BLOG 546 HIP REPLACEMENT
Nearly 7 million Americans have either a hip or knee
replacement. The hip is a ball and socket joint, so just like the knees or
shoulders, it seems as though the wear and tear over time catches up with many
people. The synovial fluid starts to run low or better said, it “goes away”.
That’s when arthritis likes to creep its way in.
We are in constant use of our hips and for many, when simply
walking becomes too painful, something must be done to alleviate this disruption
to daily living. For some, this pain can even disrupt sleep. Walking upstairs
becomes too hard and even getting out of a chair, or even worse, out of bed,
just becomes misery. Becoming more sedentary and limited doesn’t have to be the
final answer. A hip replacement may be the best option. An artificial joint can
be surgically placed into the body. Damaged areas/parts of the hip are replaced
with new artificial parts.
A person may need hip surgery due to osteoarthritis,
rheumatoid arthritis, osteonecrosis, or because of broken bones from trauma or
disease. Nearly 300,000 adults over the age of 65 fracture their hip each year.
Thus, hip replacement can be a common occurrence among seniors. Falling when
older, primarily due to poor balance can be a major cause of hip fractures.
This is particularly true for women who fall more than men and are at higher
risk for osteoporosis. Osteoarthritis, aka “wear and tear”, is a threat to
the hips because it causes damage to the cartilage that covers the ends of
bones that assist the joints to move smoothly. Rheumatoid arthritis is related
to the immune system which causes inflammation that erodes cartilage, even
bone, and then deteriorates the joints. Osteonecrosis occurs when there isn’t
enough blood being supplied to the ball part of the joint. This usually happens
from a fall complication.
Hip replacement is not the immediate answer. Most doctors
will recommend possible medications or physical therapy to address problems
first. Just like any type of surgery, there are possible risks. Fortunately,
today’s hip replacements have a much longer lifetime than previous years when
the possibility of having a second hip replacement could happen. Some of the
risks include blood clot, the chance that one limb can become longer than the
other due to the change in length, never damage, and/or infection.
There are a couple ways to prepare for success when having a
hip replacement.
First, having a healthy body weight is recommended. Shedding extra pounds
will put less stress on the new joint. It can take six weeks or longer to
recover from hip surgery, mainly because the new joint must sync with the body
and become strong to perform movement patterns. This is where physical therapy
and proper exercise can help. Don’t be fooled though, you will be walking
within 24 hours of surgery.
Your hips don’t lie when it comes to communicating to the
body that something isn’t right. Be proactive and be careful of wear and tears that
isn’t necessary. Movement is medicine but putting stress on the body by asking
you to do much more than is intended, won’t last forever. You need your hips,
and your hips need you to take care of them.