Released By Dr At 3 Month Followup

I realize all of us are different. Our recoveries will be different, different type of surgeries, different doctors recommendations. I am very thankful I was in somewhat of good physical shape before my hip replacement. Mine was not a scheduled replacement but one due to a broken femur and hip I had in a bicycle crash. I crashed at 8:30am on Saturday morning, had a new hip by 9am the next day and was home the following day by 3:30pm.

I’m 67 years old and a cyclist.

I had follow up appointments at 2 weeks, 6 weeks and 12 weeks. At my last appointment the doctor told me he did not need to see me for a year from that appointment day, not the surgery day. So the next time I see him it will be a year and three months since surgery? Is that weird?

I followed a PT’s advice that is also a young cyclist. I have not had severe pain since I started riding 20-28 miles per ride, 3-4 times per week. I do NOT stand up to climb hills nor do I try any sprinting just an easy fast spinning cadence. I do not try to push the larger gear and don’t hesitate to down shift IF I feel I have to exert some effort. All of that is for the few cyclist I see on this forum.

Cold weather and sitting longer than 20 minutes has been my biggest problem. I can still be quite sore when I get up if I have sat at the computer too long or on the couch watching a game/movie. Yet after a night of sleep that soreness is gone completely. When I say cold weather I only mean in the 40’s early morning. I live at 4,500’ elevation in the high desert of Arizona.

Now that I have been reading about “resurfacing” with people that run, I am a little concerned about what my cycling will do longterm. Although in my booklet given to me the day before surgery … running was prohibited as a future activity, cycling was NOT. In fact my PT friend told me the day of surgery that I could be back on the bike within a month but I waited a month longer.

I did add protein supplements to my diet after surgery as well as Collagen w/peptides based on a recommendation from a friend that had a knee replacement. A week after taking the Collagen my surgical side leg, ankle and foot returned to normal size after being swollen twice as large as my good side leg. I had read that swelling could last up to two months after surgery. I’m not sure if it was the supplement or just a coincidence.

I am still very very cautious when getting in and out of my car and truck. I am very cautious when riding my bike over small rocks/sand at intersections since that is what took my bike from under me, not falling more than 2’ and breaking my femur toward the hips socket. I also still get in bed the same way the PT taught me the day I left the hospital. I am still aware of my movements even if they are back to normal.

For those of you that have had a rough time recovering, I feel your pain. I remember the first morning I was home walking with a walker, feeling like I would never return to where I was physically. That is a terrible feeling. All I can suggest is follow your doctors orders, take one day at a time and remember each and every day you can have small amounts of improvement that you will not realize until the good changes further down the calendar.

Final question … is cycling going to be like running where I will need a “resurface” later on? My doctor was thrilled I was back riding my bike and never mentioned anything like “resurfacing” later on or even the consequences of bike riding after a hip replacement.

Hi Steve,
An interesting and and depth reply.

Similar to you, i guess, as fit, 70, yes, but as a runner not a cyclist.
So I had a Birmingham resurfacing in 2002 on one hip, and for purely practical reason a full Exeter hip replacenent in 2016. And all is well, except for creaks in knees which may or may not be connected.

My onky restrictions are vungie jumping!
So yes, good and bad days, but all pretty well and operation twice saved my life. Off now to body combat class!
Cheers,
Mic
Exeter, Devon, uk

I use to run, and was advised never to run again due to wearing out of the new joint. I use to teach cycling/spin and was informed that that would not be a problem in the future. I would love to get back in shape since these dang hips have limited me the last few years. My first hip 10 months ago was so easy. I just assumed my left THR would be the same. I am at 24 days post op with still knee pain that I did not have prior to the surgery. I will see my doctor on 12/18 and that will be my last appointment with him, although if my knee pain is not gone I will request another appointment.Needless to say I am quite frustrated with my limited mobility now. Ice is my friend.

Awesome I can’t wait for this freaking knee to stop hurting!

Hi Steve,

It is odd how a new hip affects people differently. Sitting is no problem for me but, standing for an hour or two and the hip starts complaining, as does balancing on one leg (new hip side) in pilates, it does not like that at all.

Hi Steve
I’m really sorry about your accident; you are brave to get back out there. I’m in Tonbridge, England, 59 and had RTHR 11 weeks ago so just a week behind you. Cause presumably years of ultra marathons wearing the cartilage to nothing. Left one required at some time in future. My cycling is mainly 30 mile/day commute and up to two hours recreational at weekends. I was on exercise bike in gym on day 6 and Brompton foldable (low so easy to mount) on day 9. Did a TdF category 4 climb on Brompton after 4 weeks. My experience is that you can give it stick - standing, high resistance, sprint (in my case to beat traffic lights!) etc. First time for each of these was a bit “hmm … should I” but all fine and no pain at all.
My understanding from surgeon is that swimming, cycling should not damage the prosthetic at all - it’s pounding that will do that - running, jumping - and if you have it for long enough, wear and tear. The big issue for cycling will be the soft tissue strength around the joint and your PT will be working on that. And of course sensible hip angles, not riding with a low saddle. So listen to your body. Stand up in an easy gear to start with on those lovely flat roads you have and just see how it goes. Then get to the place where you’re murdering a climb. As to resurfacing, I’ve not heard of that except for Andy Murray, who’s a little younger than us. My understanding is if it wears out, they pop in a second replacement. (Which is easier to contemplate if you’re on NHS in England than paying for it yourself)
I have also struggled with sitting - particularly office chairs. Bike saddle is different because you’re not applying pressure to operated site.
All the best
Andrew

Hi, I was told no distance running after my hip replacement because of the impact on the joint. (To be honest I wasn’t bothered because my knees are a bit rubbish!) But I swim and cycle and ski (taking care), and the surgeon was ok with all that. I wish you lots of happy years of cycling!