RESEARCH REVIEW: Strength training after hip replacement with Dr. Fred Barnes.

OUR BOOK: www.amazon.com...
In this research review with Dr. Fred Barnes, orthopedic surgeon and lifter, we discuss the study by Husby et al: Early Maximal Strength Training Is an Efficient Treatment for Patients Operated With Total Hip Arthroplasty, published in Archives of Physical Medicine and Rehabilitation, 2009:90(10); 1658-1667 Aug; 4(8): 778-787.
Bottom line: Resistance training after hip replacement is safe and feasible, and in the opinion of these reviewers ESSENTIAL to promote healthy bone stock and incorporation and longevity of the prosthesis.
Paper is open access and available at:
www.archives-p...
WRITTEN AND PRODUCED by Jonathon Sullivan MD, PhD, SSC
ASSOCIATE PRODUCER: Damian Lang
EXECUTIVE PATRONS: John and Val Rosengren
ELITE PATRON: Dr. Kurt Van Scoik
OLYMPIC PATRONS:
John Slaughter
Jeffrey Barefoot
Dr. Bert Lindsay,
Laura and James Welcher,
Shauna Bourassa,
Fred Barnes MD,
Stephen Gross,
Matthew Gross
CHARTER PATRONS:
Grady,
Emily,
Mark,
Warren
POWER PATRONS:
Rod Hargrave
Peter Gardiner
Bar Reehuis
Mike Kell, Esq.
John Carrigg
Tae Ellin
Bert Lindsay, DC
Sascha Goldsmith
Bar Reehuis
Emily
John and Val Rosengren
Sven M
WELCOME NEW PATRONS!
Bryan Scheiderer
Michael Worrall
Jim Hurst
IMAGES:
Jonathon Sullivan MD, PhD, SSC, PBC
Michael Haggstrom MD
en.wikipedia.o...
BECOME A PATRON! www.patreon.com/greysteel
FOLLOW GREYSTEEL ON FACEBOOK: / greysteelstr. .
NOW ON THE INSTAGRAMS!
/ thebarbellp. .
GREYSTEEL WEBSITE AND BLOG:
www.greysteel.org
OUR BOOK:
www.thebarbellprescription.com
VISIT OUR SPONSORS:
Iron Joe: www.goironjoe.com
The Barbell Prescription: www.thebarbellprescription.com
c. 2021 Greysteel LLC
Content is for informational and entertainment purposes only. Consult your physician for questions about your health, diet and exercise.

[@TrishCanyon8]

2019 I had a total right hip replaced. The approach was ANTERIOR. I only had MINOR INCISIONAL PAIN. I was able to walk immediately. I was told my left hip was eligible for replacement per x-ray but I said I wasn't experiencing any discomfort so Doctor said just let me know. I started having hip pain and limping Aug 22. BUT about the same time I changed my diet. I started eating 50-75% meat on each plate and reducing processed food and sugar. My hip pain and limp went away and has not returned. 😂 I walk 6 miles a day and started strength training. 7 months ago I started jiu-jitsu at 71. ❤❤❤ DIET MATTERS

[@andrewBwinter]

Finally, a surgeon discussing lifting after THA. I had posterior 5 weeks ago (August 17, 2023) and keeping knees out during the squat was the type of information I was looking for. 👌

[@dianzap]

This has been one of the most informative discussions regarding anterior vs posterior hip replacements. I'm 62 and have had both hips replaced in the past year with an anterior approach and have found very minimal limitations. I am back to playing ice hockey, golf, tennis and I am a ski patroller. Only after the second hip was there a bit of discomfort with abduction and that has disappeared six months after the surgery. I'm glad to see that there are vikings like me that can get back to their activities. Interesting that the ceramic vs the titanium condyle is the preferred choice. I'm not a runner but will continue to build muscle strength for the upcoming ski season. My wife thinks that I wore my parts out!

[@Cibernautan]

Hopefully some of those specialist could read me : I am 54 years old now an working in Germany (in office) . During 12 years I was living with the pain of the Atrhosis. But during that time, despite I left my favorites sports, I allways kept moving , going to the gym, cycling and swimming. 2 Years ago I got an right hip replacement. ....I got a new life. The rehabilitation was 5 days a week, during 2 weeks. Afterwards I was able to walk without external support. Unfortunatelly I felt so good that after four months I start practicing basket again. Just shootng and dribling. But sometimes I can not refused when I was invited to play with others. And then my lower back was suffering pain. Obviously I stopped playing for severals months, but making the stretching exercises more intensive. Also start lifting in the gym: hipthrust, gluteus abduction, leg press, and quite of stretching exercises. After 12 months I came back to basket...and absolutelly no pain. Even jumping (that I allways try to avoid. But with the exercises my legs are so strong that I jump higher again). I always try to listen to my body. If I feel something, I make a time with pause , but keep stretching and lifting moderatelly. Now, 2 years after the surgery, I keep playing and training with the exercises. I know it will not be forever. Due to my age, my energy will decrease. But in the meantine, I am enjoying the things that I love. All the best for all those that got or will get an hip replacement.

[@TakeItToTheGround]

I went with posterior resurfacing with a full metal replacement at 60. I was very active including surfing, & weight training and judo both before & after the op. Walking without a cane in a couple of days, back to weight training in a couple of weeks, surfing in 2 months, & judo after 3 months. All with my surgeons approval. Sample of one I know, but if anyone is reading & needs a hip replacement & wants to continue being active. Consider resurfacing. After the OP I even took up skateboarding and concrete isn't soft.

[@user-yk6nv2qb3j]

Also had BHR at 59 y/o, was very active prior. I'm 3 months post op today and did a nice squat/ deadlift session this morning. The numbers are slowly climbing but I'm not cleared to run or jump yet. Complely agree about the resurfacing, IF it is appropriate for the patient.

[@colinmathers2459]

I had a right hip replacement 12 months ago (posterior approach) and six months before that a left knee replacement. I have been powerlifting since 2015 and was keen to continue after the joint replacements, but concerned about unknown risks. Apart from studies like the one reviewed here focusing on immediate rehab after surgery, I've found no study that does a long-term followup of people doing strength training, Of course, my surgeon was dead against the idea of returning to powerlifting. I did internet searches and found 13 examples of people squatting after joint replacement(s) and 15 examples of people deadlifting after joint replacement. Most of these examples were people who were serious lifters before surgery. The median squat in this sample was 150 kg and the median deadlift was 110 kg. None of this answers the question of whether strength training will reduce the lifetime of the joint or increase wear of the polyethylene "cartilege". I've taken it very slowly and cautiously. My post-surgery max deadlift is currently 150 kg (at age 70 and weight 91 kg). I have been squatting a little above parallel up to 90 kg and in the last few weeks have started squatting below parallel and worked up to 60 kg for 5 reps so far.

[@doctt6639]

I found this video incredibly interesting. Loved the hot seat question at the end, I also find it interesting to hear there is differences between European and North American approaches to things like joint replacement. Thanks once again Doctors for the great video.

[@johnknestis3851]

Now do ankle joint replacements. I had mine done 5 years ago and I was still struggling with mobility and pain. I was deliberately avoiding squats because I was scared. I sucked it up in May and started as a novice. Now, my work sets are 335lb, and the mobility and pain are MUCH improved.

[@gregorymccoy6797]

I think my boat got swamped by jargon. My life vest saw me back to port. The best part was seeing the glee between the both of you talking "shop".

[@chuckhaggard1584]

I'm exactly two weeks post op from a right anterior THR, so I'm watching this with great interest.

[@xBusterBean]

Anterior approach, no restrictions, 23 years old here.

[@ianlomas625]

Great information thank you. I had a left hip replacement 3 years ago and right knee 2 years. Not planning anymore:) Found Starting Strength and then Greysteel which better suited my 69 years. Nearly completed my first 12 months of strength training and it’s going well thank you for all your videos and books..

[@danlauffer8540]

To be able to do major surgery on the strongest muscles of the body and then be able to walk afterwards let alone get strong is amazing. Will doing squats properly make it possible to avoid such surgery? Will doing squats after hip surgery actually make the hip stronger? For either of you, have you changed your position on people doing strength trainer after hip replacement? In other words did you ever resist advising against it but now support the idea strongly?

[@johnfitzsimmons5690]

At 15:50, the doctor never saw a failure of the prosthesis, only the bone stock. That's reassuring if you want to return to heavy lifting. Find myself wondering about the new hardware and what it can handle... :)

[@paulthomas333]

I had posterior lateral, day surgery, no restrictions. OS cut three external rotators, only.

[@edwhlam]

Regarding THR failures due to the failure in the patient's bone stock; how should we, as THR patients avoid that? Are those failures because the patients' bones were too far gone prior to surgery?

[@GreySteel]

Lift weights. Load the bones. Loaded bones will remodel. If the bone were not able to hold the prosthesis, the surgeon would not have operated. It's now up to you.

[@edwhlam]

@@GreySteel That’s good news, thanks! Have been lifting for over twenty years. 9th week post anterior THR. Can’t wait to begin doing lower lifts and kettlebell snatches again. I just started doing air squats and lunges.

[@MrDavrc]

Thanks for the video. I had an anterior THR two years ago and recently bought a bar and squat stands and began strength training (thanks to Grant at the Strength Company). My question is are there any limitations, such as squat depth, that I should be aware of? Almost all the recommendations I hear seem very conservative. I’m 65 and have been active (1 m meters on the C2 last year), but have never done any serious strength training. Thanks again

[@FoobsTon]

Metallic head...the US is still in the dark ages with a lot of healthcare...must be the litigious nature of it. 3rd generation ceramics are performing brilliantly in Europe.

[@kerryobrien71]

100% correct. Ceramic very strong, not brittle, and facilitates lubrication of joint better than other materials (other than natural joint).

[@danmortenson6724]

Ive had both hips replaced a few years ago at 50, had some comlications on the second one where the femur broke during surgery. After six months I was able to start biking and working out and finally focused on weight training. Im trying to get up to 300# for deadlifts and squats, at 275# and 255# currently, is there a upper limit to how much weight I can do?

[@attyjim1]

Doc I’m very keen on this. I’ve bi-lateral hips and no intention of ever ceasing my squats. My right hip and greater trochanter were ravaged by MSSA 5 years ago (went septic). That shit ain’t happening again. I place a chair with a raised cushion behind me during the movement so I don’t go past 90. Currently get 4 sets of 10 @ 135#.

[@GreySteel]

Yikes. Good on you for having the courage to keep on keeping on. Athlete of Aging. 🙏🏋️❤️

[@attyjim1]

@@GreySteel No other way my friend. I want to be like Mr. Claasen (sp).

[@randygravel2057]

Today I ate a plum.