I was diagnosed with bilateral hip dysplasia in July 2017. I had struggled with what I thought was a groin injury for about a decade, but it became much worse in the year prior to my diagnosis. Over time, the pain moved more into my trochanter area and the muscles surrounding the hip joint. It never occurred to me that I might have a problem inside my hip, until a stone turned under my foot during a hike and I felt a shooting pain sear through my right hip in May 2017.

By the time of my diagnosis, I had tried many different therapies to heal what I’d always thought was a soft tissue injury. But my pain and disability kept getting worse, and I could barely walk. I’ll never forget staring at the X-rays with my surgeon and realizing there was nothing left of my right hip joint. By the end of the first appointment, I was preparing to have my hip replaced and trying to deal with the fact that the other one was going to have to be replaced too. I was 51 years old.

My right hip was replaced on September 20, 2017. It was a difficult and painful recovery that took much longer than I’d anticipated and some of my pain never went away until we figured out what was causing it. By December 2017, my left hip was failing. I figure it decided it had carried me long enough and it was done. I had my left hip replaced on May 16, 2018. That was my miracle hip! I was walking without aids in 4 days. I had so much less pain and difficulty that it was amazing. My physical therapist told me my first recovery was one of the toughest she’d seen and my second was one of the best. They say no two hips are alike and that certainly was my experience.

But after the second replacement, it became clear what was causing my difficulties on the right side. I’d had a cerclage cable placed around my femur to support it after my first replacement. My surgeon was concerned that the femur may have fractured, since it was already distressed from having waited so long. The cable is made of twisted wire and looks like a zip tie you would use to hold together electrical cords. It has a sharp end and rough edges on the clamp which were poking into my muscles. When I flexed them, you could hear them snap over the end of the cable! The doctor told me the cable might bother me and if it did, he would remove it. I had the cable removed on October 31, 2018.

It was amazing how fast everything changed after that. All my pain disappeared finally! I was able to walk up stairs and put full weight on the leg while doing yoga and Tai Chi without pain. I healed very quickly and within four months was back to all my normal activities. I am still regaining strength as of this writing, particularly in the atrophied muscles on my right side. I now have even leg length for the first time in my life. My right leg was always about ¼ to ½ inch shorter. I’m also no longer duck footed! I can’t really tell that I have implants at this point. The one thing I notice is that my point of balance, for example in one-legged yoga poses, is now out to the side. I realized I always hugged in to the midline of my body, because I didn’t really have hips out there to hold my weight. It’s a trip relearning these poses!

When I read the stories on this site, I am thankful I got 51 good years on my deformed hips before they gave out. When I was diagnosed, I was old enough that replacement was never questioned and that fixed everything. Within a year and 3 months after my diagnosis, I went from dysplastic to bionic! I am grateful to my skilled surgeon, his assistant and my PT’s for helping me get my life back. It is truly a miracle what modern medicine can do these days. I was up and walking the day after both replacements with a walker. I barely had to use the walker for my second replacement.

I guess my big takeaway was that I wish I’d gone to an ortho sooner. I tried rehabbing for too long and caused unnecessary pain and difficulty for myself. My second replacement was so much better because I didn’t wait too long on that one. I also wish I’d had that cerclage cable taken out at the beginning of last summer instead of the end. It caused me so much grief that I could hardly hike last summer, and it was so easy to remove.

For those of you who may be just embarking on this journey, or who may have replacements in your future, I want to say, “Don’t put it off too long. They can fix dysplasia and you can go back to all the things you love.” (Though you might want to stop the high impact sports…) I am now able to walk 3 miles regularly, swim 1000 meters 3-4 times per week, cross country ski 3 miles (including back country skiing which involves breaking trail through fresh snow), dance, lift and carry 25-50 pounds, go up several flights of stairs, and do yoga and Tai Chi.

When I was first diagnosed, I found this site to be incredibly helpful. It was especially helpful to find people’s blogs where they talked in more depth about their experience. It inspired me to start my own blog, which chronicles my journey from the beginning to now, complete with photos and video footage. You can reach it at: https://rhondaashurst.com/category/hip-adventures/. This is a non-commercial site and all the information is free for you to download and use as you wish. I put all the tips I have in a PDF called “Rhonda’s Hip Tips”, which you can find on my Resources page or at the top of the Hip Adventures theme.

Sending a big hug out to all my sisters and brothers out there dealing with dysplasia. This is, thankfully, a fixable condition. Find a good surgeon and PT’s to help you. Be good to you. This is a tough journey, but it’s worth taking and being able to walk. Hang in when you feel discouraged, it will pass, and you will do what you love again!

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  1. Tina Kimani says:

    Rhonda, how long did u struggle with your pain before u decided to go for surgery?

    My pain has come all of a sudden. I am confused on how long i should wait to have the THR because i was born with a deformity. I am very scared of being immobile. how long did it take u to recover from the surgery? i will check out your blog. Thanks for sharing

  2. rhondalou14@gmail.com says:

    Hi Tina,

    I first started having groin pain in 2007. I had difficulty with hiking, particularly downhill. The pain would come and go and I did a number of therapies thinking it was a soft tissue injury from horseback riding. It really got worse in 2016, though it was a gradual decline for those 9 years, looking back.

    I wish now I had gone to the ortho in fall of 2016 and not continued to try therapies. Those last 6 months before my right hip replacement in September, 2017 were brutal and I suffered unnecessarily. I could barely walk by the time I had surgery. So, when my left hip went about 3 months after my right, I went in immediately and the second replacement was done in May, 2018.

    That hip healed very quickly and within 6 weeks I was back to normal. The first hip was slower due to the cerclage cable installed to support my femur. Once that was removed in October, 2018, I improved very rapidly.

    As of now, nearly a year out from my last THR, I am back to normal. You can see what I can do now on my Google photos link: https://photos.app.goo.gl/qXWaMSt2tW0TuBJf1.

    I hope this helps reassure you that you can have your life back. Don’t wait too long. Dysplasia is a fixable condition and you don’t have to suffer needlessly. The sooner you fix it, the faster you get back to your life!

  3. Selena says:

    Thank you for this very informative post. I have been struggling to figure out what is going on in my body for 7 years and have only just figured out that I have displasia and one completely obliterated hip (soon to be 2 I’m told). This is so helpful. I really wish I’d found this information sooner. I am now waiting for surgery in Canada (i’m told will be about 1 year, which is very frustrating but at least I know what is wrong and how it can be fixed) and am so looking forward to the day when I can just walk across the room without pain. You are inspiring to me. Thank you so very much.

  4. Katina says:

    Thank you for this post! I found out yesterday about my left hip dysplasia…thought it was my sciatic. I am going back for another visit tomorrow but already being referred to the joint specialist. Must have a cervical and thoracic MRI done too since I also have brisk reflexes. My prayer is I will come out like your left hip surgery since it has REALLY been an issue over the past year. I am a 46 year old special education teacher who walks over 10K steps a day and I return to work next Thursday for the new year. My entire quality of life has changed to where it is even difficult to put on my own clothes and shoes let alone get in/out of the shower and car. I truly appreicate you sharing and hope that you have continued success in your recovery. God Bless you .

  5. Rhonda says:

    Hi Selena and Katina,

    Wishing you both all the very best in your journeys. It seems that the biggest step is often getting the right diagnosis and then finding the right surgeon to fix it. I’m going to visualize you both healed and walking strong with no pain on the other side of this. It’s amazing what they can do these days. Keep your hope and faith that this too shall pass.


  6. Glorie says:

    Hi Rhonda!
    You are my hero! I’m about to turn 49 sept 18 and I was just diagnosed with bilateral hip dysphasia after 8 years of continual pain, therapy, dry needling, cortisone shots, and now the groin pain started I was sent to PT to strengthen my inner thigh muscle… I was shamed for being weak… my leg kept giving out and the pain was awful… finally I went to another institute and dx with dysphasia.. I’m researching best md got the job… there is a new surgeon who does anterior approach … what are your thoughts and should I ask for my labral tear to be fixed while waiting for the? I can barely walk so I realize I can’t take too long to ding right surgeon…. thank you for your honesty and advice

  7. Shalene Lindsey says:

    Hi Rhonda,
    I’m doing my research now as I’ve known this hip replaced was in my future. I was just hoping to put it off ten more years. I’m 47 and I have dysplasia, bone on bone, 3 bone spurs and a cyst. I had labrum tear surgery 6 years ago.
    Anyways u didn’t mention if u had your THR from the anterior or posterior approach? Just curious? And what was your rehab process like. I’m very active and the down time scares me.
    Thank u for any info

  8. rhondalou14@gmail.com says:

    Hi Glorie and Shalene,

    Thank you for your comments! Glorie, it sounds like you may want to ask Shalene about the labral tear surgery… I think if your arthritis has progressed too far, it may be best to replace the hip. I have a friend, who had a labral tear repaired and it didn’t work and a few months later she had the hip replaced. The labral tear was harder to rehab than the hip and she was very upset.

    I’d also recommend for you both to read Kelli’s entry at the top of the Patient Stories. She has had an anterior replacement and it seemed to go well. Anterior approach will cause less muscle damage. My surgeon said he preferred posterior because he could see everything more clearly and I required some reconstruction. My left hip was an easy recovery using that approach, but my friends who have had anterior, have had an even faster recovery.

    Wishing you both all the best in your decisions, surgeries and recoveries! Visualizing you healed and doing what you love again,


  9. Anna says:

    Hi Rhonda,

    Thank you for sharing your story here, and in your blog. My story tracks very closely with yours. I’m 46 and was finally diagnosed with moderate/severe bilateral dysplasia in December 2016 after doing various therapies for 7 years. I had my right hip replaced 17 days ago, and will do my left one sometime in the next year. I am still dealing with swelling in my upper thigh and thus walking with a cane, but I’m definitely improving day by day. Here’s hoping my left one is my “miracle hip” too!

    Reading your story really helped me process what was happening to me and what my options might be, especially in the early days while I was researching PAO and waiting to see the specialist. I was terrified they would say I was too old for PAO but too young and/or not arthritic enough for replacement. Thankfully that did not turn out to be an obstacle. Thank you again!


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