Too young for hip replacement

Too young for hip replacement

Posted in the Hip Replacement Forum

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Karen

Hamilton, New Zealand

#1 Mar 8, 2006
My husband who is only 38 years old, very active and has his own construction business needs to have a hip replacement. The doctors in NZ are extremely reluctant to do the surgery due to his age. In the mean time he has to be on extremely strong drugs to mask the pain who knows what these are doing to his insides? Can anyone advise the reasons why he should wait 5-10 years as he has been advised. Can anyone advise of a website that can show successful 'young' hip replacement cases outside of Europe or USA
Jason

Canada

#2 Mar 31, 2006
My doctor told me that I would want to postpone surgery for as long as possible because I will no doubt require more than one replacement surgery in my lifetime (I am 35). The revision (ie. 2nd and 3rd) surgeries are more difficult and problematic. I hope your husband can stick through it.
Beth

Oak Flats, Australia

#3 Apr 3, 2006
I got a completely different opinion from my orthopedic surgeon. I'm only 30 and he highly recommends I have the hip replacement as soon as possible to give me better quality of life. Mind you, I've only been in pain for 5 weeks but he says my femur head is 50% affected. Then again, I have had a bone marrow transplant and a double lung transplant so everyday counts a lot for me. Everyday is a blessing. I'm not going to spend 5 years in pain and on crutches. I want to live life to the fullest right now! Nobody knows how long we have to live.
tcubed

United States

#4 Apr 6, 2006
Try totallyhip.org . Lots of stories from young people. Mostly US, but a few UK, Australia, NZ. I am finishing up year 30 on a hip I got when I was 27. My advice is to get the THR surgery and get on with living a pain-free life.
James Burn

Cambridge, New Zealand

#7 Apr 28, 2006
Karen wrote:
My husband who is only 38 years old, very active and has his own construction business needs to have a hip replacement. The doctors in NZ are extremely reluctant to do the surgery due to his age. In the mean time he has to be on extremely strong drugs to mask the pain who knows what these are doing to his insides? Can anyone advise the reasons why he should wait 5-10 years as he has been advised. Can anyone advise of a website that can show successful 'young' hip replacement cases outside of Europe or USA
In ChCh we are doing young patients and since 1990 using hard on hard bearings I have no hips failing or showing signs of failing. I have 1 44 yr old who has just got 4th in the longboard surfing...2 hips!
roseline

Hollywood, FL

#8 Apr 28, 2006
Karen wrote:
My husband who is only 38 years old, very active and has his own construction business needs to have a hip replacement. The doctors in NZ are extremely reluctant to do the surgery due to his age. In the mean time he has to be on extremely strong drugs to mask the pain who knows what these are doing to his insides? Can anyone advise the reasons why he should wait 5-10 years as he has been advised. Can anyone advise of a website that can show successful 'young' hip replacement cases outside of Europe or USA
Your husband sounds like he might be a good candidate for hip resurfacing which is usually appropriate for younger people. It's not a total hip replacement. Just google hip resurfacing and learn about it.
It's done in the U.K., Belgium, Germany and recently in the U.S. Good luck.
roseline

Hollywood, FL

#9 Apr 28, 2006
hip resurfacing is sometimes referred to as a "birmingham hip," because it's design originated in birmingham in the U.K. i've read a good deal about it as i was considering this, but decided on a THR instead. everyone is anxious about replacing a joint when first dealing with it. i suppose that's normal. looking forward to being able to walk without pain and getting out of a chair without leaning on the armrest, just to mention a couple of considerations. then there's sleeping through the night without waking up every hour or so because of pain.
the pluses outweigh the minuses.
john

Jena, Germany

#10 May 11, 2006
Hello. I am just 21 years old & I have been reccomended for a hip replcament. How reasonable is it? What should be the appropriate type of replacement (Flexi or??)? Kindly, suggest me.

Thanks.
Mark

Shanghai, China

#11 May 11, 2006
Hi, I am 42 (based in Auckland, New Zealand) and have been told that my left hip is in pretty bad shape ... and my right hip is not far behind. I am lucky in that I have quite a sedentry job - working in the IT industry. So, have found that by limiting the use of my hip, exercising carefully at the gym and in the pool - that I can stay almost pain free!! I also use a walking stick to help with limiting the use of my left hip.

So, my plan is to try and last till I am 50. One thing I do know - is that pain is not good for you. So you either need to find away to reduce the pain (diet, exercise, usage) or really should have an operation. If I start feeling to much pain and cannot manage it then I will be having one of the operations (replacement or resurfacing).

Cheers
Mark
Mark

Shanghai, China

#12 May 11, 2006
Karen wrote:
My husband who is only 38 years old, very active and has his own construction business needs to have a hip replacement. The doctors in NZ are extremely reluctant to do the surgery due to his age. In the mean time he has to be on extremely strong drugs to mask the pain who knows what these are doing to his insides? Can anyone advise the reasons why he should wait 5-10 years as he has been advised. Can anyone advise of a website that can show successful 'young' hip replacement cases outside of Europe or USA
Hi Karen, your husband either must dramtically change his lifestyle to reduce use of his hip and use appropriate diet and exercise to get the relief he needs or must have the operation. You need to examine these two options carefully. If lifestyle changes can be made - then make them.

The current strong drugs indicates to me that your husband is overusing his hip. That is not an option. So 1. lifestyle change, or 2. operation. I am myself making many major lifestyle changes ... I was a top athelete (sprinter) and Aerobics Instructor and was extremely active - no more. I am very curious to see how my emphasis on diet, the right exercise and low usage works with my hip(s) over the coming years.

Also, there are quite a few good books to read on www.amazon.com . Search for "hip replacement".

Good luck,
Mark
Tom B

Deerfield, IL

#13 May 19, 2006
Karen wrote:
My husband who is only 38 years old, very active and has his own construction business needs to have a hip replacement. The doctors in NZ are extremely reluctant to do the surgery due to his age. In the mean time he has to be on extremely strong drugs to mask the pain who knows what these are doing to his insides? Can anyone advise the reasons why he should wait 5-10 years as he has been advised. Can anyone advise of a website that can show successful 'young' hip replacement cases outside of Europe or USA
My hip started giving me problems when I was 45 and I managed to put off replacement until I was 49 but I was miserable. Corisone injections provided some releif but after the 3rd injection they were useless. I developed avasucular necrosis, ie the blood supply to the head of the femur was cut off (in my case from a fracture that went unrepaired ) but this condition can be caused from steriod use,(Presribed or performance enhancement),alcoholism, or other non specific causes. If the condition is caught early enough, some success has bee achieved surgically by re vasularizing the damaged femur head. But 2 years ago this was a cutting edge approach and Unfortunatly, I was misdiagnosed early with osteoarthritis and by the time the avascular necrosis was diagnosed, my hip had deteriorated beyond retrieval. So the short answer is if your doing steroids for fun and pumping up, stop. If your drinking too much, Join AA and stop. And most importantly, find a good surgeon, and don't be so macho and tuff it out like I did. If AVN is your problem if you catch it early there is hope.
Ross - Chch

Natural Bridge, Australia

#14 May 20, 2006
Hi Karen. I was diagnosed as needing a replacement 4 years ago after a hip injury sustained playing soccer led to arthritic changes in the joint. Whilst I was told that a replacement was inevitable I was also advised by the surgeon to try to carry on with activity and a drug regime for as long as possible as even though the joint was shot I could still do more with it than what I would be able to do with a replacement. He told me I would know when I would need to get the new joint....and I did! I lasted two more soccer seasons before the pain got out of hand and my lifestyle was being badly affected. God! it felt good once I got my op, lol. No more drugs for a start. No more pain. I have a ceramic prosthesis.
Yes, there are downsides particularly for those of use very active pre-op but it is a case of not being a martyr to pain. There are plenty of things that we can stil do. Yes, I realise that further replacements are likely but hey!...what advances will be made between now and then? Oh!...have also developed a squeak in mine when bending at the waist. Ask your surgeon about that too.
Good luck to your husband.
Paul UK

UK

#15 Jun 4, 2006
I am 52 and am 6 weeks post BHR Left. going to work tomarow. No Hip Pain and stopped pain killers. I stil get muscle pain but am improving daily

Paul
Debbie

Montréal, Canada

#16 Jun 19, 2006
I was told I was too young to have a hip replacement. I have been suffering from severe hip pain for 20+ years due to hip dysplasia. I just went through a total hip replacement on my right hip 10 days ago (I'm 47) and felt pretty good as soon as I woke up. This is a whole new world for me. I can go back to the things I used to do but had to give up because of the pain and limited movement. I felt like I should wait until I was older since that is what the other dr's. had told me. My dr. asked me "When do you want your quality of life?". I want it now. If everything continues to go well with this one I will have the other one done in October. If anyone is in the Northern California area I highly recommed the orthopedic team at UC Davis Medical Center in Sacramento.
Nick UK

UK

#17 Jun 23, 2006
I had perthes disease in my left hip as a child which obveously left me with hip joint damage.Iam 42 and have been told i will need a hip replacement indefinately.I am very active and am terrified of limitations a hip replacement may cause in regards to my life style.Hip dislocation and the fixing of the hip i seem to worry about but cant find any reasuring answers.
Mike AZ

Tempe, AZ

#18 Jun 30, 2006
I am 27 and after 2 years + of extreme pain and range of motion loss, I was finally diagnosed with having complete bone-on-bone osteoarthritis in my right hip. I have zero cartilage, spurring and bursitis. My entire body hurts; the way I walk, the extreme pain when I stand from a seated position, the way I have to lie with all my weight on my hip to be able to sleep, the knee pain...I try not to take my pain meds, but sometimes I just need to!

Does anyone have any advise on whether or not to get the surgery. I have seen 2 specialists, and although both say my only option is THR, they say they do not recommend due to my young age. I don't know how I can go 20 years in pain, but do not want to kill myself slowly through pain meds!

Any advise helps ([email protected])
Debbie

Montréal, Canada

#19 Jun 30, 2006
Mike,

Having it at a young age just means that you will probably wear it out and have to do it again sometime later. I know people that have had a second hip replacement and are doing just fine. Like the dr. asked me about when I want my quality of life. I have been in extreme pain for 20+ years. I know I missed out on a lot because of the pain and knowing what I couldn't do. I couldn't get into certain vehicles so I usually drove myself when we went to lunch for a work function - people thought I was a stuck-up snob. I couldn't get up on a curb. The lowest point for me came when I had to take my mother to the emergency room and after I parked the car I was walking through the parking lot and dropped my cell phone. I squated down to pick it up and I couldn't get back up. There was traffic from three different directions waiting for me and I was so humiliated. One driver got out and helped me up. I hope things work out for you. No one should have to be in such pain and I know what you mean about taking those pain meds. Good Luck.

Debbie
pink

Salmon Arm, Canada

#20 Jul 1, 2006
I am 23 and need hip replacement at some point,, once i cannot stand the pain. My arthritis causing the bone to grow a hook/bump stoping a lot of motion and when i sleep i wake up still and stuck in my position for a while untill i can stretch out =/

I was wondering after hip replacement, can i hold a lot more weight? Because I may want a child at some point,, doing it now I would be in extreme pain, but what about after the surgery?
Moe F Delta Canada

Kamloops, Canada

#21 Jul 7, 2006
Pink. I had my first H.R. 17 years ago(56 now) Titanium on Poly, would still be going strong, but got to cocky & tried out a trampoline on Fathers Day this year. Had ball replaced one week ago today. Should be set for life now. GO FOR IT Pink & don't worry, be happy, nothing but blue skys ahead.
Ernest

Skopje, Macedonia

#22 Jul 8, 2006
hi John my name is Ernest
I am from Macedonia
I have nearly same problem like you Avn on the left hip
Because you are 21 old same like me I will be happy if you contact me. my mail is ernest_stul.yahoo.com

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