Hip Replacement (or not)

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Messages 1 - 39 of total 39 in this topic
Wade Icey

Trad climber
www.alohashirtrescue.com
Topic Author's Original Post - Nov 24, 2009 - 01:58am PT
Success stories?

Still in shock here, be gentle maties.

Bouldering, skiiing, running are done for sure. But then those things are all too painful to be any fun anymore, anyway. I hope none of you have any experience with this but if you do chime in please.







we're all gonna die.
Don Mellor

climber
Nov 24, 2009 - 08:37am PT
Google hip resurfacing - it's still two big pieces of steel, but the range of motion is huge. I'm in my third year and it's been really good - no limitations at all.
Jaybro

Social climber
Wolf City, Wyoming
Nov 24, 2009 - 08:50am PT
If it's any inspiration, I know two people with Cadaver hip implants who managed to play tennis again....
Gilwad

climber
Frozen In Somewhere
Nov 24, 2009 - 09:33am PT
Really look into hip resurfacing. It's not as common in the USA as hip replacements are, but it's definitely a much better option for active people if your hip condition is a candidate for it. I know a half-dozen people who are skiing, climbing, etc. with a resurfaced hip, including my wife. Her doctor thinks running is OK, and she can, but we both think it's a bad idea to do much of it even if the doc says it's OK. But that gives you an idea of the possible....
stevep

Boulder climber
Salt Lake, UT
Nov 24, 2009 - 09:47am PT
Another vote here to check on the resurfacing. My cousin had it done and while he's had to back off on running, he's at full speed on mt. biking, skiing and climbing.
TGT

Social climber
So Cal
Nov 24, 2009 - 09:56am PT
A friend of mine has had one and still does Centuries and multi day bike tours in his mid 70's

I got an email from him about six months after he had it done. The subject was biking route one to his home in Manhattan beach. When I got a bit further into the read I realized he'd started in Vancouver!

slabbo

Trad climber
fort garland, colo
Nov 24, 2009 - 10:03am PT
depends how shot the joint is. Re-surfacing works well if you still got some femur. I had mine ground down flat and had no choice but replacement (or wheelchair). Strange thing is the other hip is cool. I have had work on both knees as well but so far.....

I move a lot better now, though my running days have long passed. Biking is ok i am able build my own house so I guess I'm doing ok.

the key is surgeon who has done lots. my guy had done some 1,800 hips in Boston.

good luck,,

john
Crimpergirl

Sport climber
Boulder, Colorado!
Nov 24, 2009 - 11:04am PT
Many people do really well with this procedure - if it is done correctly! Find a surgeon who uses image guided tools to do this. Best of luck!
Jaybro

Social climber
Wolf City, Wyoming
Nov 24, 2009 - 11:12am PT
What Mtn said, seize the day! However it is that works for you.
Ksolem

Trad climber
Monrovia, California
Nov 24, 2009 - 11:13am PT
Hip replacements are done two different ways.

The older technique is done from the posterior (rear) side. Lots of muscle is cut and the rehab is longer.

If you are a candidate for the newer anterior (front side) approach you will have a much easier rehab.

I know a number of people with hip replacements and have done rehab work with several. All have good results and most say they should have done it sooner.

Make sure you go with a top notch Doctor/Team who have a track record with athletes. After, don't skimp on the P/T.

What Crimpie said...
Robb

Social climber
The Greeley Triangle
Nov 24, 2009 - 11:17am PT
Can't speak about success, but rather the opposite. My mom was a good candidate, but stubbornly refused to do it, and was finally to old for the procedure. Result was that she spent rest of her days as a miserable immobile cripple. Go for it!

PS: Let us know how it goes.
KathyS

Trad climber
Poughkeepsie, NY
Nov 24, 2009 - 11:30am PT
Back in the late 80's, I used to see an older guy (at least 65 years old, if not older) at all the big orienteering meets. He regularly beat me (and I could hold my own in my category) in spite of his two artificial hips. Not sure if he had his doctor's blessing or not. Best of luck to you!

Kathy
Wade Icey

Trad climber
www.alohashirtrescue.com
Topic Author's Reply - Nov 24, 2009 - 11:59am PT
Thanks all. So far looks like my insurance Kaiser won't or doesn't do the resurfacing.
looks like I could do it in India for 12k, Including travel and a couple days on the beach.
Any one go this route?

Ironically I have six hours to change my insurance (or not).

Floridaputz

Trad climber
Oakland Park Florida
Nov 24, 2009 - 01:26pm PT
I had posted up about this a month or so ago. I had Anterior Hip replacement 5 months ago. Previously I had looked into all the options and settled on the anterior approach.

The bad news

It's a major operation, in my case painful. Your recovery depends on what you want to do after. My goal is to be as fit as I was before the hip injury. To climb again. My observation is running is out. Weight training and stuff like that I would avoid. Contact sports like Rugby, karate I would avoid. You get pulled out of line at all airports and checked (they don't care about the card.)As Said to me "terrorists can have hips replaced too"

The good news

All pain is gone. I have near full range of motion. Walking, standing, sleeping all back 100% (better than I can remember)I can hike pretty good.
I am not fully healed yet. The rod that is placed in the femur is still healing. The hip itself is fantastic. I'm climbing in the gym 3x a week and have regained most of my form. I going to Cochise Stronhold in late Dec so we will see how it goes with difficult approaches and slab climbing.

all in all if you hip is gone, your done. Replace it and regain you quality of life. It will take time however. No more pain medicine is needed. I will report on how my climbing outside progresses. I am 50 so I'm hoping for the best on that.

Good luck, there is no easy way to resolve this but waiting too long just makes it more difficult to get back to where you were before the injury.
Jingy

Social climber
Flatland, Ca
Nov 24, 2009 - 02:18pm PT
Wade - Not a replacement, but a hip no less...

It was 1994/95...

I had just learned of a climbing gym very near my home (at the time) and had planned on visiting to take a test so that I could start climbing.....


At the end of work, I headed home on my bike at a calm pace (usually, I timed myself to-from work, just to see how fast I could make the 18-20 mile commute). Shortly after leaving my workplace I took a fall that left my leg hanging at a strange angle, moved like it never had before, and me stranded on the side of the road. A passerby took me to the hospital, I got fixed, sedated, and left in a bed for 3 days. My left thigh was the size of a prize winning watermelon at the state fair when I awoke.

The doctor had placed a couple of piece of metal (1 pin screwed into the ball-socket joint of the hip, and a piece down the bone that was screwed into the Femur bone....


5 months later, my doctor cleared me to climb, I've been climbing ever since.... no problems, no pains, little soreness during the cold, but hey.. I got a piece of metal in my leg... what do I expect?

Hope this helps. Trust that, unless this messes with you ability to move at all, and if you have any urge to climb at all, it will happen, because these things work out that way.


good luck, and get back soon!
Wade Icey

Trad climber
www.alohashirtrescue.com
Topic Author's Reply - Nov 24, 2009 - 06:18pm PT
hippy bump for the evening crew
Chiloe

Trad climber
Lee, NH
Nov 24, 2009 - 06:22pm PT
Wade, check your ST email?
slabbo

Trad climber
fort garland, colo
Nov 24, 2009 - 07:37pm PT
The PT is casual if you enjoy stuff like that. Kinda like doing a new route. It hurts a lot but you feel good after. I got Titanium and the doc says good for 15-20 years.

The thing about going offsite (India) is you really should not travel too much.
Chicken Skinner

Trad climber
Yosemite
Nov 24, 2009 - 07:46pm PT
Steve,

That sucks.
Grant had his done recently by Kaiser. Email me if you want some contact info.

Ken
Wade Icey

Trad climber
www.alohashirtrescue.com
Topic Author's Reply - Dec 2, 2009 - 01:33am PT
bump. ?
TripL7

Trad climber
'dago
Dec 2, 2009 - 04:17am PT
FWIW I am an OTR/L(occupational therapist)and over the years, past 15 or so, have worked with many THR(total hip replacement) and TKR(total knee replacements)and I am past due for a TKR myself.

As an OT we only treat the patient(THR) for the first few days post-op. Initially for bed mobility and then(as soon as they are cleared by MD.)for toe-touch weight-bearing/transfers etc. Our biggest obstacle is convincing the patient to participate(they are in allot of pain). Early weight-bearing and range of motion(ROM) to avoid scaring/decreased ROM etc.

But the reason I am responding to this is that when I here THR, the first thing that comes to mind(and my foremost concern for the patient)is that they get through their hospital stay without contracting pneumonia. It is(or was?) the #1 cause of death regarding the elderly/post THR patients. They contract pneumonia and it is a slow, downward spiral(not always, but often enough).

When a person is supine it is much more likely for pneumonia to set in since the fluids are pooling in their lungs.

As far as the success of(long term)etc. it would be better to talk to a PT(phsical therapist)since they treat the patient in the out-patient setting, and for a much longer period of time regarding ROM and strengthening etc. And they would see and here the complaints/issues that occur further down the road.

I know my PT friends have instructed me to wait as long as possible for two reasons regarding TKR's, and that is 1)they are extremly painful and take many months of therapy post op. I had knee reconstructive surgery that failed(I am bone on bone/no cartilage left)and can relate to the pain aspect. And 2) they only last a few years 3-7? And then it has to be redone(so I have been told).

So I would talk to at least two different PT's and ask them what type of success THR patients have in general(pro's and con's of THR). It will be a touchy subject for them because we are always dealing with the possibility that what we say will get back to the MD. and there goes our job (in some cases).

I don't mean to scare/discourage you in anyway. It is only my opinion and I have seen much more success(90+%) than failure in the short run(I considered it a success if the patient was discharged home and was not sent to intermediary care(nursing home to rehabilitate). After that we no longer follow the patient, but the likelihood of pneumonia setting in is greatly reduced if they are ambulatory(up and using a walker)and sent home.
slabbo

Trad climber
fort garland, colo
Dec 3, 2009 - 11:29am PT
My story-
Start by giving up 3 units of your blood.
Hip replaced tuesday pm at age 45. Out of bed on crutches thursday and home friday AM. Without a really supportive partner, I would say1 week in rehab facility. PT started the day after I got home,. Mostly side movement and lifts, 2-3x a day.
I was pretty much into the PT so after about 4 days i was able to go up stairs reasonably well. After a few more sessions, the therapist let me do it on my own.
A big motivator was getting off the damn coumadin for blood thinning. (they worry about clots), That stuff is bad ! I was pretty sure that i would be as active as I could be so didn't worry about clots to much.
One month later i was biking and moving OK. I'm sure glad that i did the Devil's Tower routes I wanted years ago 'cause that kind of big time stemming is OUT.


ps The surgery is not the time to find out you are allergic to morphine ! AND for any dental work, including cleanings, you need to load up on Amoxicillin before (yes people have died) 'cause the implants can really screw you up. I also found out I was allergic to this as well -REALLY BAD reaction.
klk

Trad climber
cali
Dec 3, 2009 - 11:53am PT
sherman had his done-- he went to belgium to get a top guy who promised that he could jump off boulders again after the procedure.

last time i saw him he swore that he could jump off boulders again without any problems.

L

climber
Avoiding sleet under Big Bob's Big Wedge
Dec 3, 2009 - 12:32pm PT
KLK is correct. Sherman the Vermin had both hips replaced in Belgium (State of the Art surgery overseas...eat yer hearts out AMA ;-)) a couple (possibly more) years ago, and last I heard, was romping around like a teenage sheepshagger again (purely a term of endearment btw).

The price was about half of what it would've cost him here, I believe. You might track down John's email and ask him yourself--sounded like a true success story from a truly prolific boulderer.
Wade Icey

Trad climber
www.alohashirtrescue.com
Topic Author's Reply - Dec 13, 2009 - 10:20pm PT
bump for the weekend crew
thanks all...
Lambone

Ice climber
Ashland, Or
Dec 13, 2009 - 10:25pm PT
My wifes boss had one. His activities were basketball and football. I think he suffered through if for a long time. After he got it he said he wished he hadn't waited so long. Now he plays again.
Mighty Hiker

climber
Vancouver, B.C.
Dec 13, 2009 - 10:50pm PT
They make some mighty fine beer in Belgium. Could be that helped decide Verm to go there. :-)

We certainly are fortunate that we have the possibility of surgery of this kind, whatever abuses we may or may not have exposed our hips and knees to. Though it sounds like a nuisance, probably worthwhile in the long run, as long as it's done well. A cousin is an orthopedic surgeon in Calgary, and does quite a lot of hip replacements. Most on elderly people, and people with injuries and/or arthritis. The therapy and prognosis for younger and healthier people, even if they have joint overuse issues, may be different - worth making sure they know what your ideal result is.
Jingy

Social climber
Flatland, Ca
Dec 13, 2009 - 11:20pm PT
Not exactly a hip replace.. but definitely a break....


Time: 1994/95
Place: Mountain View, Ca


I had recently found out about a climbing gym right around the corner from where I lived in Santa Clara, Ca. and i had already made the call to tell'em I was on my way....

Got off work in Mt. View and started peddling my way home.

Not five minutes after leaving my place or employ I was on the ground with a broken hip. X-rays showed that I had taken the area between the outer hip (that piece you feel when you lay on one side) and the ball (that part that attaches to the pelvis) and turned it into about 5-7 pieces.... Little floaty bits...

Dr Farrarri screwed some hand-gun looking thing into the ball portion, and down the side of my thigh bone and left me in bed with a fair-winning-sized watermellon for a thigh....... for 6 months!


Plenty of Vicodin was made available, but being a head tripper, I fought back the pain in order to make the vicodin last... Don't remember how long it lasted..


Turned out to be the end of a relationship, the beginning of my studies in Hemp, I even collected signatures to get the marajuana laws changed to allow medicinal use of the drug. (Even then I knew that this plant could hold more power than we know)

I've really only had a few instances that I can remember where the hip has bothered me. Every once in a while it gets a little itchy.....


It means a long time in bed, and you better have someone there to take care of you, someone reliable, who really wants to be there... not like the one I had... "Can you take me to the store so that I can by groceries for two weeks or so...?"

Eye's fluttering back and forth, hands on hips "I.... I don't know, Rob... I didn't sign up for this..."



She was not "the one", if you know what I mean....



Anyway, hope everything goes well, and I Hope this little tid does some good, or at least provides a chuckle.

Cheers, good luck.





Wade - Just read the rest of the OP... Bouldering is overrated, skiing costs a bundle - every-frickin-time, and that other thing makes you look like a girl...

Don't worry, climbing is still in your future, trust me!

Ezra

Social climber
WA, NC, Idaho Falls
Dec 13, 2009 - 11:36pm PT
Wade,

I have a friend who's also a doctor and a climber who had hip resurfacing at 57, had good results and still climbs some, although with less range of motion. The procedure was some what "experimental" and costs 'round 30,000 dollars, but he managed with some fighting to get insurance to cover the majority of it (not sure how much exactly).

consider Hip resurfacing

Best
-e
Minerals

Social climber
The Deli
Dec 13, 2009 - 11:46pm PT
Grant’s first few moves on rock, after his hip replacement



Don’t worry Stevie-Ray… You’ll get through this and be back at it soon!!! Best wishes, my brother!
Captain...or Skully

Social climber
Top of the 5.2-5.12 Boulder
Dec 13, 2009 - 11:51pm PT
Doublin' up on that last......Best Wishes, for sure.
reddirt

climber
da subarwu
Dec 14, 2009 - 12:04am PT
I climb w/ a guy who just had his 2nd hip replaced in Aug (1st/other hip was done last year). I think he's not leading yet just to be safe... toproping 9's. Does a ton on the elliptical.

I also climb (sometimes) w/ another guy who has had both hips replaced. Not sure how hard he was leading on trad this fall but he sends 11's in the gym & projects 12's(whips). A lot of gym climbs require a lot of technique (turns, drop knees, hip flexibility)...safe to say he's def a poster child for successful climbing post-double hip replacement.
Dr.Sprock

Boulder climber
Sprocketville
Dec 14, 2009 - 12:08am PT
if they give you an Ipod for the operation, ask for What Is Hip, by Tower of Power, but you knew the band,

doin a hip trip, maybe hipper than hip,

i don't wanna go to the Hippies grave yard, thats a good one,
donacole

Social climber
New York
May 22, 2012 - 12:17pm PT
You can check out the internet and find reliable source about hip replacement/resurfacing. Taking precaution is the best way to have regrets. I suggest you visit this site http://www.rotlaw.com/wright-conserve-hip/, it has information about hip replacement.
jaaan

Trad climber
Chamonix, France
May 22, 2012 - 12:57pm PT
Absolutely go for it. If you need one, then you'll have no regrets. The secret to a quick recovery is not to wait until you can't walk. By having it done while your muscles are still in good shape you'll be out climbing again in the minimum amount of time - after all, the prosthesis doesn't need any 'running in' time, it's the muscles that need the recovery, and this can be greatly reduced by being in good shape. If you go for a cementless prosthesis, then the bone has to grow into the roughened surface before you can go wild... My replacement is a ceramic/polyethylene total hip replacement (resurfacing isn't done in France though it's very popular in the US and UK).

Six weeks after my op - with my surgeon's blessing - I was top roping easy routes and three months post op I was leading. I've chosen not to ski (even though it's part of my job) not because I'm at all worried about damaging my hip, but because I no longer want to. I have a number of friends who do ski after THRs. This was all 18 months ago and apart from a slight tendonitis which has long ago cleared up, I've had zero problems and zero regrets - apart from not having it done sooner!
donini

Trad climber
Ouray, Colorado
May 22, 2012 - 01:00pm PT
Kitty Calhoun had both hips resurfaced in Belgium by the guy who has more procedures than any other doctor. She had great results.
Karen

Trad climber
So Cal urban sprawl Hell
May 22, 2012 - 01:08pm PT
My 70 yr-old sister just had a total hip replacement done. She had that frontal type where the incision was only four inches, not the horrid rear kind that cuts through too many ligaments/muscle. She had very little pain and was up walking the next morning-on a walker- she needed very little pain meds, and in fact once home she only took Motrin. Within a week she could total weight bear (she stated she could have done so earlier but didn't want to take the risk).

The surgery was done at Loma Linda, an excellent hospital over in I believe Redlands, Ca.

Good luck to you!!!!!!!!!
Wade Icey

Trad climber
www.alohashirtrescue.com
Topic Author's Reply - May 22, 2012 - 06:00pm PT
Thanks all.

Since the OP in '09 I've had both hips resurfaced and back to gripping my way up easy routes. Somewhat bemused and really psyched to be a beginner again. Feeling better every time...it's a beautiful rocky world...


telemon01

Trad climber
Montana
May 22, 2012 - 08:37pm PT
ditto that, amigo...
Messages 1 - 39 of total 39 in this topic
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