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Old 12-25-2009, 09:04 AM   #1
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Running after total hip replacement

Hi Folks, newbie here. Merry Christmas.

Today marks 5 weeks since my right total hip replacement. As far as I can tell all is well. Started driving at day 17, went back to work day 18. Everyday just a bit better. I feel the best when I walk about a mile. I'm working on losing the limp. Still get pretty stiff when sitting or driving for any length of time. Going up and down stairs well and can even use my operative leg for propulsion if I hold the hand rail.

The facts: age 48, hip replacement due to hip dysplasia and years of running marathons and backpacking. Left hip still looks great according to M.D. The pain is gone! The surgeon was able to replace it with a rather large (44mm) ceramic head on highly cross linked poly ethylene liner. My understanding is that this is some of the best materials to be used for active patients.

Now, I did talk to the Dr. about running again. His response was that running was not near the top of the list of aerobic exercises, but he knew of many of his patients that continued to run and were doing fine 9 years later.(the length of time he has been using these specific materials). He said the poly ethylene liner that he used in my case was even a bit better than the original material from nine years ago. I don't know the brand name of the material he used but it is made by the same company that makes "Marathon". I doubt any doctor is going to give a person the go ahead to run marathons. However, I'd like to run one more, perhaps in a year or two. I have no intentions on abusing this new hip for years and years. Are there any marathoners out there that have returned to run another after THR?

What say you? Thanks.

 
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Old 12-25-2009, 02:45 PM   #2
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Re: Running after total hip replacement

My dear Squaretop:
I have had both hips replaced during the last two years, and am presently 80 years old. I would not dream of just plain everyday running, not to mention doing a marathon!

I have never been a runner of marathons so really should not speak to this I suppose.

I just know that people with hip replacerments should not be doing high impact exercise in any form - or at least that is my understanding. I do all I can to protect my wonderful new hips and sure am not going to be doing running of any kind.

Maybe other hip veterans will have diffrent opinions!

My hip protheses are made of titanium.

Shirley H.

 
Old 12-25-2009, 06:57 PM   #3
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Re: Running after total hip replacement

Hi Squaretop

Congratulations, it makes me smile just hearing of your recovery rate. I have been waiting for hip replacement for almost 16 months now and finally I am seeing a specialist next month and oh my I will be fixed by the time summer is here I hope. All I can do is look forward to being rid of this pain and all the meds I am taking. I cannot wait to be able to wake in the morning and just stretch, never mind running.

If I can finally walk minus walker and cane and pain that will be well more then enough for me. I don't care if I ever run. Good luck in your efforts though.

JackiesLost

 
Old 12-26-2009, 05:42 AM   #4
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Re: Running after total hip replacement

Thank you for your responses. I'm grateful that two years of taking diclofenac(Voltarin) twice a day has come to an end. There is simply no pain.
Diclofenac was the only anti inflammatory that gave me any real relief. They had me stop it 10 days before the surgery(bleeding considerations) and let me tell you I hobbled in the day of the surgery. I feel like I'm part of an artificial hip club now. Good luck at the specialist, JackiesLost. Keep us informed.

 
Old 12-26-2009, 05:46 AM   #5
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Re: Running after total hip replacement

Ps. Silver Swan I see you are from MN. I had my hip done at Mayo in Rochester. I'm so impressed with that facility and staff I can't tell you.

 
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Old 12-26-2009, 12:10 PM   #6
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Re: Running after total hip replacement

Quote:
Originally Posted by Squaretop View Post
Ps. Silver Swan I see you are from MN. I had my hip done at Mayo in Rochester. I'm so impressed with that facility and staff I can't tell you.
Hi Squaretop:
Glad to hear you were at Mayo for your hip replacement. We Minnesotans are very proud of the Mayo Clinic.

Shirley H.

 
Old 08-30-2010, 04:39 PM   #7
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Re: Running after total hip replacement

I see this message was placed around Christmas and i was wondering how that running thing is coming along. I just had a right total, every other joint is fine and I couldn't run because of the pain. My doc said i can do everything but run on the new hip, i am a little disappointed and would like to know if you ever started or have found out any more about it. I have made remarkable progress, my joint feels like new 8 weeks out.

 
Old 08-31-2010, 05:51 AM   #8
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Re: Running after total hip replacement

Nice to see some one else thinking about running again. I've done very little running. Trying to give the hip all the time it needs to fully integrate and the muscles to heal. But I have walked quite a bit. So what I've been doing is walking 7mi, for example, and running the last one or two very slowly. I've also been walking with my backpack and hiking boots as I prepare for next week's 8 day backpacking adventure in Wyoming. The hip has performed admirably. There is still the slightest bit of stiffness(still feels different than my other hip), but absolutely no pain. At my 3 month check up in Feb or March they noticed something called heterotopic ossifications(you might want to look it up). Small pieces of bone growing in the muscle tissue. It is a risk factor for this type of surgery. I'll be anxious to see at my one year check up if it has gotten any worse. I'm hoping that the hetertopic ossifications are not responsible for the stiffness. So, my game plan is after the one year check up in Nov. if all looks as it should I'll start running again. Very slowly at first. Perhaps mixing walking and running with a stationary bike. Then weather permitting begin training for the Oct '11 Chicago Marathon. The doctors just don't like running. He did give me permission to hike 20 miles with a 50lb pack. I think he feels pretty good about my situation and knows that marathoning is in people's blood sometimes. But I don't think I can expect to run a marathon every year. It's not the race but the miles of training. Good luck in your recovery. Sounds like you are well on your way.

 
Old 08-31-2010, 06:02 AM   #9
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Re: Running after total hip replacement

Thanks so much for your response. At 8 weeks out I am already walking a mile, doing the eliptical and bike. I am also weight lifting to build those muscles up. I looked up that article on Amy who runs marathons with 2 hip replacements. I am an RN who worked in orthopedics for many years. Never really thought about this of course, until I had to have one. My hip problem is most likely congental with injury sometime and my other joints are perfect. I agree there is some stiffness probably in the muscle and tendons, hoping that will go away eventually. Thanks again for the hope!! I will keep working towards that goal. What type of hip did you have? I have a metal on metal with a large femoral head, which is not supposed to wear like the poly liners, or dislocate, for that matter.

 
Old 09-01-2010, 05:08 AM   #10
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Re: Running after total hip replacement

I have also read and reread the articles on Amy who has set marathon running records for her age class. One big difference. I weigh almost a hundred pounds more than she does. When I was marathon training I weighed about 170. I've been as high as 213 and I'm currently at 205. Definitely need to shed the weight if I want to run again. My prosthesis is a ceramic head with a highly cross linked poly ethylene liner similar to a product called Marathon(of all things). The head is also rather large (44mm to be exact). The stem is titanium. The surgeon told me the odds of dislocating this hip are "next to none, but not zero". We discussed the different options of prosthetic heads and cups. In the end I asked what he would put in himself(we are the exact same age--49 now). And that is what he said. But he added the differences were negligible and the most important part was how well it was placed in the first place. As a surgical nurse I'm sure you've seen some placed better than others. That's just reality. He felt he hit a bullseye with mine and my nephew(a fifth year orthopedic resident) concurred after seeing the post op radiographs.

 
Old 09-13-2010, 09:28 AM   #11
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Re: Running after total hip replacement

Reporting in. Hip replacement proved to be no obstacle in enjoying 8 days in Wyoming. No pain(at least not in my hip) after carrying a heavy pack, even in a snow storm!

 
Old 12-20-2010, 07:53 AM   #12
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Re: Running after total hip replacement

Ran a 2.5 mile Turkey Trot on Thanksgiving Day. Very slowly, but I was glad to be out there. The course was slick so I had to exercise more than normal caution. One year check up was good. Heterotopic ossifications look ominous on the xray, but the doctor doesn't think they'll get any worse.

 
Old 01-01-2011, 07:55 PM   #13
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Re: Running after total hip replacement

I agree with Shirley, people should not expect that new hips will leave them free to continue a life of abusing their prothesis. Hight impact e.g. running will eventually wear out the hip. Surgery of any kind is expensive, possibly life threatening, and painful. Why would anyone want to risk having to have revision surgery. I am 56 having had a THR of my left hip. I exercise sensibly, and hope this hip will last my life time.

 
Old 01-24-2011, 02:03 PM   #14
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Re: Running after total hip replacement

I am surprised by the number of posts that advocate a post-THR approach that results in a lower level of activity than prior to the replacement. I 48 and had my right hip replaced one year ago. I am back to cycling, skiing (downhill and x-country), playing tennis, ice skating and, yes, running. In fact, I hope to run another marathon later this year. Will all this activity accelerate the demise of the prosthesis? Perhaps, though I am taking measures to protect against such a result (eg I lift weights to strengthen my quads, hip flexors/adductors, calves, etc.). Is my quality of life better now that I am pain free and flexible? Immeasurably. Why defer enjoying a healthy lifestyle to a point in the future when I may - for whatever reason - may not be able to take advantage?

 
Old 01-24-2011, 02:26 PM   #15
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Re: Running after total hip replacement

Quote:
Originally Posted by BaselBill View Post
I am surprised by the number of posts that advocate a post-THR approach that results in a lower level of activity than prior to the replacement. I 48 and had my right hip replaced one year ago. I am back to cycling, skiing (downhill and x-country), playing tennis, ice skating and, yes, running. In fact, I hope to run another marathon later this year. Will all this activity accelerate the demise of the prosthesis? Perhaps, though I am taking measures to protect against such a result (eg I lift weights to strengthen my quads, hip flexors/adductors, calves, etc.). Is my quality of life better now that I am pain free and flexible? Immeasurably. Why defer enjoying a healthy lifestyle to a point in the future when I may - for whatever reason - may not be able to take advantage?

Dear Baselbill:
Would that I were as courageous and devil-may-care as you seem to be!

There is no way that I would jeopardize my two hip replacements with running or any other "high impact" activity that would jolt my new hips.

Perhaps it is a function of my age that I do not wish to take chances. I got my new hips in my late 70s and am going to be 82 in August of this year.

You are young and brave!

I don't wish to go through another replacement of either or both hips before I shuffle off this mortal coil!

So I am going to take very good care of both of them and of course I never was a runner anyway so don't miss that activity. I also have not been an athletic type, but did a lot of lawn mowing and driveway shoveling "in the day" so I wasn't exactly a lounge lizard, either.

Best wishes to you in all your activities. More power to you.

Shirley H.
__________________
Had two hip replacements about a year apart - the last one being August 2009.

 
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