They say the hips don’t lie (at least, that bastion of insight and wisdom, Shakira, does). It is undoubtedly true that mine has been telling an increasingly noisy and decidedly unpleasant truth for about 5 years now. 3 years ago, my debilitating back pain had gotten so disruptive to our daily lives that my husband and children nearly dragged me into the doctor’s office, where I was quickly recommended for physical therapy (and prescription strength anti-inflammatories, as if I hadn’t purchased stock in Advil years ago due to my 20 tablet a day habit). About a month into PT, my therapist determined that my problem was actually hip—not back—related. 6 months in she sent me back to the orthopedist, stumped as to how to help me further. The doctor took one look at the x-ray, looked kindly at me and said, “You’re going to need a new hip.” I returned his look skeptically and said, “You mean—in like 15 to 20 years?” He shrugged. “Um... more like 3 to 5.”
I stomped out, determined to prove the doctor wrong. 80 year olds needed new hips. I was barely half that, and I wasn’t the average 41 year old soccer mom regardless. I was a bad-ass, former college athlete, full time working mom of 5 and that punk doctor didn’t know WHAT I was made of. I would show him.
2 years later, I limped back in, significantly poorer for all the supplements, massages, hot yoga, weight loss programs, and pillow/mattress/sit support investments (not to mention all the wine) I had tried in an altogether fruitless effort to fix my sad, broken hip. I cried when he repeated the prognosis. “You need a new hip.”
“How do I know when it’s time?” I asked.
“You know when you know,” he said.
And I knew. 2 weeks later, the specialist in Iowa City said gravely, “It’s a level 4.” (I hate it when they say things like that—level 4 on a scale of... 1 to 3? 1 to 100?). He went on: “It’s almost unbelievable that you are still able to walk at this stage. You must be significantly stronger than most people. Almost anyone else would be bedridden at this point.” (OK, he didn’t really say that last part.) But it WAS a level 4 on what turned out to be a scale of 1 to 4. What he actually said is that most of the cartilage is worn away and bone spurs were starting to develop. And he confirmed that there is no next step beyond total hip replacement. Turns out an anti-inflammatory diet and hot yoga can’t really touch that. Even losing 30 pounds can’t help (at least that’s what they said. I can’t say I actually tested that one).
In 27 days, I will go in to have my level 4 hip replaced with a titanium and stainless steel and ceramic and plastic one (it’s a complicated piece of engineering—please don’t ask me to explain it). I have to admit that I have decidedly mixed feelings about this. I am terrified and hopeful and angry and sad and exhilarated and oddly exhausted by it.
In 27 days the doctor will literally saw off the top of my femur and drill out the center of my thigh bone and jam a stainless steel rod (does he realize it will likely need to be the longest one they have? Chad was ruminating on the surgery the other day and commented, “I wonder if they have different sizes. Does the doctor know he is going to need the largest one?”
“Longest, you mean,” I offered.
“No, largest,” he confirmed, realization dawning a moment too late. You can’t say I didn’t try to (sorry, painful pun coming) throw the guy a bone). I can’t bear to explain it any further, because if I ponder the actual mechanics of the procedure for too long I know I’ll lose my nerve.
It is sort of a mystery how I’ve arrived at this situation. I have been told, in no particular order, that it is not genetic, because my left hip looks “perfect”. It is not likely related to my ankle break in high school—but it could be. It could be related to my adolescent scoliosis. It could be related to an unremembered injury, though this is unlikely as severe as it is. When the specialist asked what happened, I just said, “Adolescent scoliosis, 20 years of sports and 10 years of having babies” and he nodded sagely. It’s as good an explanation as any. Something went wrong at some point, and somehow the twisting and stretching and pounding and just plain old moving of 43 years of living have completely worn out this one, tired, badly hurting joint of mine. One thing is clear—it’s got to go.
I would never have expected to feel such ruefulness over a medical event like this, but I have to admit that I have been feeling very sentimental about this right hip of mine. I mean, this is the hip that squeezed out of my own mother’s body on that cold December day a few short decades ago. It’s the hip I walked on when I staggered to take my first steps. It’s the hip that pedaled my first bicycle and learned to tap dance. It’s the hip that rose just a few millimeters high enough over the other to require my back brace in middle school. It’s the hip that carried me through 2 volleyball state championships in high school and a conference basketball championship in college. It’s the hip that walked down the aisle to marry my husband. It’s the hip that carried me into the delivery room 5 different times, and the hip that balanced and bounced babies and toddlers for countless hours of my life. It’s the hip that finished a half marathon and pedaled all the way across the state. It’s the hip that swam in oceans and jumped off cliffs and knelt in church pews and climbed up on bar stools. It’s a hip that taught dozens of little girls to shoot layups, and bent to kiss sleeping children and scold naughty puppies. It’s the hip that stood to give interviews and speeches and presentations over countless professional jobs. It’s a real and tangible part of me that will be ruthlessly sawed off and thrown away.
I know it is just stupid and kind of downright weird to think this way. I know what I’m losing is actually quite injured and worn out. It is a constant source of debilitating pain that has dramatically changed the person that I am. It hurts my heart to hear my kids say, “Mom won’t want to do that” when the suggested family activity is something active. Don’t they know who and how I am? But it’s been hurting for years—and kids can’t think beyond the last 3 or 4 months. The last straw was really when Chad beat me at a game of HORSE. I have never lost to him—not once in our 19 years together, but last year on his birthday he actually accomplished the impossible. I can’t live like this any more.
I actually plan to ask if I can keep it. (When Chad and I were discussing this particular question, he suggested we could give it to our puppy, if nothing else. Just what I need is to live with a 7 pound pile of fluff who has developed a taste for gnawing my bones. I’d never sleep another peaceful night in my life. I have visions of waking to see her sweet, furry little face drooling hungrily over my sleeping form, longing for one more taste of my aging bones). I don’t know what I’ll do with it otherwise—perhaps a mantle decoration? Maybe a Halloween decoration of some sort? People will surely be lining up for invitations to dinner at the Lueken house!
Now that the decision has been made and the date has been set, I just want to get on with it. I am envisioning it like a rickety rope bridge across a terrifying canyon. The side of the gorge I am on is comfortable and quiet, but it’s also full of pain and an unendurable altering in my fundamental self. I could sit on the couch for the next 50 years and probably endure the discomfort, but that’s not who I want to be. Instead, a short burst across a scary canyon, and I can pick up where I left off a few years ago (before the pain got so intense that I started altering my activities around it. Now my most athletic feats involve standing up from overstuffed furniture and climbing out of cars). The doctor assures me I can run again. I can play basketball with the kids (and, naturally, beat Chad at HORSE). I can ride a bike. I can bend down to pet my puppy (assuming she doesn’t want to eat me) and pick up socks. I can get back to myself again.
My doctor is handsome and young (I think there is some kind of law that says the doctor that operates on your hip has to be younger than you). He is a PHD/MD who used to wrestle at Stanford. I admit to a certain feeling of comfort seeing this hearty, clearly strong and confident person walk into the examination room. He looked like he was strong enough to actually man handle these big old bones of mine. (I did take a look at his hands which were unexpectedly more delicate than might have been expected. While I like a bone breaking doc to look strong and powerful, I’d just as soon the hands that will be rooting around inside my cut open body not look like giant paws). The nurse practitioner who will assist in the surgery was actually one of my athletic trainers in college, so that’s a comfort.
As the date draws nearer, I am just ready to make the dash and get this over with. I know there will be pain and frustration and I am certain that recovery will be anything but pleasant. I’ve struggled through injuries before, but the last times I was a hearty teenager with no responsibilities or concerns beyond my next big game. Now I’m a mother of 5 with a full time professional job, volunteer obligations, 2 homes to deal with, and an 11 month old unreliably potty trained puppy (who might or might not want to eat me) to take care of. Not to mention the fact that it’s unlikely 43 year old muscles and bones will respond with the same reliable resiliency as that vigorous 18 year old.
I once read that we will rarely make a change until the pain of the unknown is less than the pain of staying the same. The honest truth is that I’ve given up a lot of who I am and who I want to be due to this cranky old hip, and I’m ready to try something (anything). I’ve heard again and again from hip replacement patients and their friends that the most common sentiment associated with this surgery is “why didn’t I do this sooner?” So I think I’m ready. I would like to say I’ll blog again and try and articulate how recovery is going, but I know myself. I bet I’ll be alternately drinking too much wine and feeling sorry for myself, and pushing myself hard to break all the rules they set about how much activity should be undertaken in order to break all their expectations about how much can be accomplished in the week and 2 weeks and one month following surgery. Hip (new) hip hooray. Here we go.



