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I believe he is referring to Dr. Richard Berger that created the protocol to teach yourself to kneel.

What about moderate distance cycling (e.g. 25 miles/day). I imagine that since it is not a jarring impact that is good, but you still have 1hr plus/day repetitive motion. Does that wear out the hip replacement faster?

Where are you located?

No you cant

I need a doctor like the one in this video . He's straight forward and explains everything in detail . He deserves 500Million Subs and 500 Million Viewers !!!!

I broke my hip had new one 18 months ago gone wrong constant pain in my groin and cant walk far im 66

this came timely - my bilateral hip surgery is in 2 days. I didn't have to do a urine test - is that normal?

Hi Dr Liew, I had total hip replacement in both hips about a year ago, done three months apart. I had the titanium rod for the femur and porcelain ball. I had a successful recovery and am very pleased with the results. Thanks for this video.

I think I would be willing to fly to Australia to have you perform the hip replacement.

Which implant would you recommend for an active person who hikes and lifts weights?

Excellent! Thank you, doctor

Why can i bend my leg fully when im walking? If i try to run on th grass, my legs just straight, i can omly move it in the pool, and that's not much either

I got a new hip 5 years ago. I'm a martial artist and a runner. When I run, I strike mid-foot. That being said, my surgeon told me to run no more than 6 miles at a time. And I have held to that.

My right knee is bone on bone, huge bone spurs (largest the ortho said he’s ever seen), the meniscus are both torn, ragged or missing, my knee cap isn’t tracking, I have edema of the top of the tibia and bottom of femur, inflamed tendons, 4 ossified floaters, and I’m in misery. I’m 53. Said I haven’t tried enough yet to get a TKR. I got a cortisone shot. Exactly how is that going to do anything but a temporary hold on the inevitable. I’ve fallen twice today because my knee locks. I got the cortisone yesterday morning. I’m so frustrated. I can’t do fun stuff with my three children; my eldest is 13. I am not their fun mom anymore. I don’t limp, I don’t complain because I am tough and I think that’s used against me. I want to limp but for my children I don’t want to appear old. I’m feeling really down.

I tried to get my surgeon to do the side incisions, but he would not. I can kneel as long as there is some kind of padding between my knee and the hard surface.

One thing not discussed specifically is if a runner prior to surgery can continue to run for training and health. Say 2-3 miles a day, several days a week, at a moderate pace. It makes sense that if you were not a runner, this is not a good idea to run a marathon. But what if you are a runner, and you want to continue to train at a moderate level. New studies are showing how exercise helps the body in ways we didn't understand before. So I am wondering if running in a prudent style would actually help prolong the hip longevity because of the strength and cardio building aspects of the training. Thank you for this video, it is a brilliant explanation.

Cool. Very informative. I had not thought to ask, but this is something I would have thought to ask at some point.

It will soon be OK though--there is a better prosthetic in the design stage.

I am a candidate for tkr here in Sacramento, CA. I've just started researching the kinematic approach. My dr. wants to do robotic and when I asked him what the differences were he said this: Please comment: "Kinematic knee alignment is a controversial technique done by a minority of surgeons designed to change the bone cuts to optimize soft tissue balancing. Mako assisted knee replacement accomplishes this same end with more precision by using computer software to make adjustments to bone cuts in real time and optimize implant sizing, positioning and soft tissue balancing. Whatever potential benefit that is offered by kinematic surgery is accomplished with Mako assisted surgery with further benefits not achieved with kinematic alignment alone." He doesn't say how Mako provides further benefits not achieved with kinematic. I read on your website that most people spend 3 to 4 nights in the hospital. Here they get you out in one day or one overnight stay. How long does the surgery take with kinematic? THANK YOU!

Ah, 'run' as in as a hobby or sport. So it's OK to run across the road, at least!

How about 7 -100 yard runs on grass?

Can we do advanced surfing after a THR? Because a lot of it, especially going backhand, is in your hips. We surmise the surfer (good surfers that is) is heavily curtailed? And you need to tell us which approach you specialise in too.

Sweetheart I'm having Hip replaced . 2nd hip !! I heal quickly. Running long distances SMH ❤😘

Thank you for this straight forward explanation !

Hi I’m having a total hip replacement in 6 days i exercise with rowing and biking and weightlifting every day minimum of 30k and I fast 16-8 every day when should I taper off before my surgery many thanks Shaun

I'm in my 8th week after posterior total hip replacement. I have been running on the mid to forefoot for the last quarter century +. I plan to give it a go after the three month recovery timeframe. I'm 67, it's a bit about going out on my terms. Nothing drastic just 10 to 15 miles a week. If I can't get back on my forefoot then I'm done. I won't risk a heel strike for multiple reasons. When people talk of the "pounding" I generally suspect they have never really stuck with running long enough to get out of the pounding mode and into more of a glide. I used to scare people while passing from behind because I didn't make any noise. I have spoken with my surgeon, a second surgeon and three PA's and all but one PA seem to be quite encouraging. My wife and my sister think I'm nuts. Right now I'm focused on reaching my darned foot so I can tape up and tie my shoes.

I JUST WANT TO GET BACK TO JUST JOGGING IN MODERATION I AM NOT TRYING TO RUN HALF MARATHON OR A MARATHON

Excellent presentation and very well thought out. Gr8 info for patients with that disease. I wish he was my surgeon

Great ☹️. So after my hip replacement I will have a good hip but now cardio will suffer. The only thing that makes me feel mentally and physically on a natural high is my ritual of 7 long fast 100 yard runs. . Now I will have heart issues. This sucks.

Can I still teach advanced tap dancing ?

If a person has an inkling that their anterior cruciate ligament could be damaged (this could be confirmed by having an MRI), is it better to rest (until the MRI results are available), rather than attempting specific knee- strengthing exercises?

Good information thanks

Excellent explanation doc, thanks. I had a hip replacement a couple of years back and have since done some running on an anti-gravity treadmill under the supervision of a physio. It's a wonderful feeling to be able to run again but I'm only happy doing it knowing that I'm putting a fraction of the weight through the hip that I would be if I were running on the road. As someone who ran 2/3 times a week and enjoyed 10ks it was hard accepting I'd have to give up running on the road. I'm letting a bicycle take the strain now.

I have concerns with meral being implanted into the body. I understand it is not metal-on-metal, generally, but does the body react to the toxic nature of this unnatural substance in the body? And if so, what can then be done about it?

This is why i opted for a Birmingham hip resurfacing procedure instead. Much more rugged.

What are your thoughts regarding weightlifting movements, such as squats, leg presses, thigh extensions, lunges? I had anterior approach 6 months ago

I'M 54 YR OLD FART. :/ I HAD MY LEFT HIP REPLACED THIS PAST OCTOBER.IS IT OK TO RIDE MY BEACH CRUISER THIS COMING SUMMER?

Ceramic on ceramic recerf all the way

Does a diagnosis of osteoporosis affect the ability to perform the THR via the direct anterior approach?

I would be interested in your thoughts on using a footbike(essentially a scooter with bike wheels)..popular in Finland. Its a forefoot strike, lower weight bearing on contact than running but similar movement to the running action. Might be a compromise for those wanting ro run long distances.

As a person that’s had a hip replacement 11 years ago I have taken up running. I could run around with a frisbee or play football with the kids, but this is much more taxing on the body if I hadn’t learnt how to jog and run beforehand. doing that activity for a short period of time in burst as much more likely to cause injury than affied trained and learnt how to run anything from a mile to 5 miles. That said extensive physio weights preparation was needed first before doing this so. Running around playing frisbee or football, is Stillmore taxing on the body than running a few miles or longer distance

Hey doc is it possible to shadow box after a Hip replacement? Im 24 years old and I got mines recently 3months ago.

Thanks for the candid and detailed explanation. My next question, can I ski after a total hip replacement? I am 54, and currently on my 6th week after the surgery. I know I will miss this season, however, I am curious about my chances at skiing in 1 year from now. Before the surgery, I was doing XC perhaps as long as I remember myself, resort alpine skiing for about 40 years, and I was getting into the backcountry last few seasons. The surgery was done using the anterior approach. I understand that everybody's story is different, however, general considerations and statistics will be much appreciated. Thanks.

Just had a Direct Anterior Approach 5 weeks ago. AMAZING!!! Life-changing!

What about playing senior softball.

What about playing tennis?

Thats not true. If toure flat-footed, running on your toes can destroy your shins. Come on doc... Come on

2yrs after thr/still cant walk/bitter as fck

The question is not „can“ you run with a hip replacement. Of course you can. The question should rather be, „should“ you do it. While it’s of course technically possible, you need to be aware that this will wear down the new hip faster. But how fast? There are no studies to that. And if it’s part of your life quality, do whatever you feel like. That’s the whole purpose of the new hip 😅

Worst thing I ever did to my body. Had a doctor who treated me as if I was insane . Can’t kneel and always in pain.