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Knee surgery recovery overweight patients – Is obesity a reason to avoid joint replacement surgery?

She gets up with help of my father in law. The femoral component and insert are cruciate retaining.

Ethan Walker
Tuesday, July 5, 2016
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  • My Mom is on pain management of morphine and her body is so accustomed to it that she still is in excruciating pain to the point where she is moaning. That is not the message.

  • He said your career is over.

  • Log in to access your medical records and test results, request appointments, or send a private message to your doctor. But pain with a purpose aka a new hip — well that equals hope not despair!!!

  • Using the bathroom is a nightmare.

  • Your email address will not be published.

Infection Risk After Knee Replacement Skyrockets in Morbidly Obese

This week at the annual meeting of the American Academy of Orthopaedic Surgeons in Las Vegas, the researchers reported that compared to patients who did not lose 20 pounds, those who did had 72 percent lower odds of being discharged to a rehab facility and 76 percent lower odds of staying in the hospital for at least four days. I was able to play sports but was always working and never had the time to play foolish games, but I did work out after school for an hour a day. My hips began going bad inand have been bone on bone for quite some while and now bone spurs.

  • Last Monday my left knee collapsed again. Orthopedic Specialists provide expert treatment for acute or chronic pain of the back, neck, spine, shoulder, elbow, wrist, hip, knee, foot and ankle.

  • I found an orthopedic surgeon who said he would do the surgeries if I lost 40 pounds. Another excellent exercise to develop quadriceps strength that does not require any special weight equipment and can also be done anywhere is the straight leg raise.

  • Despite the risks and complications are we truly living if we live in pain and emprisoned by our bed, chair, recliner or home?????? People who are overweight and preparing for knee replacement surgery are often told to lose excess weight.

So get with the program and help all these people suffering!!! Tomorrow I get a cortisone injection which will pack on another lbs. Thanks Dr Buttler for not caring how bad in pain I am in. I am in desperate need of hip surgery but am morbidly obese. April I was told by my orthopedic I needed double knee replacement. Don't miss your FREE gift.

I did lose 30 lbs mnee a stand-still. Patients live in St. I had a bariatric bypass in lost lbs and gained about 40 lbs back but since covid and my knee -bone on bone I was told yes a knee replacement was recommended but I think I sabotaged that and gained a few pounds. Advocate for yourself. I am supposed to go back to work in a week but in excruciating pain.

I did perfect with the other surgeries. I am and I lost 23 but my doctor said I have to lose 60 in order to get the hip replacement I need Even though I got a second opinion that doctor said the same thing. John TiberiM. Sometimes it is only made of metal and a separate piece of plastic is inserted; this is called a mobile-bearing knee replacement. Though shall eat lettuce and only lettuce. I live in NY and would love to hear anyone who successfully had replacements that weighed over lbs!

Pain after Total Knee Replacement

Now I have no choice except to pay for the gastric sleeve out of pocket because my insurance will not cover it. It is extensive, tri-compartmental OA. Family commitment is critical to helping the patient change a lifetime of bad habits.

I read oferweight of these posts as well and my overweight patients goes out to each person. But, I now have lymphademia in both my legs and it is very hard to walk as my thighs are as big as tree trunks. My wife is a larger person, but its because she has had physically demanding jobs her whole life. My kids do everything for me. No Doctors care how bad a paitent is in pain.

Patienfs will see. The researchers concluded that while obesity is associated with a greater risk of early complications, obesity in itself should not be a deterrent to undergoing total joint replacement to relieve symptoms. Cochrane Database Syst Rev. I desperately need the surgery, my quality of life Is Poor. My frustration is high.

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It's in the Father's Genes. After surgery, pain levels were similar in all weight groups. Weight loss while confined to a sedentary life — what a novel idea??????

  • I am only 5 ft and weigh I had back surgery in March and that went well.

  • I am now back up to but cannot exercise due to fact i cannot walk.

  • Major fail! We were curious however how often these patients were actually able to lose weight by simply saying they could not have surgery.

  • She is not even 50 yet.

  • If they try to refer you to a bariatric specialist like they did me I said — its ok to cut me open and risk blood clots with weight loss surgery but not to fix my hip??????

One might think that simply putting restrictions on elective total joint surgery for those who are severely overweight might encourage weight loss. Be cause my BMI. I have been heavy all my life. After all, most have already tried hard to lose weight with limited success.

  • Remember that when you see the next doctor.

  • I had a bariatric bypass in lost lbs and gained about 40 lbs back but since covid and my knee -bone on bone I was told yes a knee replacement was recommended but I think I sabotaged that and gained a few pounds. John Tiberi, M.

  • Prior research has documented that obesity is associated with a small, but increased likelihood of infection after total knee replacement, which may discourage obese patients from having surgery. Supporting a bullied middle schooler.

  • Come on DOC!!!!!!

  • The endocannabinoid system: Essential and mysterious. I have a leg discrepancy of 2.

I owe the hospital so much money, it makes me physically sick to think about. Now I have to be in a wheelchair chair because no one will replace my hip until my BMI is 35 or under. I strongly suggest that you work closely with a nutritionist at a weight loss center at a hospital or medical group that manages weight. The fat.

I know I am to blame patiejts this but, I have fought the weight issue my whole life often being successful but, at 74 it has just overcome me. Regards, Jeri. I have been in this boat for needing two full knee replacements for over six years. I have two knees that are bone on bone, end stage oa. I finished chemo last year, and during chemo, I started having joint pain, and now it hurts all the time. Since the car accident in September Ive had to move back home with my ex as I need help with everything I do. I seen a specialist that said I would have to have weight loss surgery before anything else could be done.

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He was amazed, he said that would not have believed it was possible. Your email address will not be published. He said steroid injection and in a few years you need a knee replacement.

As previously mentioned, removing the dressings too knee surgery recovery overweight patients or before you are instructed to do so by your healthcare provider will increase the risk of developing an infection. The pain is caused by a number of factors including the muscles around the knee recovering from the surgery and regaining strength that they have lost as a result of the surgery, as well as other tissues around the knee healing and getting used to the new biomechanics of the knee joint. The surgeon will do nothing until she loses 35 pounds. Preparing for surgery? Give us a chance for gosh sake. I know I can tolerate surgery because, I just had two vertebrates removed from my neck in February and October

In the meantime, knee surgery recovery overweight patients wonderful doctor dropped out of my insurance plan. Lost 81 lbs and gained it all back plus some. Just research every possibility you might patisnts. This is so wrong to deny people replacement surgeries that they desperately need. It is anticipated that you will be in hospital for one to two days following the surgery and as previously mentioned, barring any complications, you will be discharged from hospital when it is appropriate for you to go home. Geoffrey WestrichOrthopedic Surgeon, specializes in knee and knee replacement, including revision surgery and complex cases at Hospital for Special Surgery.

Long-term relief from joint replacement surgery similar in obese and non-obese patients

All rights reserved. However, the pain of trying to live in this condition became so painful that it was blinding. Aortic stenosis: Do health disparities affect treatment? The researchers found that people who were morbidly obese and lost at least 20 lb were more likely to: Have shorter hospital stays Be discharged to their homes, rather than to rehabilitation facilities Why are these differences important?

Ditching processed foods, bleached grains like white rice or breadsugary knee surgery recovery overweight patients like desserts or sauces like Ketchupand focusing on eating more vegetables and low-fat proteins like chicken breast or fish is a good place to start. Tomorrow I get a cortisone injection which will pack on another lbs. It is also important to remember that the greater the amount of stress that you put your knee through the quicker that it is going to wear and the higher the risk of requiring a revision replacement at some point in the future. Media Contacts. I honestly think we should get a lawsuit going. Now, with the pain in my hip, my BP is back up again, as is my weight.

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Our evidence showed that severe morbidly obese patients can benefit almost equally as normal weight patients oveerweight pain relief and gains in physical function. The endocannabinoid system: Essential and mysterious. Prior research has documented that obesity is associated with a small, but increased likelihood of infection after total knee replacement, which may discourage obese patients from having surgery. And yet, it is precisely these obese patients who tend to have less successful and lasting outcomes after surgery. I am tired of being g turned down for surgery.

I feel like the doctors and surgeons are just letting me die because I am overweight. Here are some of recovvery specific complications associated with obesity after joint replacement surgery:. I am at a loss. When the surgeon conveys the facility would not approve him doing surgery because of a concern for potential complications which could reduce the facilities positive patient recovery rate…. Fix the freaking hip already, work the problem. It can be done, and it become fun within 30 days. This is like almost impossible to do.

Print This Lose Click to Print. All of us here need help. Regards, Jeri. I eat well, but I do NOT over-eat. I went to the weight loss center to discuss options. I need my left hip replaced as well as both knees but of course, no one will touch me because of my weight. I feel like my life is eternally on hold, as my very loving, tolerant husband is now depressed and angry over me being in this condition.

Obesity and Joint Replacement Surgery

On its own this does not necessarily indicate a serious problem with your knee. Most people have a spinal anaesthetic. I can barely enter and exit my car, and only with the help of a homemade step. I went to my dr.

  • Editor's Top Picks. They wont help me cause I am over weight.

  • It makes sense for the patient and it makes sense for society cost and loss of productivity burden is high with TKR complications.

  • Tomorrow I get a cortisone injection which will pack on another lbs.

  • He told me good luck and to call him if I needed any help.

  • Whether total or partial, knee surgery recovery overweight patients replacement parts are made of a combination of metal and plastic; the metal parts replace the surfaces of the thigh bone femur and shin bone tibia and the plastic replaces the meniscus or menisci. I have been waiting almost 6 months to get a knee replacement after a accident at work and had to lose close to 40 lbs before even discussing it with my Dr.

Overweivht also believe that overweight folks do not receive the same level of communication as al weight If I go the doctor for any reasonthe reason is always a weight one. Our evidence showed that severe morbidly obese patients can benefit almost equally as normal weight patients pqtients pain relief and gains in physical function. Meanwhile, my hip is bone on bone, and lm losing even more mobility. I appreciate your message and I wish you much success on your journey to health and being pain-free. How judgy. I had not had a pill since the morning that I had last seen him. If you think you may be a candidate for knee replacement, please come in and discuss with one of our surgeons the symptoms that you are having and we will be able to assess you and advise whether we feel that you are a candidate for a knee replacement.

I am a 49 year old morbidly obese man. He was stunned when I told him that I overqeight had any!! She cries everyday about how much pain she has to endure. I Am Sandra and my right knee and left hip went out about 3 years ago after losing pounds. Is any place that would be willing perfrom the operation?

Losing weight may help knee replacement patients go home sooner

In 4 weeks I was hiking and starting to lose weight. So grow a pair and fix our hips and our knees. But because of her BMI, she cannot get the surgery……. She was in sports in HS, a weightlifter, and always has been very strong. ScienceDaily, 19 July

Moss Rehab overweight patients one of the top rrcovery rehab facilities in the country. Practitioners should be aware of the lack of evidence for weight loss before surgery and reconsider recommendations about BMI, Godziuk said. Preoperative and 6-month postoperative data on function, joint pain surgrey body mass index BMI from a national sample of 2, patients who had undergone total hip replacement and 2, who had undergone total knee replacement from May to March was collected. When I was younger my weight never slowed me down at all and I was always the strongest person around having grown up on a working beef cattle farm. He said steroid injection and in a few years you need a knee replacement. I was able to play sports but was always working and never had the time to play foolish games, but I did work out after school for an hour a day. There seems to be a psychological aspect as well as life style that perhaps needs to be addressed in any event.

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I have been in this boat for needing two full knee replacements for over six years. Thank you. Today, I went to the orthopedist with my year-old mother for a pre-op consult — trying to decide whether to do her right hip or right knee first she needs all four joints done. I was overweight and my BMI was high. Do your knees or hips hurt?

  • I am astonished at how many of you are in the same situation as my Mother.

  • I know for so many people the task of lowering the weight to be eligible for surgery feels unattainable and I have struggled with losing weight my entire life. I am in so much pain.

  • Bone on bone right hip, scoliosis.

  • June 30, at pm.

Knee surgery recovery overweight patients in Keeping children safe and well. Their not saying how much to lose. I strongly suggest that you work closely with ooverweight nutritionist at a weight loss center at a hospital or medical group that manages weight. Researchers compared these people to people who lost 5 to 10 lb or did not lose weight at all. I cried for more than an hour, but I decided I would rather live in pain than be treated that way.

Publication types Comparative Study. Their arthritis pain overweiht their ability to exercise, and decreasing activity has contributed to their weight gain. If this new research is confirmed by others, we may see fewer obese people turned down for joint replacement surgery in the future. Keep in mind I have paid for this all myself.

How it Works

After several surgeons I did find one that performed total hip replacement. Ultimately, since a knee or hip replacement is an elective surgery, your surgeon can afford to hold-off and perform the procedure when your risk of complication is lower. I also need surgery, a left hip replacement.

I recovery overweight patients for everybody who cannot get the surgery. Recent Blog Articles. Losing weight helps ensure the post-surgical recovery process goes smoothly. I am about decovery year away from being bed bound because of bone on bone knee arthritis. In the three months leading up to TKA, 41 percent of the patients lost at least five pounds, 29 percent lost at least 10 pounds and 14 percent lost at least 20 pounds. I can barely bare weight on my left knee at all and my DR. The risk maybe greater but reward is worth it.

It is also unnecessary to perform any resisted squats too early on in your recovery. January 26, at am. Robin Young, publisher. University of Massachusetts Medical School. I am supposed to go back to work in a week but in excruciating pain.

  • I have recently been diagnosed with Avascular Necrosis. Their arthritis pain impairs their ability to exercise, and decreasing activity has contributed to their weight gain.

  • I need help!! Next time you check in your 40 pound suitcase at the airport, consider how comfortable you would feel if you could lose that 40 pounds of weight you may be carrying!

  • Tomorrow I get a cortisone injection which will pack on another lbs.

  • Medical practitioners have long advised patients to lose weight before knee surgery. I also need hip replacement for osteoarthritis.

Any suggestions would be greatly appreciated!!! We are fat not stupid. The surgeon and the PA saw me in April when I was in excruciating pain. The plastic, whether separate or part of the covering of the shin bone tibiaallows the two ends of the bones to glide over each other smoothly.

April I was told by my orthopedic I needed double knee replacement. Wear and tear, injury, and simple genetic predisposition can all contribute to knee or hip pain. My hip and an ankle injury have contributed to my weight gain. My doctor who is retired now, said I was abnormal. Thanks for nothing.

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I surgeey smoking right before covid19 and when lockdown started I did nothing but eat. I also suffer with OA in both knees and struggle working full time but I am also grateful to have a job to get me up and out otherwise what would I do all day except sit home watch TV and get bigger. Wearing out my right knee in the process. Minimally Invasive Knee Replacement.

  • Traditional Knee Replacement vs. I am 60 yrs old over pounds and in order to have surgery I would have to lose approx.

  • It was slow to start and I hated it. I am a mother of 5 children.

  • After surgery, pain levels were similar in all weight groups. That surgery and recovery is no small business, but there were no complications and recovery is going well.

  • My legs are funnel shapedso all the wraps slide down and need replaced everyday.

  • None of the hospitals in my area will allow surgeons to do joint replacement on patients with a BMI higher than

  • Three years ago I was mobile an active.

Daily Exercises From Home Going to the gym or knee surgery recovery overweight patients workout class may be off the table. Thank you for your post. John, My decisions are based on studies and my clinical experience. Do you know what discrimination means? I am maintaining and that is all. Strictly speaking, there is no limit to the amount of walking that you can do following a knee replacement.

And now I need help. By Megan Brooks. Knee surgery recovery overweight patients, the results are not comparable with those achieved in nonobese patients, and knee replacement should not be expected to facilitate weight loss. As you might expect, patients hearing this often feel disappointed and disheartened. I am begging you if any one can help me I am willing to work my butt off to get this knee replacement.

Knee Replacement Recovery Tips to maximize healing

I need my left hip replaced as well as both knees but of course, no one will touch me because of my weight. Learn how your comment data is processed. Choosing a Surgeon for Total Knee Replacement. A recent study on the risks and benefits of joint replacement among the obese sheds new — and positive — light on an issue that affects many thousands of people.

I am After writing my story and reading othersI actually feel a little better knowing that I am not alone in this situation. Tagged With: joint painknee painKnee Replacementknee surgery. Follow-up examinations were performed after 24 to 60 months, with mean of 33 months, in the remaining patients. She needs bilateral hip replacements.

In this series. I live in overweight patients and cannot walk my son baseball practice. I do not see how I can possibly lose 40 pounds, especially with having a 50 year addiction to food and it being the only joy in my life. The problem of weight loss should be addressed aside from the surgery. My children suffer as I cannot do things with them anymore. Now I am in a depression because I have no where to go. Exposing the surgical incision too early on in the recovery process can risk a surgical site infection and this could potentially lead to infection in your knee replacement, which is a major complication and one that must be avoided at all costs.

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I have a bad hip. I am now back up to but cannot exercise due patiebts fact i cannot walk. First at the ER and second at the first orthopaedic surgeon. Guide me to a study or to some doctor that would be willing to give me a hip replacement as part of a study. Advocate for yourself.

Whether your knee hurts or not — Exercise 30 minutes every day — even if you are tired or do not have time. I graduated and weighed lb. You write a great deal here. I need help. Apparently not!!! Call Us!

Meniscus is torn and I already have deterioration. Knee surgery recovery overweight patients was told to lose weight before she can get her knee replaced. Preoperative and 6-month postoperative data on function, joint pain and body mass index BMI from a national sample of 2, patients who had undergone total hip replacement and 2, who had undergone total knee replacement from May to March was collected. I left limping. I will pray for all of you too! I keep going into congestive heart and hypoxemia.

When a knee replacement is needed

Lorraine richards. My Mom is on pain management of morphine and her body is so accustomed to it that she still is in excruciating pain to the point where she is moaning. We have to do better.

I would think the more knee surgery recovery overweight patients a person is the better chance overwieght have at life. Hi I am in the exact same situation as you, it is like I wrote your post, the weight, recliner and water retention. I am in so much pain. My Orthopedic Dr is letting me suffer. Now I busted my good leg. My insurance will cover the hip replacement but not the gastric sleeve.

Then came pain. I need my left hip recovery overweight as well as both knees but of course, no one will touch me because of my weight. I am making an appointment with yet another knee doctor, but am so frustrated, upset and depressed that I feel like there is no hope. Meanwhile the hip gets worse and worse all the time. Remember that when you see the next doctor. I want to walk and live again. God blessed me with the greatest wife in the world, she helps me everyday and she has many of her own health issues.

Publication types

It is usually at its worst when you stand on the affected leg and is often really bad at night. To ask someone to live with crippling pain is very disheartening. It is also unnecessary to perform any resisted squats too early on in your recovery. As long as there is no emergent orthopedic intervention needed we will generally recommend the following:.

Recovsry such, each medication regimen will be tailored to the individual. Sometimes my most motivated and best patients are heavy active knee surgery recovery overweight patients who are super energetic about returning to an active lifestyle. I need you to help me help me!!!! It is a complex decision making process. Sometimes, in very complex situations such as following surgery for bone cancer, the components will be designed specifically to fit in your knee. Family commitment is critical to helping the patient change a lifetime of bad habits.

ALSO READ: Obesity And Diet Related Illnesses Going

All rights reserved. That is not the message. We offer solutions knee surgery recovery overweight patients arthritiscarpal tunneldegenerative joint diseasescoliosisfracture or sprain due to sports related injuryosteoarthritisnerve pain, tendonitisrotator cuff tearwhiplash and other bone and joint conditions. So now this is two weeks and I am in more excruciating pain then I was the first surgery. I strongly suggest that you work closely with a nutritionist at a weight loss center at a hospital or medical group that manages weight.

  • I said hurting but alive. Pain is my constant companion.

  • Praying for answers and help!

  • Great write-up! None of the hospitals in my area will allow surgeons to do joint replacement on patients with a BMI higher than

  • This site uses Akismet to reduce spam. Did they not teach humility there???

Oh and I forgot to mention, I was at when I could walk without the walker and my orthopedic surgeon denied surgery then too—a measly 14 lbs over what he wanted me to lose. Louis and am in need of a double hip replacement. Some people may arrange to stay in a care home until they have their mobility and independence back. People with a BMI of 30 or greater are twice as likely to suffer from hip arthritis than someone who has a BMI under It is the duty of health professionals to mandate exercise. I honestly think we should get a lawsuit going. Your email address will not be published.

As always we patienhs provide our patients with clear rational, reasoning as the basis for our recommendations and treatments. Stop fat shaming and actually help people! ScienceDaily shares links with sites in the TrendMD network and earns revenue from third-party advertisers, where indicated. I used to be active, work, play and healthy.

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When we just knee surgery recovery overweight patients on these simple metrics, I could see that there was this gap. Extreme pain when trying to walk. When obese patients lose weight before a joint replacement surgery, the surgery itself will be easier, recovery faster, and results longer-lasting. The pain was incredible and was prescribed pain pills and I took them as prescribed for 14 years! Looking out for diverticulitis.

I need to lose approximately 20 more lbs. He said steroid injection and in a few knee surgery recovery overweight patients you need a knee replacement. Morbidly obese. I am 60 yrs old over pounds and in order to have surgery I would have to lose approx. Past analysis showed that obesity is associated with outcomes to some degree, but here we see the magnitude is so small it won't make much difference, and severely obese patients can benefit a lot from the surgery," said Dr. If we fall and break a hip, what then, just live that way? Large Joints and Extremities.

However, it is in the best interest of vegetarian diet plan to lose weight in 3 days overweight patient and his surgeon to encourage weight loss prior to surgery. Ditching processed foods, bleached grains like white rice or breadsugary foods like desserts or sauces like Ketchupand focusing on eating more vegetables and low-fat proteins like chicken breast or fish is a good place to start. I am I desperately need to find a Doctor that would preform this surgery.

Need Help Finding a Physician?

So I have to pay for the sleeve which I pray will help. Materials provided by University of Massachusetts Medical School. By the time I reached high school I weighed lbs.

She is not a over water what so zurgery. The aim of the study, published July 19 in the Journal recovery overweight patients Bone and Joint Surgerywas to evaluate the extent of pain relief and functional improvement in total joint replacement patients with various levels of obesity. There is no standard approach to this, although generally we do expect patients to be weaned off their narcotic analgesics within 2 to 3 weeks of the surgery and by 6 weeks after the surgery should only be requiring occasional Tylenol or a less potent analgesic to control their pain. Now two months later if I had known I could have maybe lost the 20 pounds. Stop fat shaming and actually help people!

But what about when your stuffing yourself with calories a day and still gain weight until you reach your previous weight that you achieved after quitting smoking 23 years ago? I was in a car accident in September and ever since, my left hip is in excruciating pain. I was finally getting loosened up a little in the new joint and now back to square one. Last I knew a person needed to move, just not those of us needing hips or knees right???

Long-term relief from joint replacement surgery similar in obese and non-obese patients

By Megan Brooks 3 Min Read. I do not see how I can possibly lose 40 pounds, especially with having a 50 year addiction to food and it being the only joy in my life. I also need bilateral shoulder replacement, which they will do since its not a weight bearing joint.

I spoke to my Dr. I would recovvery what? All of us here need help. Over the most difficult year and a half of my life, I lost the weight, all pounds. I have no where to turn for help. My wife is in the same position. Looking out for diverticulitis.

  • Weight bias is also at play.

  • I honestly think we should get a lawsuit going. My leg is curved which makes walking almost impossible.

  • My cup had moved.

  • A study published in the Journal of Bone and Joint Surgery 1 looked at people undergoing knee replacement who had a BMI of 40 or more. Meniscus is torn and I already have deterioration.

  • Holistic approach — Treat the person not just the problem Doc!!! ScienceDaily, 19 July

March 29, My ex-husband had a knee replacement a year ago and his ortho Dr told me to oveerweight see him. Just research every possibility you might have. I weigh pounds. Indeed, several studies describe higher rates of infections and dislocations and lower rates of good results after hip or knee replacement among the obese, especially the severely obese.

But with at least two more maintenance knee surgeries coming up I have to postpone the shoulder so I dont damage the shoulder while on crutches. I eat well, but I do NOT over-eat. I felt the same, then reduced my weight by lbs and once the surgery was done, I was able to become very active. Great write-up! Guide me to a study or to some doctor that would be willing to give me a hip replacement as part of a study.

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