{"id":686,"date":"2020-07-04T17:07:55","date_gmt":"2020-07-04T17:07:55","guid":{"rendered":"http:\/\/skidome.org\/ZardozRen\/?page_id=686"},"modified":"2021-06-20T15:27:33","modified_gmt":"2021-06-20T15:27:33","slug":"hip","status":"publish","type":"page","link":"https:\/\/skidome.org\/ZardozRen\/hip\/","title":{"rendered":"HIP"},"content":{"rendered":"\n<p><strong>UPDATE June 2021<\/strong>&#8211; Perfection and Perfect outcome. 95% of leg symptoms were addressed. Next up is 3 levels of cervical fusion. That should address much of the final symptoms.  <a href=\"https:\/\/skidome.org\/ZardozRen\/neck\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/skidome.org\/ZardozRen\/neck\/<\/a><\/p>\n\n\n\n<p>THANKS to so many with your valued information. Today replacement is common but only when last resort. Will go over the progression of arthritis, failure, and genetic\/injury reasons. Sports-specific loading and recommend pre and post-rehab.  Not a doctor just a researcher. Some have a genetic or an injury that cause the outcome over time. Your success is all you. Prehab, Nutrition, Post Rehab. Figure 6 weeks to have appointments labs and prehab before surgery. Add 3 months of rest and 2 months of  PT the process through Post-rehab is an easy one-year process. <\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"OD Hip Replacement animation\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/zF4BuQE6U2Q?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n\n\n<p>Injuries Many times heal themselves with time and rest. Rest NSAIDs, Steroids, and Physical Therapy to strengthen, correct the form and increase range of motion can help and has to be tried before invasive surgery. <\/p>\n\n\n\n<p>Naproxen OTC, Meloxicam script, Prednisone oral, Cort shot <\/p>\n\n\n\n\n\n<p>Blood &#8211; RA Factor for rheumatoid arthritis<\/p>\n\n\n\n<p>physical test &#8211;  The Trendelenburg <\/p>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK555987\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK555987\/<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-2-1024x935.png\" alt=\"\" class=\"wp-image-692\" width=\"432\" height=\"394\" srcset=\"https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-2-1024x935.png 1024w, https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-2-300x274.png 300w, https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-2-768x701.png 768w, https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-2-1536x1403.png 1536w, https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-2.png 1800w\" sizes=\"auto, (max-width: 432px) 100vw, 432px\" \/><figcaption>Other tests are covered here in this link <a rel=\"noreferrer noopener\" href=\"https:\/\/bjsm.bmj.com\/content\/49\/6\/357\" target=\"_blank\">https:\/\/bjsm.bmj.com\/content\/49\/6\/357<\/a><\/figcaption><\/figure>\n\n\n\n\n\n<p><strong>X-Ray MRI <\/strong>&#8211; many have images that show issues but no pain or dysfunction associated, no reason to have surgery. When the impingement causes the labrum to tare synovial fluid leaks and a cyst can develop. One cyst pressed on my sciatic nerve. Not good. <\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1017\" height=\"816\" src=\"http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-3.png\" alt=\"\" class=\"wp-image-698\" srcset=\"https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-3.png 1017w, https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-3-300x241.png 300w, https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-3-768x616.png 768w\" sizes=\"auto, (max-width: 1017px) 100vw, 1017px\" \/><\/figure>\n\n\n\n\n\n\n\n<p>Self Test by questions can be found at this link <a href=\"https:\/\/www.orthotoolkit.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.orthotoolkit.com\/<\/a>   a HOOS score can be helpful to show progress or lack of progress.<\/p>\n\n\n\n\n\n\n\n<p>Most rehab will be prescribed by the surgeon. The more strength, practice and ROM range of motion increase the faster the recovery. recover is 6 to 12 weeks. <\/p>\n\n\n\n<p>I do recommend a Visit with PT Resource for Cane height adjustment. Pre and post-rehab work and any questions on the recommend handbook supplied by the surgeon. Added recommended routines. Stretch bands are effective. <\/p>\n\n\n\n<p>Set New Goals in my case more strength to left, and I will add a wall strap system for an interesting variation.<\/p>\n\n\n\n<p>I use this stretch band workout &#8211; <a aria-label=\"undefined (opens in a new tab)\" href=\"https:\/\/youtu.be\/wmjlTjQ7gLE\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/youtu.be\/wmjlTjQ7gLE<\/a><\/p>\n\n\n\n<p>Will add <a href=\"https:\/\/www.youtube.com\/watch?v=PAXLCzUgsRY&amp;t=9s\">https:\/\/www.youtube.com\/watch?v=PAXLCzUgsRY&amp;t=9s<\/a>  some routines for this device. <\/p>\n\n\n\n\n\n<p>Stairs (limit to 1 &#8211; 4 Sets of 12 steps up\/down) daily<\/p>\n\n\n\n<p>Walking total per day at 1\/4 mile 1300 feet can extend weeks 5 and 6 to 1\/2 mile every other day. <\/p>\n\n\n\n<p>5 basic exercises for Hip<\/p>\n\n\n\n<p>Seated arm upper body weights. 5 lb each limit Arm curls 10 lb. Shoulder lat and ant lift, arm curl, Triceps curl, upright row. 1 set of 10. <\/p>\n\n\n\n<p>6 Weeks &#8211; Xray all good, no restrictions other than running or yoga. I can use bands and weights and progress from light to heavy over 4 weeks.  I can extend walking to 1 mile. <\/p>\n\n\n\n<p>10 Weeks- Bike 10 miles 1 hour 4-6 times a week adding strength. HOOS 100\/100 ROM 95-100% <\/p>\n\n\n\n<p>11 Weeks &#8211; 100% no Symptoms from before. ladder climb balance for an hour no sciatica issue. Consider 100% Successful.  <\/p>\n\n\n\n\n\n\n\n<p>Prehab and post rehab are similar . Prehab is judged by ROM %, time and distance. Use pain medication to control pain. There are minimal things to do and then add on. <\/p>\n\n\n\n<p>Walking, Stairs, Stretch bands, and upper body weight lifting along with nutritional support. Iron and Vitamin D3 <\/p>\n\n\n\n<p>Example Excel Track pre post hab download <\/p>\n\n\n\n<div class=\"wp-block-file\"><a href=\"http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/WmfowlerPresurgexercise.xlsx\">WmfowlerPresurgexercise<\/a><a href=\"http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/WmfowlerPresurgexercise.xlsx\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<p><a href=\"https:\/\/orthoinfo.aaos.org\/en\/recovery\/total-hip-replacement-exercise-guide\/\">https:\/\/orthoinfo.aaos.org\/en\/recovery\/total-hip-replacement-exercise-guide\/<\/a>   This is a generic guide.<\/p>\n\n\n\n<p>A Nice Guide &#8211; Each Orthro group will have their our guide. This example is well done.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a href=\"http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/Ardmore-Hip-Replacement-Guide.pdf\">Ardmore-Hip-Replacement-Guide<\/a><a href=\"http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/Ardmore-Hip-Replacement-Guide.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<p><\/p>\n\n\n\n\n\n\n\n<p>This is a home built strap system. A commercial product is available. You have to understand the workload LBS and pull out strength. <strong>Use at own risk <\/strong><\/p>\n\n\n\n<p>This uses 3\/8 2 1\/2 inch x 2 Lag Bolts to STUD. The weak link can handle 1,200 lbs. The D-Ring 11,000 lbs Break and 3,666 lbs working. Each Strap 1 inch over 3000 lbs break.  Will add a cross beam at the top to anchor to 3 studs for added support. <\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Hip Leg work\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/KUbuxLKG1Wc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><figcaption>My added work for the hip<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"TRX Strap Demonstration\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/mU6iPTjrhgM?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><figcaption>Example <\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"dryland band1\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/wmjlTjQ7gLE?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><figcaption>Part of advanced for HIP, Legs Glutes <\/figcaption><\/figure>\n\n\n\n<p>Now at 6 Weeks and a good xray I can use the above but build up slow and steady over a 4 week period.  Strength at 65% now based on Knee lift up standing.  Slow means light at first , 5 reps 1 set, next day a break, build up to 10 reps and 2 sets in 4 weeks. <\/p>\n\n\n\n<p>Add the MONSTER walk bands the last week.<\/p>\n\n\n\n<p><\/p>\n\n\n\n\n\n\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Total Hip Replacement Surgery | Inside the OR\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/AwH1ZACzB6A?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><figcaption>5 Min Version<\/figcaption><\/figure>\n\n\n\n<p>This link is a one hour in detail. <a href=\"https:\/\/youtu.be\/5NqJa_J2dfw\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/youtu.be\/5NqJa_J2dfw<\/a><\/p>\n\n\n\n\n\n\n\n<div class=\"wp-block-file\"><a href=\"http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/06\/THA_Sports_risk.pdf\">THA_Sports_risk<\/a><a href=\"http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/06\/THA_Sports_risk.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<p>Summary of risk with source science documents<\/p>\n\n\n\n<p><em><strong>WEEK 6 POST<\/strong><\/em>&#8211; The idea is a 6 month period for the bone matrix to grow into the socket and stem. Time cannot be rushed.  The strength of muscles and tendons is important to absorb shock.  The risk for the top 3 issues is 1\/2 of 1 percent. <\/p>\n\n\n\n<p>The worst-case risk would be a broken femur that causes a fast bleed out and die. (check out <a href=\"https:\/\/www.stopthebleed.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.stopthebleed.org\/<\/a>)<\/p>\n\n\n\n<p>second would be femur brake and or pelvis was broken, fixable.  Could cause amputation. <\/p>\n\n\n\n<p>Third Dislocation  fixable<\/p>\n\n\n\n<p>Fourth  Wear of liner over the spec fixable <\/p>\n\n\n\n<p><strong>Mitigation-<\/strong> Padded lower armor, lower speeds 40 not 60 mph. Muscle and posture\/balance. Rest to avoid heat build-up in joint. Less rotation in technique angles by ankle and knee versus hips. Hips come into play in racing.  NO moguls. Wating 6 months for bone\/implant healing. <\/p>\n\n\n\n\n\n\n\n<p><strong>Health is a TEAM effort but you are the most important to plan and drive the process. It takes 4 weeks to cover the pre-surgery timeline.<\/strong> The team is about 30 people total including staff admins who have to schedule and keep things on track with documentation <\/p>\n\n\n\n<p>PCP &#8211; Dr Syma Rizvi  Sara and staff<\/p>\n\n\n\n<p>Cardiologist  &#8211; Dr Hafeez Syed<\/p>\n\n\n\n<p>Orthopedic  &#8211; Team of Dr Marc Hungerford &#8211; LISA the joint coordinator was my email go to. My PA Julia who answered my questions and listened to what scared me. <\/p>\n\n\n\n<p>Physical Therapy &#8211; Max Birikov <a href=\"https:\/\/www.physicamedica.net\/\">https:\/\/www.physicamedica.net\/<\/a><\/p>\n\n\n\n<p>Pharmacy  &#8211;  <\/p>\n\n\n\n\n\n\n\n<p>Mr. Charles Crane left a family foundation. His generosity is the reason we all can benefit from having access to a state of the art surgery center.  His bio is worth reading <a href=\"http:\/\/www.thecranefoundation.org\/pdfs\/bio.pdf\">http:\/\/www.thecranefoundation.org\/pdfs\/bio.pdf<\/a><\/p>\n\n\n\n<p>The Charles Crane Family Foundation has donated millions of dollars, mostly to THE ASSOCIATED:  Jewish Community Federation<br>of Baltimore, Mercy Medical Center, Jewish educational institutions, and programs to prevent youth violence.<\/p>\n\n\n\n<p><\/p>\n\n\n\n\n\n\n\n\n\n<p>Hiccups for 4 days reaction to spinal block- Medication Baclofen 1 dose took care of the issue. <\/p>\n\n\n\n<p>Constipation as expected  -Senokot-s each evening for 3 days then Merilax (PEG) should work then with 1 hour.  Get a 4 type Probiotic for good gut bacteria, and 1 yogurt a day. Antibiotics are loaded via IV day of Surgery.<\/p>\n\n\n\n<p>Swelling &#8211; management by raising leg above heart. Icing before and after PT and. Compression stockings.<\/p>\n\n\n\n<p>ICE is your friend &#8211; Used Gel packs but pro type they last 2 hours. Ossur Cold Rush &#8211; used over 150 lbs of ice in 5 weeks.<\/p>\n\n\n\n<p><a href=\"https:\/\/youtu.be\/zQFKtGy0kZk\">Ossur Vid link for my replace supply lines.<\/a>  A COld Ice box with in and out pumped cold water lines. <\/p>\n\n\n\n\n\n\n\n<p>Walking with a cane and making the GOALS EACH DAY. Do not overdo Stay slow and steady the first 2 weeks <\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"hip day 4\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/kGVwsZ116nM?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>MY  PT by the BOOK<\/p>\n\n\n\n<p><a href=\"http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/06\/mercy_postoprehab.pdf\">http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/06\/mercy_postoprehab.pdf<\/a><\/p>\n\n\n\n\n\n<p>Added seated 5 lb upper body and arm workout 1 set of 10. <\/p>\n\n\n\n<p>6 Week &#8211; HOOS 98\/100  NO running or Yoga &#8211; over 4 weeks build strength via weights, stretch bands, and suspension. <\/p>\n\n\n\n\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"637\" height=\"646\" src=\"https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/09\/hipxraymercySept102020jpg.jpg\" alt=\"\" class=\"wp-image-804\" srcset=\"https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/09\/hipxraymercySept102020jpg.jpg 637w, https:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/09\/hipxraymercySept102020jpg-296x300.jpg 296w\" sizes=\"auto, (max-width: 637px) 100vw, 637px\" \/><figcaption>Sept 10, 2020 6 Weeks all good<\/figcaption><\/figure>\n\n\n","protected":false},"excerpt":{"rendered":"<p>UPDATE June 2021&#8211; Perfection and Perfect outcome. 95% of leg symptoms were addressed. Next up is 3 levels of cervical fusion. That should address much of the final <a class=\"more-link\" href=\"https:\/\/skidome.org\/ZardozRen\/hip\/\">Continue Reading &rarr;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-686","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>HIP - ZARDOZ RENEGADES<\/title>\n<meta name=\"description\" content=\"HIP THA Replacement Rehab Sports\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/skidome.org\/ZardozRen\/hip\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HIP - ZARDOZ RENEGADES\" \/>\n<meta property=\"og:description\" content=\"HIP THA Replacement Rehab Sports\" \/>\n<meta property=\"og:url\" content=\"https:\/\/skidome.org\/ZardozRen\/hip\/\" \/>\n<meta property=\"og:site_name\" content=\"ZARDOZ RENEGADES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/skidome2\/\" \/>\n<meta property=\"article:modified_time\" content=\"2021-06-20T15:27:33+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/skidome.org\/ZardozRen\/wp-content\/uploads\/2020\/07\/image-2-1024x935.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/skidome.org\/ZardozRen\/hip\/\",\"url\":\"https:\/\/skidome.org\/ZardozRen\/hip\/\",\"name\":\"HIP - 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