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Author Topic: Having a BHR in 2 weeks at age 37 - should I wait a little longer?  (Read 3666 times)

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wriggra

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I found out a couple of weeks ago that I have osteoarthritis in my left hip. My pain is tolerable but I am constantly aware of my hip and groin which flares up whenever I do exercise or walk long distances. I have given up football and running completely now, but still manage to go on the exercise bike at the gym. I have a young family so lots of bending down to pick up toys etc which can be difficult sometimes.

A few weeks ago I went to see a surgeon who specialises in surgical treatments for young adult hip disorders that aim to preserve the natural joint (instead of hip resurfacing / replacement). He told me that my arthritis has progressed too far to consider any of the treatments he can offer and that my only option is hip resurfacing / replacement (which he said I will definitely need at some point). His advice was to live with the discomfort as long as possible in order to delay any hip resurfacing / replacement treatment. He told me that any hip device would last about 10 years, so the longer I can delay the operation the better. He also told me that I would not be able to return to football or skiing after the operation.

My wife then did some research and found out about Derek McMinn who is based in Birmingham (about an hour away from where we live). We watched lots of videos showing the BHR success stories and Mr McMinn's response to concerns over Metal on Metal hip devices. We decided to go and see Mr McMinn last week for a consultation. To cut a long story short I decided that day to have the operation with Mr McMinn and had my pre-op assessment while I was there. My operation is only 2 weeks away and I am a little concerned that everything is moving very fast and wonder whether I have considered all of the facts.

Lots of people are surprised to hear that I am considering such an invasive surgery at age 37, and I am getting 'advice' to live with the discomfort and delay the surgery as long as possible. Mr McMinn did explain that while my muscles are strong I have a better chance of getting back to my pre-op level, and also that my thigh bone is in good condition making me a good candidate for BHR, which may not be the case if I delay for 2 or 3 years (assuming I could last that long). He also said that his advice in 2/3 years time wouldn't be any different to what it is today.

When I see the success stories, and imagine being able to do the things that I love doing again I want to have the operation. But the negative voices and the nagging doubt in my own mind that the pain is not intolerable make me wonder whether I am doing the right thing.

I would love to hear from others who have had the BHR, particularly those who were not in significant pain but still chose to go ahead with the procedure

Dannywayoflife

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #1 on: March 12, 2012, 03:52:09 PM »
Hi mate welcome to the board. I was in a similar position to yourself I was 28 at the time of my resurfacing. I had previously been a super fit young guy who loved his sports and being active the OA struck and I couldn't do anything. I wasnt in a huge amount of pain but my ROM was dire! I received some terrible advice from some surgeons but eventually went to Mr Treacy in Birmingham. He said look there's no point holding out for years as things will only get worse and make his job harder in the future. The top surgeons longterm survivorship is quite extraordinary with the bhr so don't worry too much about that! On the subject of longevity there's been a thread here recently about a really old crude device lasting 63 years and still going strong! So a well designed modern device like the bhr should last a long long time! I expect a minimum of 20 years out of mine!! And I'll be smashing the hell out of it after my 12 months are up!
Train hard fight easy
LBHR 10/11/2011 Mr Ronan Treacy Birmingham England
60mm cup 54mm head
Rbhr 54mm head 60mm cup 12/02/15 Ronan Treacy ROH Birmingham England
;)

wriggra

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #2 on: March 12, 2012, 06:06:22 PM »
Thanks Danny. I spoke to my surgeon's assistant again today as I realised I haven't actually asked how bad my hip looks on the x-ray! He said that the cartilage has completely worn away and has reached its endpoint - it is not a matter of if I need surgery but when...he said that delaying wouldn't necessarily cause more damage, but there is obviously a risk that it could. I think I know that I need the surgery, just need to mentally prepare myself as it has all happened so quickly.

Grant

Mike D

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #3 on: March 12, 2012, 06:53:28 PM »
Hi Grant,
Without a shadow of doubt, you're doing the right thing.
You are with one of the very best surgeons in the world, and if your cartilage is as bad as you describe, there's only really one option.
Things won't get better left alone, like me and most on here, you'll gradually do less and less and end up in pain most days.
It took me ages to accept that I needed a new hip, but coming on here a few months ago changed everything-within a week, I had a completely new outlook to what I needed.
I'm due to see Mr Treacy next month-same surgeon as Danny.
Keep looking through all the different stories on here, Grant, so many people have been through it all before. It's inspiring.
Keep us up to date and good luck-you're definately doing the right thing.
Cheers,Mike.
Right Ceramic THR
Ronan Treacy   Birmingham R.O.H
8 August 2012

jon

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #4 on: March 12, 2012, 09:44:09 PM »
Grant:

I was "McMinn'd" on Dec. 20th.  I could not be happier.  Spent seven years studying my problem.  Had I waited any longer, probably would have no longer been a suitable candidate.  At twelve weeks, I am fighting hard to dial down my desire to workout more aggressively.  PM me with any thoughts questions about Derek and Birmingham.

All the best,
Jon


lori.36

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #5 on: March 12, 2012, 10:14:44 PM »
Grant,  I was 37 when I got my BHR and I wanted it!  I wanted my life back and to be out of pain.  The last 6 months was a lot of misery.  I wanted to wait. Because I had a baby that I was breastfeeding.  It is your journey, but I would jump in the boat when it is good for everyone in your family, so recovery goes smoothly.  I had my surgery in May, which made walking nice.
L-BHR 5-11-2011 Dr Rector
R-HR 9-11-2015 Dr Gross

sheptr

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #6 on: March 13, 2012, 10:41:35 AM »
Grant,
If you are going to get it done in 2-3 years, do it now and don't lose those 2-3 years of your life.
If only I could go back in time, and have had mine done at 37 instead of 40!!!  The last 2 years pre-surgery,
of being a miserable curmudgeon, always in pain, cranky, avoiding any activity at all, nights of lost sleep,
and resorting to dragging my dead leg around with a cane while my weight ballooned weren't fun.
Todd

Dr. Su, LBHR, 12/31/2009
LBHR - 12/31/2009 - Dr. Su

wriggra

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #7 on: March 13, 2012, 02:02:27 PM »
Thanks everyone. Your comments are really useful (and reassuring)

I think I will go ahead with the BHR. Just needed to hear from others who have been through the same thing

Grant

oxley

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #8 on: March 13, 2012, 04:58:53 PM »
I was 40 yrs old and now need a second one at 43. Quality of life is key..

mslendzion

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #9 on: March 13, 2012, 07:50:14 PM »
It is amazing to walk pain free again.  People at work are amazed to see me walking around without issue.  It has been a year since I started limping.  I agree the sooner you get it done the more time you have in life pain free and normal.
Left BHR 1/9/12 Dr. Schmitt

Kiwi

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #10 on: March 13, 2012, 10:53:29 PM »
I can understand the "this is all happening to fast" reaction. I think everyone has to go through a process to get on the op table. It's not to be taken lightly, but in saying that you're bone on bone! It was a real shock for me to find out I had OA in my hip. It took about 3 years research from finding out to make my decision to have the BHR op. Also got the advice to hold off for THR etc from nearly every specialist I saw here in NZ.
Also good to note that the better your bone quality the more successful your op is likely to be! 
I had just turned 43 when I had my LBHR and was in intense daily pain leading up to op day - taking all sorts of drugs to manage the pain. Now, nearly 4 months post op I take no drugs and are living a pain free life - and still loads of room for improvement! I can play with my 3 kids pain free, I'm playing golf & are working towards playing squash at my 12 month mark.
 
LBHR 11/23/2011
56mm Head
Hugh Blackley (BHR Trained with Ronan Treacy)
Use it or lose it!

BrianROC

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #11 on: March 13, 2012, 11:32:19 PM »
Your situation sounds very similar to mine.   In my mid 30's I developed the classic groin pain and loss of motion in my hips and legs.  It became difficult for me to tie my shoes, pick stuff up off the floor and even get into the car.  I stopped playing basketball and running.  I did not have a lot of pain but the loss of motion made doing anything difficult. 

I went to the doctor who told me I had arthritis in both hips.  His brilliant advice was to wait as long as possible, until the pain was unbearable and then I would have to have THR. 

After researching a better solution I came across this site and read everything I could about hip resurfacing.  I made an appointment with Dr. gross.  He told me I was bone on bone in both hips and suggested resurfacing. 

I had my bi-laterial resurfacing 15 months ago, when I was 38.  Today I am doing everything I had to stop doing when my hips went bad.  I have no problems putting on my shoes, picking things up or getting into the car.  I can ride my motorcycle again and I run and play basketball without pain. 

My suggestion would be to get your hip fixed and get on with your life.  Your too young to sit around missing out on the things you enjoy. 

Good luck with your decision.

cassiewoofer

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #12 on: March 14, 2012, 07:57:39 AM »
 Yep, GO FOR IT!
I was 44 when I got mine done and went through three years of pain, unable to play football or go hillwalking, occasionally not sleeping and a couple of nights in sheer agony. I tried glucosamine for a year then accupuncture and hard buttock massage, which relieved the pain for a few days but I would have had the op at 41 in hindsight.
 It does take a year to get back to 100% and I'm now looking forward to beating my other half at tennis for the fist time ever.
 It really isn't worth putting off expecting any improvement without surgery.
Ant the resurfacing only has a window.... once the cartillage is gone you are damaging the bone that needs to be sound for the resurfacing.
 Good luck and don't look back!

mike1966

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #13 on: March 14, 2012, 08:16:41 AM »
Hi Grant,

Thanks for the post on my thread. You are right, I think we are in a similar position, I'm a bit older at 45 but still think of myself as an athlete. Thought I was going to the doc for a hernia or strain that wouldnt heal, then I find its end stage arthritis. That's for old people! :). As surgery got closer I tortured myself, and family and friends and cancelled my surgery. Then I realized I don't have the option of it going away and I will be living with deteriorating hips and the lifestyle of someone in their 70s. Or I can take the opportunity for things to start getting better. I'm scheduled again for April 2nd. I'm sure i will have heaps of doubts but I know I'm doing the right thing. I'm really grateful for the encouragement and support of the members on this forum.

Oh, and I had a hit of tennis with my daughter and her boyfriend last weekend. I was as mobile as a statue! Those moments actually help form a very positive attitude toward surgery!

Keen to keep in touch

Mike
« Last Edit: March 14, 2012, 08:27:06 AM by mike1966 »
LBHR 2nd April 2012 Dr Van Winden

Rick Rubio

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #14 on: March 19, 2012, 10:05:15 PM »
Hi, yes don't wait. I waited and put it off for a few more years of pain. Not necessary. Dr. McMinn is one of the best.. You will get through this and feel great again, buck to doing the things you love to do :)

Nemesis

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #15 on: March 19, 2012, 10:48:08 PM »
 get it done. It is affecting your quality of life. If you just had to slow down that would be different but you are constantly aware of it.  You dont know how much it is affecting your life until it is gone.

Spanielsal

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #16 on: March 20, 2012, 09:05:40 AM »
Hi Grant, i completely agree with all who have posted above.  I was 31 when I had my hip resurfaced, those last 9 years have been a gift.  I only wish I'd had the BHR rather than the device I have and also that I'd done it sooner.  who knows what else life has to throw at you, best to be pain free and mobile again rather than watch your life shrink as you stop doing the things you love.  Good luck with the surgery, Mr McMinn has done over 3,333 - and he has a phenomenal success rate.  I'll be following you to Birmingham just as soon as my bloodwork comes back.  Sal
I'm a Hippy Hybrid!  L HR Cormet 2000 - Mr Villar, 12th June 2003 and R Corin mini hip - Mr Villar 7th August 2012

Jbennett

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #17 on: March 21, 2012, 07:52:50 PM »
I'm not that much older than you. Im 43. My kids are 12 and 9. Do it. I'm a week post op and I can already tell this is going to change my life. I had to quit playing tennis about 6 months ago. I had gotten to the point where just walking or standing for a couple hours made me really uncomfortable. Hard to to stuff with the kids when you can't keep up. 6day post op and I am still recovering and have pain from the wound but the hip pain is 100% gone. It's amazing how natural the implant feels. So far I have not felt one thing that would tell me this was not my natural joint other than it doesn't hurt. Really having to restrain myself to not do to much. I can't wait until 6months when restrictions are lifted and I can play tennis and bike again. Unfortunately I will need the left side done at some point. It's not particularly bothersome yet so I may have a while but I know for sure I won't wait like I did with the right side. When it's time I'll do it promptly and save the suffering.
« Last Edit: March 22, 2012, 11:58:59 AM by Jbennett »
Right Biomet Uncemented Dr. Gross 3/14/12

PistolPete

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #18 on: March 21, 2012, 10:03:24 PM »
Hey,

We've all been in your position and the closer you get to your surgery the more you wonder if you're doing the right thing.  I had my surgery 4.5 months ago at age 35 and I feel awesome now.  No more hip pain and sleeping at night has been AWESOME!!!  I have some issues that are very minor like if I workout a lot the next morning it take a few minutes to get the hip loose.  It just feels tight but once I get moving all is good.  I was off all pain meds on the 3rd day postop so no issues there and no more limp.  You're making the right decision to have the surgery.

morph

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Re: Having a BHR in 2 weeks at age 37 - should I wait a little longer?
« Reply #19 on: April 09, 2012, 06:48:13 AM »
I am in the same boat to alot of people on here, well almost I have not quite had the surgery yet but I am 38 and have decided I want my life back. I got the same guidance as you BrianROC, to hold on as long as possible to the point of misery. I lasted 3yrs just to find the same surgeon now is only willing to do a standard metal on plastic. I am going to see Mr Holland on the 20th April for a second opinion.

Grant how are you doing with yours?

Neil.
« Last Edit: April 09, 2012, 06:48:54 AM by morph »
LBHR - 58mm ball, 64mm cup
7th June 2012 - Mr J P Holland - Newcastle

 

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