5 Steps to a Successful Hip Replacement Surgery – AARP

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AARP recommends 5 tips to ensure a successful hip replacement    5 Tips for a Successful Hip Replacement Surgery

For starters, choose an experienced surgeon and finish with commitment to physical therapy

Total hip replacements are on the rise. Now, more than 285,000 of the procedures are performed in the United States each year, up more than 25 percent in just five years, according to the American Academy of Orthopedic Surgeons.

“Total hip replacement surgery has some of the best results of all major surgeries,” says Paul King, M.D., director of the Joint Center at the Anne Arundel Medical Center in Annapolis, Md. Insurance, whether Medicare or commercial, usually covers the bill short of the co-pay. What’s more, the implants, whether ceramic-on-ceramic, or metal and highly cross-linked polyethylene, typically last 20 to 25 years.

Physical therapy after hip replacement surgery is one of the keys to a successful recovery. — Photo by Getty Images

Still, a hip replacement shouldn’t be taken lightly. It’s a big surgery and — as with all surgeries — there can be complications. To boost your chances of having a successful surgery, pay attention to these five things.

1. Choose an experienced surgeon who frequently performs hip replacements
William Washington, 73, of Washington, D.C., had a total hip replacement nine years ago after arthritis had so damaged cartilage in his hip that bolts of pain routinely shot through his back. He’s pain-free now and plays golf regularly, a happy outcome he attributes to his choice of an experienced surgeon. “He had done plenty of these and many people had recommended him,” Washington says. “He’s the mechanic. He knows the way to do it.”

Experience is the key, but how much? At least 30 replacements a year, says Brian Parsley, an orthopedic surgeon in Houston and one of the directors of the American Association of Hip and Knee Surgeons. And the surgeon should have done at least 100 procedures, says Justin Cashman, a Maryland orthopedic surgeon. How to find such a surgeon? “Your primary care physician can point you in the right direction,” says Cashman.

5 Steps to a Successful Hip Replacement Surgery – AARP

Tips For Home After Hip Replacement Surgery

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It’s very important that you follow your surgeon’s instructions.  Additionaly, here are some suggestions that may make life a little easier at home. Please discuss these with your surgeon before you are discharged from the hospital:

  • Remember that you’ll probably tire more easily than usual. You may want to plan a rest period of 30 to 60 minutes midmorning and mid-afternoon.
  • It’s safer and easier to get in and out of chairs using both arms, and you should avoid low or overstuffed furniture. To increase your comfort, use a cushion or pillow to raise your body while seated.
  • An elevated toilet seat may reduce stress to your hips as you sit and stand.
  • A shelf placed in the shower at chest height help you avoid bending to retrieve items while in the shower.
  • A bathtub seat (bench) allows you to sit while bathing for increased safety and comfort.
  • A long-handled bath sponge may be used to reach lower legs. Women can also purchase razor extenders for shaving their legs.
  • Avoid sweeping, mopping, and running the vacuum cleaner. Use long-handled feather dusters for dusting high and low items. Your doctor will tell you when it is okay to sweep, mop, and vacuum.
  • You may ride in a car, but ask your doctor.  If yes, you must follow your doctor’s instructions for how to get in and out of the vehicle. You can raise the height of the car seat with pillows to protect your hips. Your doctor will talk with you about when you can drive, typically within four to six weeks after surgery. If you have a car with manual transmission, talk with your doctor about driving limitations. Make sure you can use the brake without discomfort before you attempt to drive in traffic.
  • Constipation is a common problem following surgery. This is usually due to your limited activity and any pain medications you may be taking. Discuss your diet with your doctor. It should include fresh fruits and vegetables as well as eight full glasses of liquid each day, unless your doctor tells you otherwise.
  • Your doctor will probably give you a prescription for pain pills. Please follow your doctor’s instructions concerning these medications.
  • Some swelling around the incision is normal. You’ll find it more comfortable to wear loose clothing to avoid pressure on the incision. Ask your doctor or other qualified health professional about appropriate wound care.

Tips For Home After Hip Replacement Surgery

Talking to your Health Care Provider

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You get ready for a date. You prepare for tasks and meetings at work. How do you prepare for visits to your health care provider?

The first step is to find a health care provider you feel comfortable with. If you can share how you feel,  both physically and emotionally,  then you and your health care provider can work together as partners in your health care.

A basic plan for your visit can help. Before you arrive,  make a list of things you want to talk about. Put your questions in order,  so you are sure to ask about the most important ones first.

During your visit,  explain your symptoms:  what is bothering you,  when it started,  and if you have noticed any pattern. Ask for clear explanations about your condition,  any medication or treatment,  and instructions on how to recover after an illness,  injury,  or hospital procedure.

Consider bringing a family member or friend. Let them know in advance what you want from your visit. With good communication,  you and your health care provider can team up to make sure you get the best health care possible.

How to be Participatory in the Face of Adversity

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From the lens of a patient who recently experienced major surgery, I now realize how difficult it is to be participatory when you are in pain and taking large doses of pain medication which dulls the senses and puts you in a place where you are not really thinking about anything but how to get through the next couple of days.

I consider myself to be an empowered patient who fully participates in my health care, questions my clinicians, and evaluates the risk/benefit of treatment plans presented by my clinicians.

I use the health data my clinician offers, including the reports and notes that are in my electronic health record, and confer with people who have had some experience with the same or similar conditions. I always go one step further and search the web for relevant information that applies to my particular health concerns. I provide feedback to my doctors and never hesitate to speak up and ask questions. I tap the wisdom and advice of my peers and encourage my providers to be participatory.

How to be Participatory in the Face of Adversity | e-Patients.net

Having a Hip Replacement | Psychology Today

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Having a Hip Replacement

Tips on getting through a joint replacement

Published on January 30, 2012 by Paul Thagard in Hot Thought

I’m currently preparing for my second hip replacement to take place in February, remembering the lessons learned from my first one in April, 2011. My younger brother is also getting a new hip in February, so I’m writing this to help him and other people go through a difficult but worthwhile experience. My replaced right hip works wonderfully, free of the pain that started in 1995 and grew steadily worse. There are many Web pages that provide valuable medical information, but in this post I want to focus on practical advice about getting how to manage the whole process.

For medical advice, let me suggest these pages:
Mayo Clinic: http://www.mayoclinic.com/health/hip-replacement/MY00235
My Joint Replacement: http://www.myjointreplacement.ca/
My goal in this post is to provide practical suggestions to deal with matters that the medical sites don’t much discuss.

 

Having a Hip Replacement | Psychology Today

Leveraging ePatient Communications | Digital Pharma Blog

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Leveraging ePatient Communications

Posted by bryonmain on February 28th, 2013

As social media in the pharmaceutical and healthcare industry becomes more widespread, a growing trend is ePatient communication. The internet has become the go-to source of information for many people; that holds true as they research diagnoses, check up on current research, and connect with others for support.

Citizen bloggers, with a particular diagnosis, educate themselves,  and are a key source of information for others with a similar diagnosis. In the digital age, where nearly everyone has a smartphone, these “man on the street” blogs offer a personal voice, answering questions and addressing areas of concern, as well as offering support. Patient bloggers, read by a wide range of patients and caregivers, can be a key source of internet buzz, when they offer a review or opinion on a new therapy or drug treatment option. Pharmaceutical companies can network with these bloggers, gaining both a platform for patient marketing, but also a window into the concerns and trends patients notice.

Leveraging ePatient Communications | Digital Pharma Blog

Peer-to-peer Healthcare

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Many Americans turn to friends and family for support and advice when they have a health problem. This report shows how people’s networks are expanding to include online peers, particularly in the crucible of rare disease. 

The most striking finding of the national survey is the extent of peer-to-peer help among people living with chronic conditions. One in four internet users living with high blood pressure, diabetes, heart conditions, lung conditions, cancer, or some other chronic ailment (23%) say they have gone online to find others with similar health concerns. By contrast, 15% of internet users who report no chronic conditions have sought such help online.

When asked about the last time they had a health issue, however, 71% of adults in the U.S. say they received information, care, or support from a health professional. Fifty-five percent of adults say they turned to friends and family. Twenty-one percent of adults say they turned to others who have the same health condition. The oft-expressed fear that patients are using the internet to self-diagnose and self-medicate without reference to medical professionals does not emerge in national phone surveys or in this special rare-disease community survey.
Join a discussion of this report on e-patients.net: Healthcare Out Loud

Peer-to-peer Healthcare | Pew Research Center’s Internet & American Life Project

Osteoarthritis Treatments, Medications | Osteoarthritis Research

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Researchers are developing new ways to manage OA and gaining insight into its causes.

By Susan Bernstein

Humans have dealt with the pain, stiffness and swelling of osteoarthritis, or OA, for ages. Yet researchers still study the disease vigorously with the goals of finding more about what causes OA, what steps may help people prevent OA and what new treatments may alleviate its symptoms and halt joint damage. In recent months, news on OA treatment developments and insight into the disease’s possible causes, and what may prevent it, have emerged.

Most important, researchers now have a deeper understanding of OA, a concept called patho-mechanics, and this knowledge affects OA treatment development. At the American College of Rheumatology’s (ACR) State-of-the-Art Symposium held in April 2010 in Chicago, lecturers noted OA must be viewed as a combination of how your body’s mechanics work, how your genes may have set you up to develop OA, and outside factors that can affect your bone, cartilage and various tissues and lead to the disease.

The November 2010 Annual Meeting of the American College of Rheumatology (ACR) in Atlanta featured reports from a number of researchers who are digging deeper in OA’s mysteries and its possible treatment.

Osteoarthritis Treatments, Medications | Osteoarthritis Research

The newest replacement approach

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Hip replacement, or arthroplasty, is a surgical procedure in which the disease parts of the hip joint are removed and replaced with artificial parts, called prosthesis.  The goal of hip replacement surgery is to increase mobility, relieve pain, and improve the function of the hip joint.  People who have hip joint damage that interferes with their daily activities and are not benefitting from treatment are candidates for hip replacement surgery.  The most common cause of hip joint damage is , but other conditions like rheumatoid arthritis, osteonecrosis (the death of bone caused by insufficient blood supply), injuries, bone tumors, and fractures can also lead to the breakdown of the hip joint.  Doctors used to reserve hip replacement surgery for people over 60 years old.  They thought that older people are less active and put less stress on the artificial hip than younger people.  In recent years, however, doctors have found that hip replacement surgery can be successful in younger people because technology has improved the artificial parts.  Today a person’s overall health and activity level is more important than age in predicting a hip replacement’s success. (Source: www.niams.hih.gov)

Hip surgery flip! The newest replacement approach | Health – Home