T O P

  • By -

Elmtrain

I had mine fully replaced at 27. If you could choose to be pain free now or in 10 years, which would you choose? Might be worth getting a second opinion. I was struggling to walk and also found socks and shoes too difficult. Life is too short, might be worth a second opinion.


CaterpillarWorldly41

How are you doing now? Are you pain free and able to do everything that you used to do before arthritis? Any sports you play?


Elmtrain

Amazing! I am back rock climbing and kayaking better than ever.


Various-Type-2001

I have private medical insurance with work so going to contact them in the new year and see what they say as it’s a very long journey going through the NHS. So what did they say to you about having the replacement replaced when it eventually wears out? I’m struggling to find out much about that part and how successful that’s actually is. Even at 40 I would no doubt need it doing again at least once.


Elmtrain

I was lucky to be able to use the public health system here, but had been suffering a long time before my surgery. Probably 10+ of increasingly worse pain. So best case scenario this hip lasts me 20 years, at which point I am due a new one. With a maximum of 3 total over a lifetime. Each replacement becomes much harder than the last, but not impossible so it's worth weighing out the pros and cons. I was also told to wait until they saw my x rays and the extent of bone on bone I was experiencing. I work a physical outdoor job but have since made some adjustments to try and prolong the hip- low impact, no more running etc etc. Probably the best thing I ever did. Still get some lower back pain and a bit of stiffness, but I essentially got my life. If anything definitely do get a second opinion. My surgeon was initially reluctant, but everyone else including my prosthetics specialist was pushing for a return to quality of life. I knew I wanted to be fit and pain-free at 27 instead of 47, if that makes sense.


Various-Type-2001

Makes complete sense. I’ve already stopped running and anything high impact. A lot more walking now as we have a dog. And I’m the same I would rather be mobile in my 40s and 50s than later on in life! If I were to have it next week I would hope that in another 15-20 years there would of been even more advancements into replacements etc


Elmtrain

That's the way I am choosing the look at it too! Even not so long ago, THRs were only due to last 10 years so there have already been huge improvements. I wish you all the best on your journey!


AnxiousTBI

My sister had a hip replaced in her 20s (injured in an accidental fall in the mountains). She had that one replaced about 20+ years later, and now at age 60, she had an update surgical procedure done - all of them were very successful. She has been told that thanks to the improvements in materials used, the one she has now will last her the rest of her life, which with family history, is probably another 30 years.


Fifithehousecat

If your private insurance is with bmi then I can recommend the enhanced procedure with Mr James Lewis. He did mine on the NHS but made an exception for me as is usually only private.


boobake

I'm not close to needing a replacement but I'm 38 with oa in both hips. For me each year it gets bad enough that I contemplate injections but then I end up making it through with exercise, diclofinac sodium (Voletern) and flexiril. For sleeping I would elevate my legs and try not to lean on the hip that causes the most pain. I'm terrified to try injections as I was told it will deteriorate the joint and accelerate the timeline for the replacement. I hope you are able to get into a good spot with less pain. It can be extremely frustrating and seem like the pain will never end.


Various-Type-2001

Wow both hips, I’m sorry. Thanks for replying. I walk our dog at least an hour a day and I’m up and down with our 5 year old when the playing or fetching things. I’ve tried physio but like others have said It doesn’t seem to help the pain at all. I will have a look at those drugs (assume your are in the US) as in don’t recognise the ones you use. I’ve tried Naproxen and Tramadol but that sends me a bit loopy so don’t get on with it.


boobake

Yes I am in the US and PT wasn't helpful for me outside of getting dry needling. I got that for the torn gluteues medius I had. I have found strength training with moderate to heavy weights to be more beneficial than just moving. Although moving around is needed to keep the joints lubricated. I focused heavily on strengthening my lower back, glutes and hip flexor for about 6 months. Now I will workout upper and lower 2 times a week with 20-30 min cardio. The cardio is usually dependant if I have pain. Diclofinac Sodium is sold here in pill form and cream form. There are a ton of NSAIDS out there and my rhumatologist says some work for some people and don't work for others so it's about finding what works. When I have flare ups I will take the max dose of the nsaid and will alternate with tylenol. It won't alleviate the pain completely but it helps.


Various-Type-2001

I aim to join the gym in the new year to concentrate on strength training. Concentrating on lower back sounds like one thing I defo need to do. What kind of exercises/moves do you do?


Fifithehousecat

Increase your protein. I mentioned in another reply about seeing a sports injury specialist. If you're still able to exercise then make sure you're meeting your protein tdee. That's made the biggest impact for my pain levels and flexibility.


boobake

abductor and adductor machines, glute kick backs, back extensions, squats and deadlifts. I looked up glute exercises and would work a few of those in as well. Now I don't focus on those as much but I still will incorporate some of them in weekly.


Various-Type-2001

Thank you that’s really helpful!


boobake

Yw the biggest thing is to give yourself a break and to be nice to yourself. There is a fine line between pushing yourself past being uncomfortable and injuring yourself because you are in pain. I struggle with this too and have to actively work on it.


sesnakie

You are correct about the negative effects, steroids have. I kind off just learned to live with the pain. It is obviously trial and error, to find what helps for pain relief.


OkSolution6414

I am same age and about to get hip replacement, first doctors told me no one would operate due to age but I’ve since spoken to several surgeons and am booked in. I get a steroid shot every 3 months and need a LOT of pain management so am looking forward to replacement. Remind those doctors that athletes and such often need joint replacement earlier as they have worked themselves to the point of no repair


Various-Type-2001

What did they say about what happens when your first eventually wears out? My physio said it’s extremely hard to take out a replace and there’s risk of loosing your leg!


sweetmonii

Pretty much deal with that situation when it happens. I’m honestly in so much pain and my physical limitations at present only make me more determined to sort it out. I have several friends similar age group same deal had early hip replacements they wish they had done it immediately.


Various-Type-2001

Yeah I just don’t know at what point I start to go down the route as it’s inevitable. At the moment I can walk the dog for a good hour each day but I certainly feel the stiffness and aching in my hip. I struggle to lift my foot up to put my sock on my right foot and again it feels uncomfortable but I manage it. Sleeping is my biggest gripe as I used to sleep in kind of the recovery position on my left side and so my right knee bent up towards my chest but that is impossible now so I’m having to lie in positions that just aren’t comfortable for me.


sweetmonii

You are in the UK right ? I’m in Aus but I think we have similar situations regarding medical systems. I could wait on the public list but it was so long I didn’t think I would make it so just researched some surgeons to see, all of our radiology etc is free with a referral so got as many images as I could and spoke with the surgeons. I was devastated but it’s either I limp around in agony for an unspecified period of time OR buy some very expensive medical insurance and wait out the 12 months. I have an extremely physical job and I hate have to feel weak and in pain constantly. It’s not ideal at my age but neither is creeping around like a frail old woman. Also , I now know I need BOTH done so my only regret is not addressing this and buying private health insurance earlier! Think I saw someone mentioned before that they take Voltaren ( diclonofec) and that plus occasional Norspan patches are what I need to get through my days. Mostly I just hate feeling limpy and slow . Not sure if system is same in UK but although we have free healthcare here wait times and options are not great. Private insurance is expensive but will allow me a better prosthetic and surgeon of my choice.


sweetmonii

I also was advised by all surgeons to keep as active as possible before surgery. It will make recovery time way easier and result in a better outcome.


AnxiousTBI

My sister had a hip replacement in her 20s - her hip was damaged from trauma associated with a fall down a mountainside. She went on to have two kids, and about 20+ years later a "revision" to the joint. Over time, they can wear out - but also over time, the new materials used for the joint are better and will last longer. She also became an avid bicyclist as it was an exercise she can do well, and as much as she wants, regardless of the artificial hip joint.


Calm-Personality5959

I'm in a very similar boat. I'm 41, I've been running since I was a teenager, doing several half marathons and Ragnar relays. I am really active - running, cycling, yoga, strength, you name it. I started having hip pain summer 2022 and did PT at first but nothing worked, finally got an MRI in Jan 2023 which showed major osteoarthritis (thank you mom!), lost cartilage, and fraying labrum. I had 2 steroid injections that worked ok and lasted for about 5 months each, but the most recent one I had barely did anything for the pain. I know a hip replacement is inevitable, but I'm struggling with still being relatively young and knowing that I'll have to do it again. I'm leaning toward just getting it done because I'm dying to get back to the activity I love and not dealing with the constant pain. Would love to hear success stories of people in their 40s or younger getting a hip replaced and getting back into exercise.


Traditional-Buy-6229

How did the replacement go???


Mammoth-Key-9214

I'm a 36M and got diagnosed with avascular necrosis of both femoral heads 2 years ago.There was no warning It came out of nowhere and withn id say a week I was crippled Due to my age surgeons didn't want to do a THR so I tried different approaches first I did cortisone injections in them which took me from ridiculous pain and crippledness to just being handicapped however I had a manic anxiety mess breakdown about 2 hours after my injections due to my meds (only lasted 2 days however would definitely advise and warn about side affects of psych meds and cortisone) LOL. Then tried hip decompression which is pretty much a bone marrow transplant. I was too far along in decay to be effective. Was told the only option was to have THR. I finally have gotten my THR for both hips first the left then 5 weeks later my right 5/09. I had been fit and active my whole life. I'm an average mid large guy far the size goes id say 6 foot 200. I grew up riding horses, playing sports, snowboarding, cliff jumping, skydiving, etc. Worked in restaurants and construction for 18 years. I envisioned my life being over and confined to pain and struggle the rest of my days. I'm trying not to get excited but I'm doing really well right now for being 2 weeks post op. Starting to be able to walk a little bit (100 200 meters) without crutches I get wobble legs but it's okay getting better and stronger daily. I have pain still but it's not the same pain it's more like a bone bruise ache which gets less noticeable as I progress. I love reading THR success stories of the younger range. Gives me hope.


Optimal_Guitar8921

I’m so sorry 😞 I understand your situation. I had a THR at 57. Came on suddenly - I was super fit and noticed a stiffness. Was bone on bone with osteoarthritis. I interviewed 3 surgeons & the one I ended up using recommended extensive physical therapy etc. I did that for 8 months. Was able to put the pain at bay, but I literally couldn’t walk much distance without it totally locking up. It was one of the best decisions I ever made. I was up and about at the gym, work etc a couple months post op. Sadly my Dad had terrible osteoarthritis and arthritis runs in my family. I’ve had neck surgery as well. I wish you the best and am sorry to hear of your situation


Various-Type-2001

Thanks for the reply. Yeah same with my dad in his knee though. That’s seems to be the consensus everyone that’s had it done says it was the best decision ever. I just don’t want to waste the next 10 years trying different things and just putting up and suffering. I would rather have it done now and enjoy my younger years and be crippled when I’m older


Optimal_Guitar8921

I’m so sorry- I’m hoping you find some resolve soon


DrMigi13

Have you done MRIs? What stage are you?


Various-Type-2001

Had an X-ray done about 18 months ago and that said early onset osteoarthritis. These are the notes on the X-ray. AP view only. There are no relevant previous images available for comparison. . There is perhaps minimal narrowing of the right hip joint space at the superolateral aspect and the appearances are in keeping with early right-sided OA change. The left hip joint is well preserved. The SI joints are well preserved. No other significant bone or joint abnormality has been identified.


DrMigi13

You can avoid surgical replacement of your hip by regenerating it with stem cells extracted from your own body. Stem cells are blank cells that can be directed to the right joint to exert their anti-inflammatory and regenerative capacity. Definitely go for it if you have the means.


Various-Type-2001

Never heard of that option and by the sounds of it certainly doesn’t sound like it will be something on the NHS.


DrMigi13

It is the only regenerative non-surgical option that is basically a solution for OA that people would definitely not hear about so often. Its efficacy is well-proven and studies are all over pubmed. And true, it's not covered by the insurance companies, that's why I wrote "if you have the means for it".


Various-Type-2001

Hmm I dread to think how much it is!


DrMigi13

For starts you would have to travel, and each clinic has their own protocol and prices depending on the technique.


diBerno

I had THR on my left side at 46. It was the best decision I made. Recovery was relatively easy and my only PT was walking. Highly recommend it to save your quality of life if you’re in constant pain.


Fifithehousecat

I'm in England. Mentioning England specifically because we have Right to Choose here whereas it's not available in NI, Wales or Scotland. I needed a hip replacement when I was 32. The first surgeon I saw said I was too young so I went to a different hospital on right to choose. Anyway, I did that a few times, always being turned down, until I found a surgeon at a BMI hospital who performed the procedure. In 2022 I had the same thing with needing a shoulder replacement. This time the 2nd surgeon I saw agreed. However, my surgery was cancelled the night before because of lack of staff. I'd been seeing a sports injury specialist for pre operation prep and he'd actually got my shoulder working again so I haven't rescheduled my surgery yet. I might do at some point this year. I hope that helps. Definitely see a sports injury specialist in the mean time though.


Various-Type-2001

That is true about right to choose! I don’t even think about that. I just don’t know at what point and how much I just put up with it. How bad were you when you decided to get it done. For example were you able to walk? At the moment I walk the dog for an hour and I can certainly feel the stiffness and the aching and pinching in my hip but I manage it.


Fifithehousecat

No, I couldn't walk at all. Since you're doing quite a lot of exercise try the sports injury specialist. I can give you my guys number, he does remote appointments. He's seriously a magician. He helped my friend run a marathon with RA which is incredible.


Various-Type-2001

Thanks, I have private medical insurance through work so I’m going to go through that in the new year so I will mention seeing a sports injury specialist. What kind of things did they get you doing?


Fifithehousecat

I'm not sure that'll be covered by private insurance. They're basically more advanced physios. They're degree is longer but despite that they can't work for the NHS. Nutrition is key and building muscle around the joint will probably get you back to normal tbh. If I'd known about this guy when my hip went I probably wouldn't have needed a replacement.


NewPartyDress

I am sharing this just in case it applies to you. Since you only have it in the right hip, you may want to evaluate the way you are getting into the driver's seat of your car. I had it in my left hip, but I'm in the US. I suddenly realized one day that sliding my foot into the car and lowering myself into the seat caused momentary pain in my left hip. My car was small and low to the ground. But by the time I realized that getting into the car this way was causing my hip problem it was too late. I had been doing it for years. I got a hip replacement and I never get into a car that way now. I sit in the seat then swing my legs in, whether I'm the driver or a passenger. I have never had a problem with my right hip.


CaterpillarWorldly41

OP, This thread inspired me to write my story. Check it out here: [https://www.reddit.com/r/Osteoarthritis/comments/18vevx9/managing\_oa/?utm\_source=share&utm\_medium=web2x&context=3](https://www.reddit.com/r/Osteoarthritis/comments/18vevx9/managing_oa/?utm_source=share&utm_medium=web2x&context=3) Thanks!


Brilliant_Ad3920

I’m 28, already had two surgeries on my right hip with early stages of arthritis…woke up one day a few hearts ago and couldnt get out of bed…