When do I know its time?

I'm in pain ive got the spurs the large subchondral cyst no space etc..... do I just keep going till I can't bear it no more? I've had the pain in the butt cheek for a few weeks n my feet are swelling up now, is it possible to wait to long and do irreparable damage?

You need to talk to your doctor - the feet swelling is a new symptom for you and is a sign that the circulation in your leg is not good or you have other problems such as fluid retention overall.

You can make life more difficult for the surgeon and yourself if you wait too long.  For example they may have to use bone grafts which will make your rehab slower.  You don't give your age but as you can see on the forum many people have replacements when they are quite young. Many of them will need a revision but if the original bone was reasonably strong they can usually do two revisions and sometimes more although it gets trickier.

I think you ought to seriously consider getting medical advice with a view to replacement in the near future - don't forget in England you may have to wait 18 weeks after you have seen the consultant to go on the list. It's a bit shorter in Scotland and longer in Wales.

The other consequence to putting off the inevitable is that you are more than likely compensating for your bad hip by putting extra load on your knees and good hip,it sound as though the sooner you get the ball rolling the better off you will be......I delayed for a while and noticed that after my Op 5weeks ago my new hip is making great progress but I appear to have a very uncomfortable knee on the opposite leg,I am hoping this will clear up but feel I have given it extra wear and tear by delaying my THR...Get to your GO soon..

hi, I understand your dilemma. At 39 I need both replacing. I wanted to try and wait but have accepted I cant carry on as my quality ov life esp having 2 young children has now become really limited> I am due to have my first in ten days. I am really scared and a bag ov nerves but keep reading the threads and they are reassuring. Hope it helps knowing your not on your own.....

Hi I'm 44, been told I'll need revisions in future, trying to lose weight and strengthen muscles to give best chances for recovery and longevity of new hip. What do you guys think to being awake during op? How did it feel? I think this is how I'd like to proceed when I'm ready. Its took me over a year to come to terms with the fact

I need the op ha ha now I'm actually doing something about preparing to go have it done  soso although im not where I want to be physically I know the times coming n that makes me terrifiedredface

Talk to your anaesthetist.  I told them that I either didn't want to know what was going on or I wanted to be able to see - they hastily decided to use sedation! - which was fine. If you do stay awake then you will be given head phones through which you can play music of your choice. They can talk to you and you will be given something to allow you to signal that you want to talk to the anaesthetist.

Some parts of the op are quite noisy (I've stood in theatre and watched) and I would imagine that you would feel some of the manipulations happening but you shouldn't feel pain.

As I said to another poster, anyone who says they have no concerns is either a fool or a liar - it is a big step with potentially serious consequences which are unlikely to happen.  After all, people get killed and injured walking along a pavement, it is so unusual that it usually get reported in at least the local press, but we don't worry about it every time we go out. The likelihood of serious problems after a THR is quite a bit higher but still unlikely and so being apprehensive is normal.  There was a lass in hospital with me who went to a clinical psychologist for a long course of treatment before she managed to come in to hospital.  She will need more surgical treatment in the near future and said that the next time won't be so bad now she knows what it's really like.  I'm  hoping that I might meet her again when I have my knee done if the timings work out - once the op was over she was a really lovely person, before the op she was a curled up heap of misery who didn't want to talk to anyone although she wished people all the best on our way to theatre.