Hip Pain SmartSite^TM

View Your Profile For The Hip Pain Assessment Take The Surgery Decision Aid Assessment Take The Getting Ready Surgery Assessment

Questions to ask your doctor - before hip replacement

Questions

Is there anything that I can do before the surgery so it will be more successful for me?

• Are there exercises I should do to make my muscles stronger?
• Should I learn to use crutches or a walker before I have the surgery?
• Do I need to lose weight before surgery?
• Where can I get help quitting cigarettes or not drinking alcohol, if I need to?

How can I get my home ready before I go to the hospital?

• How much help will I need when I come home? Will I be able to get out of bed?
• How can I make my home safer for me?
• How can I make my home so it is easier to get around and do things?
• How can I make it easier for myself in the bathroom and shower?
• What type of supplies will I need when I get home?
• Do I need to rearrange my home?
• What should I do if there are steps that go to my bedroom or bathroom?

What are the risks or complications of the surgery?

• What can I do before surgery to make the risks lower?
• What can I do to reduce the risk of blood clots after surgery?
• For which of my medical problems (diabetes, heart disease, and high blood pressure) do I need to see my doctor?
• Will I need a blood transfusion during or after the surgery? Are there ways of saving my own blood before the surgery so it can be used during the surgery?

What will the surgery be like?

• How long will the surgery last?
• What type of anesthesia will be used? Are there choices to consider?
• Will I be in a lot of pain after surgery? What will be done to relieve the pain?

What will my stay in the hospital be like?

• How soon will I be getting up and moving around?
• How long do I need to be in the hospital?
• Will I have physical therapy in the hospital?
• What other types of treatment or therapy will I have at the hospital?

Will I be able to walk when I leave the hospital? Will I be able to go home after being in the hospital, or will I need to go somewhere else to recover more?

• Where will I go if I can't go home after surgery?
• Do I have a choice to where I go and does my insurance pay for it?

Do I need to stop taking any medicines before my surgery?

• Aspirin, ibuprofen (Advil, Motrin), or other arthritis drugs?
• Blood thinners such as rivaroxaban or warfarin?
• Vitamins, minerals, herbs, and supplements?
• Other prescription drugs that my other doctors may have given me?

What should I do the night before my surgery?

• When do I need to stop eating or drinking?
• What medicines should I take the day of surgery?
• When do I need to be at the hospital?
• What should I bring with me to the hospital?

Bennell KL, Buchbinder R, Hinman RS. Physical therapies in the management of osteoarthritis: current state of the evidence. Curr Opin Rheumatol. 2015;27(3):304-311. PMID: 25775185 www.ncbi.nlm.nih.gov/pubmed/25775185.

Bennell KL, Egerton T, Martin J, et al. Effect of physical therapy on pain and function in patients with hip osteoarthritis: a randomized clinical trial. JAMA. 2014;311(19):1987-1997. PMID: 24846036 www.ncbi.nlm.nih.gov/pubmed/24846036.

Cameron M, Chrubasik S. Oral herbal therapies for treating osteoarthritis. Cochrane Database Syst Rev. 2014;5:CD002947. PMID: 24848732 www.ncbi.nlm.nih.gov/pubmed/24848732.

Cibulka MT, Bloom NJ, Enseki KR, Macdonald CW, Woehrle J, McDonough CM. Hip pain and mobility deficits-hip osteoarthritis: revision 2017. J Orthop Sports Phys Ther. 2017;47(6):A1-A37. PMID: 28566053 www.ncbi.nlm.nih.gov/pubmed/28566053.

Clarke A, Pulikottil-Jacob R, Grove A, et al. Total hip replacement and surface replacement for the treatment of pain and disability resulting from end-stage arthritis of the hip (review of technology appraisal guidance 2 and 44): systematic review and economic evaluation. Health Technol Assess. 2015;19(10):1-668. PMID: 25634033 www.ncbi.nlm.nih.gov/pubmed/25634033.

Doroshow JH. Malignant tumors of bone, sarcomas, and other soft tissue neoplasms. In: Goldman L, Shafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 202.

Goodnough LT, Monk TG. Patient Blood Management. In: Miller RD, Cohen NH, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young WL, eds. Miller's Anesthesia. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 57.

Harkess JW, Crockarell JR. Arthroplasty of the hip. In: Azar FM, Beatty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 3.

Hayashi J, Leff B. Home care. In: Ham RJ, Sloane PD, Warshaw GA, Potter JF, Flaherty E, eds. Ham's Primary Care Geriatrics. 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 12.

Hochberg MC, Altman RD, April KT, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologictherapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012;64(4):465-467. PMID: 22563589 www.ncbi.nlm.nih.gov/pubmed/22563589.

Huddleston JI, Goodman S. Hip and knee pain. Firestein GS, Budd RC, Gabriel SE, McInnes IB, O’Dell JR. Kelley and Firestein’s Textbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017:chap 48.

Lavelle DG. Hip resurfacing. In: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 4.

Leong M, Murphy KD, Phillips LG. Wound healing. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017 chap 6.

Lieberman JR, Engstrom SM, Solovyova O, Au C, Grady JJ. Is intra-articular hyaluronic acid effective in treating osteoarthritis of the hip joint? J Arthroplasty. 2015;30(3):507-511. PMID: 25542833 www.ncbi.nlm.nih.gov/pubmed/25542833.

Lowe CJ, Davies L, Sackley CM, Barker KL. Effectiveness of land-based physiotherapy exercise following hospital discharge following hip arthroplasty for osteoarthritis: an updated systematic review. Physiotherapy. 2015;101(3):252-265. PMID: 25724323 www.ncbi.nlm.nih.gov/pubmed/25724323.

Manyanga T, Froese M, Zarychanski R, et al. Pain management with acupuncture in osteoarthritis: a systematic review and meta-analysis. BMC Complement Altern Med. 2014;14:312. PMID: 25151529 www.ncbi.nlm.nih.gov/pubmed/25151529.

Matteson EL, Osmon DR. Infections of bursae, joints, and bones. In: Goldman L, Shafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 272.

Percope de Andrade MA, Campos TV, Abreu-E-Silva GM. Supplementary methods in the nonsurgical treatment of osteoarthritis. Arthroscopy. 2015;31(4):785-792. PMID: 25633815 www.ncbi.nlm.nih.gov/pubmed/25633815.

Schnitzer TJ, Marks JA. A systematic review of the efficacy and general safety of antibodies to NGF in the treatment of OA of the hip or knee. Osteoarthritis Cartilage. 2015;23 Suppl 1:S8-S17. PMID: 25527221 www.ncbi.nlm.nih.gov/pubmed/25527221.

Sershon R, Balkissoon R, Valle CJ. Current indications for hip resurfacing arthroplasty in 2016. Curr Rev Musculoskelet Med. 2016;9(1):84-92. PMID: 26830851 www.ncbi.nlm.nih.gov/pubmed/26830851.

Svege I, Nordsletten L, Fernandes L, Risberg MA. Exercise therapy may postpone total hip replacement surgery in patients with hip osteoarthritis: a long-term follow-up of a randomised trial. Ann Rheum Dis. 2015;74(1):164-169. PMID: 24255546 www.ncbi.nlm.nih.gov/pubmed/24255546.

U.S. Food and Drug Administration. U.S. Department of Health and Human Services. Blood and blood products. www.fda.gov/BiologicsBloodVaccines/BloodBloodProducts/default.htm. Updated February 2, 2018. Accessed November 13, 2018.