Don't Make These Mistakes After Hip Replacement

In this episode of "Talking with Docs," our expert panel discusses the top five mistakes to avoid after hip replacement surgery. They cover neglecting physical therapy, ignoring precautions, skipping medications, neglecting wound care, and not communicating with healthcare providers. The episode provides practical tips to optimize recovery and avoid complications, empowering viewers with essential post-operative care knowledge.
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Medical emergency
Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician or qualified healthcare provider, or CALL 911 immediately. Under no circumstances should you attempt self-treatment based on anything you have seen or read on the Video.
General information is not medical advice
The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practice medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment
#hipreplacement #kneereplacement #jointreplacement #orthopedics #arthritis #orthopedicsurgery #kneepain #hipsurgery #hipreplacementrecovery #orthopedicsurgeon #physicaltherapy #surgery #hippain #hipreplacementsurgery #orthopaedics #ortho #orthopedic #totalhipreplacement #sportsmedicine #kneesurgery #surgeon #jointpain #shoulderreplacement #health #orthopaedic #doctor #backpain #hipreplacementnotjustforoldpeople #osteoporosis #pain

[@mbh4097]

Best thing to buy before surgery is a reacher grabber tool from a hardware store or online. You end up dropping a lot of things and this tool saves the day.

[@PVVI2015]

And a second reacher to pick up your first one when you drop it🤣

[@kittyg2718]

@@PVVI2015 I am laughing I have just dropped mine and trying to pick it up with my crutch 🤣

[@CarlaQuattlebaum]

@@PVVI2015 So, a reacher grabber reacher grabber? 😄

[@danbev8542]

The docs are Right! My hip got so bad the doctor said I was essentially walking on a broken hip. I waited too long & spent several years sitting on my couch, losing all my athleticism and strength. I felt pretty lousy for several weeks post op, mostly because of reaction to anesthesia and pain meds. Once reduced to over-the-counter pain meds and PT, things got MUCH better. 11 months post op, I’ve joined a gym & am working with a personal trainer - I wish I had joined as soon as PT was finished! The new hip is pain free & I’m still building strength. New lease on life! Exercise is KEY! Find a way that works for you! I believe I’ve paid a heavy price for waiting too long - the pandemic and caring for a dying sibling contributed.

[@REnfield2022]

I had a hip replacement at 60. I now go dancing to techno at least twice a week as I did all my exercises religiously after surgery. I know a guy who is younger than me who still uses a walker years later as he didn't do anything post surgery. Do your exercises people even though it's literally a pain.

[@cathyb5759]

Especially when you get to pain in the non-operated leg, because your doctor can't admit that your new hip made that leg longer by an inch. So doing all my exercises for the operated leg has put stress on my unoperated leg, which now I need a attachment to the bottom of my shoe for that leg

[@karennicholson7753]

Hip replacement October 2020. In addition to all your great tips, I also made sure to have an elevated toilet seat and a shower chair for when I could take the shower. The other thing that was set up in recovery was a meal train for the first 2 weeks. It was so helpful to not have to worry about meals during that time. I also premade some breakfast items that were grab and go easy.

[@karenfleming175]

Great advice. Just had mine done April 2nd. So many people say it’s an “easy” surgery but it’s true pain and I definitely needed help and the pain meditation!!!! Thank you

[@pgbrown12084]

I just had my hip replacement surgery on 5/7/24. First and foremost, thank you both so much for making these videos! You don't know how invaluable the advice is coming from medical professionals like yourselves. Below are a couple of points that I've taken away from my surgery. 1. Buy a wedge pillow. For the first couple days, your pain will definitely be elevated. Having this wedge pillow under my legs while in bed reduced the pain by a significant margin. It's worth the investment. 2. Buy a grabber and sock assistant. Remember, you don't just need to put clothes and socks on. You also need to take them off. Getting clothes off and on on the surgery side can really be a chore. As can doing simple movements suck as reaching for things. 3. Have a meal plan if you live by yourself. Or put some money aside for a couple of days' worth of delivery. 4. You WILL start feeling better. Just be patient. You lived with your hip pain for a while prior to surgery. Waiting a couple more weeks is nothing! 5. Buy a portable toilet or portable urinal. Getting up takes time and you making it to the bathroom may be a race against time. It's just good to have around just in case!

[@TalkingWithDocs]

Thanks for the hot tips!

[@shirleythoms4976]

I had surgery 5/6/24 and agree with you.

[@leoreap2703]

I also had my surgery on 5/7/24 and am 62 and in good health. The one thing that I did not anticipate is the amount of knee pain associated with a hip replacement. As explained by my surgeon, the amount of rotational torque put on the knee during hip replacement (required for proper implant placement) REALLLLLYYY stretches ligaments and tendons in the knee area. Hip pain 7 days after surgery was a 1 while knee pain 7 days after surgery is about 5-6. Only treament is rest, ice, elevation, and compression. Now 14 days post surgery, knee pain is finally subsiding but my advice for others is to stay on top of the pain any way you can. Lots and lots of ice packs, NSAIDS, and my knee is elevated as often as practical.

[@danamoore9109]

THR anterior 6 weeks ago walking without devices after 5 days and up and down basement stairs. All great points be patient, recovery is a journey be careful and safe.

[@Jerzidi9]

#6 mistake patient doesn’t take medication for constipation from the get go! 😮

[@bigolemike33]

Agree 100%

[@patriciaburch6471]

Take fruit vegetables gummy supplements

[@CarlaQuattlebaum]

Constipation from the pain meds?

[@brendanflanagan7392]

I had a total hip replacement (right hip) in July 2022 at age 50. Did a ton of prehab, particularly bike riding and went into the op fit and strong which helped immensely with post op recovery. Biggest advice from my experience is not to try to do too much too soon post op. I got back on a bike and even back on a squash court weeks after surgery, which was fine in moderation and without pushing too hard. I played a squash tournament in November 2022 and in hindsight that was a dumb move as it actually set my recovery back. I then had a bad accident on a mountain bike in July 2023 (broken ribs and some internal injuries in upper body) and this was a bit of a blessing in disguise as it laid me up for weeks and I had to return to exercise and full activity really gradually so my hip had the rest it needed to heal more efficiently. By November 2023 it was feeling the best it has in years. In my experience it takes a good 12 to 18 months for the muscles to recover properly from the op no matter how much you want it to be quicker than that.

[@lynnettecook6973]

My first hip replacement was in June of 2016. I lost my job so I didn't have insurance and that caused me to put it off for a long time. Long story short, my surgeon told me if I had waited any longer, I could have lost my leg due to the damage. I had no Cartledge and numerous fractures in the joint and surrounding area. My recovery was brutal but after, I was able to walk again and above all, no more severe pain. Anyone that needs a hip replacement: DON'T put it off, get it done and over with!!!! Btw, my other hip replacement (2018) was easier and my recovery was easier. I also didn't wait until I could no longer walk. I really hate arthritis!

[@cathyb5759]

Do you have a leg length discrepancy now?

[@ajk2749]

My right hip was replaced and my right leg is shorter. Verified by a podiatrist. I don't know if that has caused any problems, though. Still doing fine after 14 years.@@cathyb5759

[@lynnettecook6973]

A little but it's nothing like it was before surgery. My right leg was 2.5, almost 3 inches shorter than the left. I doesn't really affect my walking but both knees need to be replaced. I won't do that unless I get to where I can't walk.

[@gillianwhaites5974]

Lynette, don’t leave your TKR too long. I did because I was told I was too young at 56. I finally had it done in 2016. It’s not been totally good. I’m looking at having a revision.

[@lynnettecook6973]

@@gillianwhaites5974 Thank you for letting me know what happened to you.

[@emilynouvertne7851]

My surgeon said hip replacement is the only joint that the patient has less pain after the surgery. Don’t forget if you are sitting, your hip is already at 90 degrees! No bending toward the floor while you’re sitting! Anterior approach is wonderful! I walked in to surgery at 6:45 and walked out with a walker at 3:15! 7 days if P.T. And done!

[@celesteredding1550]

I had about 2weeks of PT, courtesy of my healthcare.

[@disqusrubbish5467]

@@celesteredding1550 Keep doing the exercises. Two weeks seems short to me.

[@celesteredding1550]

@@disqusrubbish5467 oh, I am still doing my exercises. I only needed 2weeks of PT because I was in good shape before and healed so well didn't need anymore PT. Thank you for responding 🥰

[@disqusrubbish5467]

@@celesteredding1550 Excellent! Glad to hear that.

[@SandiRose2008]

Good idea to remake this video!! You should probably remake it once a year for some of us, because I've already forgotten what you said in the first one! 🤣 🤣 It's rough getting old! 😂 Thank you, Docs!!

[@pamelabrooks1944]

I had this surgery last May. I excercised by riding my stationary bike daily right up to the day of surgery. But exercising after the surgery was not so smooth. I wish doctors and their staffs would let people know that your muscles have to reset - after this surgery. My muscles had adapted to a bad hip and had to adapt to a new, good one. It takes time.

[@cathyb5759]

It would have been nice if my doctor told me that there was a possibility of a leg discrepancy length. So now I have to go and get a addition added on to the bottom of my shoe on the other leg. Invited on this could have happened out of put it off

[@721Irish]

I have a lift in my right shoe because of left hip replacement. This is common. I think it’s important to get one if you need it. Helps alleviate pain too! Working on my core now! Strengthening😊

[@ElizaLou75]

You're right, but it felt like it improved dramatically week after week. That "heavy" feeling in the leg worked itself out pretty quickly, and do the PT exercises to build back muscle strength.

[@pamelabrooks1944]

@@ElizaLou75 That was not my experience.

[@ElizaLou75]

@@pamelabrooks1944 Sorry to hear that.

[@deedee67888]

I had a preexisting condition that impacted the musculature on the side of my hip replacement. I made sure I showed the surgeon as well as the surgical PA how I stood up so they would understand my unique situation. They paid little to no attention, and did a "routine" procedure on the OR table and now I cannot stand up. When a patient tells you there is something important you should know, LISTEN.

[@joanneb3935]

I followed all these rules and had very little discomfort. I was given a Rollater walker and attached a basket to the front so I could wheel my drinks and phone and other small items around. That was super-helpful!

[@disqusrubbish5467]

Can I add a "to do" to your "to don't" list? Use a walker instead of a cane. A pre-op physical therapist mentioned that the people he sees who used a cane walk with a rocking motion with the cane, and still have that motion six months later without the cane. I really didn't need either but I used the walker in my house like training wheels, practicing a normal stride to help eliminate the limp I'd had for a couple of years. So mostly without, but used deliberately at other times. It's also very handy in the middle of the night to get to the toilet without falling or tripping over a snoozing dog.

[@LoriNuttall]

Hip replacement last October 24. Anterior is the way to go! Only needed Tylenol a couple times. Virtually no pain! Only felt stiff and sore. Until I broke it 4 days later. I felt so good, like I hadn't even had it done. Without even giving it a second thought I picked up and moved a heavy wood dining chair in a twisting motion. Felt it bad and heard the snap. I just broke a piece off and decided not to go back in for surgery since it was right on the spot to go into surgery again or not. Floater now. Lol. Healed great, so happy I did a replacement, no more pain!😊 Careful, don't mmy mistake. Set me back about 3 weeks.

[@user-kr5cw7lv3l]

I was lucky enough to have Dr. Weening replace my right hip in August of 2022. He did a great job and my life has improved immensely. When he visited me the following morning in the hospital before discharge, he did indeed tell me not to fall plus 2 other instructions that I have since forgotten. I made sure to follow the instructions and recovery was much easier than I had anticipated. Thank you again Dr. Weening.

[@mbh4097]

You forget 60 to 80 percent of what your doctor tells you. ..Per Dr. Weening and Dr. Zalzal.

[@PKEDRM]

I had both hips replaced in 2009, one month after the other, then I had to have the second one revised within a month. After the revision I was in the bathroom to brush my teeth, lost my balance, and in preventing a fall my legs crossed and I dislocated! Ambulance ride to the hospital, they "pulled" on my leg and put the joint back in place. They sent me home. While in the ER they had me hooked up to an IV in case surgery was needed, so when I got home I really had to void! As I began to sit down (ADA HEIGHT TOILET) I felt a pop and stood straight up! I got another ambulance ride to the hospital! This time I requested a catheterization because my bladder was distended from all the fluids (they had hung 2 bags earlier and started another the second arrival) and they cathed me (self preservation for the doc😂) and again fixed my hip in place. This time I was admitted for 3 days. To add insult to injury I was fitted with a very cumbersome brace which didn't fit well and was "only a reminder" to be careful, AND my medical insurance denied the second ambulance ride and ER visit saying it was a duplicate. I called and told them to look at the time stamps, and explained my adventures. I got an embarrassed apology and the bill was paid pronto. So, it can happen in the least expected movements once the area is weakened. I love watching your videos. I describe myself as a relatively healthy fat chick with bad bones, so most of my issues at age 70 have been orthopedic.

[@CarlaQuattlebaum]

You had the second hip surgery a month after the first?? That wasn't too soon?

[@raymondmiller5098]

Another great vid! I'm scheduled for hip replacement surgery in 7 weeks. Suggestion: How about a vid on the Top 20 commonplace positions/activities that you should give up PERMANENTLY after surgery, in order to reduce the possibility of a dislocation? (Golf?; Tying your shoes [as opposed to slip-ons forever]?; etc..).

[@mikedunn7795]

I started getting hip pain while sprinting across the street,and after x-rays,was told I had osteoarthritis. I had to stop sprinting,but thankfully I can still walk without significant pain. My GP recommended a hip replacement, but I declined,as I wanted to see if it would get worse. I am grateful that the hip has been stable for ~ 8 years. This video is good advice,discussing some things I hadn't considered if I had to have a replacement. I hope surgeons discuss this with their patients before surgery.

[@patricialanthier3162]

I had a good experience with my hip replacement in 2018 at OTMH. The pre-op clinic where they taught me how to do stairs, told me what I should buy and informed me of what to expect - it was invaluable. The team was excellent and a lot of my concerns were greatly diminished by the time I had the surgery. I recommend being as informed as possible prior to surgery and also buying more than one grabber. I kept dropping my grabber and needed a second one to pick it up! I also practiced doing stairs and dressing myself with the grabber before surgery and I felt more confident as a result. My husband attended the pre-op class with me and took great care of me after surgery. Having your loved ones know the risks is very helpful. My recovery went very smoothly and I’m grateful for everyone involved.

[@debbiechadwick861]

The heavy surgical pain only lasted two weeks. After that it was mostly soreness and moderate pain. I was fully back to normal after 2 months. Wish I had done it sooner.

[@ridinreiners]

I had a THR at age 45 due to congenital hip dysplasia. I am now 62. I did end up with the operative leg being about 2 cm longer than my other leg, so I require a lift on the non-surgical side. I was massively disappointed, but still am grateful to have my mobility back. I followed all the post-op rules and did my physio. I worked very hard so that I would not have a limp. Aside from everything the surgeons have advised in this video, I would advise maintaining an exercise program to regain the strength you lost in the affected leg before surgery, and to maintain strength and flexibility as you age with the artificial joint. My hip joint is very stable. I weight train, cycle and ride my horse (my surgeon advised me to wait 7 months before riding, which I did). 😊

[@flyinonout]

Went into the surgery as strong and healthy as possible. Purchased hip/knee replacemnet kit which has tools such as grabbers, sock assistance tool, shower sponge extender, etc to make things simpler . Performed prescribed ROM exercises as scheduled. Surgery is half the battle, the other half is PT/rehab

[@skillhunterffv4058]

-Long handled scrubber for showering -Multiple reachers, I put one in my bedroom, one in the bathroom and one by the couch. -Walker, it allows smoother movement in the joint. (I have to have crutches in my house bcs I have narrow doorways.) -Multiple small garbage cans or bags hanging off dressers knobs. -Wedge pillow and several other pillows to put under legs. It keeps them from swelling. But lay without them sometimes during the day to let the hip flexor relax. -Raised toilet seat unless you have a tall toilet. I’m 5’1” and have a 3.5 inch one bcs our toilets are to small. -Commode if you don’t have a toilet on the floor you sleep or the front room/sitting room is located. -I have a folding table and a seat with a footstool in my room to eat the first two-three weeks. -A wide shower chair to transfer easier. An exercise strap to lift the leg up to get into bed/shower. -I used command hooks to hang my crutches and reachers on. I just had my second hip replacement 3 weeks ago. The first I had 4 months ago. I’ve had a lot of practice 😊 When the hospital tells you someone should be with you 24 hours. You need 2-4 weeks of help. Mine is longer bcs both my hips were really bad. Be patient with yourself. Both my hips are different and have taken different times to heal!!! Check with your surgeon about pain medicine, instructions bcs the hospital and surgeon instructions will be different!!! And remember many people giving you instructions have never had a hip replaced. They don’t know what it feels like!!! Your having your bone cut/broken and mettle screwed and pushed into places it shouldn’t be. Your body needs time to adjust!!!!! Don’t do to much bcs the bone needs time to grow into the replacement. I moved to much the first time and ended up making my leg hurt a lot. Last walk, walk, walk properly. It helps move the joint making it stronger. BUT don’t over do it. The pain shouldn’t be more than a 4,5, and move once an hour. I have my alarm set for every 50 minutes throughout the day. Hope these help!!!!

[@jimanderson4495]

EVERYONE…… LISTEN TO THESE! My surgeon listed these to me two years ago. I followed them and my recovery was easy and pain free. Thanks guys.

[@Ve-suvius]

5:41 crazy stuff. Hip replacement, then falling and breaking upper leg due to a dog running circles around him.

[@elizabethwesson553]

Thank you for the new video! I’ve watched all of your hip videos, have the house set up and have been abiding by the precautions as if I’ve had the replacement to build muscle memory in preparation for my surgery this Friday. I’ve been as excited as a kid getting ready to go to Disney Land waiting for the surgery to finally be able to walk again! Thanks again for all your help!

[@erinrenee6825]

It’s an amazing feeling to wake up after surgery without the same arthritic pain, I wish you success and a speedy recovery 😊

[@elizabethwesson553]

@@erinrenee6825 Thank you!

[@johnstoner2]

So no falling during recovery. Got it. What about falling in the long term? I imagine that top of the bone is more fragile in general after the surgery with the hole at the top.

[@davidh.8513]

I had the Anterior approach last December and my surgeon only warned me NOT to extend my leg backwards. Nothing about leaning too far forward.

[@donnaarsenoff8399]

Same here.

[@carolynhahnlink5296]

I did physical therapy before my robotic hip replacement for 6 weeks..it was the best thing I could have done. My surgery was a walk in the park. My surgeon was great and he said it was a perfect surgery. I only wish I would have done it years ago.

[@halfabee]

Is a hip worse than a knee replacement? Finally found out what is wrong with my right knee TKA. The Tibia Component is 15 degrees out of alignment. My right foot has been wandering up to 40 degrees out-of alignment with my left foot. Which has damaged my hip know I fear I require a hip replacement. The Orthopedic Consultant on the 8th December 2023 stated it never happened despite his junior reporting I was seen with my right foot going outwards by 40 degrees. I paid for a private consultation with another Orthopedic Consultant at another hospital as all the Orthopedic and foot consultants were protecting the person who messed up the TKA at the hospital where I had the TKA,

[@MynewTennesseeHome]

The dog advice is spot on, especially if it's a big dog. My German Shepherd has taken my feet out from under me several times. 😁

[@celesteredding1550]

I took my meds except for pain meds, I'm lucky and didn't experience pain. After 3months & with care I was able to go back to exercising. I came across your channel before my surgery so I was mentally prepared-Thank you. My recovery was good because I performed pre-surgery exercises. ❤

[@dawnfleming8828]

After both hip replacements, I had no choice but to cease my S8 medication due to feeling so unwell that getting out of bed made me nauseous and dizzy. Same happened after my bilateral total knee replacement I'm recovering from now. Rehab was so important, and being kind to myself. Not comparing myself to someone else's progress.

[@dannygreene2414]

My total hip replacement was the result of having a hard fall slipping on ice late January 2022. I lied in the ER for 22 hours while waiting to be admitted. Surgery was about 27 hours after my fall. 36 hours later I was up and walking with a walker. So unlike many posing here, it was not by choice. I was close to 65 at the time. I didn’t take any medication for pain. I did take anti inflammatory and blood thinners for a few weeks. I did rehab for three weeks maybe. I returned to work after 7 weeks. Lifting up to 70 pounds and pushing containers that weigh 1000 pounds or more.

[@Innocence44]

5:40 lol at his reaction and saying its horrible

[@caronhundley6070]

Enjoy videos. 40 years OR experience, mostly ortho. Think I would have liked working with you guys.

[@gregoryglen4090]

I have a friend that just had his 6th hip replacement since his first one at 30 years old. Obviously not the norm, but he is recovering at his daughter’s place. I’ve forwarded your video to him. Thanks Docs.

[@cherylemaybury9967]

The orthopaedic surgeon who did both my knee replacement surgeries is a Canadian who lives in Australia. He was a wonderful surgeon and did a wonderful job. He kept me in hospital for three weeks afterwards so that I could do rehabilitation twice a day. My knees are great but now I need hip replacement but my heart and lungs are not strong enough for surgery. I am waiting to have injections in my hips to relieve pain.

[@sherryelysiak4798]

I needed both hips replaced. Also a pinched siatic nerve. Had to decide what to do. Chose to do the left hip first. Now left leg is 1/2 to 3/4 inch longer than the right. Before right was longer. Body including knees is trying to adjust. It's not going well. 😢 Did pre-PT and am now doing post-PT. Everything still hurts. Asked for help from the doctors prior to surgery but to no avail. I would have invested as much as money as needed to have an HONEST and TRUSTED medical provider walk me through this maze!!!

[@sandramae1772]

I am also having both hips done but my Doctor told me the left leg would be a little longer and then when the right hip is done they would even them out so one can only hope.

[@debbiechadwick861]

Oh by the way, you can't bend over after surgery. Amazon sells a 36" handle cat litter scooper! It will save your life. 😅

[@patriciagraham4786]

Thank you for sharing this! I'm having right hip surgery in 2 months, and my husband has very bad lungs (COPD, emphysema), so can help a whole lot. I'm checking it out right now.

[@elleemen4238]

All good tips! Getting my second new knee on Thursday …

[@sjgraham]

ICE! I am 2 months out from surgery for a total hip (anterior) replacement. I still ice 2-3 times a day, on top of stretching and exercise (PT prescribed--I go 2x a week). I've made tremendous progress (although I was athletic to begin with and did lots of prehab, which it seems lots of surgeons ignore). I was on oxy, and I felt nauseous for two weeks post-surgery, but I would take it again in a heartbeat b/c it allows you to do the movement you need to do. I took 12 weeks off of work, and I'm glad I did. You might start the day feeling great, walking a mile or more, being active, and then: Pow. Exhaustion sets in. As the docs say, respect what your poor body has been through. It needs a LOT to heal. Thanks for these great videos Talking with Docs--I'm a devoted fan!

[@gopatty8]

I will need a hip replacement soon - what types of hip replacements are done - I heard front or back ? Not sure yet - I need to find right doctor first. Wish you guys could operate me 👍🏻💪🏻

[@sarahtrevelline2288]

Anterior!! Technical name is Direct Anterior Approach! Research it! 👍

[@mbh4097]

Anterior for sure!!! You have much less restrictions.

[@bw6078]

I would have thought full range of motion movements would have been important to avoid a stiff joint but I guess only to 90 Degrees after the operation. Thanks for sharing.

[@disqusrubbish5467]

This is - he said as a patient not a doctor - is dependent on several factors. The most important is to listen to your doctor. Because the approach your doctor uses (posterior, "mid", anterior) affects the likelihood of this being a problem. As is the type of prosthetic they used, the condition of your hip, and so on. My physical therapist worked with me to achieve better than 90 degrees, but that was under the advice of my surgeon.

[@c.wilson6723]

I am gathering info for my recently widowed neighbour, he has hip pain already and expects to need a new hip. You two docs 🇨🇦 are terrific in clearly explaining things. My grandpa had a new hip (before titanium) in 1973 at TGH in Toronto with Dr Cameron … he ‘willed’ his hip back to U of T for research when he passed in 1988. I have copied your link to pass to my neighbour. THX!

[@PapasDino]

Better half and I followed these recommendations for hip and knee replacements...it's good advice. Not following the post-op physical therapy religiously can be a real success determinant. One more knee to go later this year! Thanks Docs!

[@shelleydiamond6468]

Mistake I made was not to stay overnight after my hip surgery ( which 2 years later was a great decision !). I felt hustled out of the day surgery situation, got home used a walker out of the car & immediately fell to my knees. Thank god only bruised. My husband & a neighbor picked me up & put me on the couch ! If I ever have to do this again it will be on an overnight basis. Fair warning to all -

[@TalkingWithDocs]

Thanks for sharing

[@daygirl2659]

How can you prevent having to have a hip replacement?

[@tinkwilkinson9446]

Replacement in 2017, pt critical. Still do some self pt.

[@joseenoel8093]

Keeping on living? Kidding, I've luck of the Irish today, expected visitors but visit postponed and house tidied up! 💚🍀🤷🎩🤠🎠🎰🗽✌🙃🌈

[@pegross8652]

I had my right THR in June 2023 and my left three weeks ago at the end of Feb 2024, in A Coruña, Spain. Here they use crutches and not walkers. After the first THR I started swimming and doing aquatic exercises for my hips and this second THR has been a breeze. Exercise is so important!

[@paulhodge9686]

One of the best things that happened after my hip replacement was the Dr ordered me to start walking the first day after surgery. I was to put weight on the hip and walk with a walker. And I did walk and it really helped me not to fear any negative reactions. This was in 2016 and I’m still doing well at 79, thanks for you great information !

[@debbiechadwick861]

After my THR the pain clinic would only give me Tramadol. Its for mild to moderate pain. I was so angry with them. Doctors are not allowed to prescribe pain meds. Except while you are in the hospital under their care. My surgeon was top notch and gave me back 20 years of my life. But I did find a different pain clinic for any future needs. 😊

[@carlalatuda6574]

My doctor prescribed pain meds after my hip replacement surgery.

[@sue4231]

My new hip is 16 months old. My new knee on the other leg is 6 months old. My surgeon said I have to take antibiotics every time I go to the dentist for a cleaing for life. Since I had c.diff 10 years ago I am afraid of clindamycin. What do you tell patients? ❤️

[@chemlabgal7564]

I had an anterior approach hip replacement. I was up walking without a walker or cane within 3 days (around the house) Physical therapy was not required but I choose to do this - best decision. There were no movement restrictions. Three months later I am hiking again.

[@barbarak8158]

TY Sherlock and Doc Watson!

[@jaguilar11009]

THANKS FOR ALL YOUR HELP ❤😊

[@angelamaloch515]

Please do a video on AVN.

[@donnamariebrown2478]

Yes. I had AVN of the hips in the early 2000"s. Thank you!!!

[@donkeyestonkey]

Great stuff guys.., always get something from your vids…

[@Lola-ep8ln]

I always remember typing up a ward round and a patient came in after a fall and broke her hip. She was operated not sure if it was cemented or a poly but she had dementia and forgot about the operation and got out the bed the next day and re-fractured :(. revision surgery the next day. Majority of people are always delighted with their THR, but lesser so with a TKR. Socks and shoes is another one after surgery some can never really put socks on again. Physio is key. x

[@telemachussmith1977]

"Majority of people are always delighted with their THR" My 56-year old sister and her elective THR are in the minority then! Neither she or her widowed husband and the rest of her family were "delighted" with her death approx. 12-hrs. after being released from the hospital. The educated guess is probably a DVT/PE took her life. No postmortem was performed, so we will never know. Facing a woefully overdo THR for both hips, my surgical roulette day is scheduled. Hopefully, I will survive to fight another day.

[@katieh200]

Hi Doc’s ,I had my first total hip replacement in 2018 took an infection in 2019 had an op to take out the new hip and clean out the space but the infection was still there so the opened me up again and put in a spacer with antibiotic I had that in for 8 wks and I could not walk with it plus they cracked a bone when doing it . Then when the infection was away they put in another new hip , I can’t lie on the side since and now my other hip needs done but I am too scared to get it done because the Anesthetiser hit a nerve in my back and I jumped I really felt it and since then I can’t stand or walk for any length of time as the pain in my back is a burning stabbing sensation 😢 I think he damaged a nerve 😫 p.s could you reply to this comment if you think it is nerve damage in my back and the reason for my pain ,please doc’s 😔

[@melissabrown6254]

Great advice. Hopefully I won't need to use it but good to know. 😀

[@diannecunningham2938]

Into my 4th month having hip replacement. Have done pre and post op physio, and still doing exercises at home and walking the park everyday. Still unable to put full weight down on operated hip without pain, hence the aid with a cane. Have had pain down the buttock radiating down the hip and leg since surgery. I’m no Doctor but it feels like the pain is radiating from sciatic nerve. Having an MRI on the 26th.

[@patriciaburch6471]

It’s a year later and driving has started a pain in my groin sore muscles I want to get rid of the pain heal my muscles

[@hyssop100]

Sick & tired of pain.....I dread having hip surgery. Living with chronic is not living at all & now my hip joints need to be replaced. I DONT have the strength for any of this. Recovery is different for everyone, just depends on the individual, lifestyle, etc.,

[@sandramae1772]

Same here

[@BruceSayers-xc7do]

Just had thr 7 days ago, so far so good 😊.

[@abcxyz1797]

I had both hips replaced 10, and 9 years ago. Best thing ever.

[@winwhitmire2387]

Doctors Zalzal and Weening, Could you do a segment on vertigo...how it occurs, when you should go to an ENT, etc. I visited a friend's home the other day. The 7 year old daughter had an open cough while I was visiting. Two days later, when I woke up, I experienced vertigo which matched the stopped up left nasal and left ear.

[@camilleriggan9555]

How about still being in pain in upper thigh toward groin after hip replacement in Nov2023. Leg is one inch shorter than the other Taking PT also. Fitted for a lift but using it in my shoes it turned my big toenail black. I'm very concerned. Can you give me some help???

[@721Irish]

I was given aspirin to avoid blood clots, after 3 rd surgery and finally a hip replacement oh boy. Last day of aspirin regimen and after visit with my Surgeon, I bled out twice. They found 5 small ulcers in my esophagus. What could I have done. differently, nothing 😊We were working to prevent one thing and go another. I now can only use Lidocaine patches. But PT is coming up and I’m working at home. The no more falling girl. I fractured my L1 on Feb 3, had Kypoplasty and back on my way. My words of advice, slow down and never, ever give up 🌺🌸🌺❤️

[@TalkingWithDocs]

Thanks for sharing and thanks for the advice!

[@irenec9880]

Be very patient. It can take a long time to heal and feel comfortable with the new hip. Yes 18 months to feel ok

[@gordmcdonald2807]

Love your channel docs. Subscribed a long time ago. Situation I live to scuba dive here in the great Lakes. 150 dives a year, some of it very deep. Use to be more like 250. I know my time is coming to perhaps get a knee done. I know nitrogen bubbles in damaged tissue so expect to take a year off. Question will I ever be able to dive again?

[@janieimmink7056]

Is a hip replacement recovery and rehab somewhat different to your normal hip replacements?

[@pijnto]

Very timely, hip replacement in a few weeks ( at last )

[@JustMe-id1gc]

I was dropped the night of surgery by 1 nurse doing an unsafe transfer. Broke all the rules. No knee immobilizer on. Gait belt under my arms. No help. He had me standing on 1 leg, operative leg still numb from block anesthesia. He looked over his right shoulder and pulled me with him. My operative leg was just hanging from my torso. I fell forward onto that knee. I could not feel it when i landed on it but i heard it. I yelled for the stat portable xray. I was also the only one yelling for help pre transfer as unsafe and as we were going down. The femur fracture you spoke of. Yep. Redo the next afternoon. Hospital 1 week. Rehab facility 4 weeks. Hospital bed in the living room and commode in the kitchen for over 1 year. Non weight bearing for weeks and weeks. Learn to walk again at least twice. No feeling in that knee. It will be 3 YEARS in May. No feeling. Still going to p.t. Nothing happened to the nurse. Only me and my life. 2 related surgeries since the fall. A 3rd this past December. I am grateful to my incredible surgeon. Most appreciative for the best physical therapist in the world. Yes. I said that. What i have been through and recovered from, it was with this fantastically amazing physical therapist. I would mention her name but she and all of her patients know who she is. Not to forget God, my constant companion every day. Thanks to my husband of like almost 40 years. Yikes! 🎉 TIP : Keep someone with you at the hospital. Overnight. Bless you all. Amen. 🙏

[@user-uo8hm4kt6k]

On October 25th 2023 I had my right hip replacement done the original way. I started exercising b4 May n it made all the difference! Takes longer to heal but i am doing great now. ❤ My hospital doesn't do anterior. Now in March 2024 I am doing laps in olympic size pool, losing weight, exercising and walking outdoors. Next hip is October 2024! I sometimes still take the walker on long walks so if i tire, I sit a couple of minutes n keep going. Today I went for a walk with my father in law NO walker😊

[@user-uo8hm4kt6k]

Listening to these two surgeons videos was very helpful n informative. I had much less stress as they are also humorous😊

[@waynebuff1078]

In the 21st century a Total Hip Replacement should only be performed using the Direct Anterior Approach. The anterior approach is more technically demanding for the surgeon, which is why many surgeons have not yet switched to this approach. This approach is considered a minimally invasive surgery to replace the damaged hip while avoiding nearby muscles and tendons. This approach causes less pain and results in a quicker recovery. There are generally no hip precautions necessary after the direct anterior approach, so motion is not restricted. Patients can return to work when they feel comfortable. This typically takes about 2 weeks. As a 75 year old male and an engineer in the power industry, the surgery was performed as an outpatient and I was home that evening on January 9, 2024. Used a walker for the first two days and then a cane for the following two weeks mostly for protection from falling and to relearn how to walk without a limp. Was active and back to work the following week and playing pickleball at 8 weeks. Was cleared from physical therapy after 4 sessions. Was already doing the exercises and riding my stationary bicycle before the sessions with the physical therapist. My biggest recommendation is to do at least 2 or 3 times a day the associated physical therapy exercises for several weeks prior to the surgery and for at least 8 weeks post surgery or in my case until I got back to my normal fitness activities. The ankle pump exercise should be performed even more frequently. I still do them frequently throughout the day. Also ice pack pads will be your post surgery friend; they should be used frequently on the area of the incision for the first 2 weeks after surgery.

[@ViperJon]

Just had a posterior done five days ago and walking without a cane. Much less possible issues like nerve damage for example. So giving your "opinion" as definitive fact is not helpful. Outpatient surgery from a skilled doctor. never even had to use pain meds. So your anterior only OPINION is just that.

[@sandramae1772]

I am have both hips replaced this summer, anterior approach, scared to death but out of options...54yoF

[@Kerri_Kristina_Z]

I’m 54 and 5 months post posterior TRHR finally have days that I forgot I even hade the surgery .. can you do a video or releasing scar tissue ?

[@KittyCat-kx7pl]

Within the fist two weeks I tipped my surgical hip knee inward and it broke my femur and then I had to have a full hip replacement to replace the resurfaced hip.

[@angelNroute]

I am 70. Fractured my hip. Had anterior approach. Only precaution I was told was pain. If its painful dont do it. Did tooooo much toooo soon. Now 5 weeks out and had some set backs. Pain was good so backed off of meds. Walked alot. But now its painful. Having to play catch up. And yes take stuff for constipation. That was awful😢.

[@marycaldwell6584]

Groin pain. Is it normal???

[@grannyscandlekitchen]

I had my right hip replacement in 2022, it was successful, i knew then i need both I have osteoarthritis the left didn’t bother me as much as the right thats why i did that side first. Now I had the left side done feb 23, 2024 everything seemed different the doctor used metal staples which surprised me because he didn’t use them on the right side, I was shocked when the bandage was removed to check the wound 27 metal stitches and my knee was hurting me, which didn’t before. Ok so I got thru all that now Im in week12 and my back is hurting really bad making walking a bit painful im going tomorrow to see the doctor, Im so depressed I just started a new job 4hours m-f Im sitting for that time. Im 68 is it a normal thing to have back pain 12 weeks in???

[@valmaemhofer3929]

I had my hip replaced last April it was psoriatic arthritis now I have to have y knee replaced possibly for same are exercises thesameas for OA

[@santamonicajane]

Hi Docs, I really appreciate your videos. I had a hip replacement 6 mo ago ( followed by a double fusion a few months later) and am doing well. Also, I am a rehab RN. I just wanted to point out that the graphic that you included with the patient doing a "bird dog" exercise is all wrong for a hip replacement. It is a back exercise. I don't think you really want to encourage a new hip patient to get down on the floor. Jane

[@joseenoel8093]

Pain killers a must or your new hip won't!

[@emilynouvertne7851]

My surgery didn’t require but a couple. I had both hips replaced 3 months apart. I had no cartilage left in either of them!

[@dannygreene2414]

I did not need pain medication after my total hip replacement.

[@quickdeuce]

#3,, HEAR, HEAR!! Follow these instructions,, PLEASE! Trying to stop the pain once it has you in it's grasp is VERY MUCH more difficult than talking the meds and not allowing it to start. Because you are concerned with becoming addicted and contiencious of the risks,, you will not become addicted.

[@JasonSmith-lp6wg]

Docs, in addition to the osteoarthritis in my right hip, I've come to learn, via MRI, that I've a slight bulge in my L1 through 5, with the real bulges in 1&2. These are slight and not contacting a nerve and the spinal canal isn't impacted. My physio has informed me that, possibly, the osteoarthritis in my right hip might be placing the strain on my lumbars (something evidenced by the MRI because said bulges/tears are more on the right side). I've, also, been informed by my doctor that I might be able to have a hip replacement (still waiting on the x-rays). Docs, is it possible that by replacing the osteoarthritic hip I might reduce the compression in my lumbars ergo helping correct/possibly reverse the lumbar bulges? Best! J

[@marycaldwell6584]

Groin pain ?

[@christophersodders2726]

I’m having my hips replaced July and October. How do you guys feel about that?

[@ElizabethOughterson]

Im 71 got my hip done.had problem with staples,so i had to attend every week to hospital to get dressings done . I faithfully done my exercise from the day i come home .10 weeks on i get such stiffness after walking and soreness in my knee .how long does it take .

[@TalkingWithDocs]

Often 3-6 months

[@ElizabethOughterson]

@@TalkingWithDocs thank you,

[@elliottschwartz7]

Never had a hiptreplacemen and I fear that recovery can be worse thN a knee replacement because the hip must grow into the socket and that will be done in six weeks providing u r extra cateful

[@donnamariebrown2478]

I have both hips and knees done now-Knees much harder to recover in my opinion.

[@pounderish]

My question is how are you not going to bend 90° when going to do a number 2 ? Lol

[@TalkingWithDocs]

If you keep your feet forward you can only bend 75 with difficulty 😀

[@jamesherchel5827]

I had my right hip done on Oct 27/2023.. I have gone to PT for 17 weeks. Anterior approach. I still get swelling everyday.It hasn’t been a fun experience my physiotherapist and surgeon say they have never seen this. This has become very frustrating. I just want to know if I am going to get better any time soon.

[@GreggBB]

I've had both of my hips replaced. I followed instructions to the letter---of both the surgeon and physical therapist. The replacements are for life--make the best you can out of it so that you have the best movement possible for all the years you have ahead of you----it's more than worth the work. Your surgeon did the best they could for you----do that for yourself as well.

[@Maryrojasbeltran1998]

Hey drs. I had my hip replaced over a year ago, my physiotherapist tells me I must not cross my legs, however I’m able to do it without any pain or clicking. Is that okay?

[@dancallis3254]

Approximately how soon after surgery can a ride a bicycle, (not a stationary bike)?

[@erinrenee6825]

I had both hips replaced 8 years ago and in the last several months my left leg feels very unstable. Does anyone know if it’s possible to “loosen” a hip replacement by accident? I was scratching the outside of my lower left leg several months ago but had twisted my knee in towards my opposite leg, so that I could see the outside of my left ankle… 🤷🏼‍♀️