How To Clearly Tell Where You Are In The 4 Stages Of Hip Arthritis

There are major problems with the hip arthritis stage system used in healthcare.
Doctors use the arthritis stage system to help them determine how close you are to needing hip joint replacement surgery.
Stage 2 and stage 3 are usually when surgery might be recommended for some people.
Stage 4, which is the end stage or the last stage, is when there is usually no other option left but a hip replacement surgery.
A major problem with the hip osteoarthritis stages system is that it assumes that cartilage will never heal. In other words, if you're told you are in stage 3 based on the x-ray then the surgeon is usually assuming your hip joint is becoming ""bone-on-bone"" because the space in the joint is decreased.
Based on the decreased space in the hip joint, then the hip surgeon will likely tell you that the cartilage is damaged or lost...and they'll likely never tell you that it can heal.
Partially because they don't ever see people heal their own hip joint cartilage because they don't know that it's possible. It's just not a surgeon's specialty. They went to school to learn to cut out cartilage, not to learn how to help it become healthy.
Another major problem with using the stages of hip arthritis is that they assume that your hip joint cannot function once you have damage or loss of hip cartilage.
Once you have a suspected damage to the cartilage or a loss of cartilage based on the imaging of your hip joint, then surgeons start to say things like, "The cartilage is worn down, that's why it hurts," or "There is no more cartilage and your hip is only going to get worse as you age."
But what we see everyday with the hip arthritis patients we treat is that it is possible to get better by TAKING PRESSURE OFF the hip joint, even when there is suspected hip joint damage.
The reason for this is that when you off load the hip joint by fixing the root muscle imbalance, it causes the hip joint to move correctly and redistributes the bad pressures to where they should go - where the hip joint is designed to take pressure.
Very often this leads to a person with painful "bone-on-bone" stage 3 hip arthritis getting back to being active and healthy again...even though the surgeon recommended a hip replacement surgery.
⭐️ Dr. David has published a case study of one of his patients making a recovery just like this. You can download it for FREE here:
epmpt.mykajabi.com/pl/2148293463
▶️ Looking for more help with hip arthritis? Check out this playlist:
“Hip Arthritis Help” • Hip Arthritis Help
📚 Get comprehensive help to fix your hip arthritis at the root of the problem with the Hip Arthritis Recovery Program: www.epmanualphysicaltherapy.c...
00:00 - 4 Stages Of Hip Arthritis
00:52 - Stage 0
01:13 - Stage 1
03:17 - Stage 2
05:33 - Stage 3
07:47 - Stage 4
14:42 More resources
#elpasomanualphysicaltherapy #drdavidmiddaugh
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.

[@legendarychows]

After following his videos, I have been excited for the program to roll out. Started the program this week and already walking better and less discomfort - starting from Phase 1 😮. Quality program! Can't praise him enough for his work and compassion.

[@user-ro3rv4nw2n]

They told me the cartilage was gone and the head was flattened. I refused hip replacement. I lost the use of all the muscles around the hip and was in lots of pain. I started slowly healing. Now my hip does not hurt and I can use all the muscles. I still walk with 2 canes for support. I am working on strengthening the right muscles. I am glad I found these videos.

[@justCatherine555]

Thank you. You gave me hope tonight after reading your post.❤

[@suebennett9347]

I had arthritis in my right hip along with bone spurs and a labrum tear. Towards the end I could hardly walk and had a total hip replacement. I could not have been happier after I healed and got through PT. That was three years ago...as I am typing this it is my second full day after my surgery for my left hip which also had arthritis and bone spurs. I was able to walk on it today and recovering quickly. I am all for healing your body naturally when you are having issues however sometimes surgery is the only way. I am happy with my choice because the pain before surgery was awful and then after it was gone!

[@jilldowney7599]

That is where I'm at. Facing a hip replacement April 18th.

[@lindasmashnuk]

Me too...April 22. I can't wait to be able to walk again

[@piratessalyx7871]

Me on the 25th….what the heck is this guy saying…theres no hope for my worst hip…why is the doctor doing the replacement then….and I am like you will need the left one done later as well. He’s scaring people…wtf? Glad you posted this!

[@flsandye4639]

​@piratessalyx7871 my surgery is also scheduled on 4/25 and I couldn't be more excited! Best of luck to both of us ..... we'll be fine 😊😊😊😊😊

[@No1JetDoc]

Same here. Waited too long. Lots of pain. Takes all I have just to put a sock on. If I had found this a couple years might have worked but now I am ready for the surgery in a few weeks.

[@LewishamGirl]

Your KZbin channel is amazing and so helpful. Thank you.

[@joanneharford510]

I was falling in love watching this video. OMG!I was fearful that this stiffness & pain would be forever. You & I are going to be best friends. Thank you8 so much

[@blackcougar1959]

6 months into my total right hip replacement recovery, and I feel GREAT!!! I remember how painful it was. I used to grab my leg and lift it into to car like Franklin Delano Roosevelt used to. Everything you're explaining in this video I 100% relate to. Thank you for this informative video. I know it will help someone else.

[@jpren4295]

I am waiting for total right hip replacement. I hope I will be as lucky as you. I have really suffered waiting 18 months for this. Nice to know you are great!

[@roxierude2803]

Thank you for explaining this. I am in stage 3 and determined to turn this around! Great information!

[@heathercanning1287]

The very best of advice to be found is here,thank you so much .

[@vivienarnold7950]

Excellent explanation. Thank you.

[@sandrahentges186]

I have started watching your channel and doing some of the exercises. They are allowing me to live a little more comfortably until i see the Dr. thank you

[@ferdinandbellavance5045]

Excellent information, thank you.Ferdinand

[@belyndasonger7574]

So helpful. People are more likely to do the exercises to make things better if they understand. You do a great job at making it easy for anyone to get how important it is to do these things. Now. Let's talk about cervical spine issues.

[@elis5639]

Thank you 😮‍💨 I am planning on a hip replacement soon. I tried not to for years but it’s stage 4. I have little pain walking now so you’re right !! Exercise but laterally movement is minimal. Your video at least made me realize there is little more I can do. and for that I thank you. I will work on the other side to prevent another one!!

[@user-sg8bs7so2x]

Much thanks. Your video is excellent and competent. Good Luck to you and your KZbin channel.

[@alexzandriaweston7869]

Thank you for your excellent videos'. 😊🎉

[@pinkiestcow]

One of the most informative videos I have seen 👍 Thank you so much

[@hluvv7607]

Thank you doc for explaining Everything you mentioned that a surgeon may say to you about hip arthritis is exactly what my othropedic surgeon keep telling me . I have posterior labrum tear with hip arthritis .

[@josephryan5949]

Excellent and very clear explanation of the issue. It gives me more confidence that my Physio is on the right track with a program of exercises. Just had an x-ray, and awaiting results. I suspect I'm in between Stage 1 and 2, so hopefully we will be able to correct the problem.

[@sandnyc]

Your video is darker than your usual video. However the quality of information in the video is excellent. Thank you.

[@adelabrouchy]

Yes, it works. I´m consistently better. At home I could only walk with a cane, outdoors no more then 400m at all and with a cane. After six months I can walk at home with no cane and outdoors more than1000m with the cane and I´m able to stand for and hour with no pain. I couldn´t stand more than 15 minutes then. The hip arthritis program has been very useful to me. Thanks Dr David. ☺

[@sunflower6153]

This is great information! Can a person reverse knee arthritis?

[@carolanneLarkin]

Fab explanation of hip arthritis!!!

[@bradcampbell5766]

I healed my knee arthritis avoiding a cortisone shot too. It would have been a slippery slope if I got the cortisone shot. I was able to walk 3 miles at a fast pace easily to rehab my knee on my own. I walked 3 miles almost every day, and less than a year later it felt fine. I had hurt the knee running, and I never thought I would be able to run a mile again, but just a year later my knee was 100% again, and I could run 3 miles no problem. 2 years ago, I hurt my hip by overextending it. I still do line dancing every week for up to 3 hours no problem. It appears that I am in stage 1 with my hip. I lost 25 pounds since I hurt my hip, and I'm sure that helps. My muscles in that area are strong, although there may possibly be an imbalance requiring the back muscles to get stronger. I do limp a little bit and many people have commented when I limp. I never had an MRI on my hip, so I am assuming I have some arthritis because I am 67 years old, and when I hurt my knee 10 years ago, I had an MRI, and the doctor said I had arthritis then in the knee. I was not triggered by the word, "arthritis" because I kind of already knew the capacity of the body to reverse these conditions in the early stages, and I know that with both injuries it was not a degenerative condition that caused them, but it was trauma, and I had excellent mobility prior to my injuries in both cases, so if I had arthritis then it really was not affecting me. The doctor also said that 50% of people over 50 have some arthritis which reinforced my sense that arthritis in my case means very little. I also improved my diet to WFPB after injuring my knee, and I'm sure that helped my recovery. After my hip injury I refined my diet to an even healthier one which is the reason why I lost 25 pounds, so I'm sure this will help reverse my hip condition. I have even jogged 3 miles slowly with this hip condition, but I think I need to avoid high impact exercise like that until the hip gets better. Low impact exercises like X-country skiing or skating are okay. I thought I might have a torn labrum. It's a fun journey.

[@shellyd7339]

Thank you for this very helpful information about stages (and phases). it is reassuring to know that if you are not already at stage 4, that you can possibly restore hip functionality (and avoid or defer hip surgery) by addressing the muscle imbalance issues.

[@genepersons3592]

I purchased the program and am enjoying it very much. The only question I have is how long does the process take? 3 months? 6 months or anything like that?

[@americasariesson1862]

I messed my gut up taking meds - I seem to be strange in how I present. All my pain came on at once starting from the outer hip and I had the hip locking which was absolutely miserable and scary! Now I seem to be moving away from all that and back towards stage 2 ish …walking backwards on the treadmill and small amounts of yoga which helps this low back has been the biggest help. Knees are suffering because like you said - too strong in the quad’s very weak in hamstrings and glutes and frankly the core!

[@ckhorwias4149]

Thank you, Dr. David, for providing us with this pragmatic perspective. As you have recommended, I'm starting to exercise the posterior muscles around my problematic hip, though it's yet too early to expect much improvement. I would appreciate your answer to a pertinent question that I have in regard to the hip pain I am experiencing (as of a couple of years already). The issue is as follows: Rather than being constant, my hip pain is related to certain activities such as climbing stairs or skating. In these circumstances, I often experience a sharp, jabbing pain that almost causes my leg to buckle under me. However, this condition often improves (and sometimes actually disappears) when I persist in the activity over the course of the next half-hour or so. This improvement causes me to question whether my hip problem is arthritic or could actually be caused by some other localized condition. I realize that you cannot provide a diagnosis on the basis of this scant information, however, I would sincerely appreciate your opinion as to any other potential causes for my hip pain. Thank you again, Dr. David.

[@margottheuns8825]

Thank you so much for your video. Im a beginner with artritis. And i didnt know what to expect. Now its more clear to me

[@epmanualphysicaltherapy]

Hi Margot! So glad that we were able to clarify this for you and hope that we can continue to help. Below will be a link to our Hip Arthritis Help playlist that we hope can provide additional pain relief for you: “Hip Arthritis Help” kzbin.info/aero/PLJVIPiFvv1mbICbP6qlXUZwMyAJlKD1dt We hope you found this information helpful! Please let us know how you are doing as you progress 🧡

[@B81Mack]

Liked and Subscribed. Excellent content here.

[@christinecaronnabeard1369]

Very interesting.

[@Nellian]

Nearly two years ago a doctor took an xray telling me i have severe arthritis. It’s been hard to shake that idea but you just helped me believe he was wrong. At the time, i think i had an injury and extreme muscle imbalances. Since then, the pain moves around - i often wonder if it’s piriformis, sciatica or an aggravated injury. But much of the time, it goes away and i can walk, dance and move with minimal pain. At the moment, i can bring each knee up towards my torso while standing with no pain. You’re the first person who explained muscle imbalances. This explanation feels so right. I look forward to exploring your exercises, i want to heal myself, i don’t ever want surgery. Thank you so much, you’re the best!

[@binniesbags]

They have just told my 84 year old dad that he has severe arthiritis. He fell 2 years ago and had a screw and plate put in. Now the screw has loosend and is in pain, they said physio may not benefit him, he is so upset

[@Nellian]

@@binniesbags I’m so sorry to hear that. I hope they can adjust the screw and fix it - tho any surgery is probably a major ordeal. What are the doctors suggesting?

[@d.shermandesantos3570]

Thank you! I had an injury that resulted in excruciating hip arthritis and the doctors wanted me in surgery immediately, didn't even check my medical history. I was in severe pain, but I get life threatening reactions to a lot of medications, so surgery is a last resort. Staying active is a must so I asked my son's gymnastics teacher how his hip replacement had worked out for him. He was tactful - said his other hip acted up so he went back to Eastern Europe to get treatment instead of getting another hip replacement. He wasn't happy about the limitations the hip replacement had created for him. That info got me looking for options. First thing I found was NIH's research on soy and avocado unsuponifiables, and also a pain cream with resveratrol - both helped me back the pain off to where it was unpleasant, but tolerable. Since then diet, exercise and acupuncture has had me gradually healing. Your videos are now filling in areas I was still having problems with - you have no idea how glad I am to have found your channel. I'm in my 70s, but I'm not about to just give in and give up on this.

[@ronti2492]

Sir, I'm a physician from Australia: my specialties are family medicine and anaesthetics (=you would call me an anaesthesiologist-we do not have 'nurse-anaesthetists' in Australia). I cannot agree with your statements more: there are multiple factors at work here. First, you are right- the medical system incentivises 'doing things': the entire fee system is based on 'doing things', and in this case the 'thing' is an operation. Orthopods get paid for 'doing things'...they do not get money for 'not' doing things. The other factor is an excessive dependence on the mechanical model-machines break down, they don't self-heal. Therefore if you treat the body 'like a machine', well, how can it ever heal? Its the wrong model and a gross oversimplification. Thirdly, physicians receive very little to no training in physical therapies or musculoskeletal medicine, in fact I would go so far as to say that they-we- are actually pretty ignorant. I speak of the Australian medical curriculum here-but I think this also holds for most Western ( ie US-UK-CAN) medical schools. When you combine that ignorance with pride, it is a pretty dangerous combination. Lastly, as a physician myself, I have almost-I say almost- been sucked down that 'you need a hip replacement' route before even attempting rehabilitation and exercise. It is a powerful 'nocebo' when the medical profession tells patients' there is nothing you can do except have an operation'. Thanks for challenging the flawed medical conventional wisdom that 'all that can be done is surgery'. I totally agree that a proportion of cases can best be helped by surgery- and you rightly do reference this. But by no means all!

[@lynn8524]

Will you explain the difference between hip bursitis versus hip arthritis? I was told by a specialist that I have hip bursitis.

[@tressiewhite7609]

The El Paso Manual Physical Therapy is truly a healing institution. It is a blessing for all who believe in the body's healing ability. Thank you, thank you, thank you very much for sharing your gift with us. ❤

[@epmanualphysicaltherapy]

Hi Tressie! Thank you so much for your comment! 🥹 It's incredibly rewarding to hear how our work at El Paso Manual Physical Therapy has positively impacted your healing journey. We're honored to be able to share our expertise and help others on their healing journey as well! Your gratitude means the world to us! 🧡

[@lovegardening4324]

Thank you for your videos. My PT for my knees making my hip pain worse. Should I see an osteopath instead? Ortho disgnosed GTB but no real treatment.

[@LightwingsTWENTY2]

Thank you!!!!

[@epmanualphysicaltherapy]

Hi Lightwings2, you're welcome! We have a hip arthritis help playlist you might find helpful: “Hip Arthritis Help” kzbin.info/aero/PLJVIPiFvv1mbICbP6qlXUZwMyAJlKD1dt We'd love to hear how you are doing as you progress.🙌 Please take care!

[@babatundeyommy1014]

Hi Doc, i can't find the link to the Hip Arthritis Recovery Program.

[@lovly2cu725]

this is me stage 4. glad there are other options besides surgery

[@debcatz8445]

What can you do at stage 0 so it doesn't go any further

[@vernekelley9356]

So stage 4 is hopeless...sigh. I CAN'T have surgery. But I don't have a typical presentation, but so be it. Thank you.

[@OdelleScharneck]

Thank you🙏🙏🖖👍

[@robynsmall1646]

Love your input. Sounds like my glutes are always the weak link!

[@epmanualphysicaltherapy]

Hi Robyn, thank you so much! You are not alone some of us work here and we have weak glutes. We get reminded all the time to stand up and squeeze those muscles. lol! We have a couple of videos to help out with glute exercises. You can access them here: “Top 5 Glute Muscle Exercises For Knee Pain” kzbin.info/www/bejne/hInHdJ2KZ7angKM “Top 6 Standing Glute Exercises To Help Knee Pain” kzbin.info/www/bejne/oHWaeoV4m69go68 We also have a hip arthritis playlist you might find helpful: “Hip Arthritis Help” kzbin.info/aero/PLJVIPiFvv1mbICbP6qlXUZwMyAJlKD1dt We'd love to hear how you are doing as you progress.🙌 Please take care!

[@fatihk.2726]

Where can I find those videos?

[@jimlampert2897]

Hi Doc,is there an excercise with weights that can build a right torn hip labrum up so there is less pain & more stability?I will never deal with hell of hospitals,Drs mistakes,double billing,miscommunication.

[@susie_q1]

I can't find link to the brochure or pamphlet you held up. Would like to peruse it. Thank you.

[@mjbjr1944]

Directly below the video, there's a grayish area and in that area, you'll see some verbiage that ends with the word "more". Click on that word and it'll reveal a lot of additional information some of which is what you're looking for.

[@elianefit4385]

I lift weights for 30 years and is exactly what is happening to me. My muscles in front of my legs are very strong and developed, unlike the back and glutes, that i trained much less. Im feeling so much pain and im terrified of having to do surgery, i didn't see a doctor yet. I have been in pain for about a year now. Taking supplements has been helping.

[@louannhuber2651]

I remember stage one thanks to a desk job. Many years ago. I’m in stage 3 now.

[@kellyblackledge121]

Thanks for this video, my Dr. told me I had arthritis but has never done any kind of imaging, guess he has a crystal ball

[@edgaracevedo9658]

Unfortunately I'm in stage 4. I never have pain in the groin or front but the side & glutes so I guess I have a muscle imbalance as you mentioned. I recently had cortisone injections on both hips. I was in so much pain and now better. I know it's a temporary fix but I did 5 years of PT which helped but after 6 months I would get worst again. The reason I have not had surgery is because of my high BMI. The surgeons will not operate until I lose enough weight. So far I lost 20 pounds.

[@Srose2131]

Please provide link to your plan. Thanks

[@epmanualphysicaltherapy]

Hey Scarlet, here is a link to our Hip Arthritis Recovery Program if that is what you are looking for: Hip Arthritis Recovery Program The Hip Arthritis Recovery Program is a comprehensive guide designed to lead individuals through the 4 crucial phases of hip arthritis recovery. Inside, participants will discover a meticulously crafted 4-phase plan that covers every aspect of hip arthritis healing, from initial recovery steps to advanced strengthening exercises. This program is more than just a temporary fix; it's a roadmap for naturally healing hip arthritis for the long term. Say goodbye to temporary solutions as you embark on a journey towards natural healing. With expert guidance, you'll gain the knowledge to maintain a strong and healthy hip for the long haul. Please click here to learn more: www.epmanualphysicaltherapy.com/hip-arthritis-recovery-program/

[@pmcdonald]

Dr. David, is it possible for recovery after stage 4? I was told my right hip is bone on bone and would like to hope there is a way to improve it without replacement. I started having some pain and stiffness a year ago and, after I stopped doing my cardio kickboxing it got worse. Last six months was bad and last month hard to walk without muscle relaxers. I started pt and it has improved some I just need to know there is a chance and I do not have to go directly to replacement.

[@user-vp6lf3qo3p]

I had xray right hip i was told no arthiritis. But i have had weakness right leg, if i lay down try lift leg straight up its difficult leg ferls like dead weight, i cant hold up leg for long. My right hip high than left, if no arthiritis what could it be.

[@wendystewart1867]

Had hip replacement surgery in march of 24 Crippling pain before surgery. Surgery thank goodness i don't remember at all Anesthesiologist was amazing Ok so i went home that night. Yes on alot of super pain killers This is 2 months later still going th PT. Still jurts but different pain Still can't get in tub shave my legs put on socks and shoes. Im hoping to be able to do those important things soon

[@saimaazhar8488]

Thnx for making such good videos. Can you please make a video about exercises to lose belly fat

[@hikgerguy1234]

So, I was recently diagnosed with hip dysplasia and secondary OA (osteoarthritis). I only have pain when swinging my left leg into the car or putting my left leg into my pants. My pain is on the side of my hip, yet you're saying hip arthritis is felt in the FRONT of the hip. Does this mean I was possibly misdiagnosed?

[@AmyK007]

I was told I have a grade 4 labral tear and that I can never run again. Is this true??? From your guide I have stage 3.

[@lauranason9598]

Dr. what is hip dysplasia in humans?

[@jacquigillies2478]

Hi from UK. I need some advice please an ultrasound scan showed I had partial thickness tear of the insertional fibres of the shoulder subscapularis with back ground of tendinothopy aswell as focal tendinothopy of the anterior susprasinatus. Basically my physio has said it’s not major and just tendonitis and to carry on swimming, rowing, stretching with bands. All I know is it hurts like hell to do these things and mobility is becoming more restricted . I’m now 6 months in and have gone from a healthy woman of 62 to someone who is now so unfit and miserable. I found your Chanel and am now following your advice on rota cuff exercises but they seem to be geared towards susprasinatus muscle. So any advice what to do for the subscapularis would be much appreciated. Thank you

[@lindafalk4401]

Full thickness tears bilateral.... lived with the disability for 5 years & now it is getting bad. Steroid injections have helped....fluid filled bursa sacks limit ROM.... MRI was necessary to determine actual damage to make plans (male age 70). Surgeries would require slings 6 weeks each shoulder with average recovery 6 to 9 months each shoulder ... so min 1 year plus to raise arms above horizontal..... at 72 I'm not sure it's worth it.

[@paulbarker3655]

@@lindafalk4401if you leave it too long there isn’t enough bone to screw into to ease the pains.

[@alexzandriaweston7869]

I don't see the hip recovery program in the description. Can you send it to me please?

[@mjbjr1944]

Directly below the video, there's a grayish area and in that area, you'll see some verbiage that ends with the word "more". Click on that word and it'll reveal a lot of additional information some of which is what you're looking for.

[@user-ov4wr5yu4r]

The doctor said this about my knee. "Joint space is good. A bit of wear consistent with your age." Hmm, it's looking like the true meaning is early stage of arthritis. Idk if the staging is the same for the knees.

[@user-ce7st1ki1n]

I’m stage four and due to CHF I’m not able to have replacement surgery. I’m going to look into these exercises even if I may get SOME sort of relief. I’m currently surviving with the help of pain medication and a walker. Thank you for hope. 🙏🏼

[@No1JetDoc]

Good luck! I sure hope it helps you.

[@alisoncasinelli565]

Why can't you have surgery with CHF. I have CHF they want to get surgery. I am in stage 4???

[@janeevans5132]

It is wonderful operation if it goes ok. I had my left hip replaced. Withing 6 weeks I was like a two year old until a few months down the line when I was finding it difficult to walk which just got worse. The bottom line it took 12months for them to find I had an infected prothesis, needless to say another operation. Longer prothesis, transfusion 8 weeks in hospital and rehab. Three years on and I am now limping with the pain in my thigh which could be the prothesis is loosening.....I have one hell of a dent in my leg where I had a huge abscess when they did the second one they had to debride the dead areas of skin in my leg. I was seeing Infectious Diseases and had to take masses of antibiotics for 6 months. They caused other problems. I was told I was 'unlucky' one in a hundred suffers these problems, but I can assure you it is not funny being the 'one' I am still suffering different pain but just as debilitating.

[@user-ov4wr5yu4r]

Really? My doctor said about my knee "Nah. Ten years. Get outta here." Well, he actually said 10 years to surgery, but I have a bone spur on my heel affecting my weight bearing, and gave me a prescription for orthotics. That did actually help my knee somewhat.

[@susie_q1]

How to find the hip program?

[@mjbjr1944]

Directly below the video, there's a grayish area and in that area, you'll see some verbiage that ends with the word "more". Click on that word and it'll reveal a lot of additional information some of which is what you're looking for.

[@ubizmo]

Age 70. Stage 2.5, i guess. Overweight. For a couple of years I've experienced stand of pain when first standing up and walking, which would subside after a few steps. Until it didn't! Now the pain persists if i stay on my feet. Long walks are suddenly a challenge. My gait is different, shorter. Now it's starting to make sense.

[@Vieweratlarge]

I clicked on “more” so I could purchase the hip recovery program but it’s only trying to sell me tee shirts. Where is the link I need?

[@epmanualphysicaltherapy]

Hi Lisa, here is a brief description of the hip arthritis recovery program and the link: The Hip Arthritis Recovery Program is a comprehensive guide designed to lead individuals through the 4 crucial phases of hip arthritis recovery. Inside, participants will discover a meticulously crafted 4-phase plan that covers every aspect of hip arthritis healing, from initial recovery steps to advanced strengthening exercises. This program is more than just a temporary fix; it's a roadmap for naturally healing hip arthritis for the long term. Say goodbye to temporary solutions as you embark on a journey towards natural healing. With expert guidance, you'll gain the knowledge to maintain a strong and healthy hip for the long haul. Please click here to learn more: www.epmanualphysicaltherapy.com/hip-arthritis-recovery-program/

[@thestitchwitch680]

Dr., is “cartilage” synonymous with “labrum?” I was told many years ago by my orthopedic surgeon that my labrum was “shattered,” not just torn, but so damaged that it can’t be repaired- my only option is THR. I haven’t had this done, because they wanted me to lose some weight first. The idea of surgery is terrifying to me, as I’m all alone in life.

[@user-ov4wr5yu4r]

I believe it's the rim of the cartilage on the socket side. That is, on the pelvis. I feel for you. How will you manage the recovery stage? Uber eats and Uber over to physiotherapy appointments? I would be terrified, too. Some people recover quickly, but it's good to have a plan. It's a difficult decision. I wouldn't be too hasty. Hugs. 💞

[@lennierobson8672]

Don't be afraid ive just had a hip replacement & was walking without support on day 6! Ive also hsd both shoulders replaced, the growth of information & new methods make these ops so much easier than a few years ago.

[@paulstrouth1306]

Stage 4 here

[@hkinley55]

Wish I knew you a year ago. Need both hips replaced. I'm in SO MUCH PAIN. I am in stage 4

[@michelem3360]

@hkinley55 I too was in stage 4 for both hips. No cartilage left and bone spurs. Absolutely no range of motion left, unable to lift my feet high enough to make a step, so imagine all that I couldn't do, but I'm sure you can relate. 18 months ago, I had both hips replaced. It gave me my life back. I'm still amazed at what I can do again: walk, stand without any grinding, etc. Surgery is never fun, but your life is going to be fantastic after the hip replacements.

[@iamjustsaying4787]

Mine never hurts until I walk for half and hour or lean forward with my knee bent and I reach forward.

[@Sunshine-tm9fs]

But HOW do you decompress the hip??

[@piratessalyx7871]

Exactly either you have cartilage or you dont…smeh

[@lauchlanguddy1004]

@@piratessalyx7871 its far more complex and nuianced...

[@ronjaenisch4613]

To get rid of the pain a pelvic floor surgeon suggested a 30 $ pelvic floor exerciser at amazon...........twice a day 50 reps..........after a week no pain.

[@persimmonpuddin]

Doctor told me cartilage receives no blood supply therefore it does not heal. Once it's damaged it's damaged. Once it's gone it's gone.

[@BlossomMclarty-sl7yv]

I have hip oa but when I am lying down or sitting it doesn't hurt only when I am walking or turning I feel so much pain can you say which stage am. I

[@suel4269]

I think I’m in stage 3. 😢 losing sleep

[@lindseykipp9175]

Regarding doctors there is no $ in our getting better this way so why fund research? I have read research about the prevalent dissatisfaction after hip replacement, but in the medical echo chamber there's no interest, even when the # is over 50% 🤯. In less than 1 week of this hip recovery program I am in less pain and moving better. Real healing. 🙏🌞🌻

[@suebennett9347]

Me as well... first hip replacement was three years ago and I just had the other hip done two days ago and I can walk already. Surgery was my last resort but I am happy with the results and the pain is gone.

[@anthonyfracchiolla2268]

You what is upsetting me right now. My xray looks very similiar to stage 3. The Surgeons i saw all say surgery. They resemble salesman. I see clear space in the joint except for small spot on the outside of the hip. Now watching videos I will be seeing a Physical Therapist. The problem is I been wasting too much time seeing different surgeons that i may be at 4 now. These surgeons only want to do surgery. I have read the there are too many procedures done that are not needed. I should be able to sue

[@piratessalyx7871]

If you don’t have any cartilage left no exercise will help,only get worse wtf?

[@micheleganga1701]

Im choosing hip replacement!!! I have 0 mobility, i am an active healthy 59 year old and i dont want to continue this way. The pain is awful and im tired of hurting. Im tired of missing out on things. I am getting both replaced. I want my life back.

[@epmanualphysicaltherapy]

Hi Shellie, we are so sorry that you are in such pain that you would need to have both of your hips replaced. We can imagine the frustration you are experiencing and it's completely understandable that you want your mobility and quality of life back. If you ever want to explore physical therapy methods that may help optimize your recovery and overall strength, we are here to support you. We wold like to share a few links here for you that we hope may help: Hip Arthritis Help “Hip Arthritis Help” kzbin.info/aero/PLJVIPiFvv1mbICbP6qlXUZwMyAJlKD1dt Hip Pain Help “Hip Pain Help” kzbin.info/aero/PLJVIPiFvv1mZF48A6w0CrTONLq2ZaVw3G We also offer a hip arthritis recovery program. The program is very similar to our in person treatments, minus the manual manipulation. The Hip Arthritis Recovery Program is a comprehensive guide designed to lead individuals through the 4 crucial phases of hip arthritis recovery. Inside, participants will discover a meticulously crafted 4-phase plan that covers every aspect of hip arthritis healing, from initial recovery steps to advanced strengthening exercises. This program is more than just a temporary fix; it's a roadmap for naturally healing hip arthritis for the long term. Say goodbye to temporary solutions as you embark on a journey towards natural healing. With expert guidance, you'll gain the knowledge to maintain a strong and healthy hip for the long haul. Please click here to learn more: www.epmanualphysicaltherapy.com/hip-arthritis-recovery-program/ Your determination to regain your active lifestyle is admirable! 🧡 Please let us know how you are doing as you progress and we hope that you are able to to find some comfort 🧡

[@B81Mack]

The "system" doesn't proactively prevent, it reactively "repairs". Me: Nah, I'm good, I'll fix this. Thanks. I always look for the root cause on my own before consulting the "Professionals".

[@linj4650]

the new studio is so dark, I like the previous one better

[@epmanualphysicaltherapy]

Hi Linj4650, we appreciate the feedback! We will forward your comment to Dr. David so that he can consider it for future videos. 🙌

[@epmanualphysicaltherapy]

Hi Natanyoga, you're welcome! Thank y ou so much for the kind words.

[@enkibumbu]

It can move backwards? Show me clinical evidence. Opinions aren't evidence.

[@vinaysharma5187]

Hlw sir love from India I m 27 and in fourth stage Taken 4 total doses of Nsaids name not recalling And etarnacept 6 doses Pls suggest me exercises and how my cartilage can be recovered I feel so much pain when I walk around 2 km and more ...and stiffness..

[@krisp.1593]

Damn I wish you were here in Florida so I could go to you really enjoy your videos and hopefully I can help myself

[@genepersons3592]

I purchased the program and am enjoying it very much. The only question I have is how long does the process take? 3 months? 6 months or anything like that?

[@user-ov4wr5yu4r]

Cartilage heals slowly. I healed my knee in about 6 months, but I don't know about your case. (My OTHER knee, in case you read any of my comments. Yup. I have almost no good body parts left.)

[@caroforbes1924]

Thank you for this information. It is very helpful and what I believe to be true. I have mild arthritis in left hip but continue to train and walk which improves symptoms. I often feel a 'pulling' across my left hip which feels as if I need to 'twang' it. Its painful but not necessarily persistent. It's now happening occasionally in the right hip. Feels like tendon on nerve trapped sort of thing. Is this liked. Love your work.