+-

Author Topic: Heavy lifting and going back to work  (Read 1246 times)

0 Members and 1 Guest are viewing this topic.

DPALMIERI

  • Newbie
  • *
  • Posts: 3
Heavy lifting and going back to work
« on: February 25, 2008, 04:38:25 PM »
Hello

Thank you very much for all the stories and advice that is posted on this web.  I had my resurfacing done on Dec. 17 and I viewed this site for approximately 2 months prior to that.  You all have been very important to my psychological wellbeing. 

I work for a food delivery company which requires me to lift many products (most weighing 30 plus ibs.) off the floor and onto a handcart.  I then wheel the cart into the customer's business.  On average I move about 12,000 lbs. a day doing this.  I am only 11 weeks post op and my doctor says I can go back to this activity at anytime.  I know I can't do it physically yet, but I read alot of literature saying 6 months to a year is more realistic.  Is my doc nuts?  Any comments would be appreciated.  Thanks!!

Pat Walter

  • Patricia Walter
  • Administrator
  • Hero Member
  • *****
  • Posts: 3625
  • Owner/Webmaster of Surface Hippy
    • Surface Hippy
Re: Heavy lifting and going back to work
« Reply #1 on: February 25, 2008, 05:22:14 PM »
Hi

Welcome to Hip Talk.  I am glad the website was useful to you.

How are you feeling now? Can you easily lift 30 pounds?  I would guess the only way you would know if you could return to work would be to try it if he/she thinkgs it's OK.

I would personally think it a bit soon to do that much lifting and work, but a lot probably depends on how you feel physically.  If it is something you were use to, maybe you will be able to go back to work.

Can you try some half days at work or find some way to see how you are going to do without committing to full time work again right away?

You might find you can actually do the work, but by the next day or so you will be so sore and tired you won't be able to do anything. 

I think only you and your body will know when it's ready to do a full days work day after day.

Again, some people ran marathons a few months after surgery, but they were use to that.

I hope you have a good relationship with your boss at work and maybe you can do some lighter work until you get back into the swing of things.

Pat
Webmaster/Owner of Surface Hippy
3/15/06 LBHR De Smet

Ronnie

  • Newbie
  • *
  • Posts: 36
Re: Heavy lifting and going back to work
« Reply #2 on: February 25, 2008, 10:42:58 PM »
Hi
  I was operated on Dec. 5th.  I am back at the gym but just started working with weights today. I am going to the doctor next week and i will ask him about you'r situation also.Have you been doing any eliptical, bike or any work out at all?          Good luck
                              Ronnie

DPALMIERI

  • Newbie
  • *
  • Posts: 3
Re: Heavy lifting and going back to work
« Reply #3 on: February 26, 2008, 01:47:09 PM »
Thank you for the quick replies.  I still have pain in the muscles and tendons so I know I couldnt do it at this time.  Bye the way, I go to

PT 3 times a week.  What I am really worried about is the question of wether or not the implant has fused with the bone enough so that

loosening or, god forbid, the femur head fractures.  I usually have a 12 to 14 hour day doing this work and I'd hate for this thing to

crack.  Thanks again.


Darren

Pat Walter

  • Patricia Walter
  • Administrator
  • Hero Member
  • *****
  • Posts: 3625
  • Owner/Webmaster of Surface Hippy
    • Surface Hippy
Re: Heavy lifting and going back to work
« Reply #4 on: February 26, 2008, 01:58:52 PM »
Hi

You might want to read some of the doctor interviews I have posted.  Many of them discuss how long it takes for the bone to heal

http://www.surfacehippy.info/doctorinterviews/doctorinterviews.php

Dr. Clarke

2.) How long do you feel it takes for the bone to be fully healed, grow into the prosthesis? What is the recommended time you tell your patients before they can start to run again/do impact sports?
From clinical and laboratory research, it would seem that the acetabulum is generally adequately fixed from an ingrowth perspective at about 3 months for most patients, but this process evolves significantly more for 1 year and then more slowly (like all living bone) for the rest of the life of the patient.



Dr. Gross
How long do you feel it takes for the bone to be fully healed, grow into the prosthesis?

It is a gradual process that proceeds over 6-12 months. Dog studies have shown that the process has already begun by 6 weeks postop. At 6 months, I estimate that 90% of bone ingrowth has occurred. After 12 months bone remodeling around an implant porous surface should be back to the normal baseline with the implant well incorporated. Some impact early on will likely stimulate bone ingrowth, while too much may cause implant bone micromotion and result in failure of ingrowth. How much then is too much?


From clinical and laboratory research, it would seem that the acetabulum is generally adequately fixed from an ingrowth perspective at about 3 months for most patients, but this process evolves significantly more for 1 year and then more slowly (like all living bone) for the rest of the life of the patient.


Dr. Jinna
How long do you feel it takes for the bone to be fully healed, grow into the prosthesis? What is the recommended time you tell your patients before they can start to run again/do impact sports?

Running and impact sports can start at about 6 mos.


Dr. Kelly
How long do you feel it takes for the bone to be fully healed, grow into the prosthesis? What is the recommended time you tell your patients before they can start to run again/do impact sports?

I feel that it takes on average 6 - 12 months for the bone to fully ingrow with the acetabular component. Many patients show radiographic evidence of ingrowth in the 3 month range but the majority take 6-12 months to show maximum ingrowth of bone. The amount of impact to which the prosthesis is subjected has some bearing on the rapidity of ingrowth also. I advise my patients not to run or engage in high impact for 6 months post-operatively. The femoral neck regains its strength at that point in time.


Mr. McMinn
Bone Recovery and Return To Sport

The evidence from a DEXA study on BHR patients published from Japan is that the bone density in the proximal femur returns to normal 1 year after operation. The at-risk period for femoral neck fracture following the BHR is in the 6 months after surgery. I advise patients not to return to impact sport for 1 year after surgery. For those patients who want to road run, I get them running on a treadmill at 10 months post-op and they resume road running at 12 months post-op. My unit published on activity level after resurfacing some years ago in a group of patients who followed those rules. In young men with a single osteoarthritic hip resurfaced, 92 % played sport and 62 % played impact sport. The ladies were not quite as active, but you can see from the publication that they still had an impressive activity level. In the total group their 10 year implant survival is 99.8 % showing that high activity introduced at a sensible time does not deteriorate the results.
 


You can read others for yourself. Sounds to me like you are going to have more problems trying to get all your muscles back in shape.  A 12 - 14 hour day is a very long day.

You should not be worried about the acetabular cup loosening - normally that would happen fairly quickly. That is also SURGEON ERROR - not something caused by a patient's activity.  I have posts about that.

Pat
« Last Edit: February 26, 2008, 02:01:29 PM by Pat Walter »
Webmaster/Owner of Surface Hippy
3/15/06 LBHR De Smet

 

Mission Statement
Surface Hippy presents information about hip resurfacing. It does not provide medical advice.
It is designed to support, not to replace, the relationship between patient and clinician.
Advertising - Revenue from this site is derived from commercial advertising and individual donations. Any advertisement is distinguished by the word "advertisement"
Privacy - Surface Hippy does not share email addresses or personal information with any group or organization.
Content - Surface Hippy is not controlled or influenced by any medical companies, doctors or hospitals.
All content is controlled by Patricia Walter - Joint Health Sites LLC 2005 - 2018 Web design by Patricia Walter.

Hip TalkModeration

Authority

The Hip Talk Discussion Group or forum is moderated on a Daily basis by Patricia Walter.

The moderator and forum members are not regarded as health professionals.

Complementarity

The information provided on this forum is designed to support, not replace, the direct relationship between patients and health professionals.

Privacy

We remind you that this forum is public and any message can be read, used, reproduced and cited by all.
You do have the option to delete your messages. However, under exceptional circumstances, you can contact the moderator to do so. Thus, please take care regarding the information that you post.

Messages

The moderator and members should conduct themselves at all times with respect and honesty.

By using our forums, you agree to post information that is true and correct to the best of your knowledge and is of your personal experience. If the information you post is not personal experience, we request you to provide sources (references, links, etc..) whenever it is relevant and possible.

You are not allowed to post advertisements, whether in the form of text links or banners, for example.

Please keep your comments positive and polite. If you have a disagreement with another forum member, moderator or the site owner; please use the the private message feature of this forum or email the member. We try to avoid emotional conflicts on the discussion group and we will do so by removing posts and banning those that cause problems.

The moderator reserves the right to delete any messages deemed inappropriate without notifying the author. In cases of abuse, the moderator reserve the right to ban a member of the forum. In both instances, an explanation will be provided if user requests.

Advertisements

Hip Resurfacing at Cleveland Clinic

Dr. Pritchett Hip Resurfacing Doctor

Dr. Gross Hip Resurfacing Doctor




Powered by EzPortal
SMF spam blocked by CleanTalk