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Can I run after a total hip replacement 

Orthopaedics 360 - Adelaide
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What style of runner are you? Is it true that after a hip or knee replacement, you can't run? Whilst most of the information, studies and anecdotal evidence lacks rigour, some principles can be applied. Find out from Dr Chien-Wen Liew, orthopaedic surgeon - Adelaide, Australia, what parameters he uses to determine if you can run after a joint replacement.
To learn more, and read more from questions submitted from patients, please visit: www.drchienwenliew.com.au/hip...

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27 апр 2023

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Комментарии : 87   
@onestarabove7027
@onestarabove7027 9 месяцев назад
I’m just thankful to be able to walk better!
@jacs03
@jacs03 9 месяцев назад
Best explanation I've heard. Thank you
@PureNRG2
@PureNRG2 10 месяцев назад
I’m a THR who refused to stop running. The Pose Method of running developed by Dr Nicolas Romanov requires a mid foot strike with high cadence and low ground contact time both of which reduce ground impact significantly. It does require training, very preferably by someone properly certified to train the Pose Method of running.
@orthopaedics360
@orthopaedics360 10 месяцев назад
Absolutely fantastic - we love hearing people doing what they want to do! Safely of course!
@borisbojic
@borisbojic 8 месяцев назад
The question is not „can“ you run with a hip replacement. Of course you can. The question should rather be, „should“ you do it. While it’s of course technically possible, you need to be aware that this will wear down the new hip faster. But how fast? There are no studies to that. And if it’s part of your life quality, do whatever you feel like. That’s the whole purpose of the new hip 😅
@freespeech4023
@freespeech4023 6 месяцев назад
Its like should I drive my car in all weather and tow a heavy trailer , Yes , you can , it will probally wear out quicker but if you go steady it should last a long time
@CITADEL5
@CITADEL5 10 месяцев назад
Thank you very much Doctor. Your advise is very helpful.
@justabill5780
@justabill5780 Месяц назад
I got a new hip 5 years ago. I'm a martial artist and a runner. When I run, I strike mid-foot. That being said, my surgeon told me to run no more than 6 miles at a time. And I have held to that.
@fmaries7000
@fmaries7000 Месяц назад
TY for this share. 🙏
@jkadude2010
@jkadude2010 16 дней назад
What about martial arts? I’ve trained in martial arts hard styles most of my life plus working in law enforcement. I’ve done thousands of kicks over the decades and now at 63 am looking at a hip replacement. I don’t want to give up either martial arts or law enforcement just yet. Any advice is appreciated.
@justabill5780
@justabill5780 14 дней назад
@@jkadude2010 I am also a martial artist(TKD and kickboxing) I still throw head kicks and full power kicks. No problems whatsoever.
@jkadude2010
@jkadude2010 14 дней назад
@@justabill5780 my hope is to regain flexibility so that I could throw head high kicks like I used to, though I’d rarely do so on the street. Running is less of a priority at this point. I’ve also been told by a martial artist and stunt actor for many years is that days of slamming kicks into a heavy bag are over. At 63 I’d prefer not to have to have the replacement replaced 😀
@justabill5780
@justabill5780 13 дней назад
@@jkadude2010 You should be fine. I can kick as high as I ever did. Getting my hip replaced was the best medical decision I ever made. Just do it as soon as possible. The weaker your muscles become, the longer and harder the recovery
@Janetsfear
@Janetsfear 4 месяца назад
I'm in my 8th week after posterior total hip replacement. I have been running on the mid to forefoot for the last quarter century +. I plan to give it a go after the three month recovery timeframe. I'm 67, it's a bit about going out on my terms. Nothing drastic just 10 to 15 miles a week. If I can't get back on my forefoot then I'm done. I won't risk a heel strike for multiple reasons. When people talk of the "pounding" I generally suspect they have never really stuck with running long enough to get out of the pounding mode and into more of a glide. I used to scare people while passing from behind because I didn't make any noise. I have spoken with my surgeon, a second surgeon and three PA's and all but one PA seem to be quite encouraging. My wife and my sister think I'm nuts. Right now I'm focused on reaching my darned foot so I can tape up and tie my shoes.
@CROIXsather
@CROIXsather 2 месяца назад
One thing not discussed specifically is if a runner prior to surgery can continue to run for training and health. Say 2-3 miles a day, several days a week, at a moderate pace. It makes sense that if you were not a runner, this is not a good idea to run a marathon. But what if you are a runner, and you want to continue to train at a moderate level. New studies are showing how exercise helps the body in ways we didn't understand before. So I am wondering if running in a prudent style would actually help prolong the hip longevity because of the strength and cardio building aspects of the training. Thank you for this video, it is a brilliant explanation.
@orthopaedics360
@orthopaedics360 28 дней назад
I would say this: whilst I totally agree that exercise is ESSENTIAL in your overall health and healthspan - running may not be the best option for this if you've had a joint replacement. This might mean that you need to try other things which are just as effective - like rowing or cycling which essentially place no implant on the joint. If you HAVE to run, then ensure your strike is soft rather than a heel strike.
@seligseligabc123
@seligseligabc123 Год назад
THANK YOU!.. The most intelligent sensible answer to the question of running post (THA) total hip replacement. I am a forefoot runner & used to run bare foot. I feel a lot better knowing I can run with my experienced light forefoot style on grass like a cross country or on sand, and not fear the occasional short run on the road if gliding along on my forefoot while only being 10.5 stone. 67kg..As a man..
@orthopaedics360
@orthopaedics360 Год назад
Glad you found it useful! Whilst we don't generally recommend running, it's not a hard no for everyone.
@user-uh5ll9hv5e
@user-uh5ll9hv5e 5 месяцев назад
Excellent explanation doc, thanks. I had a hip replacement a couple of years back and have since done some running on an anti-gravity treadmill under the supervision of a physio. It's a wonderful feeling to be able to run again but I'm only happy doing it knowing that I'm putting a fraction of the weight through the hip that I would be if I were running on the road. As someone who ran 2/3 times a week and enjoyed 10ks it was hard accepting I'd have to give up running on the road. I'm letting a bicycle take the strain now.
@MrConradd
@MrConradd Месяц назад
Excellent! Thank you, doctor
@orthopaedics360
@orthopaedics360 28 дней назад
You are welcome!
@vlo9079
@vlo9079 11 месяцев назад
I was wondering the same. I'm 48 and ran competitive for 26 years. 3 years of that semi pro. Training for me included long tempo runs at VO2 max and rubber track workouts once a week on spikes. It's been 8 months since my double hip replacement. Ive managed to speed walk multiple times a week, but my lower legs still swell and i get shin splints in one leg. My muscles often ache too. I have found that omega-3 fish and krill supplements have helped with the aches tremendously. After 8 months I can finally do a slow trot in the grass or carpet hallway at work, maybe 200 meters. It's really depressing not being able to ever run again. I literally have dreams about competing. When I was 20, that was my first time breaking a 5:00/mile pace.
@orthopaedics360
@orthopaedics360 10 месяцев назад
It certainly is disappointing, especially for our younger patients like you who still remember running. Most of our patients don't really remember being runners, as it was usually a long time ago. One of the important things is to avoid giving the expectation that running is normal after a hip replacement. Whilst it can be achieved, it takes training, a coach and time to recover a different running style with low impact. It can be done, but you need coaching to ensure its done safely which is why its best to advise those who have an average enthusiasm for running to avoid it altogether.
@vlo9079
@vlo9079 10 месяцев назад
@orthopaedics360 agreed. The times I have ran, it felt extremely odd and I could only run on the balls of my feet. I forgot how to heel strike run. I don't ever plan on running again, which is extremely depressing, but I at least want to know I can if needed. Example: I need to get out of the way of a moving vehicle or a dog chasing me. I've actually had to run once crossing a street. Surprisingly my cardio is still very good amd my heat rate still sits upper 50s to low 60s. I used to have a sitting heart rate of 50 bpm. I am going to start taking cinnamon supplements in 2 days. We'll see if that helps with some of the joint pain I seem to be getting in my knees. I've narrowed the swelling down. It's mainly being caused by sitting in an office chair all day. If I get up 7 or 8 times a day and walk, I do not swell.
@onestarabove7027
@onestarabove7027 9 месяцев назад
B vitamin complex helps a lot with swelling
@moreycleveland2472
@moreycleveland2472 4 месяца назад
I JUST WANT TO GET BACK TO JUST JOGGING IN MODERATION I AM NOT TRYING TO RUN HALF MARATHON OR A MARATHON
@Serioussamurai500
@Serioussamurai500 3 месяца назад
Sweetheart I'm having Hip replaced . 2nd hip !! I heal quickly. Running long distances SMH ❤😘
@markmoon9024
@markmoon9024 7 месяцев назад
As a person that’s had a hip replacement 11 years ago I have taken up running. I could run around with a frisbee or play football with the kids, but this is much more taxing on the body if I hadn’t learnt how to jog and run beforehand. doing that activity for a short period of time in burst as much more likely to cause injury than affied trained and learnt how to run anything from a mile to 5 miles. That said extensive physio weights preparation was needed first before doing this so. Running around playing frisbee or football, is Stillmore taxing on the body than running a few miles or longer distance
@Tamedevil
@Tamedevil 5 месяцев назад
This is why i opted for a Birmingham hip resurfacing procedure instead. Much more rugged.
@orthopaedics360
@orthopaedics360 5 месяцев назад
I would recommend researching some of the hip resurfacing issues that are cropping up, including Birminghams. We don't have a lot of surgeons happy to put in resurfacing in Australia these days
@rjb7569
@rjb7569 5 месяцев назад
​​@@orthopaedics360 What are the issues cropping up? Most of what I've read recently seems to be advocating it even for older, active people now. Of course, that's the way it is with doctors as well. Most appear to be salesmen advocating what they do as the best, making it difficullt to cut through the BS and decide what is best for the layman. I'm in need of a new hip now and going through that unfortunately.
@dmitrymelnik8296
@dmitrymelnik8296 7 месяцев назад
Thanks for the candid and detailed explanation. My next question, can I ski after a total hip replacement? I am 54, and currently on my 6th week after the surgery. I know I will miss this season, however, I am curious about my chances at skiing in 1 year from now. Before the surgery, I was doing XC perhaps as long as I remember myself, resort alpine skiing for about 40 years, and I was getting into the backcountry last few seasons. The surgery was done using the anterior approach. I understand that everybody's story is different, however, general considerations and statistics will be much appreciated. Thanks.
@orthopaedics360
@orthopaedics360 28 дней назад
I do not limit skiing at all for my patients. Probably avoid the huge jumps.
@verslalchimie5824
@verslalchimie5824 4 дня назад
What about moderate distance cycling (e.g. 25 miles/day). I imagine that since it is not a jarring impact that is good, but you still have 1hr plus/day repetitive motion. Does that wear out the hip replacement faster?
@lynchpinmedia8629
@lynchpinmedia8629 6 месяцев назад
I would be interested in your thoughts on using a footbike(essentially a scooter with bike wheels)..popular in Finland. Its a forefoot strike, lower weight bearing on contact than running but similar movement to the running action. Might be a compromise for those wanting ro run long distances.
@orthopaedics360
@orthopaedics360 28 дней назад
Not familiar with it, but sounds fine
@gavinelliot3564
@gavinelliot3564 9 месяцев назад
Had a thr 2yrs ago still can't walk let alone fckn run.
@WildlifeStyle
@WildlifeStyle 7 месяцев назад
Hey doc is it possible to shadow box after a Hip replacement? Im 24 years old and I got mines recently 3months ago.
@orthopaedics360
@orthopaedics360 5 месяцев назад
YES
@dougschorr4347
@dougschorr4347 11 месяцев назад
Hi Doctor. What about shot put? Which is easier on the hip - the glide or rotation style? Thanks
@orthopaedics360
@orthopaedics360 11 месяцев назад
Depending on the approach to your hip - with anterior approach, we would allow the movement once you had fully rehabilitated but like always, it's not a common movement meaning that it's not that tested. If you were to do it and be fine, then we would let others know of your experiences. Hope that helps!
@dougschorr4347
@dougschorr4347 11 месяцев назад
@@orthopaedics360 Thank you for replying but ... Hmm! Feeling that rotation puts too much twist-strain and that the glide's first movement is somewhat jarring I've gone ahead with a step-back movement, more fluid I think, and it is 'feeling' fine thus far. I am going to have a go at the over 70s Asia title. Wish me luck.
@orthopaedics360
@orthopaedics360 11 месяцев назад
Can't wait to hear how you go. @@dougschorr4347
@chrisward3605
@chrisward3605 25 дней назад
I broke my hip had new one 18 months ago gone wrong constant pain in my groin and cant walk far im 66
@blakemoore666
@blakemoore666 5 месяцев назад
What are your thoughts regarding weightlifting movements, such as squats, leg presses, thigh extensions, lunges? I had anterior approach 6 months ago
@orthopaedics360
@orthopaedics360 5 месяцев назад
Almost all are absolutely fine.
@riversavage5608
@riversavage5608 28 дней назад
@@orthopaedics360-Thank you for answering this question.
@mrmr314
@mrmr314 3 месяца назад
Can we do advanced surfing after a THR? Because a lot of it, especially going backhand, is in your hips. We surmise the surfer (good surfers that is) is heavily curtailed? And you need to tell us which approach you specialise in too.
@orthopaedics360
@orthopaedics360 28 дней назад
I have many patients who surf and it is absolutely fine to surf after a hip replacement that I perform. I do not place restrictions on surfing.
@anthonycosta1776
@anthonycosta1776 4 месяца назад
Great ☹️. So after my hip replacement I will have a good hip but now cardio will suffer. The only thing that makes me feel mentally and physically on a natural high is my ritual of 7 long fast 100 yard runs. . Now I will have heart issues. This sucks.
@divyanshsinghrathore4164
@divyanshsinghrathore4164 3 месяца назад
I too have to get thr😢
@biknjak
@biknjak 29 дней назад
Switch to cycling. That will cover your cardio needs and is recommended by every orthopedic surgeon I can think of (I've had both hips replaced).
@orthopaedics360
@orthopaedics360 28 дней назад
You can get a similar, if not better burn with rowing, ski erg, cross trainers or bikes.
@MikeBanks2003
@MikeBanks2003 2 месяца назад
It will soon be OK though--there is a better prosthetic in the design stage.
@ukbusiness8811
@ukbusiness8811 Месяц назад
Why can i bend my leg fully when im walking? If i try to run on th grass, my legs just straight, i can omly move it in the pool, and that's not much either
@orthopaedics360
@orthopaedics360 28 дней назад
Sorry, Im not sure what you mean - can you clarify? Have you had a hip replacement?
@bobwhite2
@bobwhite2 7 месяцев назад
What about playing senior softball.
@orthopaedics360
@orthopaedics360 5 месяцев назад
Usually completely fine. Try not to sprint
@mcane21
@mcane21 11 месяцев назад
Hi Doc, what about basketball?
@orthopaedics360
@orthopaedics360 10 месяцев назад
I would not recommend the high jumping and impact of basketball. Modified basketball is fine, but I would be concerned about landing awkwardly from a high height, or from sprinting on a hard court.
@janetread8237
@janetread8237 4 месяца назад
Can I still teach advanced tap dancing ?
@orthopaedics360
@orthopaedics360 28 дней назад
Of course - sounds perfectly fine.
@gilbertflores4341
@gilbertflores4341 5 месяцев назад
I'M 54 YR OLD FART. :/ I HAD MY LEFT HIP REPLACED THIS PAST OCTOBER.IS IT OK TO RIDE MY BEACH CRUISER THIS COMING SUMMER?
@orthopaedics360
@orthopaedics360 5 месяцев назад
Totally fine
@MrRahluv357
@MrRahluv357 7 месяцев назад
What about playing tennis?
@orthopaedics360
@orthopaedics360 28 дней назад
No restrictions.
@anthonycosta1776
@anthonycosta1776 3 месяца назад
How about 7 -100 yard runs on grass?
@orthopaedics360
@orthopaedics360 28 дней назад
Sounds fine. Like with everything - do what feels OK. Grass is better than road,.
@ak2tired
@ak2tired 10 месяцев назад
Can i play football after THR ?
@johnre5342
@johnre5342 7 месяцев назад
No
@billyandrews4728
@billyandrews4728 11 месяцев назад
The impact at titanium/bone is (to me) an ever-present concern. Titanium will win every time. I just had the other hip replaced, and am aware of gravity, shock and twisting.
@orthopaedics360
@orthopaedics360 10 месяцев назад
Titanium is one of the closest matches to the modulus of elasticity of bone. Compared to stainless steel, titanium is far closer to the forces and movements of a prosthesis. This actually reduces the chances of a catastrophic failure of the construct.
@billyandrews4728
@billyandrews4728 10 месяцев назад
Good observation. But after a cremation, titanium stands proud among the ashes...
@vlo9079
@vlo9079 10 месяцев назад
@billyandrews4728 when I'm cremated, I'm going to have my family sell my hips on the black market🤣
@billyandrews4728
@billyandrews4728 10 месяцев назад
Make the urn? Hmm..
@AntonHu
@AntonHu 2 месяца назад
Ah, 'run' as in as a hobby or sport. So it's OK to run across the road, at least!
@orthopaedics360
@orthopaedics360 28 дней назад
Absolutely fine to run across the road!
@JR_Rojas1990
@JR_Rojas1990 7 месяцев назад
Thats not true. If toure flat-footed, running on your toes can destroy your shins. Come on doc... Come on
@orthopaedics360
@orthopaedics360 5 месяцев назад
You shouldn't run "Flat footed", you should be an experience forefoot runner. Most experienced runners run this way.
@Janetsfear
@Janetsfear 4 месяца назад
I must be lucky. Flat footed and been a forefoot runner for several decades no shin issues.
@Janetsfear
@Janetsfear 4 месяца назад
I think he meant he's flat footed not that he runs that way@@orthopaedics360
@JR_Rojas1990
@JR_Rojas1990 4 месяца назад
@@orthopaedics360 this is like saying "you shouldn't do squats with a wide stance." I am flat-footed, and I run over 100mi a month. Everyone's different, and you should be open to understanding other people's way of doing things. Not everything is for everyone and not everyone is for everything.
@mimsicle1
@mimsicle1 9 месяцев назад
The jarring motion of running is not a good idea on a good day. Just stop. Find an exercise that does the same thing without hurting your joints. You will suffer in your senior years.
@manjunathhn5451
@manjunathhn5451 9 месяцев назад
Thank you doctor that yopur advise to go trotting on grass with weight on front balls of feet is good .
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