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Author Topic: Bilateral Hip Resurfacing Exercises - Strength - Issues - Back to Normal  (Read 1403 times)

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karlos.bell

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 :) Hi Pat and all others. 8)
Life seems to be a never ending story of learning and trying to achieve certain goals in life - or get back to a normal "you" or to try and fit back into society.
I had my bilateral resurfacing April 2015 and most has gone well. Although I am not fond of the scars and appearance the functionality and pain has changed my life.
Arthritis is not nice stuff and I have many family member given their opinion of my health and lost many friend over what has happened due also to their opinion.
I also lost a fantastic job in which I had passion for.
Simple stuff but that's me......
Been 8 years on crutches was not my idea of a life.
Fact is I had to suck it all up due I had FAI pincer type which is very abnormal for a bloke and this screwed my hips at age of 40. To bad stuff happens in life and that is that. I had minor issues before this which were tell tail signs but never had the slightest clue at what was going on. FAI is really a new idea.

Ok I am out the other side have done 4 half marathons, but not back to work yet.
The hips they are good range of movement etc.
Strength is poor but functionality is way up there.

Sum it all up the longer you have the issue the longer it takes to come right that is my total experience.

This was all passed to me by a recent physio that I am doing with regards to some shoulder rehabilitation I am doing at present. He has had experience at exactly what I have described so I now have someone to brain storm against and help me - assist- me in getting the strength back in both joints. Yes I still have issues due to the long time off my legs.

I am ready now for a strengthening program I have the functionality - range of movement.
I will be really pushing hard for this strengthening program (in documentation as well) for others.

I am hoping after a year from now given the right strengthening I may be pain free and have all 3 items. Functionality, Range of movement,  Strength.

What I have not seen as yet is a protocol - procedure of self help on this WEB site that would do any resurfaced hip once the range of movement is established and functionality is back.

Have you a program or seen 1 on this web site?

Thanks Pat and all other that read this.

Cheers Karlos..







2019-2020 THR Left & Right COC Revision Zim Continuum cup with Biolox Delta Cer Liner, Biolox Delta Cer Head 40mm 12/14 Taper, CPT Stem Cem.
2019-2020 removal of Hip Resurfacing due to Metal Toxicity Cobalt - Chromium.
2011-2013 FAI hip surgery failure
2007-Injury wakeboarding with FAI Hyperflexion

hernanu

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Re: Bilateral Hip Resurfacing Exercises - Strength - Issues - Back to Normal
« Reply #1 on: December 27, 2016, 07:56:22 PM »
Hey Karlos,


I haven't seen any specific procedure or program here. There seems to be such a large variation of arthritic injury and time of having suffered, that it may not be useful to have one procedure for all.


I think many of us have described our fights to get back to functionality and beyond. It also depends on your experience with exercise and expectations. All of it is valuable, but I think each of us needs to be focused on the right thing for our own body.


As you mentioned, something that has been hurting for a long time will probably take a while to heal. My experience is that it goes through phases:


  • Immediate support for healing the bones that were operated on. This means no specific muscle oriented training, but anything that helps the bones to mend after the operation. Once that's accomplished you go to...
  • Repair of your muscles and light exercise. Depending on the length of time and degree of punishment you took, your muscles may be atrophied. Whatever is needed for the proper repair and treatment is what you do. Once that is done...
  • Strengthening the muscles. The infrastructure, both bones and muscles is in good beginning shape, now you spend the time strengthening both the small supporting muscles and the larger ones. Stretching and weight exercises worked for me, as well as walking and beginning to run.
  • More complex athletics, if that's your goal. This would be training for a sport, active hobby or work.


To address the above, I had an at home physical therapist / nurse for (1) that exercised and monitored me. For (2) I went to a regular physical therapist acquainted with hip replacements and did exercises several times per week, with homework every day.  For (3) I took the exercises from (2) and worked with a trainer at my gym to expand my normal workout to integrate these. When I was able to move to (4), I had good confidence in my strength and flexibility. It was by no means easy and I was frustrated by initially not being able to do as well as I could before, but that is where discipline comes in.


Long and short (and with several setbacks), I am active both in regular workouts and in martial arts. I'm not perfectly where I want to be and there are things I need to work on, but am happy.


Hope that helped.

Hernan, LHR 8/24/2010, RHR 11/29/2010 - Cormet, Dr. Snyder

chuckm

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Re: Bilateral Hip Resurfacing Exercises - Strength - Issues - Back to Normal
« Reply #2 on: December 27, 2016, 11:52:12 PM »

Hi Karlos, I just have to say that your story of where you started to where you are now is one of the most impressive I have heard. Congratulations.


Hernanu has it exactly right. Everyone has a different path to their own recovery so I don't expect a boiler plate strengthening program for hip resurfacing patients. And once you get cleared for full activity from your surgeon, the strengthening is going to be the same as a person with their native hip joints.


You can find strengthening programs on the internet. But I highly recommend going to a professional at least a few times just to get an evaluation of your strengths and weaknesses. I wished I had gone a few years earlier. Even now when I go back, they have to correct my technique on basic things like performing a squat.


And on the range of motion issue. Please don't do what I did which was to stop focusing on it! Once I got back to playing soccer I figured I had done enough. It is also closely related to strengthening so keep at it. 
I would like to hear about what you end up doing for strengthening. Kettle bells are very popular and I was thinking of giving that a try. Just be careful not to get injured. Even years later you can crack through left over stubborn scar tissue deep in the pelvis and some have really been set back for awhile when that happens.


Chuckm



Left BHR 11/30/12
Hospital for Special Surgery
46 years old

Pat Walter

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Re: Bilateral Hip Resurfacing Exercises - Strength - Issues - Back to Normal
« Reply #3 on: December 29, 2016, 06:30:13 PM »
Hi Karlos

Sounds like you are doing well.  Always great to hear.  I am sorry, but I don't have any specific about how to strengthen you new hip.  That's a whole different subject than hip resurfacing.

If you develop one, let me know and I will be happy to post it.

Good Luck.  Hope you have a great New Year!

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

karlos.bell

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Re: Bilateral Hip Resurfacing Exercises - Strength - Issues - Back to Normal
« Reply #4 on: January 01, 2017, 09:34:33 AM »
 :) Thanks Pat.
I am sure we all have different opinions as there are some more advanced persons here than just little me. Yes I realize strengthening is another issue but it is indeed part of the package otherwise people could be left in a state of pain, weakness even after surgery, thinking then the surgery did not work but in reality they have not finished the package. Bilateral also is a lot more complicated.
This is also what I have found but I am gaining strength through a program and I feel if this is not progressed at the right stage I would still have been left in pain and weakness as my surgery did not happen at home so they are not interested in helping me from a specialist angle.
Dr De Smet probably has this system at home he calls it "training" so largely its left up to the initiatives of the patient "overseas"to get cracking on it when the time is right.
Do it yourself style.
See what I come up with and what works the best let you know it may be of help to others...

Cheers K




2019-2020 THR Left & Right COC Revision Zim Continuum cup with Biolox Delta Cer Liner, Biolox Delta Cer Head 40mm 12/14 Taper, CPT Stem Cem.
2019-2020 removal of Hip Resurfacing due to Metal Toxicity Cobalt - Chromium.
2011-2013 FAI hip surgery failure
2007-Injury wakeboarding with FAI Hyperflexion

blinky

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Re: Bilateral Hip Resurfacing Exercises - Strength - Issues - Back to Normal
« Reply #5 on: January 01, 2017, 03:36:35 PM »

I feel like I have a changing set of weaknesses. The obvious ones I overcame with just walking and time. Then the first set of subtle ones came into play, the weak external rotators. My IT bands were sore when I ran until I got those rotators stronger. I am still making progress strengthening those with targeted exercises, thanks to a good PT, and time (always time). Now the latest set seems to be the muscles involved in squatting deeply. Not squatting as exercise, just squatting to see something or do something low to the ground. I have to work on that motion. The answer will likely be consulting with that good PT and...time.

Wishing you the best, Karlos.

karlos.bell

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Re: Bilateral Hip Resurfacing Exercises - Strength - Issues - Back to Normal
« Reply #6 on: January 02, 2017, 01:53:49 AM »
 :) Thanks Blinky. No problem squatting now to pick things up. This is what I am on about the whole package to get it all moving in the right direction and see where the weaknesses are. Walking just plain simple does not cut it for me and may be others when you have had issues for so long the changes have to reverse so you have to work hard at it. That is tendons restrengthen, muscles to restrengthen, nerves to control the balances and weaknesses out on the way.
Luck as I see it does not happen but hard work and common sense seems to pay off.

Cheers K
2019-2020 THR Left & Right COC Revision Zim Continuum cup with Biolox Delta Cer Liner, Biolox Delta Cer Head 40mm 12/14 Taper, CPT Stem Cem.
2019-2020 removal of Hip Resurfacing due to Metal Toxicity Cobalt - Chromium.
2011-2013 FAI hip surgery failure
2007-Injury wakeboarding with FAI Hyperflexion

 

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