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As an orthopedic surgeon, I see many patients with hip pain. Hip pain caused by arthritis can be especially debilitating. It can manifest as groin pain, thigh pain and stiffness in the hip. Patients can have difficulty performing simple tasks such as putting on socks and shoes, climbing stairs and getting into a car. The goal of a total hip replacement is pain relief. For some patients, depending on the severity of their damaged hip, that pain relief can be immediate.
After a full recovery, which includes physical therapy, most people get back to do the things they enjoy. Quality of life after hip replacement is dramatically improved in most cases. Patients can go from not being able to get out of chair without pain, to walking miles without discomfort. Also, most people are returning to work in three months, if not sooner, in some cases.
Performing more than 7500 successful pelvic surgeries by Dr. Taheriazam, shows his professional skills in the field of orthopedic hip surgery. He always shares and updates his knowledge in the field of orthopedic hip surgery by participation in international congresses and courses around the world.
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Scientific Happenings
Editorial Board Committee
With excellent scientific and research history, Dr. Taheriazam has been selected as editorial board of high impact international PubMed Indexed journals.
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Awareness of the patients is part of responsibilities of an orthopedic surgeon. Dr. Taheriazam’s books are available for the clinicians and the patients.
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Dr. Taheriazam believes that attending in international congresses, helps updating orthopedic knowledge and influences on success rate of surgery.
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Dr. Taheriazam introduces his scientific outcomes as poster and oral presentations in international congresses or publication of high impact articles in ISI journals.
Read MoreQuality of life after total hip replacement
Patient's Guide
Why hip replacement surgery done
Conditions that can damage the hip joint, sometimes necessitating hip replacement surgery, including:
Osteoarthritis. Commonly known as wear-and-tear arthritis, osteoarthritis damages the slick cartilage that covers the ends of bones and helps joints move smoothly.
Rheumatoid arthritis. Caused by an overactive immune system, rheumatoid arthritis produces a type of inflammation that can erode bone and cartilage and deform joints.
Osteonecrosis. If there is inadequate blood supply to the ball portion of the hip joint, the bone may collapse and deform.
Serious hip problems
You might consider hip replacement if you’re experiencing hip pain that:
Persists, despite pain medication
Worsens with walking, even with a cane or walker
Interferes with your sleep
Affects your ability to go up or down stairs
Makes it difficult to rise from a seated position
How you prepare
Before surgery you’ll meet your orthopedic surgeon for an examination. The surgeon will:
Ask about your medical history and current medications
Do a brief general physical examination to make sure you’re healthy enough to undergo surgery
Examine your hip, paying attention to the range of motion in your joint and the strength of the surrounding muscles
Order blood tests, an X-ray and possibly an MRI
After the procedure
After surgery, you’ll be moved to a recovery area for a few hours while your anesthesia wears off. Nurses or other anesthesia aides will watch your blood pressure, pulse, alertness, pain or comfort level, and your need for medications.
After your surgery, you’ll be at increased risk of blood clots in your legs. Possible measures to prevent this complication include early mobilization, pressure application and blood thinning medication.
Ways to give medicine for pain
There are many ways to give medicine for pain. Your health care team will help you to decide which way might be best for you:
Tablets or pills
Intravenous injection (into a vein)
Transdermal injection (through the skin)
When medicines are used correctly to manage pain, addiction rarely occurs. If you have concerns about this issue, please talk with a member of your health care team.
Take pain medicine when pain first begins. If you know your pain may get worse with activity, take your pain medicine before the activity.
Don’t wait for pain to get worse before taking medicine. Tablets or pills may take up to 30 minutes to begin working.
Physical therapy
A physical therapist may help you with some exercises that you can do in the hospital and at home to speed recovery.
6-hip-physiotherapy
Activity and exercise must be a regular part of your daily program to regain the use of your joint and muscles. Your physical therapist will recommend strengthening and mobility exercises and will help you learn how to use a walking aid, such as a walker, a cane or crutches. As therapy progresses, you’ll gradually increase the weight you put on your leg until you’re able to walk without assistance.
Home recovery and follow-up care
Before you leave the hospital, you and your caregivers will get tips on caring for your new hip. For a smooth transition:
7-home care
Arrange to have a friend or relative prepare some meals for you
Place everyday items at waist level, so you can avoid having to bend down or reach up
Consider making some modifications to your home, such as getting a raised toilet seat
About six to eight weeks after surgery, you’ll have a follow-up appointment with your surgeon to make sure your hip is healing properly. If recovery is progressing well, most people resume their normal activities by this time — even if in a limited fashion. Further recovery with improving strength will often occur for 6 to 12 months.