One Leg Longer After Hip Replacement? Now What

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  • čas přidán 4. 02. 2019
  • Leg length discrepancy can occur after total hip replacement. This can be very concerning to patients. The surgeons discuss the reasons behind leg length discrepancy after total knee replacement and what can be done about it.
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Komentáře • 247

  • @budgreen100
    @budgreen100 Před 3 lety +3

    Solid information! You guys rock!

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Thanks so much budgreen100! Glad you liked it.
      Thanks for watching and subscribing if you did.

  • @curiouscanuck
    @curiouscanuck Před rokem

    Talking With Docs, I believe I've watched every video on youtube about leg discrepancy. I've had it for many years but is significantly worse since hip replacement a year ago. Now I know for the first time why I'm in more pain than usual. Thank you so very much for sharing your expertise. I'm actually tearful from relief and hope.

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem +1

      Wow we are so sorry you have been suffering but so glad we could help in any small way! All the best. Thanks for watching and subscribing

  • @123456711751
    @123456711751 Před 5 lety +1

    Great information!

  • @naomithomson7863
    @naomithomson7863 Před 3 lety +14

    I had my second hip replacement two weeks ago. The first time I walked at the hospital I immediately noticed that my operated leg was significantly longer. I mentioned this to the physical therapists, who didn't seem concerned, and said it may take six weeks before things adjust. Since then I've been doing some research and found this video. Thank you for explaining why this happens, and what I can do about it. I will discuss this with my surgeon at my post-op appointment. If I need to wear a shoe lift, I can accept that, but I don't want to think that this may affect my spine or cause other health issues in the future.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety +2

      Hi Naomi. You are welcome. Often the discrepancy feels much less as time passes but initially can be very disconcerting. Good luck to you. Thanks for watching and subscribing if you did.

    • @KatJ3st
      @KatJ3st Před 3 lety +2

      I consulted a chiropractor about possible spinal issues and proactive treatments.

    • @josephbagio7930
      @josephbagio7930 Před rokem +1

      I went through the same thing and didn't realize that will affect my spine disk
      Now I'm having sciatica pain once in while

    • @sherryk8992
      @sherryk8992 Před rokem +2

      I also had this happen and was told that it would "settle" or "adapt". Now I have significant back pain and have to choose between working or doing something I enjoy. Doc said it can't be fixed and then boss said that if i can't work then I can't do something I enjoy. Its been made clear that she will be monitoring my activity. You try being in pain every moment of your life... then tell me what you are capable of.

  • @TheCoregon
    @TheCoregon Před 2 lety +9

    Ty doctors. Your explanations make sense..your intentions good..but one thing you don't mention is how discrepancy in leg length affects the rest of your body. My surgeon for a year told me "xrays look good!" everytime I mentioned intense pain in left hip that had replacement. I told him it felt like difference in leg length was causing pain and he said "probably is!" I asked if I could try a shoe lift for shorter leg and he said emphatically NO! A year later I still have unbearable hip pain..and now have right knee and low back pain too from my uneven gait..(where I had no pain b4 total hip). MRI of hip with replacement shows significant inflammation ..irritation in hip and atrophy of muscles and ligaments in that hip..likely from the way I am walking to compensate for leg length difference. My low back is showing issues from my uneven gait also. My new orthopedic PA (we moved to another state) suggested I try a lift. Great idea..wish I had thought of it..but it doesn't seem to be helping much..too little remedy..far too late! (And try wearing high top shoes or boots to accommodate lift every minute of your day..even at home..in 114 degrees in AZ.) If I go barefoot for even a few minutes to and from bathroom at night my pain keeps me up all night. Uneven leg length is something surgeons tell you is no big deal. Let's see them walk in my shoes..without or with lifts. Docs..any alternative to lifts to relieve my 24/7 pain or help atrophied muscles? I sincerely am asking . This issue really needs to be researched more..it is a big deal.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      So yes if the discrepancy is more than 2 cm studies have shown it can adversely affect the other hip and low back. A lift is very reasonable to try. Sometimes some of the discrepancy is from pelvic obliquity. Hope that helps. Thanks for watching and subscribing

    • @DeeDee-rr3sn
      @DeeDee-rr3sn Před rokem +1

      Did you ever find any results/answers to your situation above as the response you received here, to me, seemed too vague and not very helpful. I have kind of a similar situation.

    • @rga0815
      @rga0815 Před rokem

      I had bi lateral replacements , over an inch difference. Now I sway and back is crooked. Hips pop like crazy. Not happy.

  • @MelissaDiMaggio
    @MelissaDiMaggio Před 4 lety

    LOVE your videos!

    • @TalkingWithDocs
      @TalkingWithDocs  Před 4 lety

      Hi Melissa. So glad you love the videos! Thanks for watching.

  • @garcmol1
    @garcmol1 Před rokem +2

    6 wks post THR, and noticed this. Getting used to it now. This series has really helped answer some questions I always forget to ask in the Dr office.

  • @aprilburmester
    @aprilburmester Před 3 lety +1

    Thank you for your video @talkingwithdocs . however, im concerned about the result of a longer leg on my spine. now that my THR leg is longer, when I walk I have lower back pain on the THR side. can't this lead to scoliosis. so I've traded hip issues with lower back issues.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety +2

      Hi April. Fair question. Typically unless the discrepancy is near 2 inches, it will not have long term effects on your back and does not lead to scoliosis. You can certainly get a lift for the shoe of your short leg if you are concerned though. Hope that helps. Good luck. Thanks for watching and subscribing if you did.

  • @MartieOgborn
    @MartieOgborn Před 4 lety +3

    Thank you, very helpful. My recovery from surgery last week is going extremely well. "Stable Hip" YES! :)

    • @TalkingWithDocs
      @TalkingWithDocs  Před 4 lety

      Hi Martie! That is great news. Good luck and keep us posted. Thanks for watching

  • @JaypeaFoto
    @JaypeaFoto Před rokem

    Im a 62 year old retired RN. I am on the list now for a right hip replacement. At least 2 possibly 3 years ago, my physiotherapist told me my right leg was a full inch shorter than my left. Since that time, Ive noticed it more and more. At the time, she first mentioned that to me, I hadn't noticed it myself. Fast forward to February this year, I spoke to my GP and complained of leg pain , hip and back pain. Xrays were ordered and I am bone on bone with flattening of the head of my femur, also osteophyte formation and the beginnings of a cyst. I really notice the leg length difference now. I am wondering if possibly the surgery will help in my case, where the discrepancy is already so great, a little length would be awesome. Also, I am really finding your channel informative, and very patient friendly. Great job!

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem +1

      It will almost certainly get longer. It may not actually be an inch but your surgeon will do their best to address this. All the best and thanks for being an RN!

  • @aligilling6218
    @aligilling6218 Před rokem +1

    Thanks, really helpful. I listen to so many of your video's...
    I am 1 week out of surgery and my operated leg is around 2 cms longer.. It's hard to lengthen this leg when walking as my other foot/heel lifts.. - Do I try to straighten this operated leg while walking, (although It feels more painful in the hip to do this) ....and continue to walk and stand like this..?
    As I understand it's important to start putting weight on this new hip...?
    Being a yoga teacher, I really notice being out of alignment at the moment...
    Do you have any thoughts about working with this in these early days, as I feel its hindering my ability to walk more...
    Thanks so much. Ali

  • @sailboatrn7372
    @sailboatrn7372 Před 5 lety

    Another excellent video! Thanks! Had a THR on right due to CDH at birth and then years of osteoarthritis. LBP has increased in the 7 years since the surgery. I notice in pants there is a bit of a difference when I am wearing them, of course. 🤦‍♀️ do you think that some inserts in the non-replaced hip side would be beneficial? The non-surgical side also has severe bursitis (have just gotten 6 steroid injections with relief for that (and muscle issues that are related to MS) any suggestions on any modalities of therapy or exercise that might be helpful would be greatly appreciated for this fellow medical healthcare professional. 👩🏼‍⚕️ Thanks for your videos. Easy to understand, very informative and wish I was still practicing. Would have loved to met you two! It seems like a great environment to provide care in!

    • @TalkingWithDocs
      @TalkingWithDocs  Před 5 lety +1

      Hi Cindi. Thanks for the questions and sorry for the tardy reply. Your comment snuck through. So yes, inserts in the non op side can help both the hip and potentially the low back. As for the bursitis, the mainstay of treatment is physiotherapy to stretch out that tight IT band, local inflammation control and TIME. It can drag on for years which is very frustrating and debilitating for patients. Some therapists use ultrasound and accupuncture however stretching is the most effective. Good luck and thanks so much for your kind comments. We do our best to keep the environment happy and productive. Thanks for watching.

  • @MyFoxyRox
    @MyFoxyRox Před 10 měsíci +1

    Hi. I had a leg lengthening done abt 17 years ago on the leg that had hip displacia to ease my limp. I recently had a THR (4 weeks post op and my leg is significantly longer (about 5 cm). I definitely will need a shortening or lengthening done. I would prefer to lengthen. Is this advisable? Is an internal leg lengthening procedure safe or is the external fixator better? How long should I wait until I get either done?

  • @annas4001
    @annas4001 Před 2 lety +1

    Would using surgical navigation and robotics-assisted techniques be useful in placing the implants more accurately?

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Hi Anna. Yes exactly. Thanks for watching and subscribing

  • @suzieblaut7535
    @suzieblaut7535 Před 2 lety

    Scheduled in 4 weeks for my new hip. This helped quite a bit - thanks

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      That is great news Suzie. Best of luck. Thanks for watching and subscribing if you did

  • @RattlerSSBN
    @RattlerSSBN Před 5 lety

    Great stuff guys, really appreciate it. What about the effect of a stem insert that could be several degrees off along the longitudinal axis? Would this cause some severe pain from the knee area a short time after surgery. Have you done a video regarding both subjects; length and femoral longitudinal axis that you can refer me to. Thanks so much

    • @TalkingWithDocs
      @TalkingWithDocs  Před 5 lety

      Hi R@ttler. Do you mean a stem that is not put in straight? With an uncemented stem, the direction of the stem is guided by the shape of the canal. There is the possibility that there is a slight angulation to the stem itself however this should not typically be the cause of knee pain. The mere presence of a stem in your previously hollow thigh bone sometimes does result in aching in the thigh. If you have severe knee pain, you should be assessed to ensure that something more serious is not the cause. Hopefully that helps and good luck. Thanks for watching.

    • @RattlerSSBN
      @RattlerSSBN Před 4 lety

      @@TalkingWithDocs ...I'm sorry I did not respond to your response until now. Obviously I have survived :) Regarding the THR, right leg is about 1.5cm longer and I do feel like I'm walking in circle BUT what I was asking about is that my right foot is now 'toe-in' about 15 degrees as opposed to my normal 'toe-out'...if that make sense. That seems to exacerbate the length discrepancy. Is that 'toe-in' situation a common result?

  • @kristinvickstrom1878
    @kristinvickstrom1878 Před 7 měsíci

    Thank you for the video. What’s the general consensus on how long one should wait before getting a lift in their shoe?
    I had my hip replaced and there is about a 3/4 inch difference in leg length now. Also note I have arthritis in the other hip but cannot get a replacement for another 6 months.

  • @garyfreeman3679
    @garyfreeman3679 Před rokem

    Over six years ago, my hip replacement left my leg with at least one and a half inches shorter in the leg with the hip
    replacement. I’ve been walking with a lift in one shoe since then. With that much of a lift, it makes my foot tilt down noticeably. I have always felt unstable walking on that leg.
    I am going to have a total knee replacement in a few months.
    Can the leg discrepancy be corrected with the knee operation? The surgery will be done on the longer leg, the side without the hip replacement.

  • @richardking6066
    @richardking6066 Před rokem +1

    My (pre-operative) left leg is about 25mm shorter than my right - I've found wearing a wedge in my shoe to compensate has reduced some of my pain problems. I'm hoping though, that my surgery may result in equal-lenght!

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Yes Richard often the affected leg is shorter and gets equalized with surgery. Thanks for watching and subscribing

  • @janicehellzen8765
    @janicehellzen8765 Před 3 lety

    This was so helpful and makes total sense. Before my surgery 10 days ago I felt like I was leaning into my right arthritic side and now it does feel longer on that side. I’m wondering if that’s where my thigh pain is coming from as my body needs to adjust to walking so different. It took me years to get to the point of a THR and it makes sense it will take time to adjust. TY

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Exactly Janice. Thanks for sharing and best of luck going forward. Thanks for watching and subscribing if you did.

  • @ChuckD59
    @ChuckD59 Před 2 lety +1

    Thanks for this, docs.
    I'm going on 8 weeks out from right THR, anterior approach. It's been two weeks since I last used a walking aid, a cane (a rather handsome one). I will add this to my mental notes as I progress. I'm pretty sure there's a nearly 1/2" difference, the surgical one longer. I've grown mildly concerned, as has my PT.
    I also have a history as a higher level competitive road cyclist (Cat. 2) a couple decades ago, and it's my hope that I can get back on a bike soon. The idea there would be a change like this at all was never mentioned prior to surgery so this is an unpleasant surprise. But I do agree that it needs a couple months for my body to adjust to, A. not having the FAI that caused this and B. allowing my body to adjust. This video was somewhat reassuring.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety +1

      Hi ChuckD59. It will often improve and the good news is that 1/2 inch will not cause any functional problems for you. Only your tailor will know. All the best. Thanks for watching and subscribing

    • @caesar_cipher
      @caesar_cipher Před rokem

      Hello Chuck, I hope your recovering well. Can you please give an update about your leg length discrepancy ? In the sense, do you feel its longer ? Is there a limp or uneven gait because the difference ?
      Thanks and sending you good wishes

    • @ChuckD59
      @ChuckD59 Před rokem +1

      @@caesar_cipher Thanks Ceasar. There's no question there's still a difference. Not enough to need to change anything on a bicycle, but certainly in walking and standing. I don't think it's changed a bit. In follow-up discussion with the surgeon it was explained that my hip problem was two-fold: the FAI (basically a bone spur at the edge of the hip socket) as well as general deterioration of the "padding" between the ball and socket on both sides. This has caused me to lose nearly an inch in height over the past couple years, and also the prognosis that the other hip will need to be done eventually too. I am experiencing acute arthritis throughout my pelvic area that a couple Tylenol helps with.
      With that prognosis my surgeon explains that things "will even up after the other is done". I assured him he'd be the one to do it.
      So to answer your question, there is a noticeable asymmetry when walking but not so much that with some focus I can't appear to walk normally. I don't think there was much "settling in" after the surgery.

  • @teabaker7189
    @teabaker7189 Před 2 lety

    Hi docs my question what should you do if you have severe pelvic tilt before and after THR. My surgeon lengthened my leg because it was shorter from the disease but also from the pelvic tilt. So now my THR leg is over an inch longer, it’s been years since the surgery and I still don’t have outward rotation of this leg. Nor can I bend more than 90 degrees. What should I do?

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Hi Tea. And insert or lift is the best advice for the leg length discrepancy. Physio for the range but it may be hard to get after all of these years. Best of luck. Thanks for watching and subscribing

  • @cathyrussell7157
    @cathyrussell7157 Před 10 měsíci

    My leg on the operated side is 5 cms, (2") longer than the other one. The discrepancy when walking is disconcerting so I have bought some insoles for the shorter leg to compensate.

  • @enigma1000
    @enigma1000 Před rokem +1

    A difference of an inch after hip replacement and after everything has settled sounds huge. My surgeon said they aim for a difference of no more than 5mm, or about a fifth of an inch. There’s an issue of surgical technique too. If you are having to lengthen the leg to achieve stability at the hip I’d suggest you need a different technique. Current best practice seems to be to use an anterior approach that does minimal soft tissue damage, and hence causes least instability post op. Position analysis would I think be carried out at time of surgery to ensure the best implant, ball and socket positions and sizes give a result within close tolerances.

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Hi Enigma. The goal is equal length. But our bodies can tolerate close to an inch without functional consequences. Most cases have no different. For those that do there is usually a reason. The dislocation rate for the anterior approach is the same as the lateral approach. Thanks for watching and subscribing

    • @enigma1000
      @enigma1000 Před rokem

      @@TalkingWithDocs Thanks for taking the time to comment. I suppose what functional consequences can be tolerated are very patient specific. For a professional or serious amateur cyclist a significant leg length difference, say of more than about 8mm, would be pretty catastrophic and entail substantial life change. But if the functional requirement is only short walks then maybe 20mm difference is tolerable.

  • @karenelwell6615
    @karenelwell6615 Před 4 lety +25

    Hmmmm my regular dr looked at my legs and said my operated leg is about an inch longer after my surgery 2 months ago! Will this even out? What the heck.....an inch???? I dont want to have to wear insert when I wasnt even limping before my surgery. My other hip has absolutely nothing wrong with it. Should I call my surgeon to look at the difference? Im getting mad. Im only 51 and dont want to wear inserts for the next 40 years and what about when I wear heels.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 4 lety +3

      Hi Karen. Don't get mad! So leg length discrepancy is common after hip replacement. It can come from many sources as we talk about in the video. Often it will improve with time as your pelvis levels out. Having said that, your operated leg may actually be longer. At the time of surgery, in order to make your hip stable, sometimes the only option is to make the leg longer. This is unfortunate but much better than having a hip that dislocates. Best advice we can give is don't panic. Talk to your surgeon and see what the potential causes may be. Hope that helps and good luck. Keep us posted and thanks for watching.

    • @sharon48mc40
      @sharon48mc40 Před 4 lety +6

      I am getting upset too about having a leg longer than the other , I am scheduled for hip replacement on Monday and I am about to change my mind due to hearing about the difference in the leg length I am 50 years old and was always active and did some modeling in my younger years also enjoy wearing high heels , I do not want a deformity in my legs

    • @zuzanazila
      @zuzanazila Před 2 lety +3

      @@TalkingWithDocs It is an inch not 5 mm. This is a lot! Talking us not going to help. It needs to be fixed surgically!

    • @freddiestone9941
      @freddiestone9941 Před 2 lety

      You were walking without a limp or anything were you steal in pain? When I had mine I could nearly walk it's my replacement side that is over 1 inch shorter and.now my back replacement side sticks out and can't walk long distant still better than before

    • @zuzanazila
      @zuzanazila Před 2 lety +1

      They can do an adjustment surgery snd shorten. It. That's what I read. But anninch is way too much. How are you now? What did you end up doing?

  • @torydz
    @torydz Před 5 měsíci

    My left hip was replaced and the surgeon said that even before replacement, my left leg was longer. However, he kept it the same length because he said shortening the leg could cause the muscles and/or tendons to have a little more slack and cause instability. He recommended a simple approach of just adding a 1cm shoe lift in my right shoe.

  • @fmaries7000
    @fmaries7000 Před 11 měsíci

    Strangely it took almost a year after surgery before the doctor discovered that my operated leg length is actually 1cm shorter than my non surgical leg. I now live with chronic hip, leg and back pain. Any suggestions?

  • @Alakwe
    @Alakwe Před 2 lety +1

    I've got 18mm diferencial after bi lateral hip joints replacement, in the right leg, they started with left

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety +1

      It can happen Paul. Usually a shoe lift will help. Best of luck. Thanks for watching and subscribing if you did

  • @maryminer3909
    @maryminer3909 Před 5 lety +1

    Thanks, guys. Wow. I'm in my 4th month after THR surgery. Still using cane. Still have pain when I do too much ... which I do too much everyday! But I just said a few days ago that it feels like my leg is longer than the other. At least now I know I wasn't imagining it! My surgeon never mentioned it.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 5 lety +1

      Hi Mary. Thanks for sharing. Yes it is common to feel a sense of a longer leg. This typically improves with time and as your muscles get stronger and your body gets used to your new hip. Good luck!

  • @sylvielaurelaptail3548
    @sylvielaurelaptail3548 Před 3 lety +3

    In my case it's not the leg that is longer it's the hip that is higher. It is visible when I'm looking at myself in the mirror. I'm wondering if this is why I have so much pain putting weight on that leg?

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Hi Sylvie. This typically wouldn't be a source of a large amount of pain. If you do have pelvic obliquity this may be related to your lower back. Best to get reassessed though. Thanks for watching and subscribing if you did.

  • @mikebassett9054
    @mikebassett9054 Před 3 lety

    My left (surgical hip) is already longer than the right in which I have a lift in already ... this surgery doesn’t excite me because it will be mounting onto an existing problem . Do you have any recommendations????? Seriously worried . Prob gonna cancel the thr due to this

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Hi Mike. That does make it tricky. Do you have arthritis in the right side as well? Often you can make up some of the difference after the second hip is done. Best of luck with your decision. Thanks for watching and subscribing if you did

  • @dayrock23
    @dayrock23 Před 2 lety

    I had a hip replacement but my stem has sunk lower into my femur about 1/4 inch which makes it painful to walk. It cause me to have a limp and pain. Is this normal? My option are either to put a lift in my shoe on the surgery side to make the leg longer or remove the new femur for a new longer one and larger one. It was suggested that the wrong size was used.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Hi David. Sometimes the femur can be inadvertently undersized and subside. The lift can work but sometimes it continues to settle and can lead to a fracture. Best to discuss with your surgeon. Best of luck. Thanks for watching and subscribing

  • @jeffreyalexander7504
    @jeffreyalexander7504 Před rokem

    I'm about 8 weeks out of a hip replacement. The doctor who did the surgery noticed the leg length difference when I went in for the 6 week exam. He suggested using an insert. He said to start with about an eighth inch and if that's not enough go to a quarter inch. I am using an over the counter Dr. Sholl's insert. (about an eighth inch) Initially after putting the insert in the shoe of the shorter leg, it seems as if that corrected the problem. The leg lengths seemed fairly equal. However, I go for about a half mile walk every day and I get knee pain and slight swelling in the knee in the leg with the replacement. I think I should try stacking 2 inserts in the shoe. This was mentioned in the video. Thoughts?

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem +1

      Yes both inserts in the short leg. The good news is it usually doesn’t cause any permanent knee or back problems.

    • @jeffreyalexander7504
      @jeffreyalexander7504 Před rokem

      @@TalkingWithDocs Thanks. You guys are great!

  • @user-fi4oi1vc5f
    @user-fi4oi1vc5f Před 11 měsíci

    My left leg is already 4cm shorter than my right leg due to contracting polio as a baby. I use a cane and manage very well. However, due to arthritis in my right heap severely affecting my mobility/pain, my surgeon has recommended a total right hip replacement. My left hip is in good condition. A 1cm discrepancy post right hip replacement takes me to 5cm discrepancy overall. A 2cm discrepancy post right hip replacement takes me to a 6cm discrepancy overall. Such a discrepancy will make walking very difficult (even with my cane) and represents a big left shoe
    build-up. I will now delay the right hip replacement for as long as possible. However, I thank you for explaining so clearly why this occurs - it makes perfect sense.

  • @jeffreys.harris3433
    @jeffreys.harris3433 Před 2 lety

    Hi Dr's your videos have very informative.
    I recently had a hip replacement due to AVN of the right hip. My leg was shorter by about a inch 1/2 my surgeon did a great job, however I'm 24 days out of surgery I'm walking on a Cain. My pain is in my knee I can't put much pressure on it, but I'm doing my workouts. Is this normal?? Thanks 😊

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Hi Jeffrey. There can be some knee pain with hip replacements as long as it is slowly getting better. Good luck. Thanks for watching and subscribing

    • @jeffreys.harris3433
      @jeffreys.harris3433 Před 2 lety

      @@TalkingWithDocs thanks, I'm walking with a Cain. and pain is slowly going away, great videos

    • @caesar_cipher
      @caesar_cipher Před rokem

      @@jeffreys.harris3433 Hello Jeffrey, can you please give an update - is your pain better now ? And can u walk without cain ? And if its ok to ask, how old are you ?
      Thanks and good wishes for your recovery

    • @jeffreys.harris3433
      @jeffreys.harris3433 Před rokem +1

      @@caesar_cipher hello Caesar.. I'm not taking any pain pills but ibuprofen 3 daily.
      It's been very tough recovery. I just started walking without a cain 2 weeks ago, I still have some discomfort but I am healing and starting to walk normal again very slight limp, but I'm determined to get over that, hope that helped, thanks for asking

  • @monettedeguzman4431
    @monettedeguzman4431 Před rokem +1

    Just had my THR last March 8 and my operated leg is much longer (1 inch). My surgeon said that it will get even as time passes by, but my therapist advised me to use modified shoes first and knee brace as my knee (operated leg) is really in pain.
    Is it true that my operated leg, which is much longer, will get even on my normal leg after a couple of months? Thanks!!

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Hi Monette. Often it feels way longer at first. Some of this can come from the pelvis. And this will settle. But yea sometimes it is longer out of necessity for stability. A lift is often helpful. We advise starting with an over the counter pair. Put both in the short leg. Best of luck

    • @HeatherLikesArt
      @HeatherLikesArt Před 5 měsíci

      How are things now? Any improvement since you wrote your post?
      I hope things are well for you.

  • @baylaobrien6205
    @baylaobrien6205 Před rokem +2

    Actual leg length difference often effects the stability of the sacral Iliad joints and causes back and refered leg pain. Must be addressed before the 6 months mark.

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem +1

      Hi Bayla. Unless the difference is 5cm probably not. An oversight the counter insert in the short leg is a good place to start. Thanks for watching and subscribing

    • @baylaobrien6205
      @baylaobrien6205 Před rokem

      Thank you for your response. I think it is a must to be aware of your pts history with pelvic instability. It is with those who have had chronic issues or those who began to have issues x 1-2years as leg length (both true and apparent) changed with reduced hip socket spacing. Those individuals would benefit from a simple over the counter heel lift as soon as possible. So I think we basically agree. I was left with about 1/2 inch longer. Heel lift was necessary to avoid continuing stress and substitution patterns during walking. Thank you for your videos.

  • @kathyflemmings631
    @kathyflemmings631 Před 2 lety

    I have a shorter leg one inch and a half from a hip dislocated as a child I had a total hip replacement in 2008 but he didn't lengthen it can this be done and how do I find a surgeon to do it.?

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety +1

      If it is replaced already and has no pain, revision would not typically be advised Kathy. It can be done however. Thanks for watching, subscribing and sharing with someone if you did.

  • @DeeDee-rr3sn
    @DeeDee-rr3sn Před rokem

    Interesting Video, thank you. I have a scenario for you that I hope you can help me with.
    ***Hi I don't know if you will see this message/question but I thought I'd take a chance asking it anyway. If a patient, were to have one femur longer in length than the other hence making one leg longer by appx 1 to 1.25+/- inches and that "longer leg"/side is also needing a hip replacement due to severe OA. How possibly would that leg length differential be addressed and would it be addressed at the same time as the the T.H. replacement? The leg length differential is definitely the FEMUR (it was broken as a infant) and not a spine or pelvic tilt issue. Since you address in your video that you intentionally leave the THR side a bit longer, in a situation like this the affected side would be then really long. I'd appreciate any possible suggestions or advice as I would like to continue researching the issue and what possible procedures if any would or could be used. And yes I am the one with this issue. I'm only 55 and I REALLY don't want to have to use shoe inserts.

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem +1

      Hi Dee Dee. Good question. There are really three scenarios. 1. That the long leg gets a bit longer or stays the same with THR. 2. The other hip needs to be replaced and some of the difference could be made up at that time 3. Most complicated, a shortening procedure is done either staged or at the same time as the primary hip replacement. Definitely go to a Center specialist in hip replacements. Best of luck. Thanks for watching and subscribing

    • @DeeDee-rr3sn
      @DeeDee-rr3sn Před rokem

      @@TalkingWithDocs As you mentioned above if a shortening is done at the same time as a THR, curious what is the most common way the let is shortened? do you take out a completely different small section of the femur or just a bigger portion of the femur head area????

  • @georgepetzen4686
    @georgepetzen4686 Před rokem

    My preop hip is 18mm shorter on X-ray due to dysplasia and Coxa Vara. Should the team analyze positives of a full 18mm lengthening?

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem +1

      Hi George. Not sure what “analyze positives” means but they will likely lengthen you. Best of luck

  • @ayyappavinti5877
    @ayyappavinti5877 Před rokem

    Is it equal length for both legs After double hip replacement.? And what is the life of artificial hip(Non cemented ceramic head with highly cross linked poly).

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      So yes hopefully close to equal when done. Life is likely 20+ years but every patient is a bit different. Thanks for watching and subscribing

  • @kerrileelawrence2402
    @kerrileelawrence2402 Před 3 lety

    Question is if leg Femur rod in hip revision surgery was too long tilting pelvis terribly, can they Is There Any Hope, Can I Ever get My Leg Shortened to Balance Pelvis and Fix Gait Issues knee issues etc.. or is it Just better to Finally Accept The Mess Can't be Fixed Now and Amputate at the Hip.. eighteen Surguries from MVA leg went through pelvis Destroyed everything tilted ripped pelvis upwards left side etc.. no healthfund anymore and been bedridden since got butchered five years ago.. can leg be shortened I can't reach my foot to get shoes on can't keep taking deadly pain pills that don't cover it anyways.. opinions would be So Appreciated my old Surgeon had to retire and begged me not to Amputate.. I don't want to but can't live like this much longer.. 49 and have a child who needs mumma well n walking without agony.. from Australia.. thanks

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Hi Kerrilee. It is first important to use xray to assess the actual difference to ensure if it is from your leg or your back or your pelvis. Then you can discuss possible treatments. Revison surgery for leg lengths is not recommended by us. Hope that helps. Thanks for watching and for subscribing if you did.

  • @deidrekoehler2882
    @deidrekoehler2882 Před rokem

    I have a very noticeable limp due to multiple hip surgeries. I tried multiple shoes implants and nothing has worked. Unfortunately, I think I need to go to a Podiatrist to try and get and actual shoes and have my foot length looked at. Watching myself on video is so depressing but, the shoes are as well.

  • @martabeeler930
    @martabeeler930 Před 4 měsíci +1

    Had to have a new sole put on non operated leg...had a severe limp after hip replacement 😢

  • @mraglan6049
    @mraglan6049 Před rokem +1

    I had THR 6 weeks ago and my leg length diffrence is almost an 1 and a half inchs. My doctor hasn't even addressed if this is normal. Should he want to give me a revision surgery to fix this issue?? Please help and ty. I did have avn and a hip pinning of the hip 15 years earlier so idk how much that affected my leg/hip

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Hi M. So your femur lengths may be different to start. Some of the difference can come from your pelvis. Often there isn’t really a surgery to solve it but definitely worth a chat with your surgeon

    • @mraglan6049
      @mraglan6049 Před rokem

      ​@Talking With Docs Well my original surgeon acted like it was normal and to just get a insert etc. I went to a second surgeon who knew right away I needed a revision to fix this issue. Ty 4 the reply.

  • @rajansharma8
    @rajansharma8 Před 2 lety

    My non operated leg jerk a little. I have undergone THR of rt Hip 2 month back

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety +1

      Spasms are not uncommon but often will get better with time rajan. Thanks for watching and subscribing

  • @sarahjones1080
    @sarahjones1080 Před rokem

    my 2nd hip i had is far shorter. 4 years on i still am unable to stand on the shorter leg on its own. no one on the NHS seems to be able to tell me why this is!

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Hmm sarah that seems odd. Maybe another opinion. Best of luck. Thanks for watching and subscribing

  • @nelltem1
    @nelltem1 Před 5 lety

    Hi 6 weeks post op with a full right hip replacement which is ceramic.. I'm experiencing a burning sensation on the souls of my feet can you explain why I'm getting this.? Please x

    • @TalkingWithDocs
      @TalkingWithDocs  Před 5 lety +3

      Hi H MT. Sometimes the burning can be related to the spinal anesthetic or pre-existing spinal pathology. It can also be related to lying in bed for prolonged periods of time. If it continues you should be assessed by your surgeon. Hope that helps and thanks for watching.

    • @nelltem1
      @nelltem1 Před 5 lety

      Thanks for the reply guys 👍

    • @KatJ3st
      @KatJ3st Před 3 lety

      @@TalkingWithDocs well said! The prolonged back rest is a concern for me also with preexisting sacro-lumbar issue already!

  • @user-rl1rm3wk8f
    @user-rl1rm3wk8f Před 10 měsíci

    My operative leg is shorter than my non-operative leg. It's been 6 months, and it hurts. It sucks.

  • @lindatincher5946
    @lindatincher5946 Před rokem

    It's been a year and a half since my hip replacement and my hips let's go sometime and almost made me fall. Why would it do that. It's not the ball coming out of socket.

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem +1

      No it is likely weakness in the muscles or possibly even the nerves from your back. You should be assessed.

  • @darlenewaters11
    @darlenewaters11 Před rokem

    I had total hip replacement surgery 2021 i October. I have a 2 inch leg length difference I have to still walk with a cane , I can’t walk long and I have back problems that is making my back worse. What to do with that big of a difference????????? Help

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem +1

      Hi Darlene. That is a little longer than average. Often a lift in the shoe or a custom heel can help unless you are having the other hip done which will help with the length. Best of luck

  • @jenniferrobles1539
    @jenniferrobles1539 Před rokem +1

    I've always had one leg shorter than the other which has caused me to wobble when I walk.. well most of my life. Had hip replacement and it is still longer than other leg and trying to get me to walk without wobbling is impossible as hard as I try. Still irritating to hear people saying why are you still limping/whobbling...whatever...it is what it is but I do notice no more pain like I used to have in my hip. If needs be I'll get an insert I'm 61 and still have life in me yet...lol not going to let a little wobble define who I am.

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Agreed Jennifer an insert if needed is very helpful. Best of luck. Thanks for watching and subscribing

  • @donnamariebradley8283

    I had a hip replacement in 2020 and have one leg longer than the other now.I now have to wear special insoles so that my legs are the same length so I don't walk with a limp. And by the way my hip has dislocated twice, and I am now facing further surgery so that this hip replacement can be changed. Not happy about this.

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Sorry to hear that Donna. Hopefully they can correct both issues with the revision. Best of luck. Thanks for watching and subscribing

  • @TheCoregon
    @TheCoregon Před rokem

    My chiro said there is a procedure called a Scanogram..using catscan machine..to get EXACT leg length discrepancy before you get a lift..or if you are having a 2nd THR to get proper alignment. It is low radiation. Why are all surgeons not using this technique. My doctor had never heard of it. Have you surgeons heard of it..and do you use it? My leg length discrepancy is so significant that I now have atrophied muscles in my gluteus..low back disk issues...subluxation of patella and multiple tears in meniscus of opposing leg. All of these are new issues since THR was done and I ended up with this leg length discrepancy.

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      So yes we have heard of it. No we don’t use it. The main issue is that when performing a hip replacement the hip needs to be stable after the procedure and sometimes that means lengthening the leg. But typically less than 2cm. Hope that helps. Sorry to hear you are having a hard time. Thanks for watching and subscribing

  • @shaikalavudeen3867
    @shaikalavudeen3867 Před 3 lety

    Maximim how many mm or cm chances if i can go fpr hip replace. There is also any chance for 1 mm 2mm.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Hi Shaik. It is hard to say. Often leg lengths are equal. A big predictor is the difference before surgery. Discuss it with your surgeon before. Thanks for watching and subscribing if you did.

  • @slurpee_blue5445
    @slurpee_blue5445 Před 9 měsíci +1

    2.5 years post THR. Inch longer on surgery side. Constant pain in SI joint, groin and low back. I regret this surgery. I would take it back if I could . I am non functional now. This blows.

    • @Sarannah100
      @Sarannah100 Před 5 měsíci

      I hear you! I’m only 4 weeks post surgery and have SIJ pain also. I wish I’d never had the surgery done. I would have preferred to live with the pain than to be in this situation now.

  • @frogoftoob
    @frogoftoob Před rokem

    I recently had my right hip replaced and before it was a little over an inch shorter. Now its almost an inch and a half longer then my left. I read that an inch or more longer is malpractice

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      This can happen sometimes. The primary goal of surgery is to give you a stable hip and sometimes you need length to do that. Some of the difference can be perceived and related to pelvic obliquity rather than the leg itself. If concerned get a second opinion.

  • @alexsummerRain
    @alexsummerRain Před 2 lety +2

    AND my leg is twisted outwards slightly....(and I'm in a lot of pain)

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Hi alex. That external rotation may improve with time. Hope it gets better for you. Thanks for watching and subscribing

  • @lonniereckmann7444
    @lonniereckmann7444 Před 4 lety

    I had LTHR November 20 2019 and feel my leg is close to 4 cm longer. Would a surgeon redo the surgery in a short time to correct this problem or I am just going to have to deal with it?

    • @TalkingWithDocs
      @TalkingWithDocs  Před 4 lety +1

      Hi Lonnie. So, it is important to determine the real vs perceived leg length discrepancy and this can only accurately be done with a long leg xray. Often if you change the position of your leg it will change the discrepancy. It can be related to pelvic obliquity and low back disorders. Typically no surgeon would operate early for leg length discrepancy. The other important issue is that we put in the implants that make the hip stable. This is the first priority and sometimes length is needed to make the hip stable. Always best to have a frank discussion with your surgeon. Hope that helps. Good luck and thanks for watching our channel

    • @8203airmax
      @8203airmax Před 4 lety +2

      @@TalkingWithDocs Thanks for your reply I see my surgeon on Friday the 6th of December 2019. I will surely have a discussion with him then and see what he thinks is really going on. Thanks again.

    • @andreablanchard4872
      @andreablanchard4872 Před 4 lety +1

      @@8203airmax Hi and thanks! Same thing happened to me. I just had THR surgery December 11. My operative leg is so much longer it's unbelievable. I was an athlete for years and I'm still very active so this has been devastating for me. My surgeon wants to operate December 24th. to fix the problem. He said he can bang the prothesis down a little further into the femor. I'm terrified to do this. My limp is extremely pronounced but I'm still healing and healing fast actually. It just seems like this can cause more bad than good. Please help

    • @KatJ3st
      @KatJ3st Před 3 lety

      @@andreablanchard4872 ha! What a cowboy you got for an Ortho! I like his style. Check his reviews for his carpentry skills. I might not want him working in my house😈

  • @paulalbamonti290
    @paulalbamonti290 Před 10 měsíci

    Just had a THR 8 days ago. Will leg length cause thigh, knee, ankle pain?

  • @carmenwilley8858
    @carmenwilley8858 Před rokem

    What kind of shoe lift?? What kind of orthodic?? My surgeon did not tell me. Went to a foot doctor and he did nothing? Did not watch me walk or suggest an orthodic?

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Hi C W. you can start with over the counter inserts and only in the short leg. Or both for the short leg. Thanks for watching and subscribing

  • @pm6613
    @pm6613 Před 2 měsíci

    I just had a THR surgery.. They offered to add a half inch to the new part. I knew this issue existed but saw on the x-ray that my torso on that side of my body was less developed. i went with the half inch addition. I would do this versus a shoe lift.

  • @bambam2923
    @bambam2923 Před 3 lety

    Just had hip replacement 3 months ago....my lower back is tight & sore is that normal....HELP ,,,anybody has problem,,,,let me know. thanks.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Hi Estee. That can happen. Often the way you walk is drastically changed. It should get better. Talk to your physiotherapist. Good luck. Thanks for watching and for subscribing if you did.

  • @ashleyjordan9064
    @ashleyjordan9064 Před 2 lety

    So what does one do when the leg is lengthened 2 cm or greater?

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety +1

      Hi Ashley. That is a good question. There are a bunch of potential scenarios. Going back in to shorten the leg is not really one of them as it would likely leave you with an unstable hip. If your other hip is arthritic, it will often be lengthened with a hip replacement. If it is not arthritic you could consider an orthotic or custom shoe lift for the short leg. It is not ideal we recognize that. Unfortunately as we mention in the video, the first goal of hip replacement surgery is reduced pain and stability and sometimes the only way to get stability is through length. Hope that helps. Thanks for watching and subscribing if you did.

    • @ashleyjordan9064
      @ashleyjordan9064 Před 2 lety +2

      @@TalkingWithDocs Thank you. Lifts were tried. EMG showed nerve issues, yesterday opted for revision. This is where things get crazy I think: change that ball which will only make a 2-3 mm change; try to remove shaft without breaking bone (orig surgery was 27 days ago) if a lot of fusion has not taken place; if some fusion took place and shaft would I agree w breaking bone to replace or do other side (which has moderate arthritis); change the ball part in hip and do other side… There are so many choices. I did speak with another ortho at the VA about the pros and cons about revision. I read some professional papers (avail thru NIH & similar) about revisions. I made up my mind what I want to do. The revision is in a couple weeks. This whole ordeal is daunting.

  • @KatJ3st
    @KatJ3st Před 4 lety

    Does the length difference cause spinal problems?

    • @TalkingWithDocs
      @TalkingWithDocs  Před 4 lety +1

      Hi Kat59. It could potentially cause spinal problems but only if the difference was greater than 2 inches or so. This would be very uncommon and could be addressed with a shoe lift. Thanks for watching.

    • @KatJ3st
      @KatJ3st Před 4 lety

      @@TalkingWithDocs Thanks again guys for being so responsive! I have recommended your videos to my Naturopath and chiropractor.

  • @marystevens8359
    @marystevens8359 Před rokem

    20 months ago I had total hip replacement on my right hip and now it is shorter than my left and I loose my balance all the time. Putting an insert in my shoe didn't help! In the summer I can't wear enclosed shoes so insert doesn't help!!!!!!!!!!

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Sorry to hear that Mary. The other option is adding a lift to the sole

  • @ralph1bart
    @ralph1bart Před rokem

    On my first hip replacement the leg was longer after surgery. It now matched the other leg. Having matching legs took some getting used to, lol. 🙂

  • @judylategan6964
    @judylategan6964 Před 3 lety +1

    Thanks for this information. Now I am feeling better. Mine is 1cm shorter. So was very worried. So its not that big deal. I am now 74 and dont like to redo it with a bigger prostese that was proposed by my ssureant.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Great attitude Judy and glad we could help. Thanks for watching and subscribing if you did.

    • @SkyHermit
      @SkyHermit Před 2 lety

      1 year later, is your leg still 1cm shorter or are they even out now?

  • @zfruhl
    @zfruhl Před 2 lety +6

    BS... totally obvious that these two guys don't know what the hell they're talkin about. The way they keep looking and glancing at each other for reassurance is so telling to me. If they knew what they were talking about they would look right into the camera speak without trying to glance around the room for answers. Another thing is that a doctor needs to measure the damn hip "properly" and know how to choose the right length of prosthesis for that person. I had my first hip replaced by a doctor who did a perfect job. There was absolutely no difference in the length of my legs when he finished. Unfortunately, I didn't have such good luck with the second doctor who I asked to call the first doctor to get the length, and material, that the prosthesis was made out of that the first doctor used, and he promised that he would. But he did not! He got a prosthesis that was way bigger than the one that was in my right hip. I had put on a lot of weight so I guess he thought that he needed a bigger prosthesis. But the fact is your bones are still the same. Just because you gain weight doesn't mean that your bones got bigger. What happened was that he had to hammer the damn prosthesis down into the bone, which in doing so stretched my hip bone. It's very obvious because when I sit with both my legs together that leg is much longer at my knees.
    What it all boils down to is finding a doctor who had sense enough to know the right size of the prosthesis to get for each individual. Also a revision cannot be done after a certain length of time when the ligaments and muscles grow around the prosthesis. It's dangerous to cut them away because then they could fractured hip bone itself.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Hi Zeda. Sorry you had a difficult time with your second hip. Not sure why all the hate towards us. For the record the length of the implant unless it is a revision is typically determined by the diameter of the femoral canal so you don’t really pick the length. You pick the diameter. Wider canals have longer stems because they go in farther. One of the potential reasons your legs were equal the first time may have been because it was a little short. If both hips are arthritic the surgeon often will try and make the first one a bit long so that they can catch up and equalize with the second one. Best of luck to you though. Thanks for watching

    • @zfruhl
      @zfruhl Před 2 lety +1

      @@TalkingWithDocs - BS! You think you know what you're talking about but you don't. You have it all backwards. The second prosthesis for my left hip should have matched perfectly in length and width as the first prosthesis replacement on my right leg (first operation) done by Dr. Philip Bobrow who treats many pro athletes. Dr. Brian Evans who teaches at Georgetown University hospital who fixed the mess (bless his heart) that Dr. (I don't even want to call him doctor) James MacDonell butchered, said so.
      In addition, there was never any difference in the length of my legs to begin with...ever! That occurred after the dingbat so called doctor who thought he knew what he was doing butcherd the job replacing my left hip. After the operation my left leg was an inch longer than my right leg. My femur on my left leg was longer because he had jammed the prosthesis down into the bone to make it fit so he could finish the operation and get back on his cellphone, which he tended to stay on constantly. I have all my medical records from the hospital and all of the x-rays. The difference in the size of the two prosthesis is extraordinary. MacDonell should have called Dr. Bobrow like I asked him to to get the correct size. So your adage regarding the measuring does not always apply. Even if the measurements were off as you have suggested, it still would have been a hell of a lot better if he would have just done what I asked and gotten a smaller prosthesis. The damned thing he got was huge. I am 5ft 1" and weighed 105 lbs in my early twenties. I now weigh considerably more, but those bones are still the same size as they were at 105 lbs.

    • @guitarzan2626
      @guitarzan2626 Před 2 lety

      Same here, get a second opinion,I wish I had.

  • @TheEmmochka
    @TheEmmochka Před 9 dny

    I will ask my doctor....i have one month after replacement, i do had knee problems before surgery, but not like that. I have knee pain that just impossible to deal with. I need explanation....this us not regular knee pain...this is intense, i take Tylenol with codeine 😢😢😢

  • @georgekpalmer9062
    @georgekpalmer9062 Před 5 měsíci +2

    great, get a lift for my shoes or have the other hip done. good to see you seem so happy about it.

    • @Sarannah100
      @Sarannah100 Před 5 měsíci +1

      Exactly. They seem quite entertained and amused about it which I personally don’t appreciate. I always thought that differing leg lengths will then put your pelvis and spine out of whack and cause you pain and mobility issues in the future. I’m 4 weeks post hip replacement and have a 1.5cm discrepancy in leg length. It is very noticeable to me and others and is very disturbing and causing me a lot of anguish. The ‘solution’ of just using ‘risers’ is not much of a solution to me. What if I have 30 or 40 pairs of shoes/sandals? Do I have to buy 30 to 40 risers? I live in a hot climate and rarely (if ever) wear closed in shoes. I wear thongs (Aussie word for flip flops or jandals) and sandals and I have lots of pairs of them. I can see this is going to be a very expensive ‘solution’. I don’t appreciate the barely disguised humour that these two doctors exhibit in this video.

    • @HeatherLikesArt
      @HeatherLikesArt Před 5 měsíci

      ​@@Sarannah100I agree. It isn't a topic to be taken lightheartedly. I'm sorry you are having an issue with your leg length.
      And you're so right. It will be such an annoying and probably expensive thing having to buy lifts.
      I have just had my hip done. I have 1cm difference. That may not seem much but I actually noticed it straight away as soon as they got me up and walking. It is the weirdest thing. I am hoping that maybe it takes time for things to settle and with having Physical therapy too things may even out.

    • @Sarannah100
      @Sarannah100 Před 5 měsíci +1

      @@HeatherLikesArt I commiserate with you. Unbeknownst to me, apparently differing leg lengths is fairly common after THR. Like you, I think we can only hope that it will resolve in time with a helping hand from some physio. I wish you the very best for your healing.

    • @HeatherLikesArt
      @HeatherLikesArt Před 5 měsíci +1

      @Sarannah100
      Thank you. I wish you healing too. I hope things get better for you.
      I Did check out other videos about shoe lifts or risers. There is a kind that you can transfer from shoe to shoe. And a velcro attachment.
      The Woman showed how she used it on slides or thong type summer shoe.
      I will find the link and share if I can.

    • @HeatherLikesArt
      @HeatherLikesArt Před 5 měsíci +1

      @Sarannah100 here's the video about lifts or risers for shoes.
      I don't know yet if this is something I will have to do. I will wait a few weeks. If things don't improve to where I'm happy. I will go and find a chiropractor. The chiropractor can measure and give me an accurate assessment and can advise what size lift to get. Or get custom ones made.
      I'm not going to get them off Amazon until I know more about my situation.
      Right now I'm in pain. I Just had physical therapy.
      If you are still in physiotherapy how is that going for you?
      czcams.com/video/ceibPBB9eCY/video.htmlsi=4z14DvKANomm1bBb

  • @sandrayoung2819
    @sandrayoung2819 Před 3 lety +1

    You did not address if the difference in length is much greater then one or two inches, I had a hip replacement surgery and the leg length is so different I walk like a penguin. Severe pain in lower back, Sciatic nerve and even my knee is starting to bother me. I can’t sleep through the night without waking up in pain. If you are going to discuss this topic talk about the worst case scenario and resolutions. Shoe lifts are not the answer and I would also like to know why this might have happened. Very disappointed in this video.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Hi Sandra. You seem very frustrated and we are sorry the video did not provide the answers you were looking for. It was designed to address the most common issue which is actually a small leg length discrepancy. It most commonly happens because the primary goal of a hip replacement after pain relief is stability which often is achieved with length to increase the tension in the soft tissues. If you are walking like a penguin this can be related to the length issue but often is also due to abductor weakness. Revision surgery to reduce the length of your leg is often not an option as it would leave you unstable. If you have arthritis on the other side they will often lengthen during that procedure which could address the issue. Custom shoes rather than lifts are also an option. We realize this is a frustrating problem for patients but is not entirely uncommon. Hope that helps clarify a few things. If you are still wondering about options a second opinion is always one choice for you. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.

  • @firestonegraywolf
    @firestonegraywolf Před 2 lety +2

    Hey, hopefully I can help some of y'all. Im 34 had AVN due to radiation treatment. I got my first hip replacement last year and just like all of you I had uneven legs. It caused my to limp which caused lower back pain and sciatica pain 😩 if you are only having one hip replacement by all means GET A SHOE LIFT. it will at least even out your gait and prevent the back pain, also use your cane ! Make sure you exercise the non operative leg too, sometimes this can help stretch out those muscles that "shrink" because you are compensating. Now in 2022 , I am on my second THR, and noticed once again the left leg is a bit longer , I am working hard to stretch and keep everything even - I'm only a week out from surgery so there's still time before everything settles. Sometimes there really is nothing that can be done but I'm determined to not have a limp. Hang in there and work hard , it will get better

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Thanks so much for sharing your experience. All the best. Thanks for watching and subscribing

    • @pallavnath4300
      @pallavnath4300 Před rokem

      Thanks buddy.. get well soon 😊

  • @josephbagio7930
    @josephbagio7930 Před rokem

    I had hip replacement and one leg is shorter than other a year after that cause me sciatica nerve pain

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Sorry to hear that Joseph. Thanks for watching and subscribing

  • @marylisadoucette4954
    @marylisadoucette4954 Před rokem +1

    Thanks for this video. My Dr. and his team, without even measuring, say that I am crazy. My leg is so much longer that no matter what, I wobble and walk with a limp. They just laugh at me. It also is throwing me off balance which is dangerous!

    • @hawkeyejohnny968
      @hawkeyejohnny968 Před 11 měsíci

      They’ll never admit to their mistake. My first hip replacement resulted in that leg being shorter. I ruined many pairs of my dress pants by walking on the longer material. I unfortunately needed my other hip replaced due to a Labral tear and now both legs are the same length.

    • @eljeff5432
      @eljeff5432 Před 9 měsíci

      Omg hope you are doing better now. i am so sorry for the issues you are having and how your doc and his team has try to minimize your situation, that is so wrong. i couldn't imagine my surgeon doing that when he is a very sympathetic and helpful man. i am 34 yrs old and had my right THR on 3/9/2023 and so thankful my leggs are even, sadly i will be having my left hip done aswelll next month due to AVN.

  • @bettyjeanpetrinovich7373
    @bettyjeanpetrinovich7373 Před 2 lety +1

    Thank you for, "Remember, you are in charge of your own health." That's Such an important reminder!

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      For sure Betty Jean. Thanks for watching and subscribing

  • @alingrecu8269
    @alingrecu8269 Před rokem

    It is normal the leg with hip replacement to be 5 cm longer then the other one.?

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Hi Alin. 5 cm is a bit much but there are many factors that determine this. Your back. Your pelvis. The length of the leg before surgery. Worth a chat with your surgeon. Thanks for watching and subscribing

  • @hosministry
    @hosministry Před 4 lety +6

    But this begs the question what is an acceptable discrepancy? .5cm...1cm...2cm...2.5cm...?
    I had my hip replaced and it is now 2.5cm longer than the other side...yet the doctor said it would be with in a few millimeters....not 25 millimeters...which is .984 of an inch...hip feels wonderful, but now I am experiencing back pain, severe back pain near the spine...which was not present before the surgery. I had no choice of doctor because it was workers comp related...be wise on who you choose...research and get references and research and get more references before proceeding...My therapist says this will cause issues for the rest of my life...yet the doctor tries to play it off.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 4 lety +1

      Hi HOS Ministry. So that is a difficult question to answer. One of the best ways to address instability intraoperatively is with length. Sometimes you need to make the leg longer to make it stable. Studies have shown that leg length discrepancy less than 2.5 cm does not compromise knee or back funciton. Beyond 2.5 cm, you may require a shoe lift but this should be assessed 6 months or so after surgery. Hope that helps. Every patient is different for sure. Thanks for watching and subscribing if you did.

  • @londonplayer
    @londonplayer Před 5 lety

    Tangential point but is it true that if you break your ankle and have a plate fitted on your fibula, over the years your leg will shorten slightly? I thought it would maintain exactly the same length due to the plate's presence

    • @TalkingWithDocs
      @TalkingWithDocs  Před 5 lety +1

      Hi tom. If there are a lot of pieces to the fracture (comminuted), it sometimes can be shorter however it would likely be minimal. This is much more common with a tibia or femur fracture. Hope that answers your question. Thanks for watching.

    • @londonplayer
      @londonplayer Před 5 lety

      @@TalkingWithDocs thank you. I just wondered.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 5 lety

      No problem tom. That's what the channel is for! Take care

  • @3rdmastergaming315
    @3rdmastergaming315 Před rokem

    Sir I did my left leg hip replacement, after that my leg length increased and i have t also replacement in right leg after some month. When i asked dr about my leg increase length then dr told me that after ur right leg hip replacement ur both leg length will be equal. Is it true doctor? Please reply doctor

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Yes this is very common. Thanks for watching and subscribing

  • @jonlanier_
    @jonlanier_ Před 4 lety +1

    But now, the opposite leg is in pain... hip and down the femur. I don't care if I wobble walk... I'm in pain.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 4 lety +1

      Hi Jon. Typically a leg length discrepancy would not cause pain. If you are having significant pain, you should talk to your physician and get properly assessed. Thanks for watching.

  • @encrypted983
    @encrypted983 Před 2 lety

    Lol! I have uneven hips, and one legs feel shorter than the other! I don't have pain! But my posture is terrible and when I walk, I walk awkwardly, I tried chiropractors and just wasted money with it. For years.
    Now I was considering surgery but according to this video one leg may even be longer🤔

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Hi Encrypted. Maybe consider a shoe insert for the short leg. Thanks for watching and subscribing

  • @carolannwilliams4223
    @carolannwilliams4223 Před 2 lety

    I don’t like your answers, my leg has turned out longer and I am 5 weeks out from surgery and now it is causing lower back pain..and how in the world do you put a lift in a summer shoe?? Why would I want to? A surgery do over is what is needed!

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Hi Carol. Sorry to hear you are having a rough time. Best to get long leg X-rays to properly assess if the THR is the actual cause of your discrepancy. Sometimes you need to make the leg longer to make it stable. A slightly longer leg is better than a dislocating hip we promise you. Also if your other hip is arthritic you will often equalize after it is done. Best of luck. Thanks for watching and subscribing if you did

    • @NK53334
      @NK53334 Před rokem

      I just had my right hip done & as soon as I stood up, I noticed my right leg was noticeably longer!
      The doc said don’t worry, but didn’t say it’d be sorted as time goes by!
      Also, he never mentioned that would happen & all people I asked never mentioned about the leg length & pain from it!!
      Feel like deceived into surgery!!

    • @HeatherLikesArt
      @HeatherLikesArt Před 5 měsíci

      ​​@@NK53334How are things now? Has there been any improvement since having physical therapy and things settling?
      Why did you get the hip replacement surgery in the first place? Did you have pain in there, arthritis, what was your mobility like?
      what was your walking and activity like before the surgery. And consider if you could have carried on in that way forever.
      I just had my hip done and there's about 1cm discrepancy. Which I think compared to some people is not a big length difference. But it is still one and it freaked me out at first and it is still concerning me. That when I stand upright my "good leg" foot is not flush to the ground.
      Maybe after a month of physical therapy things may improve and it won't be as noticeable.
      We have to learn to walk again and walk upright with the correct posture and gait. I think all of that is to be considered.
      Do you recall your visits with the doctor prior to your surgery and discussions and the paperwork you signed.
      was there no talk of the possibility that there could be a slight difference in length?
      With my situation I saw the PA a couple of times on my appointments and not always the surgeon. The PA did tell me that there was the possibility of a slight length difference. But usually not noticeable but if it was then shoe lifts was an option to help. That did unsettle me when he told me that but it's not like I was going to cancel surgery and say forget it. Because I still needed to get my hip done to alleviate the pain I was having and to be able to walk better again.
      He told me that they try their best to make things even as possible but Stability is important.
      There's one thing I do notice now with walking, and I'm still using the walker at this stage, as I only had the surgery 3 days ago is that I am able to walk more upright now And I'm not limping like I was. I have been diligent with the PT exercises they gave me at the hospital. And moving around every hour. Yes. I'm in pain. (surgery pain, not arthritis pain) and it does feel all very strange at the moment.
      I start out patient PT this week.
      I'm hoping there will be an improvement with the leg length in time after my body settles and the prosthetic has melded with my body tissue.
      If after a few weeks, months and I'm still noticing a difference in leg length then I will look into lift inserts for my shoes. It's not ideal and not what I want but I couldn't carry on the way I was before the surgery. That wasn't something I was willing to live with long term.
      So ask yourself that. Could you have carried on the way you were prior to surgery, indefinitely? Maybe that can help you to put things into perspective.
      I am sorry you have the leg length discrepency. It's not something any of us want.
      I know it is even shocking at first.
      I did Google search on it and sure enough it's a very common thing with this type of surgery.
      I even messaged a friend who had the same surgery with the same surgeon. And she has no issues at all with leg length, not one that she notices anyway.
      I am sorry you feel that you were deceived. That's not a nice feeling at all.
      I hope in time you're able to come to terms with the changes and there's a solution to the pain you're having.
      Shoe lifts maybe the answer even though that is not ideal and one that you or none of us were wanting to deal with.
      I Did see another video where the person was showing how they use their shoe lift. There's a lift that you can transfer from shoe to shoe. I think it used a velcro attachment. She even showed how it works with her open summer shoe.
      I hope things get better for you and for myself too. I am at the Beginning of the journey so it takes time to heal. I have had both my knees done too over a decade ago. So I'm becoming bionic. 😊
      The knees replacement were tough, that was extremely tough for me ccompared to this hip replacement one.

  • @alidavalentinagosgnach700

    Wow it’s funny how one of our leg or hip is longer then the other, I may have one hip longer then the other I may not notice it.

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety +1

      Interesting Alida. Thanks for watching and subscribing

  • @mikelong651
    @mikelong651 Před 3 lety +1

    My leg is shorter than now and it’s causing back pain!!

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Hi Mike. That can be a problem. Often a shoe lift can help. Thanks for watching, subscribing and sharing with someone if you did.

    • @SkyHermit
      @SkyHermit Před 2 lety

      8 months later, is your leg still short?

  • @KatJ3st
    @KatJ3st Před 3 lety

    My surgeon told me I will have a leg length discrepancy. Will this cause me more pain in post op recovery due to stretching the skin/muscles and ligaments?

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety +1

      Hi Kat59. Typically not. We suspect they said that because your surgical leg is already long or equal and with the surgery it will get a little longer. Usually it is a small amount. Best of luck to you. Thanks for watching and subscribing if you did.

    • @KatJ3st
      @KatJ3st Před 3 lety

      @@TalkingWithDocs thank you I appreciate your perspective.

  • @laughinglikefuck297
    @laughinglikefuck297 Před 2 lety

    Get both hips done, problems solved. Just like a car, change tires at same time the on same axle

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Very nice. Thanks for watching and subscribing if you did

  • @henkvandenbergh1301
    @henkvandenbergh1301 Před 9 měsíci

    Doc, I am 6'6" already PLEASE don't make me taller. 🤔Nope. He didn't do that last year when he gave me a new hip. Yes, it took me about a week to get used to the feeling that my leg was now NORMAL again after of the loss of cartilage I had become used to over the years.My surgeon has an other chance in eight days though when he gives me a new knee. I am not worried. 🙂

  • @dianealm743
    @dianealm743 Před rokem

    I got angry watching this video. I have suffered for 6 years with one leg longer and it has been horribly debilitating for me. I am now trying to find someone who can do them both at once so I will have 2 legs the same length. I am 76

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Hi Diane. If you haven’t had a hip replaced yet usually after it will be the same. Sorry to hear you have been suffering. Best of luck. Thanks for watching and subscribing

  • @therealBB
    @therealBB Před 2 lety +1

    So I just had a hip replacement a week ago and looking at myself without clothes on it looks like my hip is super high and bulging and it sounds like there is nothing I can do about it but get a shoe lift? I was limping already prior to surgery because my hip had been dislocated at birth and surgery was unsuccessful so that was a big issue about getting the surgery was I didn't want to limp anymore and now I guess I still will walk with a limp unless I get a shoe lift... I'm not happy at all

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety +1

      Sorry to hear this. It may improve with time. Sometimes the difference in height can come from your pelvis which can resolve somewhat. But yes if you were dislocated as a child it can be more tricky. Best of luck. Thanks for watching and subscribing

    • @therealBB
      @therealBB Před 2 lety +1

      @@TalkingWithDocs yes I went to therapy today and I was told there was still swelling. And I was being instructed on how to walk properly and it was difficult because I was so used to limping my whole life but I'm not giving up!!

  • @KatJ3st
    @KatJ3st Před 3 lety

    ...your chiropractor will ALWAYS know! ;-)

    • @TalkingWithDocs
      @TalkingWithDocs  Před 3 lety

      Hi Kat59. Often a physical exam will reveal it so yes your chiro might know. Thanks for watching and subscribing if you did.

  • @unitedstatesdale
    @unitedstatesdale Před 23 dny

    Sometimes, it's plain malpractice.
    Have an attorney review your case

  • @celestdawn
    @celestdawn Před 4 měsíci +1

    My operated leg is SHORTER

  • @sueamyotte2209
    @sueamyotte2209 Před 2 lety

    My leg is way shorter after THR and causing my low back and other hip to hurt horribly! 🤷‍♀️

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety +1

      Hi Sue. That is uncommon as it usually would be longer. Sometimes it can be coming from the back and is called an apparent leg length discrepancy. See your doctor. Thanks for watching and subscribing

    • @SkyHermit
      @SkyHermit Před 2 lety

      @Sue Amyotte
      2 weeks later, is your leg still short? Mine is also 7mm shorter than my good leg after hip replacement

    • @sueamyotte2209
      @sueamyotte2209 Před 2 lety

      @@SkyHermit been 2 1/2 years and yes bad leg is definitely longer then side i had THR. Sure causes a lot of problems!

    • @SkyHermit
      @SkyHermit Před 2 lety

      @@sueamyotte2209 how much discrepancy? Lately I don't feel the difference much

    • @sueamyotte2209
      @sueamyotte2209 Před 2 lety

      @@SkyHermit , not sure but it feels very significant

  • @Jzcmnbk
    @Jzcmnbk Před 8 měsíci

    Nope my operated hip is even shorter than before

  • @laughinglikefuck297
    @laughinglikefuck297 Před 2 lety

    Make me 6ft tall 😂

    • @TalkingWithDocs
      @TalkingWithDocs  Před 2 lety

      Even better. Thanks for watching and subscribing if you did

  • @rockobattino3318
    @rockobattino3318 Před rokem

    You guys always look so stoned 😂

  • @stephenmoorey2597
    @stephenmoorey2597 Před rokem

    people ont go round in circles they end up crippled by ending up with long legs. If your going to go on film be professional not look like clowns.

    • @TalkingWithDocs
      @TalkingWithDocs  Před rokem

      Hi Stephen. Sorry you are not happy with our channel. There are many others that may be more appropriate for you. All the best

  • @LA-zc9rg
    @LA-zc9rg Před 4 měsíci

    Show lifts are a PIA… and not a solution. Try walking barefoot… try wearing sandals or flip flops.

  • @t.v.4551
    @t.v.4551 Před 4 měsíci +2

    There is nothing to like about this video. You are the surgeons to make things right afterwards too, not just slice the flesh! There shouldn’t be an uncomfortable discrepancy so that a person ends up worse off than before the surgery!! 😏

    • @TalkingWithDocs
      @TalkingWithDocs  Před 4 měsíci

      Sorry you feel that way often the difference is quite small but certain anatomy does make it almost impossible to make exactly equal sometimes