Bone on bone arthritis and excersise
FattieBabs
Posts: 542 Member
A few years ago I joined mfp and did cardio and weight lifting. Lost 2 stone in six months. 1 year ago diagnosed with OA after reporting bad groun pain. Have been dieting for a year pre op and down 2 stone again.
So my questions are
A) what exercise can I do to help shift weight a bit faster and
what will I realistically be able to do after my impending hip op?
Thanks for answers as I need all the help I can get. Love sailing hobiecats, swimming, Scuba diving and dancing and some of these are difficult right now...
So my questions are
A) what exercise can I do to help shift weight a bit faster and
what will I realistically be able to do after my impending hip op?Thanks for answers as I need all the help I can get. Love sailing hobiecats, swimming, Scuba diving and dancing and some of these are difficult right now...
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Replies
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I can’t give an answer for the hip op- I imagine though swimming and low impact will all be very good - both cardio and in the joints. I’ve heard of plenty folk able to return to normal, including dance.
Best wishes - I have arthritic ankle so I understand a bit of what it’s like.1 -
Thanks Jon! Swimming and the recumbent bike is about all I can do. Walking uphill is painful. I have good days and bad days. My consultant actually said to take it easy with exercise as I could make things worse.The weight loss is very slow but it is happening. Difficult to stay positive but I am trying...1
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Swim. It's the best thing.Try swimming using only your arms. It's a great workout.
I am 5 weeks on after a total hip replacement and I was digging in the garden on Wednesday. I can run up a flight of stairs, do squats and lift weights again. Research your op. The one I had was a variation on the SuperPath
Where do you live? That will point out which choices you have.
Send me a friend request if you want and I'll keep you informed on my progress2 -
Just sent you an email Quirky :-)1
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Pre-op: Pool exercises and the stationary bike, plus get some strengthening exercises from a physical therapist or orthopedic, it’ll make a huge difference if your muscles are strong going into surgery.
Will your surgeon have you on restrictions after your hip replacement? I’d look for a surgeon that performs anterior hip replacements without hip precautions because you’ll then get back to activities sooner.
Post-op: You will be able to return to most everything you were doing before the hip started bothering you. I know someone that was a runner and skier before surgery and he’s back to it now (however if you were never a skier or runner you probably shouldn’t expect to become one after).
Good luck to you!0 -
Thanks so much for your kind comments. Seeing the Consultant this afternoon so will get an update on the X-ray and what he thinks. Anterior is through the front rather than the bottom muscles, is that correct? He specialises in people who need to get back to full time work and has written papers on the subject so I am hopeful. Fingers crossed!
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I had a total hip replacement in 2014. Best thing I've ever done for myself. For pre-op, depending on how far out it is, make that leg as strong as possible with weight lifting. As much as you can tolerate. I always felt better after weight lifting. Foam rolling was a godsend to me to alleviate the pain of the OA, as well as stretching.
Post-op - Do you what your physical therapist says! I went to the gym and worked on my physical therapy movements and gradually she released me to do other things. I hobbled from machine to machine with my cane LOL. I only have one restriction and this is only because I have arthritis in my other hip and in my lower back. I can't do high impact. So I stick to the elliptical and the treadmill (I crank the treadmill up to the highest elevation and walk. It's a definite fat burner).
I seriously got into weight lifting after my surgery per my doctor's recommendation (I dabbled in it before that) and it has done wonders for my other arthritis pain. I am virtually pain free thanks to weight lifting.
I can now do things that I couldn't do before my surgery because the pain was so bad. This past summer I hiked Diamond Head in Hawaii and endless Appalachian Trails. I would have been crying if I did that a few years ago.
Good luck!3 -
FattieBabs wrote: »Thanks so much for your kind comments. Seeing the Consultant this afternoon so will get an update on the X-ray and what he thinks. Anterior is through the front rather than the bottom muscles, is that correct? He specialises in people who need to get back to full time work and has written papers on the subject so I am hopeful. Fingers crossed!
Yes anterior is through the front, less chance of a hip dislocation.
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Consultant was very strict! He will only do the posterior approach as says is better for positioning the hip. Because of my relatively young age he wants to do a part-cement one and does not recommend the Anterior approach (sorry Jcummings!) because of possible long-term pain in the thigh. However, I am new on his books and he is unaware of the colossal efforts I have made so far to lose 2 stone. To him I am obese with a BMI over over 30 and therefore he wants to see me again in March and will then (subject to further weight loss) put me on the 18-20 week waiting list. This means I am unlikely to get the op until July so plenty of time for strenghthening. He did admit that the x-ray showed the hip was wrecked and I "must have a great deal of pain". Too right! Thanks for your comments Sharon - I will look into this.0
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If you’re able, I’d get a 2nd opinion. Orthopedic surgery is like buying a new car shop around. PS I’m coming from the angle of a physical therapist that sees lots of patients post (and sometimes pre) op. Losing weight will definitely help your post op results though. Keep up the awesome work, pain and all, it’s quite inspiring to hear people lose even when their body is in pain.2
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Thanks! I did see a physical therapist and am doing the exercises she gave me, also some mild yoga which is helping with flexibility. The thing that upset me the most was, when I said I had lost almost 2 stone, he pointed to himself and pointed out he weighed half my weight! I was flabbergasted at his lack of tact. Imagine how that made me feel!
He is an older man and an expert and well respected for his operations but I came out of that meeting in tears and the nurse was very sympathetic. I should point out that I am not usually a weepy person. I am blogging this entire saga privately and fully intend to publish the story as and when it all gets sorted. Thanks everyone for their support.0 -
I suffered a severe knee dislocation 17 years ago playing rugby in college. My left knee is bone on bone. One of the best low impact exercises I have found is the elliptical machine at my gym. No impact at all and doesn't cause any pain. I suggest trying an elliptical machine.0
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jcummings6 wrote: »If you’re able, I’d get a 2nd opinion. Orthopedic surgery is like buying a new car shop around. PS I’m coming from the angle of a physical therapist that sees lots of patients post (and sometimes pre) op. Losing weight will definitely help your post op results though. Keep up the awesome work, pain and all, it’s quite inspiring to hear people lose even when their body is in pain.
I had 3 opinions before I settled on my surgeon. The other 2 were well respected surgeons with a good record, but they wouldn't (were not practiced enough) do the op I wanted. The anterior op is a good op in the right hands. If your surgeon won't do it, that means he hasn't learnt it well. Nothing more than that. Change surgeons and get what you need rather than what HE thinks you OUGHT to have. MCP!!!1 -
I've just returned from my 6 weeks post op appointment. My hip is positioned totally correctly and my legs are equal lengths. "See you again in 10 months" !2
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FattieBabs wrote: »A few years ago I joined mfp and did cardio and weight lifting. Lost 2 stone in six months. 1 year ago diagnosed with OA after reporting bad groun pain. Have been dieting for a year pre op and down 2 stone again.
So my questions are
A) what exercise can I do to help shift weight a bit faster and what will I realistically be able to do after my impending hip op?
Thanks for answers as I need all the help I can get. Love sailing hobiecats, swimming, Scuba diving and dancing and some of these are difficult right now...
what do you mean shift weight? and losing weight faster isnt always a good thing,it depends on what your stats are now and what a safe rate of loss for you. if you are wanting to lose weight its all about calories. exercise helps burn calories but it comes down to a calorie deficit. if you arent losing and you arent gaining you are in maintenance calories. if you dont already weigh food, get a food scale and weigh everything (solid and semi solid) and pick the correct entries. as for exercises I would ask a surgeon or therapist someone of that nature that can help.2 -
Quirky_but_nice wrote: »jcummings6 wrote: »If you’re able, I’d get a 2nd opinion. Orthopedic surgery is like buying a new car shop around. PS I’m coming from the angle of a physical therapist that sees lots of patients post (and sometimes pre) op. Losing weight will definitely help your post op results though. Keep up the awesome work, pain and all, it’s quite inspiring to hear people lose even when their body is in pain.
I had 3 opinions before I settled on my surgeon. The other 2 were well respected surgeons with a good record, but they wouldn't (were not practiced enough) do the op I wanted. The anterior op is a good op in the right hands. If your surgeon won't do it, that means he hasn't learnt it well. Nothing more than that. Change surgeons and get what you need rather than what HE thinks you OUGHT to have. MCP!!!
Yes! This ^^^^0 -
Well still doing my research and came across this.
n the anterior hip replacement, an incision is made down the front of the thigh, starting at the pelvic bone. This approach will have 1 or 2 smaller incisions made. This approach is more technically challenging for the surgeon due to the limited view. This approach is only suitable for patients who are: average or low body weight, and who don’t have any bone abnormalities. Although not for everyone and not popular with all surgeons, the incision and scar will be smaller.
Average Scar Length: Approx. 3”-6”
Posterior Hip Replacement (Traditional)
Like a traditional knee replacement, the posterior approach is the traditional catch-all hip replacement. In this approach, the incision is made behind the hip, along the buttock’s area. This surgery is performed with the patient on their side. In a traditional hip replacement, the gluteus maximus muscle (buttocks) is split, without a tendon being removed. This is the tried and true approach that is recommended for most patients.
Average Scar Length: Approx. 8-10”
so I guess that, as I am unlikely to get to "average or low" weight for about 1.5-2 years that the surgeon is preferring the posterior approach. I can't put up with the pain for another 2 years!0 -
I can't comment on hips, my issues are knees, both, osteoarthritis.
I have found great relief from pilling on the supplements to highest levels, omegas, calcium, joint complex and acupuncture for soft tissue damage, giving my body everything it needs to repair the cartilage, as well as going lower carb. I've been reading some consider there can be an autoimmune aspect to a flare up, or some inflammation underlying it. I want to avoid replacements if at all possible or for as long as possible. Standard medication does not help me it aggravates my condition. This is a noted situation following prolonged use of ibuprofen and the like.
Being within my 1200 c's and under mfp's carb suggestion by 20 - 50g a day seems to have released some weight, fairly swiftly after a brief hiccup. I make sure I have my mineral and vitamin needs covered at top level as well as eating as balanced as I can. 8 lb in the 3-4 weeks, since I was totally taken over by it again, I'm back to being gently mobile. I had thought I'd overcome it all some time ago, but no, not yet. I need the last lbs.
All the very best, hope you find what really works for you.
Edited to add, I also use foot/heal supports in flat shoes for best angles, then gel pads to reduce impact from walking.1 -
Thanks Fuzzipeg! Since losing 22 lbs I have noted much more movement and am painfree some of the time. I will look into the supplements as some other people have mentioned this... I don't wear flat shoes as this makes me much worse. Gentle heels work best for me.. back to some serious swimming next week I hope. I keep at it until the leg becomes so stiff I have to get out of the pool!
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Great info, thanks!0
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I had a full hip replacement almost 7 years ago, it was bone on bone. My doctor told me to keep exercising as it wouldn't make it worse since it was already bone on bone. I was back in the gym in 6 weeks. I was not a runner before, so the doctor and the physical therapist both told me that I should stay away from running. I now swim, bike, lift weights and do a kickboxing/boxing class. In January, I saw the doctor and everything still looks good.
I had lost about 100 pounds before I had my surgery and was in decent shape. My doctor is super conservative and I could have been back to work quicker, but he wouldn't even see me for 6 weeks to get a release.1 -
I am 7.5 weeks post op. I walked 3-4 miles a day prior to surgery. I am now up to 1-1.5 miles a day and I do modified Zumba 2 times a week. I lost 60 pounds in 6 months prior to surgery and have lost another 10 since. Best of luck2
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I know what you mean about shoes. A life time ago, in school, I was always spraining one or other of my ankles, I found the slightly above flat shoe much more comfortable then. What ever works for you. I have seen some of the support products for use in heals. (I even picked some gel ones up by mistake with ones for flat and can see no difference, giggle, they were not full foot)
Always Do what works for You.
(I had to give up swimming 15 years ago or so, because of chemical sensitivities, perfumes, laundry residue, cleaning products, i'd love to get back to it. Once when a granddaughter had been with us for 3 weeks work experience at a stables with her regime, I was on my crutches, could not believe it when it was all passed within two weeks! depends what sets it all off. I don't have confidence yet to try swimming again now my sensitivity is much improved/reduced. I'm still getting used to how I am now and don't want to push myself too far)0 -
FattieBabs wrote: »Well still doing my research and came across this.
n the anterior hip replacement, an incision is made down the front of the thigh, starting at the pelvic bone. This approach will have 1 or 2 smaller incisions made. This approach is more technically challenging for the surgeon due to the limited view. This approach is only suitable for patients who are: average or low body weight, and who don’t have any bone abnormalities. Although not for everyone and not popular with all surgeons, the incision and scar will be smaller.
Average Scar Length: Approx. 3”-6”
so I guess that, as I am unlikely to get to "average or low" weight for about 1.5-2 years that the surgeon is preferring the posterior approach. I can't put up with the pain for another 2 years!
My friend - who weighs over 14 stone - had the anterior op this year at the same hospital I went to.
It's not just for low weight peeps. It's just not for really obese peeps - 18 stone etc.
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dailymail.co.uk/health/article-4531288/What-NEVER-tell-hip-operations.html
This is the reason I wanted to have a different op. The supercapsule op doesn't depend on you being thin. I was up and mobile without pain actually in the operating theatre before I went to the recovery room where I woke up again(!) The operation took 40 minutes I was told. Later the same day I could walk with 2 crutches easily and was watched by the physio go up and down stairs, also comfortably.
I had the spinal block which was augmented in the recovery room, so I had no pain at all the first day.
I was ready to go home the SAME day and I had NO restrictions, that is, I didn't need a high toilet seat, I could lie on whichever side I felt comfy in, I walked with a single crutch from day 4, and a stick from day 12. I went back to work at 2 weeks.
The recovery time is less, but more important is the pain is also much less and I was totally painfree after 2 weeks.
It is available on the NHS for us Brits and is a total no-brainer for me.
The only reasons for you being refused the op where there is a surgeon who can do it, is for there to be some pre-existing deformity in your leg/hip/joint that needs a larger incision.
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Thanks everyone - all very encouraging... I have an appt in March and a letter from the consultant confirming that he will put me on the list with a view to a July op. In the meantime I will do my research further and then make some decisions. Aiming to lose that next stone and get back to swimming regularly. Merry Christmas everyone!
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FattieBabs wrote: »Thanks everyone - all very encouraging... I have an appt in March and a letter from the consultant confirming that he will put me on the list with a view to a July op. In the meantime I will do my research further and then make some decisions. Aiming to lose that next stone and get back to swimming regularly. Merry Christmas everyone!
Good luck. I really would look into getting at least one more opinion if you can.0 -
I degenerative osteoarthritis in my feet. Thankfully I love swimming. I highly recommend this to anyone who has a condition that mates impact aerobics not an option.
Spin classes work for me too.0 -
Thanks! spin classes would destroy me at the moment but swimming ok. Will try some gentle aqua aerobics and see how that goes too.0
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Olympic athletes have returned to competition after hip replacement, so with proper treatment and rehab, there are no limits.0
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