Speaker 1: You're listening to I Choose Me with Jenny Garth. Hi, everyone,
Speaker 1: welcome to I Choose Me. This podcast is all about
Speaker 1: the choices we make and where they lead us. On
Speaker 1: today's podcast, I want to tell you something, and most
Speaker 1: people are pretty shocked when I tell them this. I've
Speaker 1: had both my hips replaced. Yep. You know. I live
Speaker 1: a very healthy life, and I think it shocks people
Speaker 1: to hear that because I work out so hard. I
Speaker 1: post my workouts. I'm all about healthy and active. But
Speaker 1: I want to talk about the experience today because I'm
Speaker 1: on the other side of it now, and maybe somebody
Speaker 1: listening is going through this experience that I went through.
Speaker 1: Maybe you're feeling pain, maybe you're ignoring it. Maybe you
Speaker 1: know something's right, but you don't want to go to
Speaker 1: the doctor, and maybe you're feeling really frustrated. I want
Speaker 1: you to know that you are not alone. It was
Speaker 1: early twenty twenty, right after the shutdown. I had been
Speaker 1: dealing with hip problems, hip pain, hip clicking pretty much
Speaker 1: all my life. I used to be a dancer and
Speaker 1: I would stretch, and I would stretch through my hip
Speaker 1: and it would kind of click and it didn't bother me.
Speaker 1: It didn't hurt that much. It was just a little embarrassing.
Speaker 1: And the click got louder and louder until it started
Speaker 1: to become like a clunk, you know. It was my
Speaker 1: hip joint would feel like it was like clunking into
Speaker 1: position or clunking as I walked, and eventually it started
Speaker 1: to basically give out from time to time whenever I
Speaker 1: would put weight on it. So it was the winter
Speaker 1: of twenty nineteen going into twenty twenty that my family
Speaker 1: and I had gone on a ski trip we always
Speaker 1: like to try to do every winter, and my hips
Speaker 1: were hurting so badly that I couldn't ski with them.
Speaker 1: I couldn't get on the lift, I couldn't get off
Speaker 1: the lift, I could not go down the mountain. So
Speaker 1: I had to just sort of sit that out, and
Speaker 1: I was like, oh man, this sucks. I don't want
Speaker 1: this life. I don't want to slow down. I'm too
Speaker 1: young to have to worry about, you know, pain and
Speaker 1: not be able to do things because I'm in pain, Like,
Speaker 1: I need to go get this looked at once and
Speaker 1: for all. So I went and I sought out a doctor,
Speaker 1: a surgeon who specializes in hips, and I went to
Speaker 1: see him, got my X rays, which led me to
Speaker 1: getting an MRI, which led me to the diagnosis that
Speaker 1: I needed to have my hip replaced. And I was
Speaker 1: blown away because that's not what I was expecting to hear.
Speaker 1: I don't know why, but I just felt like, Oh,
Speaker 1: I'm too young for this. US kidding. Your hip replace
Speaker 1: that's for old people. My parents are older, they had
Speaker 1: hip replacements. That sounds like a big deal, and I'm
Speaker 1: not sure I want to do that. So I sort
Speaker 1: of sat with that news for a while and lived
Speaker 1: with the pain a little bit more and came to
Speaker 1: the place where I couldn't even take my dogs on
Speaker 1: a walk or go like on a family walk around
Speaker 1: the neighborhood. And I just didn't want to live like that.
Speaker 1: You know, I have a younger husband and I'd like
Speaker 1: to keep up with them. So I opted to go
Speaker 1: in and get my left hip replaced. And I was
Speaker 1: so afraid when I went in for that first operation,
Speaker 1: I had no idea what was going to happen. I honestly,
Speaker 1: every time the doctor would talk about what the procedure
Speaker 1: was going to be, and you know, the recovery and
Speaker 1: all those things, my brain just literally stopped listening and
Speaker 1: didn't want to hear anything. So I went into that
Speaker 1: operation saying, Okay, I don't know what you're about to
Speaker 1: do to me, but do it good because this is
Speaker 1: really important. And I came out and I was like, wait,
Speaker 1: what has happened? And then I saw the X rays
Speaker 1: of what they had done to me. And not until
Speaker 1: after my surgery did I google what a hip replacement
Speaker 1: surgery looks like, because I knew I would be too
Speaker 1: scared and I would back out, but it was really
Speaker 1: something that had to be done. So yeah, I learned
Speaker 1: a lot about hips that spring, and I kept it
Speaker 1: a secret from the world because I was a little
Speaker 1: embarrassed and I didn't want people to have, you know,
Speaker 1: that perception of me that I was getting old and
Speaker 1: breaking down, and so really only my family knew, and
Speaker 1: my mom and my best friends, and it was something
Speaker 1: that I didn't want to share with anybody, So I
Speaker 1: kept the recovery to myself. I didn't, you know, post
Speaker 1: about it or talk about it to anyone, and I
Speaker 1: slowly started to recover, and that's when I decided to
Speaker 1: get in the best shape of my life. I decided
Speaker 1: I'm not going to let this define me. So what,
Speaker 1: I have a fake hip. It feels great. Sometimes I
Speaker 1: forget that I even have it. And I just started
Speaker 1: getting back into working out, gradually building up more and
Speaker 1: more strength, and I think that's about the time that
Speaker 1: I started sharing my workout videos with you guys. Those
Speaker 1: first videos that I started sharing were post hip replacement,
Speaker 1: but nobody knew. And then four years later, my right
Speaker 1: hip started to give me problems started, that clicking started,
Speaker 1: that clunking started, that giving out, and I knew what
Speaker 1: I had to do. So I went back in to
Speaker 1: the same surgeon, doctor Tiberry, and I said, let's do
Speaker 1: the other one. And the other one was done. It
Speaker 1: has been a slightly I expected it to be just
Speaker 1: like the same recovery time. Frankly, very easy for me
Speaker 1: personally because I was in good shape and I was
Speaker 1: healthy and I'm young, so I expected it to be,
Speaker 1: you know, a piece of cake. The second hip was
Speaker 1: not as easy to heal. I'm only about five months
Speaker 1: out from my second hip replacement. Having too feels kind
Speaker 1: of like a different ballgame. But it is slowly healing,
Speaker 1: and I have returned to the gym and I've built
Speaker 1: up and I'm pretty much pretty much back to where
Speaker 1: I was. I'm still working through the pain and still
Speaker 1: working on, you know, my body, accepting what's going on
Speaker 1: in there. But it's a decision that I am glad
Speaker 1: that I made, and I just want to be able
Speaker 1: to share that with the world. I want to be
Speaker 1: able to talk about it and help people who might
Speaker 1: be dealing with hit pain or any other joint pain,
Speaker 1: and they might be so scared because it is a
Speaker 1: very scary thing to go under the knife, you know,
Speaker 1: And I just want to be able to sort of
Speaker 1: destigmatize the concept that fake hips are only for old people.
Speaker 1: That's not true. Everybody you know has their different reasons
Speaker 1: and their different experiences with their bodies. So I just
Speaker 1: want to share mine in hopes that it maybe could
Speaker 1: help one of you listening. So today I want to
Speaker 1: bring in the surgeon who did both of my hip replacements.
Speaker 1: I'm very, very grateful to him. He is a board
Speaker 1: certified orthopedic surgeon who specializes in hip any replacements. He
Speaker 1: is my doctor and I like him a lot. Please
Speaker 1: welcome doctor Taberry to the I Choose Me Podcast. Welcome, Welcome,
Speaker 1: Thank you, thank you so much for joining us.
Speaker 2: Thank you, thanks for having me.
Speaker 1: This is a big moment for me. I mean, can
Speaker 1: you believe it that I'm sharing this incredibly intimate story
Speaker 1: with the world.
Speaker 2: It's a big deal.
Speaker 3: It's a big thing that people go through and everyone
Speaker 3: kind of reacts to it differently.
Speaker 2: So yeah, thank for you.
Speaker 1: People you know, are shocked when I tell them when
Speaker 1: they find out about this about my hips, the hips
Speaker 1: that don't lie, they don't get it because I'm so
Speaker 1: you know, I'm very healthy, I'm so active, I you know,
Speaker 1: share my videos and hopes to inspire others and keep
Speaker 1: myself going. So people are really shocked when they hear
Speaker 1: about this, and I'm only fifty two. Is it common
Speaker 1: to replace such a youngster's hips.
Speaker 3: Well, I guess I would. You know, it would depend
Speaker 3: on what you mean by common. I mean, to answer
Speaker 3: the question directly, it's not that uncommon. The average age
Speaker 3: for this procedure is still in the sixties, so it's
Speaker 3: certainly below average age.
Speaker 2: Is you know, most people.
Speaker 3: Might imagine hip arthritis and hip replacements in the fifties
Speaker 3: is becoming pretty common or be pretty frequently done. And
Speaker 3: you know, people like me see patients at your age
Speaker 3: all the time.
Speaker 1: So ough I thought I was special.
Speaker 3: Well, I didn't say you weren't special, but we definitely
Speaker 3: see people your age pretty often.
Speaker 1: There are different approaches when it comes to hip replacement surgery, right,
Speaker 1: so what was your approach for my surgery?
Speaker 3: Yeah, so that word approach, typically, like for us as surgeons,
Speaker 3: means you know, putting simply how to get into the
Speaker 3: area you're doing surgery, in this case the hip. So
Speaker 3: how do we get there? There are a lot of
Speaker 3: different ways. The method that I use is sometimes called antir,
Speaker 3: sometimes called direct anterior, basically means going from the front
Speaker 3: of the hip to get into the hip joint. There
Speaker 3: were many kinds proponents of using that technique, like me,
Speaker 3: I think do so for a few different reasons in
Speaker 3: my opinion, and probably the thing that's the most well
Speaker 3: established if you look at the published literature, is that
Speaker 3: people who have the surgery done through that technique have
Speaker 3: an easier early recovery.
Speaker 1: You mean from going in the front exactly.
Speaker 3: So while it still takes obviously a certain amount of
Speaker 3: time to heal, the milestones that someone might reach during
Speaker 3: that healing time happens faster through that antier approach. Boork
Speaker 3: going through the front than it does through some other approaches,
Speaker 3: despite the fact that the long term results of all
Speaker 3: approaches is really good and probably comparable.
Speaker 1: Yeah, I kind of like that you went through the
Speaker 1: front and not the side. Honestly, you use robotic assistance
Speaker 1: in surgeries, So why do you do that? And what
Speaker 1: are you doing if a robot is doing the work,
Speaker 1: what are you doing?
Speaker 3: Yeah, that's a super common question I get from people,
Speaker 3: and I think some people have this image in their
Speaker 3: minds of me having coffee in the break room while
Speaker 3: the robot's doing the surgery, And obviously that's not what
Speaker 3: it is. The best way to describe it as a
Speaker 3: robot is a sophisticated tool or instrument that we use
Speaker 3: to do the surgery that really helps us improve our
Speaker 3: level of accuracy and precision. So it's not the kind
Speaker 3: of robot where I'm sitting in a terminal and using
Speaker 3: joysticks and controllers to move things. It's a robotic arm.
Speaker 3: So every I'm there, you know, doing surgery, doing all
Speaker 3: the steps. It's just certain steps of the surgery, particularly
Speaker 3: taking measurements and kind of preparing the bone for the
Speaker 3: implants and placing the implants. The tools that are used
Speaker 3: to do that. I'm holding them, but so is a
Speaker 3: robotic arm to ensure that we're doing that very accurately,
Speaker 3: very precisely in the way that we want to do that.
Speaker 3: If we don't have that kind of tool, we're usually
Speaker 3: just left to kind of do it based upon visual
Speaker 3: cues and landmarks and things that we reference. So this
Speaker 3: is kind of an added advantage from that perspect That.
Speaker 1: Is just bananas to me that a robot is inside
Speaker 1: my body like that. Yeah.
Speaker 3: Yeah, I was pretty impressed the first time I used
Speaker 3: that technology. Didn't know what to expect. And after you know,
Speaker 3: I've been using now for eight nine years, but after
Speaker 3: doing it.
Speaker 2: The first couple of surgeries that way, I was blown away.
Speaker 3: So definitely became, you know, a big proponent of it
Speaker 3: at that time.
Speaker 1: Well, I guess it's great if it's going to you know,
Speaker 1: make things more precise. Who don't want that? Yeah, So
Speaker 1: when people talk about hip pain, there is sometimes a
Speaker 1: misunderstanding about, you know, what the symptoms are and where
Speaker 1: the pain is. What are the complaints that you see
Speaker 1: and hear the most when people come into your office.
Speaker 1: How do they identify it to you?
Speaker 2: Yeah?
Speaker 3: I like the way you put it, I mean there's
Speaker 3: there's this sort of thought that the hip is in
Speaker 3: a place that the hip is not in. You know,
Speaker 3: we kind of you know, if you ask most people
Speaker 3: where's their hip, they're going to point to this area
Speaker 3: that's kind of towards the outside or back of at
Speaker 3: the top of their leg or you know, that area,
Speaker 3: and the hip is closest to the front of the body.
Speaker 3: So we tend to see the most frequent place that
Speaker 3: the hip joints going to cause pain.
Speaker 2: Really, you know, regardless of what the issue is, is.
Speaker 3: In the front of the hip, sometimes sometimes the groin
Speaker 3: or just kind of to the front and so they
Speaker 3: you know, maybe even slightly to the outside. You can
Speaker 3: get pain on the side of the hip. It's actually
Speaker 3: fairly rare to get pain in the back of the
Speaker 3: hip or buttock area, but that front of the hip
Speaker 3: most common, and it can oftentimes travel into the front
Speaker 3: of the thigh to and even involve the neise sometimes.
Speaker 3: But we'll get patients that come in and they you know,
Speaker 3: first time you ever met them, and they say, my
Speaker 3: hip flexer is killing me. And it's like, well, actually
Speaker 3: it's not your hip flexer, it's your hip joint, so
Speaker 3: that you know, those are the types of things we
Speaker 3: hear most often, and it's totally understandable why it can
Speaker 3: be confused.
Speaker 1: Yeah, Yeah, that's where I thought I was feeling the pain,
Speaker 1: and it's right in that same exact area as the
Speaker 1: hip flexer.
Speaker 3: Yeah, the hip flexer sits directly across the front of
Speaker 3: the hip joint, so a hiplexer problem will probably cause
Speaker 3: pain in the same area. So very easy to confuse them.
Speaker 3: Even sometimes for us as physicians, they're difficult to distinguish
Speaker 3: between the two. But yeah, totally understandable to get those
Speaker 3: mixed up.
Speaker 1: Are there certain genetics like family history that play into
Speaker 1: this pain or having to have your joints replaced in
Speaker 1: my case, nip.
Speaker 3: It's a huge component to this, and you know, you
Speaker 3: mentioned before that oftentimes people may be surprised that, you know,
Speaker 3: somebody like you has a hip problem like you have
Speaker 3: and has you know, hip replacement. But genetics is a
Speaker 3: big component. It's not quite as simple as well, my
Speaker 3: you know, my mom or my dad or my aunt
Speaker 3: had this, so I have it, so then my son
Speaker 3: or daughter has it and so on and so forth.
Speaker 3: It's probably more complicated genetic component to it, but but
Speaker 3: very common, it's not. It's not always the you know,
Speaker 3: person who has a history of just high impact or
Speaker 3: you know, the overweight individual or things that people most
Speaker 3: often think are always related to developing these kind of problems.
Speaker 3: A lot of us just I guess you know, you'd
Speaker 3: say in terms of genetics, sometimes bad luck.
Speaker 1: Yeah, and like normal wear and tear. Yep, you've just
Speaker 1: mentioned something that I wanted to ask you about. If
Speaker 1: you are overweight or over your you know, like target weight,
Speaker 1: does that contribute to the pain and the hips or
Speaker 1: the joints breaking down quicker?
Speaker 3: That's a great question. You know, there's all kinds of
Speaker 3: data out there. There's some data are associated with higher
Speaker 3: rates of these kinds of procedures in patients whoever weiit.
Speaker 3: But I don't know if I personally believe that that's
Speaker 3: necessarily the biggest contributor to whether the joint breaks down quicker.
Speaker 3: My personal feeling is it has a huge component or
Speaker 3: effect on how the pain is felt. So the way
Speaker 3: I described that to patients is on a bad hip
Speaker 3: or knee, more force is going to be more pain, right,
Speaker 3: And that's usually pretty easy to understand and I give
Speaker 3: you know, certain examples for you know, or how that
Speaker 3: force is felt. Flat level ground is oftentimes thought to
Speaker 3: be about three to four times your body weight in
Speaker 3: terms of walking on flat level ground.
Speaker 1: Right pressure you're putting on your joints, you mean.
Speaker 3: Yeah, so you know, for every pound, that's three or
Speaker 3: four pounds of force, okay, whereas a sending descending stairs,
Speaker 3: for instance, can be as much as ten times your
Speaker 3: body weight. So it's just kind of like, you know,
Speaker 3: the more weight you're carrying, the more magnified that gets.
Speaker 3: And you know, I'm sure higher impact activities are going
Speaker 3: to have you know, much more than ten x your
Speaker 3: body weight. And so my personal feeling is I don't
Speaker 3: know if it definitely is the biggest factor in how
Speaker 3: quickly your joint wears out, but I do think that
Speaker 3: as your joint is wearing out and becoming painful, it's
Speaker 3: a huge factor on how bad your pain is. And
Speaker 3: we definitely see that patients who lose weight will have
Speaker 3: less pain, So that kind of fits with that.
Speaker 1: Yeah, I know that over the course of like all
Speaker 1: the years that I was experiencing pain before I came
Speaker 1: to visit you, my weight fluctuated up and down, left
Speaker 1: and right, and whenever I would be up even like
Speaker 1: five pounds, my hips would hurt more. So that definitely
Speaker 1: makes sense to me.
Speaker 2: Yeah.
Speaker 1: Yeah, I remember right before we went into the operating
Speaker 1: room and you had a mask on. I didn't even
Speaker 1: know what you look like. I mean, it was weird
Speaker 1: like that we were in there the first day. I
Speaker 1: feel like after the COVID lift and you could do
Speaker 1: operations again. And I remember right before they wheeled me
Speaker 1: and I said, hey, I've got that tattoo. Don't forget.
Speaker 1: I need you to really line up my flower. I
Speaker 1: have a really big For those out there that don't
Speaker 1: know what I'm talking about, I have a really big
Speaker 1: hip tattoo. I don't think i'd make that decision again,
Speaker 1: but I asked you, can you please line up my
Speaker 1: rose petal leaves? You looked at me so strangely. Is
Speaker 1: that the first time you had anybody need you to
Speaker 1: do that?
Speaker 3: No, definitely have had to come up before, both in
Speaker 3: the knee and the hip.
Speaker 2: It's just one of those things.
Speaker 3: I mean, I feel like yours is definitely one of
Speaker 3: the ones that that decision got into the tattoo.
Speaker 1: I mean, like right through it more than some.
Speaker 3: Right, Yeah, I had one actually not too long ago,
Speaker 3: where I was concerned about it and actually was able
Speaker 3: to totally avoid it and looking at me like, don't
Speaker 3: worry about it. Worry about my head. Of course, that's
Speaker 3: what we're going to worry about. But yeah, I definitely
Speaker 3: remember that, and I remember telling you that basically, we'll
Speaker 3: do the best we can. We'll do you know, we'll
Speaker 3: do the surgery and we'll do the best we can
Speaker 3: with the incision. And yeah, fortunately I think it worked
Speaker 3: out pretty well.
Speaker 1: So funny things people ask you to do, I'm sure.
Speaker 1: Let's talk about recovery time after surgery like this on
Speaker 1: my first one, when I had my first hip or place,
Speaker 1: I was vacuuming my house three days after the surgery.
Speaker 1: Is that frowned upon?
Speaker 2: It's a great question. I don't know if i'd say that.
Speaker 3: You know, I think I think every in many ways,
Speaker 3: every person is different, right, And so you know, there's
Speaker 3: a reason why when I do surgery, I meet a
Speaker 3: patient or prep patient for surgery, we don't hand them
Speaker 3: a list of here's what you do at what time,
Speaker 3: because one thing three days after surgery is going to
Speaker 3: be absolutely okay for someone to do and totally the
Speaker 3: wrong thing.
Speaker 2: For someone else to do.
Speaker 3: So the best, the best advice I give patients when
Speaker 3: they're recovering is everything you do should be on a gradual,
Speaker 3: incremental basis, And people kind of get that if you
Speaker 3: put it into perspective.
Speaker 2: Most people are.
Speaker 3: You know, the best examples to use is like professional
Speaker 3: athletes recovering from a sports injury. Most people kind of
Speaker 3: see that where you know, if a you know, athlete
Speaker 3: has an injury, they don't just after they're done healing,
Speaker 3: like go back to playing full tilt. They work their
Speaker 3: way up, they do certain things. You know, they do
Speaker 3: this much and then this much and then this much,
Speaker 3: and so, whether it's vacuuming three days or anything else,
Speaker 3: I would just tell a patient, hey, like start with
Speaker 3: a little bit, and then do a little more, and
Speaker 3: then do a little bit more, and that way, if
Speaker 3: you do reach a point where you've overdone it a
Speaker 3: little bit, it won't have been by very much because
Speaker 3: you have just previously done something that was totally well tolerated.
Speaker 3: So that's great to hear that you were able to
Speaker 3: do that. Some patients wouldn't be ready to do that
Speaker 3: three days and that's okay. I've definitely seen plenty of
Speaker 3: examples of patients were also young and healthy, take longer
Speaker 3: to get there and then have great outcomes.
Speaker 2: So everyone's just a little bit different.
Speaker 1: I think I would advise against it personally because I
Speaker 1: feel like I really did try to like just forget
Speaker 1: that the surgery ever happened and just move forward. And
Speaker 1: I tried to just like you know, grin and bear it,
Speaker 1: and then that ended up I think making my recovery
Speaker 1: a little more difficult on the first one. Although the
Speaker 1: first hip recovery was very, very smooth, I just think
Speaker 1: that I probably could have taken it a little easier.
Speaker 3: Yeah, we see that all the time, and sometimes, yeah,
Speaker 3: I tell.
Speaker 2: Patients, you know, break people up into like three groups.
Speaker 3: There's like the underachievers, the overachievers, and the people in
Speaker 3: the middle. And probably the ones I worry about the
Speaker 3: least are the ones in the middle.
Speaker 2: You know, like people might think it's.
Speaker 3: The overachievers, right, and maybe vacuuming at three days and
Speaker 3: doing everything that you did it was a little bit
Speaker 3: of that. But you know, the people in the middle
Speaker 3: tend to smooth, you know, go smooth sailing through recovery,
Speaker 3: whereas the others, you know, may need a little bit
Speaker 3: of adjustment here and there based on you know, what
Speaker 3: their activities are.
Speaker 1: What does a typical recovery look like with most of
Speaker 1: your patients, Like how long? And you know those kind
Speaker 1: of details. What do you say? Yeah, I mean it's
Speaker 1: different for everyone.
Speaker 3: It's it is so different, and I hate to just
Speaker 3: it's kind of like a cop out. I feel like,
Speaker 3: almost amusing. But I generally tell visions this, and I
Speaker 3: tend to be in this regard a little conservative because.
Speaker 2: I don't want to.
Speaker 3: I don't want pisions to go and just think, oh,
Speaker 3: it's a big deal. So I generally tell people, you know,
Speaker 3: there's about three months of tissue healing. The first month
Speaker 3: of that is the main part of it, you know,
Speaker 3: so when you get to end of a month, people
Speaker 3: are film pretty good. Here are allows of you know,
Speaker 3: of course, from the beginning, as you know what many
Speaker 3: may not. You're allowed to put your weight on your
Speaker 3: leg right away.
Speaker 2: You're allowed to walk right away.
Speaker 1: That's crazy to me. I did not expect that. You
Speaker 1: guys like cut my hip off, basically saw my leg off.
Speaker 1: I don't know why you did. In there, but I
Speaker 1: was up like two hours later walking around on a walker.
Speaker 2: Yeah.
Speaker 3: I mean, it's one of the things that we've learned
Speaker 3: is just better for people. You know, if you go
Speaker 3: back far enough, and I'm talking pretty far back, people
Speaker 3: used to be in bed for days or weeks, you know,
Speaker 3: after this surgery, and that's you know, this is a
Speaker 3: long time ago. But there's not the right thing, you know,
Speaker 3: I mean complication rates and we're much higher getting blood
Speaker 3: cuts and other problems. So the surgery is definitely progressed.
Speaker 3: You know, our materials have progressed, the techniques have progressed.
Speaker 2: So now.
Speaker 3: Promoting that, you know, activity early is really good thing.
Speaker 1: Well, for me, it was kind of like switching one
Speaker 1: pain for another, like I switched the pain of the
Speaker 1: hip herting what brought me to you for the pain
Speaker 1: of the incision, and then especially the pain from I'll
Speaker 1: never forget when I saw the X ray afterwards for
Speaker 1: the first time and I saw what was in my
Speaker 1: femur bone, like what you put like a metal spike
Speaker 1: down pretty far into the femur bone. I mean it
Speaker 1: felt really it looked really far to me. But for me,
Speaker 1: just my body adjusting to having that in my bones
Speaker 1: was really probably the most painful part for a while.
Speaker 3: Yeah, I think I think that happens, you know, oftentimes.
Speaker 3: You know, one of the things is the way the
Speaker 3: force is transmitted, you know, from your body weight changes
Speaker 3: a little bit because it just goes through a different
Speaker 3: sort of fashion than when when you have your native
Speaker 3: hip in there. So there's adjustment period there, and there's
Speaker 3: a period of time where you know, the bone has
Speaker 3: to grow into the implant. So a lot of patients
Speaker 3: will say what you said, which is I was pretty
Speaker 3: quickly able to feel the difference in the symptoms I had,
Speaker 3: And then there's some patients who they don't. It kind
Speaker 3: of feels the same, and then they start recovering and
Speaker 3: things just kind of start going away. But but yeah,
Speaker 3: a lot of people do say that they can feel
Speaker 3: that it's a different type of pain and soreness that
Speaker 3: they have from surgery than when they had.
Speaker 1: Yeah, it's all that tissue. It's all that tissue trying
Speaker 1: to like reconnect to the new thing that's in there,
Speaker 1: the foreign object. You know, are there things people can
Speaker 1: do to prolong the life of a knee or hip.
Speaker 3: It's a great I mean, it's a very very good question.
Speaker 3: I get asked that a lot. It depends on to me,
Speaker 3: it really depends on how you look at that. I
Speaker 3: don't know, like if you're just one of these people
Speaker 3: who have, you know, genetically more likely to have your
Speaker 3: joint wear out, I don't know how much there is
Speaker 3: you can do. I mean there's certainly no proven you know, supplement.
Speaker 3: I mean, there's a lot of things out there that
Speaker 3: are getting looked at and theoretically it may help, but
Speaker 3: there's nothing definitely proven that it's going to prevent that.
Speaker 3: To me, the biggest thing I tell patients is going
Speaker 3: back to that example I gave about force. The best
Speaker 3: thing you can do is have less force on your joint.
Speaker 3: There's really three ways to do that. Two of them
Speaker 3: are more important than the third, of my opinion. Those
Speaker 3: two are trying to maintain a lower weight because obviously
Speaker 3: that makes sense lower weight, less force, like we talked
Speaker 3: about before, And the other is building muscle strength, and
Speaker 3: I think, without getting into a lot of detail, you know,
Speaker 3: physics will show us that the stronger the muscles are
Speaker 3: that cross the joint, the lower something called joint reactive forces,
Speaker 3: which is a force that goes across the joint. So
Speaker 3: I think that's really important, and especially for people as
Speaker 3: they get older, that there's a lot of benefit to
Speaker 3: focusing on muscle strength and you know, and some level
Speaker 3: of strength training can really it's not going to preserve
Speaker 3: your cartilage necessarily, but it may make your joints hurt less,
Speaker 3: you know. And then that third thing I mentioned is
Speaker 3: you know which activities you choose, you know, high versus
Speaker 3: low impact, and not that that's not important, but if
Speaker 3: you're just someone who lives to run, you know, and
Speaker 3: that's just something you love to do, and mentally really
Speaker 3: you know, beneficial for you. I'm not telling you not
Speaker 3: to run if you know, if your body does well
Speaker 3: with that. But yeah, for a lot of people, especially
Speaker 3: if if you have a joint issue, cycling or swimming,
Speaker 3: I mean those are going to be better tolerated because
Speaker 3: they're lower impact on your joints.
Speaker 1: Yeah. Yeah, I recently read a study that said that
Speaker 1: bicycling can improve your knee joints. Is that true?
Speaker 2: Yeah?
Speaker 3: I think, you know, I've heard, I've heard kind of
Speaker 3: what you're referring to, and I think I think it's
Speaker 3: kind of like what I just mentioned where it's a
Speaker 3: really good way to exercise both cardiovascually as well as
Speaker 3: you know, some form of a buscle strength too, in
Speaker 3: a relatively low impact manner compared to some other things.
Speaker 3: So you know, I think those things can all help you,
Speaker 3: and particularly the strength training in terms of taking the
Speaker 3: force off the knee or the hip. But I don't
Speaker 3: know if it's like really preserving cartilage, although there's some
Speaker 3: theories that joint motion is beneficial for cartilage health, but
Speaker 3: I don't know we have that data to really say
Speaker 3: that that's the case.
Speaker 1: Sorry, I have so many questions for you. Is there
Speaker 1: a type of patient that you usually see come into
Speaker 1: your office more than others like athletes, danswers or is
Speaker 1: it just regular old people like me?
Speaker 2: Oh, I would call you regular old people all kinds.
Speaker 3: I mean, really, yeah, I think that's I think it's
Speaker 3: time's gone on, and then we've had success with the procedure,
Speaker 3: and also people are active, you know, longer.
Speaker 2: We're seeing all sorts of people.
Speaker 3: I mean, I see everyone from hate to say it,
Speaker 3: but it's not common, but I've seen people have the
Speaker 3: surgery in their twenties and I've seen people in their nineties,
Speaker 3: you know, so age can be all over and you know,
Speaker 3: just it's not like I said, it's not always the
Speaker 3: overweight patient. It's not always the marathon runner who's pounding
Speaker 3: on their joints all the time. It's not always you know,
Speaker 3: any particular person that can be. It could be really
Speaker 3: you know, anybody.
Speaker 1: Mm hmm. Let me ask you this. Does bone density
Speaker 1: play a part in whether or not your joints are
Speaker 1: going to last?
Speaker 2: Yeah? Not really.
Speaker 3: There there that super commonly asked or confused. And I
Speaker 3: think the reason why is the word osteoporosis sounds a
Speaker 3: lot like osteoarthritis.
Speaker 1: I was going to ask you about that. It's very confusing. Osteoporosis, Yeah, osteoarthritis.
Speaker 3: What is the osteoporosis refers to a bone density problem,
Speaker 3: lower bone density, and it's a you know, you get
Speaker 3: to a certain level of bone density below kind of
Speaker 3: a lack of better description, what should be you have osteoporosis.
Speaker 3: So that refers to lowering of your bone the density
Speaker 3: of your bone mineral. So it's essentially, you know, like
Speaker 3: your bones are sort of weaker. Common you know, more
Speaker 3: common in people as the age, and in particular the
Speaker 3: most common demographic would be, you know, older women because
Speaker 3: of the hormonal changes that happen after metopause, so that
Speaker 3: has a huge impact on your bone city not to
Speaker 3: say that men can't get it or but but yeah,
Speaker 3: and the classic would be like lower weight older women,
Speaker 3: whereas usal earth rightis is a condition that refers to
Speaker 3: wearing out or loss of cartilage and cartilage and bone
Speaker 3: or totally separate tissues. Despite the fact that our articular cartilage,
Speaker 3: which is the main type of cartilage we're talking about today,
Speaker 3: sits on top of the bone and the joint. So
Speaker 3: like in the hip, the ball, the bone has a
Speaker 3: layer of articular cartilage and the socket has that layer too,
Speaker 3: And the friction between two normal cartilage surfaces that are
Speaker 3: lubricated by a normal joint fluid is incredibly low. But
Speaker 3: that whole situation that we're out and do with the
Speaker 3: bone density.
Speaker 1: Yeah, I think you were the first person that told
Speaker 1: me I had ast you arthritis. You said it so
Speaker 1: gingerly too. You were like afraid to tell me I
Speaker 1: think that I had arthritis, which I think was a
Speaker 1: good decision because yeah, I was like, what, Yeah, I
Speaker 1: don't know.
Speaker 3: I mean, it's I can't recall that a specificy. But
Speaker 3: I would say sometimes people just don't like that term,
Speaker 3: especially like when I'm saying a younger patient, because they
Speaker 3: just kind of classically associate that with like an older
Speaker 3: person's problem. So oftentimes, rather just say, hell, you've got
Speaker 3: to do athritis, I just say, well, you're you know,
Speaker 3: your cartilage is wearing out, and kind of explain the
Speaker 3: condition more.
Speaker 1: Rather than just label yeah, yeah, yeah. Nobody wants to
Speaker 1: hear that they've got arthritis, but most of us are
Speaker 1: walking around with arthritis. I'm sure the number one question
Speaker 1: that your patients ask you is, well, maybe not, but
Speaker 1: how long are these hips going to last? Am I
Speaker 1: going to have to get a hip replacement? On my
Speaker 1: hip replacement?
Speaker 3: Yeah, that's a really good question, ues and it's a
Speaker 3: common question, and we've talked about that, I think, but
Speaker 3: the best way I can describe it, and a lot
Speaker 3: of times I think we like we as a professional,
Speaker 3: you know, surgeons, we don't do a good job with this. Like,
Speaker 3: to be quite honest, it's easier for us to just say, oh,
Speaker 3: twenty years, thirty years, but those are all guesses. And
Speaker 3: so what I mean by that is materials have improved
Speaker 3: a lot, and that's a great thing for you know, somebody,
Speaker 3: especially like you, whos younger inactive and so what I
Speaker 3: usually television is first answer is I don't know.
Speaker 2: How long it's going to last. But that's good. Here's
Speaker 2: here's why.
Speaker 3: The reason I don't know is if you go back
Speaker 3: to materials that were used, you know, probably over twenty
Speaker 3: to twenty five years ago, that were the most commonly
Speaker 3: used things, using very special techniques which I won't get
Speaker 3: into the details of, we can detect the very first
Speaker 3: tiny amount of wear starting even at year one after
Speaker 3: now it's not something you would see on an X ray,
Speaker 3: but again using a special technique that we mostly use
Speaker 3: for research purposes, you could start detecting that.
Speaker 1: There's rare and tear my new hips.
Speaker 2: After all, I'm just saying these are I'm saying these are.
Speaker 2: This is materials used back a long time ago, over
Speaker 2: twenty twenty five years ago.
Speaker 1: Okay, got it.
Speaker 3: So in those cases you were seeing that very early
Speaker 3: stage of starting of where and those hips would go
Speaker 3: on to do well for quite a long time after that.
Speaker 3: With more modern materials which started being used around the
Speaker 3: year two thousand and became you know, within five years
Speaker 3: of that really commonly used, and even since then there
Speaker 3: have been some additional modifications and improvements. But if you
Speaker 3: look at those and you look at the n VIVA,
Speaker 3: which means in people data, using those same very special techniques,
Speaker 3: we can't even detect that first little bit aware that
Speaker 3: we used to detect that year one, and now we're
Speaker 3: at over a year twenty.
Speaker 1: So that's good news.
Speaker 3: Okay, that's good news, very good news for everyone, particularly
Speaker 3: you know, young active people like you.
Speaker 1: Yeah, because you know, I got no interest in having
Speaker 1: my hips replaced again. I mean, it wasn't the worst
Speaker 1: thing ever, but yeah, I wouldn't. I wouldn't be like, Yay,
Speaker 1: I'm getting my hips replaced again.
Speaker 3: Yeah, and you know it would never be the right
Speaker 3: thing for somebody like me to television. Oh, you're never
Speaker 3: going to need to have it done again. But you know,
Speaker 3: because I can tell you, now, here's what the data
Speaker 3: is that you're you know, in the early year twenty
Speaker 3: twenty two whatever, But I don't know, it's Gonnapen year
Speaker 3: thirty forty fifty. And you know, with the young patient,
Speaker 3: we assume they.
Speaker 2: Might live that much longer.
Speaker 3: So but it's very encouraging, like it certainly is possible,
Speaker 3: or that you know, even a young person may go
Speaker 3: their whole life without needing another surgery.
Speaker 1: Well, you better stay in the business a lot longer,
Speaker 1: because I don't plan on going to anybody else for
Speaker 1: my next joint replacement.
Speaker 2: Just you.
Speaker 3: I appreciate that, and I don't plan to go anywhere.
Speaker 3: I love my job. I feel very lucky that I
Speaker 3: get to do.
Speaker 2: What I do.
Speaker 1: Oh, I love that. I'm so glad you love it.
Speaker 1: Before I let you go, I would like to ask you,
Speaker 1: in the name of this podcast, what was your last
Speaker 1: I choose me moment? Give me a good one.
Speaker 2: I don't know how good it's going to be.
Speaker 3: It it sort of happened, it sort of hasn't happened yet.
Speaker 3: But there's actually something I did today in preparation of
Speaker 3: something that's gonna happen. But my kids go to a
Speaker 3: they attend a school that has a different start date
Speaker 3: than a lot of schools in the area. So it's
Speaker 3: a little bit of a tradition where my wife and
Speaker 3: my kids go to Disneyland at the end of the
Speaker 3: summer during a weekday, and I'm like a little family day,
Speaker 3: you know, spend together before going back to school. I
Speaker 3: don't usually go. I'm very busy at work a lot.
Speaker 3: Sometimes I think that maybe too much. But anyhow, my
Speaker 3: little girl asked me if I was coming, and so
Speaker 3: I decided to arrange my schedules so that I'd be
Speaker 3: available to spend the day with them. So kind of,
Speaker 3: you know, decided that that would be a good priority
Speaker 3: for for me, you know, just to be able to
Speaker 3: kind of spend the day with them during that time
Speaker 3: rather than you know.
Speaker 2: Do one more other thing.
Speaker 1: Okay, So in choosing to spend more quality time with
Speaker 1: your family that is, and I choose me moment for
Speaker 1: you because you've had to be absent because of your
Speaker 1: line of work.
Speaker 3: Yeah, I mean well, and I think there's a lot
Speaker 3: of times where a lot of these experiences I miss
Speaker 3: And so basically I suppose I was kind of for
Speaker 3: me choosing not to miss this one.
Speaker 1: I love that. That's very nice. Thank you, doctor Taberry
Speaker 1: for joining us today.
Speaker 2: Absolutely, thank you.
Speaker 1: I hope we helped a lot of people today.
Speaker 2: You too.
Speaker 1: So yeah, I'm still on this journey, this hip journey.
Speaker 1: I'm learning every day to accept it and to love
Speaker 1: my body and to love my scars. Like you know,
Speaker 1: it's kind of daunting to put on a bathing suit
Speaker 1: to begin with, but it's also you know, showing my
Speaker 1: scars to the world. If that's a real like sort
Speaker 1: of head trip, and you really need to choose to
Speaker 1: accept it and love your scars. And that's where I
Speaker 1: am right now. I'm still recovering, and you know me,
Speaker 1: I'm not stopping, So this is going to go well,
Speaker 1: and I'm going to be full throttle, full steam ahead,
Speaker 1: because that's just the way I am. But it felt
Speaker 1: really good to share that with all of you. We're
Speaker 1: such a united community and I love getting to open
Speaker 1: up to all of you on this intimate level. And
Speaker 1: thank you to doctor Taberry for coming on the podcast
Speaker 1: and giving us all that amazing insight as we continue
Speaker 1: to choose ourselves each week. I want to really try
Speaker 1: something this week with you that I've implemented in my life.
Speaker 1: When was the last time you spent time stretching. I
Speaker 1: enjoy doing it. I do it every night. It's part
Speaker 1: of my wind down routine before I go to bed.
Speaker 1: Sometimes I do it in the middle of the day.
Speaker 1: I have a mat, I put it out and I
Speaker 1: just stretch my body and it feels so good to
Speaker 1: get in those muscles and get in those joints and
Speaker 1: create some space and get that blood flowing to places
Speaker 1: where it's maybe cut off. So if you're a morning person,
Speaker 1: you want to do it after you have your morning coffee.
Speaker 1: Maybe you like to do it right before you go
Speaker 1: to bed. Regardless of when you do it, this week,
Speaker 1: I want to challenge you to try and get in
Speaker 1: touch with your body and have some me time stretching.
Speaker 1: It sounds so simple, but so many of us I
Speaker 1: know aren't doing it. Give it a try this week
Speaker 1: and see how you feel. I bet you are going
Speaker 1: to feel great and you want to keep doing it.
Speaker 1: Thanks for listening to I Choose Me. You can check
Speaker 1: out all our social links, take a look at our
Speaker 1: show notes, and follow us and rate us and review
Speaker 1: us because they love it when you do that, and
Speaker 1: I love hearing from you. Remember to use the hashtag
Speaker 1: I Choose Me. I will be right here next week,
Speaker 1: and I hope you will choose to be here too,