i have been in pain on hip

Bones, joints and muscles
1

Thinking having hip operation,

What's the plus and minus.

2

Plus - no pain, movement back, lead a normal life again Very popular operation with extremely high successful outcomes. Everyone I know who has had it done, their hip is like new 

minus - have to put up with pain, limited mobility, will only get worse, miserable existence because you can’t do things. 

Why  would  you not have the operation? Driving a car is way more dangerous if you are worried about the op

3

Have you heard of the less invasive superpath version?

4

I would love the operation I’m 40 years of age have severe arthritis in both hips they keep saying I’m to young I’ve no life at moment hobbling every time I go out the house hope you have your operation and good luck 

5

Yes,hopefully that's the one I can get.

Have you had that.

6

Steve NHS says 60 years and above.

At mo,54 had it from 27,in some kind of way..

7

It will be my preferred option when I eventually need it. There seem to be several surgeons doing slightly different versions.

8

A replacement hip is never as good as the real thing, and they can and do wear out over time and need replacing. Will there still be an NHS at that time - what with the burden of a sick and aging population!

If it really is necessary then of course it will improve quality of life.

The question is - IS it really necessary? It doesn't always work - especially in less severe cases. This is, I think, why they like to wait as long as possible. 

There is no test for OA - it is a diagnosis of exclusion. Just because you have an OA diagnoses and x-ray evidence of joint wear it DOES NOT mean that your hip is the root cause of the problem. Most of the population over 40 has x-ray evidence of joint wear somewhere but no symptoms. Most people with radiographic OA are symptom free.

I am a prime example of where the joint was NOT the cause, but the symptom. 10 years of hobbling around with all the classic symptoms (and a diagnosis of 'classic OA' made by a leading UK specialist) - at one time told I was at most a year from surgery, and now I'm fine. In my case (and in the case of many others) the real cause is a complex but TREATABLE muscle imbalance. The only way to tell whether the root cause of your OA is soft tissue or joint is to fix the muscle imbalance and see what you're left with (if anything). Many people find they are symptom free when the muscle imbalances is addressed.

The down side is that treating the imbalance is highly complex, but well worth it to get your own hip functioning normally again. Even if the joint is the root cause of you symptoms, you WILL have accompanying muscle imbalances contributing to symptoms. Addressing them could result in improvements that would surpass what would be achieved through surgery. 

My dad had both hips replaced by age 55 and 2 revisions in one and 3 in the other. He never got full function back, but it got him out of severe pain so he didn't regret it. Could his 'OA' have been treated with physical therapy - who knows? The NHS was in a better state back then - would he get his revisions in this day and age? That's an important consideration because if your artificial joint wears out you're screwed. Can you afford to go private if necessary?

This recent article from Australia says 25% of joint replacement surgery is inappropriate. 

http://www.afr.com/lifestyle/health/mens-health/national-plan-needed-to-curb-excessive-joint-hip-and-knee-replacements-20180206-h0ujop

9

Derek thanks,I have been told when you get a referral to see a surgeon you can ask to see any surgeon in the country of your choosing.

So you can find the best.

10

People who don’t get full movement back are those who usually don’t do all the physio exercises as instructed. There are a lot to do from the outset to get you moving. 

I know now people who have had nhs operations in their 50s since most surgeons now specialise doing hips they are all good. Just ask your gp who they would choose if it was their hip. 

Remember for every very person who says it’s nit good, there are another 100 people who will tell you how great it is and changed their lives, but they rarely post on forums, on,y the moaners tend to,post 😉

11

Thanks,yes great advice.

12

Yes you can but often obstacles get put in your way. If it is still the same as when I insisted on being referred from Edinburgh to Newcastle for prostate surgery Newcastle had to agree to accept me and Edinburgh to fund it.

I met an old lady who said that cases that had turned out badly are then referred to The Royal National Orthopaedic Hospital at Stanmore so she decided it was best to start there. It seems to be the centre of excellence.

13

Derek I will look into that.

Thanks x

14

dear Tim,

Get a hip that lasts the longest!!!  Sport's hips must be redone every 10 years....

I was a "guinea pig" up at UCSF in San Francisco in 1986 ..... I was 28 ..... I was told that it was a "lifetime" hip..... no sports, or running on it.... I obeyed and was very careful...... now I am 60 and was just told the life time hip is broken and worn out!  Unfortunately for me I didn't do the other hip after the right one....... I have bad bones..... that is what the orthopedic surgeon said....... and cannot have any of the joint replacement surgeries I need......hips, shoulders, knees, and elbows..... and have a bad heart too!!!  I constantly wonder what I did wrong in life to deserve this kind of pain.........  

Get to the pool and do water therapy.......AND get that hip done so that you can have a better quality of life...

I will be praying for you and waiting to hear how things go....Good luck Tim

Always....Erela

15

Dear Stephen.....

where do you live??  if you are in California...... UCSF and Stanford have the best hip and joint specialists.  I am 60 and can barely walk to the bathroom any more...... I would give anything to live in water....... warm pools..... yum..... problem is I cannot get in or out anymore.  I was 28 years old when my right hip was replaced........ so you are not to young..... and you deserve to have a better life and not live in misery like me........

I will pray for you Stephen....... Always....Erela

16

Thanks I’m in England at moment it’s very cold weather we having not helping me 

17

OMG...... the weather affects me too!  Rainy weather is the worst.... I so feel for you...... I live in California in Modesto which should be better for my bones ( moved here 2 years ago)  it wasn't....you are NOT to young to have hip replacements..... go to a specialist if possible.....as your doctor does not know what it is like to be unable to walk and have trouble getting to the bathroom and sitting down when the pain is at it's worst...... I so feel for you!  I wish I could take your pain..... I would...... this Pain war I have been with since childhood is awful........ and I am loosing!!! ....... I hope the UK warms up soon for you....... I will keep you in my thoughts and prayers..... I hope to hear a better update from you soon.....

Erela

18

Thanks cereal,just got the message.

In the summer I am doing better,winter painful times every day,normal for me.very stiff leg most days bloody thing.

We'll summer time back to doctor and send me a a consultant appointment.

Then hospital.

Mum had 3 hips done,gone now

Thanks again

19

Dear Tim,

I shall pray that you get a hip soon........ take good care of yourself..... let us know how it goes and how you are doing!!

your fellow broken hip.....lol......Erela