now, get it to rock the way it did before.

Anyways, sorry for the long winded answer, but I want you to know that there is a path back, but it is different for each of us. Some folks are doing better at the kicks and overall fitness, others with flexibility. I can now stretch forward standing and touch palms to the floor without much problems, but need to work more on balance and right leg strength. Welcome again, and don't be shy about asking questions by posting, messages, etc.  There are also some impressive people in other sports who are approaching or have returned to their athletic activities, as well as some impressive people who have returned to being moms, principals, or in one case, both. All of them are great and have much to offer.
« Last Edit: August 01, 2011, 10:53:34 PM by hernanu »
Hernan, LHR 8/24/2010, RHR 11/29/2010 - Cormet, Dr. Snyder

johnnydog

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Re: Martial artist and school owner needs input
« Reply #4 on: August 02, 2011, 08:48:53 AM »
Thanks Hernanu. I'll see this new Doc in a couple of hours and ask my questions and see what he has to say. After all the research and input from folks like you I feel much more prepared than yeterday at this time. Thanks again.

hernanu

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Re: Martial artist and school owner needs input
« Reply #5 on: August 02, 2011, 10:10:32 AM »
No problem Johnny, let us know how it goes.
Hernan, LHR 8/24/2010, RHR 11/29/2010 - Cormet, Dr. Snyder

johnnydog

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Re: Martial artist and school owner needs input
« Reply #6 on: August 02, 2011, 01:43:03 PM »
Well...I met with the surgeon. He too is backing off resurfacing and recommends the THR. He has done over a thousand and these guys work on numerous professional athletes (even fixed up Lance Armstrong after his accident). Lots of pro football players as well. He discussed the metal on metal concerns of the resurfacing and resurfacing issues. He's not had any problems thus far but has a feeling there's going to be recalls in the next 1-3 yrs from the literature he's been receiving and studying. I have scheduled the procedure at this time but am still looking at options. I really can't move forward in my training and work without doing something due to all the current limitations and discomfort. 

hernanu

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Re: Martial artist and school owner needs input
« Reply #7 on: August 02, 2011, 03:03:56 PM »
I get you, and the decision has to be yours on what path you choose. I chose resurfacing because it's the least invasive as far as bone loss, the fact that I'm fairly young and would be active.

The metal on metal issues I believe (I'm not a doctor, this is just my belief) are predicated on the skill of the surgeon in placing the components. Previously, having a pronounced cup angle (50+) was not considered an issue, but now for some people it has become a source of metal issues. If the surgeon achieves the goal of placing the components at a lower angle (mine is 40 degrees on both), then I think (disclaimer again) that minimizes or eliminates issues.

If you search the site, you will find plenty of discussion on this subject, we don't avoid it at all. As to the recall that already happened, this was a device that was engineered differently, to give a higher ROM as far as I know (please correct if not), and its inherent design caused greater than normal metal issues.

You are still talking about small number of failures so far. For men, I believe the revision rate is 3% at 3 years. If you revise, then you go to a THR or one of the smaller devices that have begun to emerge. To me, that is a risk worth taking, but your decision is your own, and no one should affect it.

I was told THR only by the first doctor I saw, did research and found a doctor that at the time had done over 800 of these procedures. He said I was a good candidate, and so far that has held up.

Just my 2 cents on this.
Hernan, LHR 8/24/2010, RHR 11/29/2010 - Cormet, Dr. Snyder

John C

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Re: Martial artist and school owner needs input
« Reply #8 on: August 02, 2011, 03:16:41 PM »
When the doctor said that he had done over 1000, was that resurfacings or THRs? If he has done over 1000 resurfacings and has had no problems yet, I am surprised that he would abandon it. If it is 1000 THRs, I would inquire elsewhere.
John/ Left uncemented Biomet/ Dr Gross/ 6-16-08
Right uncemented Biomet/Dr Gross/ 4/25/18

johnnydog

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Re: Martial artist and school owner needs input
« Reply #9 on: August 02, 2011, 03:32:33 PM »
Thank you for your feedback and experiential insight. I do have plans to contact a physician who is in the "over 1000" list of resurfacing surgeons on this sight's list. I'll let you all know what develops!

johnnydog

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Re: Martial artist and school owner needs input
« Reply #10 on: August 16, 2011, 03:51:29 PM »
I know I haven't been back for a coup[le of weeks but wanted to do a little update. After the first surgeon flatly refused to consider the resurfacing and receiving input from you all, I was able to get in to see Dr. Shelby Carter here in Austin. He, as of last week had done over 260 BHR's and has had great results with his patients. I'm scheduled to go in Aug. 22nd and get this over with. Many thanks to all and I'll re-post once I'm back home!

Luann

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Re: Martial artist and school owner needs input
« Reply #11 on: August 16, 2011, 07:05:33 PM »
I think you will be much happier with resurfacing (we, of course, are not bias here at all!) especially as an athlete. Even though most of us on this site have chosen resurfacing ourselves, none of us made the decision lightly.
 I did not have the time to look up the surgeon you are referring too... has he done 260 HR's TOTAL, or 260 BHR's????  If 260 are all his HR's, then I might consider a Dr. who has done at least 500 or more (Pat's rec.). You probably already know this from the list you got from her.
 So glad you found a Doc who would talk HR with you!  Good Luck!  Lu
F age 45 right hip C+ Dr.Sparling 6/02/10

DGossack

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Re: Martial artist and school owner needs input
« Reply #12 on: August 16, 2011, 08:27:40 PM »
I will second what Luann said.

After all my research I wouldn't have done a THR for years if I couldn't get a HR.  I would have fought through the pain and given up things I loved rather than limiting myself with a THR.  I was really depressed when the first orthopedic surgeon only offered a THR once I couldn't stand the pain anymore.

I would also be concerned about someone who had only done 260.  Although I would consider his training and the time period in which he did this many.  The data shows that experience surgeon and a proven device reduce problems by almost an order of magnitude. 

I was fortunate to be able to use someone who had done over 2,600.

Best wishes on  your future.

Dan
LBHR, Dr. Pritchett, 8/1/2011
fullmetalhip.wordpress.com

 

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