Have hip replacement surgery Have hip replacement surgery You will have spinal or general anesthesia. You may be able to get out of bed with help on the day of surgery or the next day. Most people will have a short hospital stay. You will need several weeks of physiotherapy, including exercises you can do at home.
You will likely have less pain, be able to do your daily activities, and have a better quality of life. You may need another replacement in 10 to 20 years. All surgery has risks, such as bleeding, infection, heart attack, and risks from anesthesia. Other risks of hip replacement surgery include blood clots and problems with wound healing.
Your age and your health can also affect your risk. Don't have your hip replaced Don't have your hip replaced You try medicines, steroid shots, home treatment, or other methods to relieve pain. You can decide to have the surgery later if the pain gets worse and medicines don't help. You avoid the risks and side effects of surgery. You avoid several months of physiotherapy and rehabilitation. Medicines can cause side effects such as upset stomach, stomach bleeding, heartburn, and skin rashes.
You may not be able to relieve your pain enough with medicines or home treatment to do your daily activities. If you decide to have surgery later, and if your limited activity has already caused you to lose strength, flexibility, balance, or endurance, it may be harder to return to your normal activities. Personal stories about hip replacement surgery for osteoarthritis These stories are based on information gathered from health professionals and consumers.
What matters most to you? Reasons to have hip replacement surgery Reasons not to have hip replacement surgery. I'm in too much pain to do my daily activities. I'm able to manage my pain and do my daily activities. I think I can complete a long rehabilitation program. I don't think I can go through a long rehabilitation. I'm worried about needing another hip replacement later.
I'll do whatever it takes to feel better, including surgery. I don't want to have surgery for any reason. My other important reasons: My other important reasons:. Where are you leaning now? Having surgery NOT having surgery. What else do you need to make your decision? Check the facts. Yes Sorry, that's not right.
Most people with hip pain can try other treatments like medicine and physiotherapy before they have hip replacement. No You're right. I'm not sure It may help to go back and read "Get the Facts. Yes You're right. People who have had hip replacement usually have much less pain than before surgery, are able to return to their daily activities, and have a better quality of life.
No Sorry, that's not right. Most artificial hip joints will last for 10 to 20 years or longer without loosening. Decide what's next. Yes No. I'm ready to take action. I want to discuss the options with others. I want to learn more about my options. Your Summary. Your decision Next steps. Your knowledge of the facts Key concepts that you understood.
Key concepts that may need review. Getting ready to act Patient choices. What matters to you. Print Summary. Credits and References Credits. Lozada CJ Treatment of osteoarthritis. In GS Firestein et al.
Philadelphia: Saunders. Beswick AD, et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open, 2 1. However, there are many successful therapies along the way to keep you moving and pain-free. If overweight, weight loss will decrease the stress on your hips and knees.
Mild over-the-counter medications are very effective with decreasing pain and inflammation of your joints, as long as you have discussed their safety with your doctor. Unfortunately, some people cannot tolerate many of these medications over the long term because of side effects such as gastritis, ulcers, kidney problems and heart problems. Physical therapy and regularly performed exercises can strengthen the muscles that support your hip and improve mobility.
However, when these treatments are no longer effective in minimizing your discomfort, it may be a sign that you are ready for hip replacement surgery.
Think about the movements that your hip can do. As you walk, your hip moves as your legs swing forward and backward. If you ever played a sport, your hips allow your legs to move sideways as you shuffle. They even allow one leg to cross over to the other side of your body so you can dance. And remember, arthritis does not only cause pain, although that is a very significant sign. Sometimes your hip joint may just feel stuck or it may click as you try to move your legs. If hip arthritis is causing you difficulty in making any of these normal movements, it is time to see your orthopedic surgeon.
If you are having difficulty moving, you will most likely notice it during the everyday activities of your life. Tying your shoes or picking things up from the floor may become hard or even impossible. Hip arthritis should not be ignored if it is interfering with you living your life as you should. Most people have a significant reduction in pain and improvement in their range of movement. Hip replacement surgery is usually necessary when the hip joint is worn or damaged so that your mobility is reduced and you are in pain even while resting.
The most common reason for hip replacement surgery is osteoarthritis. Other conditions that can cause hip joint damage include:. A hip replacement is major surgery, so it is usually only recommended if other treatments, such as physiotherapy or steroid injections , have not helped reduce pain or improve mobility. You'll also need to be well enough to cope with both a major operation and the rehabilitation afterwards. A hip replacement can be done under a general anaesthetic where you're asleep during the operation or under a spinal anaesthetic where you're awake but have no feeling from the waist down.
Sometimes you may have an epidural , which is similar to a spinal anaesthetic. The surgeon makes a cut incision into the hip, removes the damaged hip joint and replaces it with an artificial joint or implant.
Find out more about how a hip replacement is done. Hip resurfacing is an alternative type of operation. This involves removing the damaged surfaces of the bones inside the hip joint and replacing them with a metal surface.
This type of operation removes less bone. However, it is usually only done on men who are very active and have larger hips. Resurfacing is much less popular now due to concerns about the metal surface causing damage to soft tissues around the hip. Before you go into hospital, find out as much as you can about what's involved in your operation. For people who have to have their hip replacement done again, most have run into problems around seven years after the original operation.
The hip may start to hurt again, but it doesn't always, which is why it is important that you are followed up regularly see above. Infection of a hip replacement can be catastrophic. You are 18 times less likely to get an infection if the following are carried out compared with conventional care :. An infected hip prosthesis may need to be removed and it may not be safe or possible to replace it.
Lancet review of prognosis of hip reviews. National Joint Registry. I have a boil that developed on top of the scar from my hip replacement that I had 8 years ago and it is not healing. I am suppose to see the Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions.
Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. In this series. In this article How do I know if I need a hip replacement? Hip replacement surgery Recovering from a hip replacement What are the main reasons for needing a hip replacement?
Will I need any tests before I have a hip replacement? Are there any other things to consider about hip replacement? Are there different types of hip replacements? Which type of hip replacement should I have?
How long will my new joint last? What are the possible immediate complications following hip replacement? How do I know if I need a hip replacement? Do you need a physiotherapist?
Book a private appointment with a local physio today Book now. Previous article Hip Fracture. Next article Perthes' Disease. Are you protected against flu? Further reading and references. What is video physiotherapy and who can it help? How to get the most out of video physiotherapy.
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