Doctor insights on:
Bipolar Hip Replacement Precautions
Has Parkinson, is 80 years old, underwent a bipolar hip replacement surgery and is in ICU for observation. Sometimes talking weird since then.
Total hip replacement: surgery in which the diseased ball and socket of the hip joint are completely removed and replaced with artificial materials. A metal ball with a stem (a prosthesis) is inserted into the femur (thigh bone) and an artificial plastic cup socket is placed in the acetabulum (a "cup-shaped" ...Read more
What could be the reason why my right leg collapsed under me? It happened twice, once in december and again yesterday in feb. I had a hip replacement 10 years ago. It is the same leg that collapsed twice. I don't know if there could be a link.
Important things to know is if you are having pain in the hip, leg, or knee on the affected side? Do you hear any noises in any of the above mentioned joints? Regardless, when your leg collapses it is usually due to a problem in the tendons or ligaments that support a joint. You could also have a problem with the hardware in your hip. You will need to see your doctor for an evaluation of this problem, which will include an examination and imaging studies (x rays and possible an mri).
Best of luck. ...Read more
2 years ago I fell from a ladder. Got hip replacement surgery. I still can't run, have pain when carrying heavy things, and feel hip when walking. Normal?
You should not be --: -running for 1 thing. Carrying heavy, what do you mean? Limit yourself to a weight you can handle. Also in my practice I always told patients to me, a replacement should be a little painful, otherwise there is nothing to tell you that you are doing 2 much. When carrying put the weight in the opposite hand. Weak abductors will cause you to lurch to the THA side. Try it and good luck. ...Read more
An artificial hip: The hip joint consists of a ball and socket formed of bone and cartilage. The diseased bone is removed and a new ball and socket, usually made out of metal and plastic is inserted surgically. The new hip, while mechanical, works in a manner very close to a normal hip joint. ...Read more
Possible: Some patients experience a local tissue reactionto the metal on metal implant not seen with other implant combinations. Other patients can have pain due to metal debri esp. If there is damage to the polished surface. All hip replacemens can hurt from loosening, infection and stress reactions to name a few. ...Read more
Total hip involves:
Total hip replacement involves replacing the ball and socket joint of the hip. The ball (femoral head) is removed and replaced with a metal stem and ball (the ball can be metal, ceramic, or oxinium). The acetabulum (socket) is removed of diseased cartilage and a metal cup is inserted. Within the cup, a liner is placed.
For more information, contact your doctor to learn more. ...Read more
Total Hip: Total hip replacement: surgery in which the diseased ball and socket of the hip joint are completely removed and replaced with artificial materials. A metal ball with a stem (a prosthesis) is inserted into the femur (thigh bone) and an artificial plastic cup socket is placed in the acetabulum (a "cup-shaped" part of the pelvis. ...Read more
Depends: While certain diagnoses such as osteoarthritis typically cause hip pain later in life, some problems such as avascular necrosis, dysplasia, or perthes may cause pain earlier. While there is no minimum age, we typically recommend waiting as long as possible because the implants have a finite life span, and revision surgery can be complicated. ...Read more
Preservation doctor: Hip arthroscopy can be very helpful for mild to moderate arthritis. Should exercise to maintain motion as best possible. Symptomatic care with medication and injections help pain. Work with orthopedic surgeon who specializes in hip preservation surgery. This is not just joint replacement but all other forms of care. ...Read more
PT consult: Is necessary for a comprehesive rehabilitation program. Most will start with gentle, passive range of motion coupleled with ultrasound or heat treatments. No vigorous walking, lifting, bending or aerobics until cleared by PT. ...Read more
Total Hip: Both the femoral and acetabular components are replaced. Typically, modular components are used of various materials (titanium, polyethylene, ceramic, oxinium, or other metallurgy) are employed. ...Read more
Cementless fixation: Cementless hip replacements means placing the cup into the pelvis and the stem into the thigh bone by pressing them into place and initially relying on the tight fit to stabilize the implants. As time goes by the bone grows onto the implants due to their rough surfaces and holds them permanently in place. Cemented hip replacement relies on cement to hold the implants permanently in place. ...Read more
Depends on where you: Live. Medically I do not see major problem with this. The beneficial effects of marijuana in pain management have been adequately documented and chances are you're up on your feet and doing better by using it. Having said that however I would not advocate the use it in any state in which it is illegal. That could result in a prison sentence. Isn't diversity a beautiful thing? ...Read more
Because of age: Hip replacements only last so long (10-15 years if lucky) so you will need to have it replaced again amd again and each time it is more difficulty, ...Read more
No: Running is not a good idea. Artificial joints wear like the tires on a car. More miles means more wear. Walking is good and trek poles will add 40% to the exercise. Swimming, dancing, golfing, light weight lifting, and cycling are also good. Avoid activities that involve impact stress on joints such as jumping, jogging, running, raquetball, and tennis, as well as contact sports like football. ...Read more
THA: Depending upon absolute temperature. The poly/plastic melts, the ceramic usually will crack, the meltal may be left intact for the most part. ...Read more
Follow hip precautio: In general, once you are about 3 months out from surgery, the risk of dislocation is quite low. Sexual positions should adhere to hip precaution recommendations (no hip flexion past 90 degrees, no crossing legs across the midline, no rotating inwards). Safe postions include: "missionary", "doggy-style", and woman on top. ...Read more
Several choices: Pain management after hip replacement is usually up to you and your surgeon to discuss and decide. Most orthopaedic surgeons will use a "multi-modality" pain management approach, in which we use several different types of medications (tylenol, celebrex, (celecoxib) lyrica) to prempt (i.e. Stop pain before the brain registers it). Narcotics, like norco, are still used, but only for "breakthrough" pain. ...Read more
No best: There is no established best implant. There are many implants from a variety of different companies that have shown 95% excellent results lasting for 30 years or more. The question is what implant has your surgeon had the most success with? First, feel comfortable with your surgeon. Then inquire into the implants he uses, and just make sure he isn't using something for the first time on you. ...Read more
Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more