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Biking caused my patient to get a total hip replacement

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Biking caused my patient to get a total hip replacement

Old 04-22-08, 01:01 PM
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The premise is bogus. I highly doubt his cycling caused his hip arthritis. Maybe that's his line, but I suspect it just isn't true. He probably got the hip arthritis in SPITE OF his cycling, not because of it. And that's my medical opinion, nurse.... it is impossible to "prove" it one way or the other.
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Old 04-22-08, 01:09 PM
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Did someone say hips?

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Originally Posted by colorider
Phobias are for irrational fears. Fear of junk ripping badgers is perfectly rational. Those things are nasty.
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Old 04-22-08, 01:10 PM
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Damit Kudude, I'm a doctor, not an english teacher
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Old 04-22-08, 01:20 PM
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Did someone mention hips?

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Originally Posted by colorider
Phobias are for irrational fears. Fear of junk ripping badgers is perfectly rational. Those things are nasty.
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Old 04-22-08, 01:20 PM
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You may be a doctor, but that doesn't stop you from giving troll threads some lovin', huh?
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Old 04-22-08, 01:20 PM
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Did someone mention hips?


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Old 04-22-08, 01:21 PM
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Originally Posted by waterrockets
Did someone say hips?

I want to see the hips!
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Old 04-22-08, 01:23 PM
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Here is a pic of the guy...




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Old 04-22-08, 01:49 PM
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I don't understand the hostility, I was just asking a question out of concern for myself (I used to jog and stopped when I learned jogging can cause knee problems and shin splints)

Some of you guys sound like healthcare practitioners. The guy had osteoarthritis... would that+ biking be a bad combination? His femoral head was worn down to "almost nothing" when they did the arthoplasty so something had to cause that damage.

Also he had AVN on his right side like someone mentioned... but no history of drug abuse. He says the doctor told him specifically that the biking is what caused the damage, and that he should have done warm ups before riding at all.
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Old 04-22-08, 02:14 PM
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Originally Posted by AD1985
I don't understand the hostility, I was just asking a question out of concern for myself (I used to jog and stopped when I learned jogging can cause knee problems and shin splints)

Some of you guys sound like healthcare practitioners. The guy had osteoarthritis... would that+ biking be a bad combination? His femoral head was worn down to "almost nothing" when they did the arthoplasty so something had to cause that damage.

Also he had AVN on his right side like someone mentioned... but no history of drug abuse. He says the doctor told him specifically that the biking is what caused the damage, and that he should have done warm ups before riding at all.
These guys like to kid around. A lot of the posts are not helpful, but they're not meant to be malicious. A lot of people come in here and post some disingenuous stuff for the express purpose of causing arguments. Many posters thought you may have been in that category, but it now rather sounds like you're being sincere. In which case, I hope there has been at least a little bit of helpful information.
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Old 04-22-08, 02:20 PM
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Originally Posted by AD1985
I don't understand the hostility, I was just asking a question out of concern for myself (I used to jog and stopped when I learned jogging can cause knee problems and shin splints)

Some of you guys sound like healthcare practitioners. The guy had osteoarthritis... would that+ biking be a bad combination? His femoral head was worn down to "almost nothing" when they did the arthoplasty so something had to cause that damage.

Also he had AVN on his right side like someone mentioned... but no history of drug abuse. He says the doctor told him specifically that the biking is what caused the damage, and that he should have done warm ups before riding at all.
As stated, without a pre-existing defect or injury to the hip, a degenerative disease or some seriously wrong adjustments to the bicycle, cycling alone cannot have caused the problem.
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Old 04-22-08, 02:20 PM
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Wow 20 miles a day?
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Old 04-22-08, 02:22 PM
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Originally Posted by wfrogge
Wow 20 miles a day?
Was he riding in that tour day france ride?
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Old 04-22-08, 02:22 PM
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Did someone say hips?

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Old 04-22-08, 02:23 PM
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Originally Posted by waterrockets
Did someone say hips?

Oddly, Shakira was on All Things Considered on NPR tonight.
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Old 04-22-08, 02:24 PM
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Originally Posted by AD1985
I asked him what was the cause and he told me it was biking.

Maybe he was just upgrading to one of those swanky carbon Record hips.
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Old 04-22-08, 02:24 PM
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Someone should have told this guy that the right foot goes into the RIGHT pedal, not the left one.. I think he had his legs crossed while he was riding.

Seriously, it could easily have been other reasons. Was he a smoker? My father smoked for 40 years and the degeneration of his red blood cells, etc. etc. ended him up with two fake hips.
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Old 04-22-08, 02:26 PM
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Let's think here...

"Osteoarthritis is a type of arthritis that is caused by the breakdown and eventual loss of the cartilage of one or more joints."

Degenerative disease causing the loss of joint cartilage coupled with performing a repetitive act on a machine that is not adjusted properly to alleviate excessive pressure on a specific joint... Could that cause a problem? I don't know. I'm not a doctor.
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Old 04-22-08, 02:28 PM
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Originally Posted by munkyv22
Let's think here...

"Osteoarthritis is a type of arthritis that is caused by the breakdown and eventual loss of the cartilage of one or more joints."

Degenerative disease causing the loss of joint cartilage coupled with performing a repetitive act on a machine that is not adjusted properly to alleviate excessive pressure on a specific joint... Could that cause a problem? I don't know. I'm not a doctor.
maybe we should ask DrPete.
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Old 04-22-08, 02:29 PM
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Also, HipCyclist may want to chime in here.. he cycles WITH a replacement hip.
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Old 04-22-08, 02:30 PM
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Originally Posted by munkyv22
Let's think here...

"Osteoarthritis is a type of arthritis that is caused by the breakdown and eventual loss of the cartilage of one or more joints."

Degenerative disease causing the loss of joint cartilage coupled with performing a repetitive act on a machine that is not adjusted properly to alleviate excessive pressure on a specific joint... Could that cause a problem? I don't know. I'm not a doctor.
What a crazy coincidence, I was just diagnosed with early onset arthritis of the spine (upper disks, near neck) today! I'm 23. Time for me to get a second opinion.
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Old 04-22-08, 02:31 PM
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Yeah, where is Pete? Probably off doing Doctor stuff. I am sure however that he would add that Osteoarthritis coupled with an RSI using poorly adjusted equipment is kind of a "Duh" diagnosis.
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Old 04-22-08, 02:33 PM
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has anyone seen Hip?

later.
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Old 04-22-08, 02:36 PM
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Originally Posted by AD1985
I'm a nursing student and today I talked to a man who was in a lot of pain after requiring a total hip replacement on his right side. I asked him what was the cause and he told me it was biking. He flew in from a small town in Nevada (no surgeons there) and biked about 20 miles a day.
If his docs are convinced he had properly adjusted his bike, didn't have totally сrap technique, and wasn't suffering from a preexisting condition, it is clear that he wasn't riding enough.

20 miles per day isn't much. Many people on BF have been riding much more than that for a long time.
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Old 04-22-08, 02:39 PM
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You can't chock it all up to cycling or to position. How about family history? How about his occupation? Genetic predisposition due to hip anatomy? Has he been osteopenic or osteoporotic for years?? He is probably suceptible to hip disease due to some or all of these factors and cycling was the catalyst. You cannot look at a multifactorial problem like this and say that we all should stop riding or change our position b/c of one guy who had a hip problem who happened to be a cyclist.

Such a patient probably would have had worse hip disease if he were sedentary or if he were a marathon runner. Risk factors and suceptibility matter more than a single activity (short of a traumatic injury, of course).

That said...anyone here riding with a titanium hip or two??
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