Hip Replacement to Hockey: Second Replacement
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- čas přidán 27. 05. 2021
- This feature length video goes through the details of me recovering from my second total hip replacement and returning to playing hockey. I'll discuss similarities, differences between the two replacements and lessons learned. Additionally, I'll show some footage of me skating and talk about it. Good luck sitting through this one! lol
- Sport
Hey. Great vid, I watched it about a year ago and was inspired. Well I’m 63 and March 2/23 had my left THR done, Nov 3/23 had my right THR done. Quick recovery on both, off crutches around 5 days and 2 days respectively. Was out skating and shooting the puck around last week Jan 10/23 and felt strong and awesome. Been a long time since I’ve had this range of motion so it does throw you off for sure. Having a big itch to get back into some beer league hockey but I’m going to wait it out, get some more me time on the ice in hopes to see some action mid to late Feb/23. I’ve always been a good skater and I hope some of that comes back in my training sessions. Also doing balance exercises and lower back besides all my other regiments. Hope all is well with my hip crowd!
Ken
Winnipeg Manitoba Canada
Hi Ken, thanks for the comment and I’m glad to hear you’ve got a new lease on life! Did you go anterior, posterior or lateral with your replacements? I think I had a similar recovery schedule for my first hip. That is, I waited about three months prior to going to a stick n puck. That said, I found out on my second hip that I probably should’ve waited 6 months for the stem to really set up in the bone. Fortunately I didn’t mess anything up. lol. For a reference point, I think it took me about 1 or 1.5 years to feel “normal” on the ice even though you can play at the 6 month mark. 2022 was five years for my left hip and 2025 will be five years for my right hip and I’m not noticing any issues. They pretty much feel like real hips. I did need to spend a fair amount of time strengthening my lower back and gluteus medius and minimus muscles to help with the skating, so you might consider adding those exercises when you can. Anyways, glad to hear things are going well and feel free to reach out if you have any questions.
Hey. Yes I had the posterior approach on both. Given our Medicare up here in Canada I’m not sure we have a choice. lol. I will continue to practice outdoors on my own and see how I feel next month. Hoping 6 more weeks and go out for a hockey game. Not a league, just a bunch of senior guys who get together once a week. Thanks for all your input and knowledge, I’ll keep working on my routine which seems to be going quite well. Keep the posts coming, always good to see. Thank you!
@@kenmacleod9589 Okay perfect! Glad to hear things are going well. Take it slow while recovering, but don’t let anyone tell you what you can and can’t do. No one knows your hips better than you.
I was skateing after 6 weeks ! Yes slow and easy but on skates ! Had post replacement at the age of 58 now at 62 I am skateing and playing ! Have some weakness on rotation moves forward to backwards - to forward ! Over all is very good no pain
I’m glad to hear it! My last replacement was January 2020 and I’ve also felt good. I will say the rotational weakness and slight pain can be resolved with weight training. Keep your stick on the ice!
12 weeks yesterday. Last weekend went uout of town for weekend-ended up hiking steep rocky hills, kayaking, not hint of problem. Only thing that was dicey was getting in/out of hot tub, lifting legs over the top of it. Was feeling pretty confident about being ready to skate. Little damper on this was two days after being back whole general hip area started getting stiff and sore. Nothing seems to be wrong as in having injured anything; can do all my exercises fine. PT says to be expected after all the exertion. If that hadn't have happened-still a little stiff/sore today-i probably would be making plans to skate. Probaby will anyway within next week or two. I see doc this next week.
Hey there - thank you so much for the awesome and helpful videos. So very much appreciated and very glad I found them, as I am also a hockey player (women's rec) and I was completely shocked when the "mild muscle pull" in my thigh turned out to be bone-on-bone arthritis in my hip. I am wondering, if you happen to still stop by here once in a while, if you can give more details about why the skaters you know who had the posterior approach are struggling. The surgeon I've been working with does the posterior approach, but it's apparently muscle-sparing as well. I am going to ask him about his experience with treating rec hockey players. I also consulted with a surgeon who does the anterior approach and he said there's really not much difference after 3 months when biology takes over. So, any info you care to share would be really helpful. Thanks again and I hope you're having a great season!
Hi there, I appreciate the kind words, but I'm sorry to hear that you're going through that! Hip stuff seems to be part of being a hockey player if you play long enough. So to answer your question, I must first provide you with the obligatory disclaimer that I'm obviously not a doctor. With that said, I'll give you my perspective for you to think on about posterior vs anterior. If you think about the average hip replacement candidate, they're usually on the older side and not that active in sports as physically demanding as hockey. As you know, we've chosen a pretty tough sport. This isn't water aerobics at your local gym, even at the rec hockey level. Most surgeons aren't hockey players. My surgeon WAS a hockey player and is the team surgeon for a local Canadian Hockey League team. This is the deal with the different types. Most doctor's are used to the posterior approach because they don't have the special table required for the anterior approach. Additionally, when you're in the hockey stance, the posterior approach takes more strain and they're also cutting through a LOT of muscle and tissue that they don't have to for the anterior method. With the anterior, they're going through the front of the hip and MOVING muscle out of the way instead of cutting it. When you're in the hockey stance it also is very secure and no more likely to dislocate than a real hip. The only thing to watch out for is the limbo position. This is the main way one might dislocate an anterior replacement. The guys who I play and ref with who got the posterior method are struggling because all their muscles and tendons got cut and their strength and mobility is gone. Granted even with the anterior you'll loose mobility and spring in your step, but it's significantly better. I hope that helps and let me know if you have any follow up questions.
@@mongillohockey Thanks so much! That's really helpful. Indeed, hockey is not kind on the hips. I'm just so grateful that playing again is even a possibility - I had always envisioned joint replacement as a way to help a 90-year-old hobble around a block, not as an option to get back to really active, demanding activities. Guess I won't be getting in a limbo line anytime soon, but I can live with that. :) Thank you for providing the information - I've got more questions for my surgeon now! Cheers!
@@cmiller3425 Ha yeah sorry to say your limbo career might be over! Yes, definitely talk to a couple of surgeons. Obviously if you talk to one who only does posterior replacements he or she is going to recommend the posterior. But a surgeon who does both and has the special table for the anterior approach might give you a different answer. Also, I don’t know your age, but I think that has something to do with it too. I’m 44 now and had my first replacement when I was 37. The anterior was good for a younger and active person whereas the posterior is good for jazz-ersizing and watching the Golden Girls.
Thanks very much! I'm seeing the orthopedic surgeon next week to discuss. I have dysplasia in both with bone spurs. Right hip is the worst one. But PA says both will need. See what doctor says. Did you discuss increase the head-neck ratio? Hockey doesn't cause the same pain as walking and other forward motions of my leg. You've given me some additional info and ideas to discuss with the doctor. Thanks
Hi there, thanks for the comments and question! I'm glad my video helped! So, we never had the ratio discussion as I remember there not really being much of a point. My surgeon is one of the top 5 in the US and a former hockey player. He said that if you want to play hockey, get the anterior approach, follow the recovery closely and don't worry about it. He added that no one knows how long the hips will last anyways. All we know is that hips from the 80s probably lasted 20-25 years. Good luck!
Great info! Just curious have you ever fallen while playing and have you ever been concerned about dislocating the hips at all? Are you more cautious on how aggressive you play to avoid an injury? Thanks!
Glad you liked the video! So my honest answer is no s that I haven’t toned my play style down at all. Maybe I should, but my body feels okay. Also, I have fallen a lot since having my replacements. I think it’s normal to be a little concerned, but I also feel good enough that I kinda forget about them. The main negative thing I notice is that the doctor had to remove the part of my hips that allow for an explosive start so you feel slower. At the end of the day, even the surgeons don’t really know how long these things will last. My doctor said that and he’s rated too 10 in the US.
What kind of implant do you have? Dual Mobility or Regular Fixed (ie. Ceramic / Polyethylene)?
Hi there, I have ceramic with titanium stems and they were done via the anterior approach.
I’m so glad to come across your video. I had my right hip replaced in August of 2020. I’m also pain free and I’m anticipating on skating soon. I’m also looking into getting the Bauer ultrasonics as well. My main question is did you have to use a lift or any type of shim on your skates. It’s generally a spacer put between your skate boot and the holders for the blade. The first thing I noticed after my surgery when walking to the bathroom was the side that I had replaced seemed ever so slight but recognizably longer. I’m talking about millimeters. Though I don’t feel the difference anymore, it’s been over a year. You haven’t taken as much time to get back out on the ice so do you feel any difference between the leafy and right hip and do you use lifts or shims on your skates?
First off, thanks for the comment and congratulations on not letting a fake hip get in the way of your hockey! So I did used to use a shim in my left skate, but no longer need to. I’m guessing your body is trying to get used to everything, even after this much time. My vote is to ditch the shim. It was at about the year mark when you really need to start focusing on pelvis stability, specifically hip flexors and gluteus medius. It might not seem like it, but all of the hockey players I know (including myself) who had hip replacements struggled with that starting a couple years in. The reason in my opinion is that we’re feeling better and pushing harder on the ice. That translates to low back and knee pain due to compensation. Ditch the shim and focus on stability will likely put you in a good spot. Also, unless your surgeon is/was a hockey player, they generally don’t understand what we need. Most hip replacement patients are more interested in watching Matlock that taking slap shots. Lol
Hey! Thanks for sharing your experience. I've played hockey my entire life - unfortunately, needing to undergo bilateral hip replacement at the age of 31 due to steroid treatment, which led to AVN. I've chosen the anterior method as well.
I'm wondering how your hips have held up in relation to 'wear' on the materials over the past few years while playing consistently. I plan to get back into pickup roller hockey (no contact) and am wondering what is a realistic expectation to have for how often I'll be able to play.
Also, what materials did you use for your replacement?
Hey man, sorry to hear about your hips, but I think you’re making the right choice to prolong your hockey career. I obviously need to provide the obligatory comment that I’m not a medical professional, but I think the anterior approach is the way to go. It’s safe and strong. The only body motion I was told to avoid was the limbo move, everything else was fine. I’m almost 45 and had my first replacement at 37. Everything has help up perfectly so far. I believe I have titanium stems and ceramic ball? I’d have to look back. The ceramic ball is larger and stronger if I’m not mistaken. I play 2-3 games per week and usually only take one ibuprofen before I skate. It’s not reasonable to expect zero pain but its extremely minor. After surgery, don’t skate until 3 months and don’t play until 6 months. That’ll give everything time to set up. You won’t feel 100 percent for about a year or a little more. I’d also recommend considering ice hockey over roller hockey if you have the choice. There’s much move friction in roller hockey which puts more stress on the joints. You’ll also want to avoid jogging, jumping, squats ever again. There’s other exercises that do almost the same thing and won’t put extra wear on the hips. Lastly and from a performance standpoint, you’ll likely lose a little pop in your step because they’re removing stuff during surgery and that never came back for me. I actually had to change my play style from explosive and agile to powerful, positionally sound and stable. Anyways, let me know if you have other questions.
@@mongillohockey really appreciate it. Thanks for the breakdown! Glad to hear there’s hope returning to nearly my old form.
I really used to use my edges when playing, lots of mohawk turns, with my hips outwards. Sounds like that movement isn’t off limits.
@@stephenmauceri7230 I don’t think so, give it a try and see how it feels!
So I’m at 8 weeks now. Couldn’t have dreamed of trying to skate at 6 weeks like you did first time. I’m just starting to get close to bending over enough to get sock and shoe on. But milestone today: dug out my skates and tried to get them on. Went good, easier than shoes. Here’s a question for you: what was it like when you said it was uncomfortable when you suited up at 3 months? And do you get over the worry of awkward fall/twist that messes up your femur spike? What about getting over the boards? Is that out ?
So I feel like everyone’s journey goes a little differently, but bit sounds like you’re on the right track. Can you remind me which surgery you had? The posterior or anterior? Your answer to this will probably help clarify your recovery. Anyways, I did skate until the 6 mo mark because of Covid this time, but I did put on gear at the three month mark after my first one. I felt pretty stiff with dull ache in my hip socket or something. It’s the moment I realized that I was going to have to pre load with anti inflammatory meds before I skate. I still need to do that to this day, unfortunately. That said, since I had to wait to skate this time I didn’t have the same issues I did the first hip. To your last question, I don’t really worry about the awkward fall. Sure it’s possible, but my doc said it’s about as likely to happen with a real hip as a fake hip. As for jumping the boards, I still do that most every line change. It’s probably easier now.
@@mongillohockey Anterior. Really happy to hear about not worrying about the awkward fall, and even being able to jump over boards. I'm gonna go back and watch you skating at 6 weeks. I can't imagine that. Mostly for fear of twisting the leg wrong. I'm still not clear on exactly what the potential dangers are as far as the prosthetic growing into the bone, etc and being "safe."
@@JimSavageRecovery The first hip I skated at 6 weeks, but the second I was cleared to skate lightly (no hockey) at 3 months. I'd really recommend waiting until 3 months now that it's been explained more clearly to me. The stem ain't going anywhere at 3 months and longer. Prior to that it "probably" won't move. Probably wasn't good enough for me! LOL
I really appreciate your videos. I just had mine done three days ago. Totally wondering how this recovery is going to go. What's the possiibility of being able to practice stickhandling standing straight up out iin the garage? Also, any way to do cardio and not let yourself get totally loutt of shape during recovery?
Hi there, hope you're recovery is going well! First off, I'd really recommend not rushing into anything. Listen to your body. I have a shooting pad and net in my garage and it was INCREDIBLY hard NOT to try taking a couple of shots too soon! But honestly, I don't really seen any hard in taking a heavy orange training puck and standing there for 15 minutes or whatever and keeping your hands in shape. Regarding staying in shape, you're likely going to get out of shape. Just a cost of doing business. Early on, it's really important to follow the precautionary period and mobility drills. You're also likely to feel better than you actually are. That said, when the time comes, you can't beat swimming, spin bike or elliptical machine. The only bummer is that "leg day" is over. You won't want to do that stuff anymore, unless it's like 20 pounds 100 times. Keep in touch and let me know how you progress and remember, stay off the ice for 3 months or so. Unless your doctor is a current or former hockey player, he or she won't understand the unique situation.
Well I’m into the recovery now and I have a much better appreciation and understanding of the not overdoing it part. Overall I think mine has gone extremely well. Went home same day. Only real problem I have is sharp burning pain when I stretch leg getting in and out of bed. But I’ve completely calmed down about worrying what I can do to stay in shape. PT has been very helpful in getting me to understand what we’re trying to accomplish. And yes, the stationary bike is exactly what I’m thinking about now.
@@JimSavageRecovery Right. And I think you’ll find that you recovery will feel good at times and bad other times. I definitely felt that. My wife and I have a peloton and that’s what I used.
@@mongillohockey Topic: Bending more than 90 degrees at waist. When are you able to sit in normal chair. And more specifically, what's it like putting on your skates?? That seems to be the biggest challenge as far a bending. It's the hardest part of hockey for me PRIOR to hip replacement lol. Or maybe that's been because of how much trouble my hip was causing as far as bending. On a side note, I've always had bad lower back pain as well, limiting my bending. Since surgery, the back pain is TOTALLY GONE.
@@JimSavageRecovery Glad the back pain is gone! I guess we know what was causing it! So, I feel like it took me a two or three months to get comfortable bending over to put on a sock or tie skates, but I don't remember it being a big deal.
Hi sir,hope youre doing fine,can i ask you one question ? ,Sory thats it kind of not related.going to tell it incredibly short.
İ had a long and a painful journey(still going on)of skates and i bought a supreme 3s skate FİT2(started with vapor 4.0 which was very painful)(dont have stores in my country im a student so when i got enough money i went to ukrain)baked the skates there came back and they still hurt my forefoot,i found your channel and i saw the rolling pencil and stuff,tried it and it touches my instep/top of my foot and forefoot is narrow appearantly.İ got one last shot if i can sell this skate so can you tell me if the ccm supertacks is more comfortable on the inside padding ? And is it deeper than supremes like the instep ? İ dont get lacebites a lot but the pen does touch my foot my issue is more on the forefoot width,and lastly can you tell me some points to understand the skate is not small for me but snug ? Because all of them feel snug and comfortable at first but once i skate the pain starts to settle in.
Thanks in advance,hope you get much better as the time goes on.
Also my feet are 26cm long and 10.5-10.6 cm wide
Hey there, thanks for your comments and questions. Although I can't tell you your size or skate model over the comment section of CZcams, I'll give you some skate fitting guidance. If we're talking purely about retail skates (Custom skates is a completely different topic), these are how boots fit in my opinion. Let me start off with CCM. The FT2 Pro Jetspeed has a narrow forefoot, narrow heel and low volume/instep. Even going wide in these skates makes the forefoot feel like a regular width AS3 Pro SuperTacks. The AS3 Pro SuperTacks has the MOST overall volume of any CCM skate. This has more space for a higher instep, but at the cost of wider forefoot and heel. Lastly, the Ribcor 80K is my absolute favorite skate available today. It comes out of the box with a narrow heel, narrow/regular width forefoot and a little more instep volume than even the AS3 Pro SuperTacks. But here's the great part about the 80Ks. They're very heat moldable. I can make a wide (EE width) Ribcor 80K WIDER than a wide (EE width) AS3 Pro SuperTacks. The only down side is that the 80K is a two piece boot like Bauer, but I actually prefer that for agility purposes. Keep in mind, CCM is releasing a completely new fit system that similar to Bauer's in the next month or two. That said, if you can't wait, consider the Ribcor 80Ks. Looking at Bauer, this is an interesting situation now. As you know, they introduced a new fit system. I think it's good, but they definitely pushed some former Bauer users away from them with the change. Here's the difference in fit between the Vapor 2X Pro and Supreme Ultrasonic. And yes, a fit 2 Vapor fits differently than a fit 2 Ultrasonic. The Vapor has a narrower heel, lower instep volume and WIDER forefoot, if you can believe that! The Ultrasonic has a wider heel, more instep volume and slighter NARROWER forefoot width than the Vapor. Also, what you should know, is the 3S skates you had fit COMPLETELY different than the 3S "Pro" or Ultrasonic. Regarding the fit system, the Fit 2 is very similar to a regular width (D width) Supreme 2S Pro from a couple years ago. The Fit 3 fits like a regular width ( D width) Nexus skate, which if you don't know, was discontinued last year. This means the fit 3 has the widest forefoot, widest heel width and most instep volume of the Bauer skates. Okay, so this brings us to comfort. In my humble opinion, CCM does a MUCH better job with comfort than Bauer or TRUE. CCM lines the seams of where the toe caps connect to the boots with foam, so you can't feel the seams when pushing off; it's great! Now, one thing to be very careful of with CCM if you have a higher than normal instep, is the new removable tongue system on the AS3 Pro. They're going to use this system on the FT4 Pros and the Ribcor 100Ks when they get released, too. Just about everyone I know who owns the AS3 Pros and who has a little higher instep experiences pain on the top of their feet, because the little tab that the tongue attaches to digs into their feet. It's fixable, just annoying. I made a video on how to fix it if you want to watch it. Currently, the Ribcor 80Ks and FT2 Pro skates do not have this removable tongue system. One thing I'll mention about the Ribcor 80Ks, is they're the only boot that CCM makes that does NOT have the padding that lines the seam between the toe cap and the boot. That said, the toe cap is considerably shorter than the other two models and therefore your big toe joints still sit on padding. Hearing what you told and asked me, you're probably going to want to consider either the CCM Ribcor 80Ks or CCM AS3 Pros. I think you might be pleasantly surprised by the 80Ks if you can find them. Plus, they're much cheaper than the AS3 Pros and not nearly as stiff. Thanks for watching!
@@mongillohockey thank you for all the information,i have watched all of your videos so i know how to fix the tounge problem(thanks to you!)i will try the ribcore and supertacks,my only concern is the lack of stiffness of ribcore but i have never skated in one so i dont know yet.Thanks again.
@@t--cs4xu You're welcome! Don't let the stiffness of the Ribcor scare you. There's far more problems with overly stiff boots. I'll give you an example. I weigh 206 pounds, but have weighed as much as 238 pounds while skating on Ribcor skates. They're fantastic! They flex with your movement. I would never choose a stiff boot again, especially not the stiffness of the AS3 Pro. Now, the AS3 (model down from the AS3), is about the same stiffness as the Bauer Ultrasonic and it's just about perfect. By the way, the retail model 80Ks are stiffer than the Bauer 3S skates you had.
@@mongillohockey thank you a lot sir you have a lot of experience and information on these matters you should make more videos about these 😅i have been watching youtoube videos and stuff for a long time but learned how the auctual brand wants you to bake a skate or that bauer ultrasonic has a different volume than 3s or something that seems as simple as rolling a pen down a skate but it took me a long time to find it until i crossed paths with your channel