A patient I follow has a double hip replacement and experiences pain. He refuses to walk for that reason. Isn't walking recommended? Any articles on this subject?
Hello…
I’m professional badminton player for 15 years and training with epics player for a long time… I have been seen the many injuries and various remedies, among hip displacement… In my idea that’s better that talking with him in first step and relax his mind, tell him that it could be occurs for everyone and that’s nothing else matters. Motivate him and courage to train, but in this stage it’s better to put his muscles in static trains and gradually get in to dynamic trains. Similar tensional movement for 1 or 2 weeks and after that start the dynamic trains like walking. You know that because his hip muscles atrophy and faintness you should increase his muscles power first and going to improve it more till it’s prove.
Dear Alexandra
A hip replacement may be total or partial. Normally we perform a total hip replacement, getting partial to patients with very low functional demands.
A hip replacement is indicated in degenerative articular processes, precisely to enable the patient to wander without pain and with an excellent range of motion.
Pain, when present can be a sign that the components of the prosthesis are loosening and or infection.
Is necessary to be evaluated by an orthopedist for better orientation
Dear Alexandra,
the attached paper might be of interest for you.
Nevertheless, pain experienced during normal activities of daily living should always be clarified, as mentioned by Nelson Elias, in order to exclude postoperative problems. In this context, time since surgery would be important to know. The consultation of an experienced physiotherapist and / or the surgeon should be recommended in case of persisting pain and prolongued physical inactivity.
THR is made for walking ! If pain persists, then there is some reason for that. It should be found out. It could be loosening, dislocation, infection, etc.
After the early post-operative period (total hip replacement) walking should be painless if not an etiology should be sought. Otherwise here examples of references in this topic:
Jogging After Total Hip Arthroplasty. Am J Sports Med January 1, 2014 42 131-137
Sports Activity After Short-Stem Hip Arthroplasty. Am J Sports Med February 1, 2012 40 425-432
Physical Activity After Total Joint Arthroplasty Sports Health: A Multidisciplinary Approach. 2011 3 441-450
Dear Alexendra,
Thanks for the question. There are many guideline available for post THR. I am attaching one after another hope it helps you..
http://www.ncbi.nlm.nih.gov/pubmed/12015805
Im my 42 years experience with THR I learned that a moderate loading is advicable for a longer survival of the arthroplasty. Swimming is better than weight lifting, and walking is better than jogging. Obese people do worse than thin patients.
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