{"id":27299,"date":"2023-06-15T18:11:09","date_gmt":"2023-06-15T18:11:09","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=27299"},"modified":"2024-12-09T23:57:57","modified_gmt":"2024-12-09T23:57:57","slug":"knee-pain-leads-to-unexpected-double-hip-replacement","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/knee-pain-leads-to-unexpected-double-hip-replacement\/","title":{"rendered":"Knee pain from fall leads to unexpected double hip replacement","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p>Raymond Lerner, a maintenance technician for a property management company, was on the job when he slipped and fell on a patch of ice.<\/p>\n<p>\u201cI was a little sore, but I wrote it off,\u201d says Lerner, 48, of Kent.<\/p>\n<p>Over the course of a few months, however, he started experiencing pain in his right knee.<\/p>\n<p>\u201cOne day, my knee kind of gave out, and I almost fell,\u201d he explains.<\/p>\n<p>Lerner\u2019s pain began radiating from his knee up to his hips and back. That\u2019s when he made an appointment with his primary care physician, <a href=\"https:\/\/updates-www.mccdn.io\/provider\/stephen-lu\/\">Stephen Lu, MD<\/a>, MultiCare Family Medicine \u2013 Kent.<\/p>\n<p>\u201cI thought it was my knee, but Dr. Lu X-rayed both of them, and he said they looked great,\u201d says Lerner. \u201cThen, he X-rayed my hips and found they were actually the source of my pain.\u201d<\/p>\n<p>Dr. Lu referred him to <a href=\"https:\/\/updates-www.mccdn.io\/provider\/kevin-lawson\/\">Kevin Lawson, MD<\/a>, orthopedic surgeon with <a href=\"https:\/\/updates-www.mccdn.io\/location\/multicare-covington-clinic\/multicare-orthopedics-sports-medicine-covington\/\">MultiCare Orthopedics &amp; Sports Medicine \u2013 Covington<\/a>.<\/p>\n<p>\u201cDr. Lawson told me my hips were bone on bone and that I\u2019d need surgery,\u201d Lerner explains.<\/p>\n<p>He found out during the appointment that hip pain can actually start in the knees and work its way up to the hips. He also learned that he had osteonecrosis, a condition that caused the tissue in the head of his femurs (thigh bones) to erode.<\/p>\n<p>Osteonecrosis, or avascular necrosis (AVN), can occur due to trauma to the hip joint. Young children can even get it if they\u2019ve had chronic steroid treatment for certain diseases. However, its most common cause is alcohol abuse. Alcohol can cause fatty deposits in the blood vessels, blocking the flow of blood to bones. When the tissue doesn\u2019t get blood flow, it dies.<\/p>\n<p>This was likely the cause of Lerner\u2019s AVN.<\/p>\n<p>\u201cI\u2019m an alcoholic in recovery,\u201d he says. \u201cDr. Lu helped me get sober before any of this happened with my hips. He prescribed a medication to help with cravings, and it worked.\u201d<\/p>\n<p>Dr. Lawson says AVN can be very painful and severely limit quality of life and function.<\/p>\n<p>\u201cIf the tissue damage isn\u2019t too bad and can be salvaged, there are procedures that help with hip preservation,\u201d adds Dr. Lawson. \u201cIn Ray\u2019s case, however, it was past the point of preservation, and he needed replacement.\u201d<\/p>\n<blockquote><p>\u201cIt\u2019s rewarding to see [my patients] go from barely walking to being pain-free.\u201d<\/p><\/blockquote>\n<p>Lerner\u2019s first surgery was in December 2020. He took a 12-week leave from work to recover. During that time, he had physical therapy twice a week for eight weeks. And because it was during the COVID-19 pandemic, they came to his home.<\/p>\n<p>\u201cThe physical therapy team was really good at working with me knowing my other hip was still bad,\u201d he says.<\/p>\n<p>Lerner needed to use a walker for the first two to three weeks after surgery because he couldn\u2019t bear a lot of weight on the bad hip.<\/p>\n<p>\u201cIt was kind of rough getting back to work because I had to deal with the pain in the other hip that still needed surgery,\u201d he explains.<\/p>\n<p>Lerner\u2019s second hip surgery was in January 2022. He only had to take eight weeks off work since he had two good hips, making recovery much faster.<\/p>\n<p>\u201cDr Lawson is awesome and his bedside manner is great. He had a real understanding of my situation and reassured me through the whole process,\u201d says Lerner. \u201cAfter both surgeries, I woke up and he was right there to see how I was doing.\u201d<\/p>\n<p>\u201cMy goal is to give my patients the best outcome possible,\u201d says Dr. Lawson. \u201cIt\u2019s rewarding to see them go from barely walking to being pain-free. Ray\u2019s quality of life had decreased due to his hip pain, but he got back to work and to doing the things he loves.\u201d<\/p>\n<p>Lerner is on his feet all day at work, going up and down stairs.<\/p>\n<p>\u201cBut I can do that now, no problem,\u201d he says. \u201cAnd my wife Trudy and I like to take weekend trips up to mountains and go hiking with our dogs, so I\u2019m happy I can do that again. After my two surgeries, I feel 110 percent better.\u201d<\/p>\n<p>If you\u2019re experiencing joint pain and you think you might be a candidate for joint replacement surgery, <a href=\"https:\/\/updates-www.mccdn.io\/find-a-doctor\/\">schedule an appointment with your doctor<\/a> or other health care provider and ask for a referral today.<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>Raymond Lerner, a maintenance technician for a property management company, was on the job when he slipped and fell on a patch of ice. \u201cI was a little sore, but I wrote it off,\u201d says Lerner, 48, of Kent. Over the course of a few months, however, he started experiencing pain in his right knee. [&hellip;]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":451,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[95,79],"tags":[],"class_list":["post-27299","post","type-post","status-publish","format-standard","hentry","category-orthopedics","category-profiles-stories"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Double hip replacement surgery enables man to walk without pain - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"A man\u2019s knee pain leads to the discovery of hidden hip disease, requiring him to undergo double hip replacement surgery.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/updates-www.mccdn.io\/vitals\/knee-pain-leads-to-unexpected-double-hip-replacement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Knee pain from fall leads to unexpected double hip replacement - 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