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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, 12:21 PM
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AD1985
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Biking caused my patient to get a total hip replacement

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. He said the biking motion wore down on his hip area until there was nothing left and now he can barely walk.

Scary stuff. Has anyone else known of or dealt with this problem?
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Old 04-22-08, 12:22 PM
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Old 04-22-08, 12:23 PM
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Hmm.... might wanna ask the Pro cyclers what happens to their hips when they put 15-20k miles into their hips every year.
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Old 04-22-08, 12:24 PM
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Pcad is not hip to that.
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Old 04-22-08, 12:24 PM
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Brooks
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Old 04-22-08, 12:26 PM
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i suppose any repetitive motion can cause injury...but i doubt this is common...
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Old 04-22-08, 12:26 PM
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Originally Posted by AD1985 View Post
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. He said the biking motion wore down on his hip area until there was nothing left and now he can barely walk.

Scary stuff. Has anyone else known of or dealt with this problem?
Having had a full hip replacement myself I'd say that is highly unlikely. From what I learned during my ordeal, it is more likely that his hip suffered a trauma or he simply had a weak hip from birth. As a matter of fact, my surgeon told me that cycling is great for the hips by virtue of the fact that it is a non weight bearing activity.
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Old 04-22-08, 12:26 PM
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This thread is stupid.
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Old 04-22-08, 12:27 PM
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Floyd Landis.

But Floyd's problem was originally caused by a crash. I haven't heard of any others, but I'm sure it happens. Any activity has some risks that you'll hurt yourself. But if you don't do anything athletic you're pretty much guaranteed to die young.
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Old 04-22-08, 12:27 PM
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If true, he was doing something very wrong.
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Old 04-22-08, 12:27 PM
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Did someone mention hips?

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Old 04-22-08, 12:31 PM
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poor saddle positioning.

if his bike was properly fit he would have been fine.

walking/running is actually strenuous on the hips because the hip insertion to the joint is lateral and not perfectly matched to the kind of stress it gets from running.

Cycling is only really hard on the knees from repetitive motion. If he was wearing his hip joint, there was something incredibly wrong with his positioning or he has a pre-existing cartiledge condition or severe arthritis causing it.

Floyd Landis has a similar problem, however he can bike just fine (with some medicine for the pain) even though walking requires a cane
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Old 04-22-08, 12:37 PM
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Originally Posted by OneArmedScissor View Post
Floyd Landis has a similar problem, however he can bike just fine (with some medicine for the pain) even though walking requires a cane
**********??
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Old 04-22-08, 12:37 PM
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Did he mention that he was made of chalk?
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Old 04-22-08, 12:38 PM
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Originally Posted by OneArmedScissor View Post
poor saddle positioning.

if his bike was properly fit he would have been fine.

walking/running is actually strenuous on the hips because the hip insertion to the joint is lateral and not perfectly matched to the kind of stress it gets from running.

Cycling is only really hard on the knees from repetitive motion. If he was wearing his hip joint, there was something incredibly wrong with his positioning or he has a pre-existing cartiledge condition or severe arthritis causing it.

Floyd Landis has a similar problem, however he can bike just fine (with some medicine for the pain) even though walking requires a cane
you sure about that sparky?
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Old 04-22-08, 12:38 PM
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I have a bad hip. Sometime in the near future I will need a hip replacement. When I'm cycling is about the only time my hip doesn't hurt.
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Old 04-22-08, 12:40 PM
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Originally Posted by roadfix View Post
Brooks
...sucks.

Next?
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Old 04-22-08, 12:40 PM
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What are they teaching you in Nursing School?

Trauma from a crash can obviously result in hip damage.

Setting aside trauma, cycling should be good for your hips.

1) one significant cause for hip replacements is arthritis. Cycling, and keeping active, helps rather than hurts most folks with arthritis.

2) to the extent the aerobic exercise keeps weight off, it also make you less likely to need a hip replacement at some point.

Now of course you can need a hip replacement as the result of avascular necrosis secondary to steroid use, but that's a whole nother story.
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Old 04-22-08, 12:42 PM
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Old 04-22-08, 12:44 PM
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Now, keep in mind that stupid people can find lots of creative ways to harm themselves. If his saddle was 2 feet too low or 9 inches too high causing him to rotate the hip socket side to side as he pedaled, that *might* mess something up over time.

However, anyone claiming to have a "patient" should have at least enough of a basic education in physiology to know that cycling is not harmful to the hip and therefore... This is a stupid troll thread.
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Old 04-22-08, 12:44 PM
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maybe he should have spent that money on a good fitting instead of hip replacement.
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Old 04-22-08, 12:45 PM
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i am selling my bikes tomorrow and switching to lawn bowling. thanks for saving my hips!
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Old 04-22-08, 12:52 PM
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Originally Posted by AD1985 View Post
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. He said the biking motion wore down on his hip area until there was nothing left and now he can barely walk.

Scary stuff. Has anyone else known of or dealt with this problem?
Ms. Nursing student I think a complete patient history is indicated in this case. I don't think a "How you doing Sir, what happened?" is enough. I've never met the guy, but my guess is that he probably has done other things in his life that might have caused some degenerative changes to the femoral head and acetabulum, necessitating replacement.

To say "Biking caused my hip replacement" is rediculous. Needless to say it's one of the lowest impact activities you can place upon the hip.
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Old 04-22-08, 12:57 PM
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Did someone say hips?

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Old 04-22-08, 12:59 PM
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^^ you can spell "acetabulum" but not ridiculous?
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