Should I Get Surgery for Hip Osteoarthritis? (Ask Dr. B)

[@kittenheels1958]

I just got the hip solution and this was my first day. I like the way it’s laid out and so easy to follow…Coach has great explanations n his voice makes it pleasant. I will keep you posted how it goes.

[@PrecisionMovementCoach]

Great to hear!

[@lukulusd7]

Hi,did this course help you in any major way?

[@jamkrk]

Excellent. That answers my question. Do the Range of motion before surgery even if you do have surgery you have oreparef your body for after surgery.

[@PrecisionMovementCoach]

Nailed it :)

[@leew3163]

Thanks for the advice, even though it was from a year ago. I have the same question today.

[@PrecisionMovementCoach]

You got this! :)

[@ginabisaillon2894]

I am really confused: I am a walker from way back but now I find that after walking 15 minutes the pain in my left hip is so that I have to stop and stretch in both directions and then I can go for another 15 minutes. But that's the limit. For someone who is used to walking hours and hours - basically, my feet are my means of transport - this is scary. Sometimes I can walk up to half an hour before the pain shows up. I am only 80 years old, and otherwise in very good health.

[@erinboynton8460]

The deep core muscles around you hip could not be working well. Try some of exercises in the snapping hip, gluteus medius and piriformis videos to see if that helps. Get a check up with ur doctor and see if you need an X-ray.

[@ginabisaillon2894]

@@erinboynton8460 Physiotherapy, x-rays, exercises, we've tried it all. Now the doctor wants to try injections.

[@maradall]

Arthritis is inflammation of the joint - not always correlating with the state of the articular cartilage (as studies are now showing). I've had arthritis in some of my finger joints, progressing over the years - but only one joint is currently inflamed and painful. (Other joints show obvious bone deformation, easy to see & palpate in the fingers, while some other joints - seemingly at random - are still intact and unaffected.) This makes nonsense of the old medical idea that arthritis is due to damage of the joint. In fact, the inflammation is primary. Now I have been diagnosed with severe hip and knee arthritis (via x-ray and clinical assessment, and I have no doubt this is a correct diagnosis). But my knees are currently not painful (though not functioning as well as when I was younger) - while I do have some inflammatory pain around both hip joints. However, my main complaint is pain in my legs (thighs & calves) - muscular or myo-fascial, nowhere near the joints. I believe this is from too much sitting, combined with some movement dysfunction to protect the inflamed joints, and less about the state of the articular cartilage - simply because of the way the pain manifests. I'm sure that surgery is helpful, and sometimes necessary, when there is a lot of actual joint damage. But there are many cases where surgery does not actually help at all - and you have incurred the expense and damage to your biology for no benefit.

[@erinboynton8460]

You are correct that arthritis means literally “arthro”=joint and “itis” inflammation. There are over 100 causes of arthritis. We are discussing wear and tear arthritis or degenerative arthritis of the joint, not specifically inflammatory arthritis- inflammatory arthritis affects the joint lining first and then the cartilage eventually deteriorates. Other types of arthritis include post traumatic, infectious, or metabolic. The key is to treat the primary or root cause and then deal with the effects that inflammation have had on the joint. So for example with inflammatory arthritis- treat the inflammation with contrast, or meds and then do exercise to deal with the effects that the pain and inflammation have had on the capsule and muscles that surround the affected joint. You will feel much better.

[@DatManDooley]

I’m 34 cartilage completely gone due to over use and I’m always in pain. It also restricts me from doing the things I love athletically. I haven’t tried the cortisone shots yet. Should I get a hip replacement?

[@PrecisionMovementCoach]

Start with the Hip Pain Solution program first: www.precisionmovement.coach/hip-pain-solution-yt - Coach Joshua, Team PM

[@NEChristo]

What I want to know is if hip arthritis can cause pelvic pain..it’s right where my right ovary would be (if I still had one)… I had FAI surgery 4 months ago and still have severe pelvic pain. Cortisone shots IN MY HIP JOINT have not helped at LL which makes me wonder if the pain I feel is even from my hip joint. I don’t know where to go from here. I’m 53 and my surgeon was trying to delay hip replacement with the fai and labra repair surgery but I honestly feel worse.

[@erinboynton8460]

Generally hip arthritis is felt in the groin, thigh and occasionally buttocks. It does not usually radiate into the pelvis. If the Psoas muscle is really painful then you can get some pelvic pain, and it is usually weak and tight in people with arthritis/FAI and possibly from your ovarian issues. So check out the snapping hip youtube video we put out a few weeks ago. I would speak to your Family Doc to discuss any other associated symptoms. The hip pain solution can help deal with your arthritis and labral tear. good luck. Dr. B

[@NEChristo]

@@erinboynton8460 thank you. I do think my psoas muscle is involved, i will watch the other video. I just never thought it could cause such severe pain. It is debilitating. I have had somewhere between 12 and 15 gynecological surgeries including a hysterectomy so scar tissue may be involved. I do have hip arthritis in both hips but this feels much different than my left (not painful in pelvis) side. It’s frustrating trying to get to the root cause and I obviously don’t want any more surgeries that aren’t truly necessary. Thanks again for your help.

[@draganasedlar6082]

Thank you so much, what exerciese do you recommend to prepare the hip for surgery? 😊

[@PrecisionMovementCoach]

You are welcome and this program can help: www.precisionmovement.coach/hip-pain-solution-yt - Coach Joshua, Team PM

[@muddlasvegas]

Arm strength, I had it done and you have to be able to move your body around. I was not prepared.

[@lpsglitterpaws8536]

I want a hip replacement but doctors want me to wait

[@PrecisionMovementCoach]

We are here to help! These exercises are excellent (and free!), but are just a Band-Aid. If you want to get to the root causes of the pain so it stops coming back - and doesn't get or turn into something worse - check out the Hip Pain Solution program: www.precisionmovement.coach/hip-pain-solution/ Let us know if you have any more questions :) - Coach Joshua, Team PM

[@vrcmf3172]

I know this has nothing to do with the Topic. But I have a question. Having pain in the upper BACK part of my arm. Have pain when I lift my arm backwards. Have no issue swing my arm forwards but I can’t do the “open the car door” movement without hard pain. Could this be a muscle strain or?

[@erinboynton8460]

this could be coming from a number of issues, most commonly a combination of forward head posture and rotator cuff impingement. Check out the KZbin videos for both of these for some great exercises to try.

[@vrcmf3172]

@@erinboynton8460 THANK YOU MATE!

[@lukulusd7]

Hi. I am 42. Have osteoarthritis of hip for about 6 years. Can my burning in knee by radiation from hip as this is similar pain at specific angles. As well 2 years ago I pull hamstrings of this same leg,my knee was swollen and still is not Heald can this be related to hip movement??

[@PrecisionMovementCoach]

That can definitely be related to hip movement and it sounds like you need this program: www.precisionmovement.coach/hip-pain-solution-yt - Coach Joshua, Team PM

[@mmccrownus2406]

Not a word about nutrition, bone nutrition, collagen herbs, etc

[@PrecisionMovementCoach]

That’s right. Reason is stated in the title - it’s answering a specific question. And I think it answers that question well. What you’re suggesting would be a more in-depth video on what to do, which is a wonderful idea. Thanks!

[@foghole9449]

Im trying to get closer to 60 before I get an operation, excercising, stretching, etc. The last 6 months or so Im noyicing my knee getting sore, wonder if its from walking "funny"...i do limp. I sleep well, not to much pain throughout the day, not on meds but cant play hockey or golf...sometimes I wonder why Im waiting , Im 55 now.

[@tomblinstrubas3683]

@foghole: Jack Nicklaus said his only regret is that he didn’t have his hip replacement sooner.

[@lorenzomag100]

I'm from the UK,and nearly 74,I had successful partial right knee surgery back in 2009,but for the last 5 years now have bad pain in my left hip,I was x-rayed and told I had slight arthritis in my left hip,and given exercises to do.which hasn't helped,my pain has got a lot worse,and I have to take strong medication to ease the pain 24/7..My hip hurts after walking 10 minutes and after sitting down after a while it hurts so bad too..I went back to see a physio at my doctors surgery 6 months ago,and on moving my hips about said I don't need an a hip replacement,but surely the painkillers where masking the pain,when she was moving my hip about? I dont want to be on strong medication for the rest of my life..

[@PrecisionMovementCoach]

Thanks for writing to us. We do not want you to live in pain anymore. Please try out the recommended exercises and consider doing the Hip Pain Solution program: www.precisionmovement.coach/hip-pain-solution-yt Let us know if you have any more questions :) - Coach Joshua, Team PM

[@fougerefan7593]

I've been diagnosed with pelvic hip impingement, lack of hip mobility and arthritis. They refuse to shave back the pelvic bone because of the arthritis. Anything I can do to improve mobility?

[@erinboynton8460]

Yes get the deep stabilizing muscles of the hip turned on to help create the hip pocket. Check out videos on Psoas snapping hip, SI joint and the new Hip pain solution course.