Bone on bone arthritis and excersise

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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

B) 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

  • jon2412
    jon2412 Posts: 61 Member
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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.
  • FattieBabs
    FattieBabs Posts: 542 Member
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    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...
  • Quirky_but_nice
    Quirky_but_nice Posts: 102 Member
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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 progress
  • FattieBabs
    FattieBabs Posts: 542 Member
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    Just sent you an email Quirky :-)
  • jcummings6
    jcummings6 Posts: 72 Member
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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!
  • FattieBabs
    FattieBabs Posts: 542 Member
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    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!
  • Sharon_C
    Sharon_C Posts: 2,132 Member
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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!
  • jcummings6
    jcummings6 Posts: 72 Member
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    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.

  • FattieBabs
    FattieBabs Posts: 542 Member
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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.
  • jcummings6
    jcummings6 Posts: 72 Member
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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.
  • FattieBabs
    FattieBabs Posts: 542 Member
    edited November 2017
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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.
  • Spencerport
    Spencerport Posts: 270 Member
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    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.
  • Quirky_but_nice
    Quirky_but_nice Posts: 102 Member
    edited November 2017
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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!!!
  • Quirky_but_nice
    Quirky_but_nice Posts: 102 Member
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    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" !
  • CharlieBeansmomTracey
    CharlieBeansmomTracey Posts: 7,682 Member
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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

    B) 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.
  • jcummings6
    jcummings6 Posts: 72 Member
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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!!!

    Yes! This ^^^^
  • FattieBabs
    FattieBabs Posts: 542 Member
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    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!
  • Fuzzipeg
    Fuzzipeg Posts: 2,298 Member
    edited November 2017
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    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.
  • FattieBabs
    FattieBabs Posts: 542 Member
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    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!
  • AudreyJDuke
    AudreyJDuke Posts: 1,092 Member
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    Great info, thanks!