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Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement)

This is a discussion on Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement) within the Artificial Disc Replacement forums, part of the Spine Surgery Support category; Ski Prohibition Eased—A Little Orthopedics This Week Biloine W. Young • Wed, Feb 16th, 2011 Copyright 2009 - 2011 RRY ...

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    Founder / Administrator Justin's Avatar
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    Default Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement)

    Ski Prohibition Eased—A Little

    Orthopedics This Week
    Biloine W. Young • Wed, Feb 16th, 2011
    Copyright 2009 - 2011 RRY Publications


    To ski or not to ski—after a joint replacement—is the question. Bruce Alemian, an alpine skier in his 70s with two worn-out knees, feared that his skiing days were over. So did his orthopedic surgeon at Massachusetts General Hospital who replaced the aging knees and advised against skiing. What if he had a fall? Twisted his knee?

    But Alemian found that he could not so easily walk away from the ski slopes. Four years after his last surgery he began skiing on easy trails. There he found others like himself, with implanted knees and hips, flying down the hills.

    There was Bruce McDonald, 68, head of the ski school at Wachusett Mountain in Princeton, who had had two hip replacement surgeries and disc-fusion surgery. And Mike O’Gara who, eight months after surgery for a new hip, was the No. 1-ranked NASTAR skier for his age group in New Hampshire, and winner of the prestigious Hannes Schneider Memorial race.

    According to a February 10 report in the Boston Globe, as body part replacement becomes commonplace in an aging generation, doctors and physical therapists are moving away from their automatic opposition to downhill skiing.

    “What I tell my patients with total hip and total knee replacement is if you’ve never skied, or you’re a lousy skier, it’s probably not a good thing to try to pick up or improve,’’ said Dr. Thomas Thornhill, chairman of orthopedic surgery at Brigham and Women’s Hospital. “If you’re a good skier, or you don’t feel you have to ski moguls or in icy conditions—that’s perfectly all right.’’

    One of Thornhill’s patients is Dr. Eli Factor, a Brockton dentist who had two hip replacements in his mid-60s and wondered about his future in skiing. Now 80, Factor, who skied until last year, remembers the advice he received. “Most of medicine absolutely said no.” he said.

    Factor spent the next 25 years at the sport and founded the “Steel Hipsters Ski Club of America’’ which sends out newsletters keeping members current on the state of replacement surgery as it applies to skiers.

    Thornhill, who skis and plays tennis, said there have been many changes since the early days of joint replacement. “With shaped skis that are easier to turn you stay in better control,’’ he said. “The skis are shorter, and that’s easier on the joints. People who skied in the old days probably had to be better. Now I think people can rely more on their equipment than their talent.”

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
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    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

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    Senior Member Gilbert P's Avatar
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    Default Re: Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement)

    Yea

    I know many people with new hips and knees that started to ski again and ski better than before with no issues.

    Gil
    L5-S1 lam 1994
    L2 to L5 DDD
    L3 -L4 hern Dec 2007.
    L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
    L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
    L2-L3 Right-sided neural foraminal narrowing
    L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
    C3-C4 limited DDD
    15 injections Depo. P.T. 18 months 9 dose packs,
    Nerve Block Injections.4 ESI S1
    L5-S1 Foraminotomy 09
    L4-L5 Microdiscectomy 09 ReHerniation 4-2010
    Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants


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    Moderator KBear's Avatar
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    Default Re: Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement)

    I think this article nails it, if you are an experienced skier, then you can most likely ski again. Whereas if you are like me and are not an experienced skier (I totally busted my a$$ getting off the bunny hill lift), then you should'nt try to learn after surgery. I have zero desire to ever ski again, that was the biggest beating I ever had. On the last run I did, I just about went into a tree and that sealed the deal for me to never do it again.... I just lack the coordination.

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    Senior Member Gilbert P's Avatar
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    Default Re: Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement)

    Hi KBear

    LOL I am skiing a little to watch my son ski race, Being very good at skiing I am able to manage but if a beginner skier no way, I do know some who have skied with ARD

    Gil
    L5-S1 lam 1994
    L2 to L5 DDD
    L3 -L4 hern Dec 2007.
    L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
    L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
    L2-L3 Right-sided neural foraminal narrowing
    L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
    C3-C4 limited DDD
    15 injections Depo. P.T. 18 months 9 dose packs,
    Nerve Block Injections.4 ESI S1
    L5-S1 Foraminotomy 09
    L4-L5 Microdiscectomy 09 ReHerniation 4-2010
    Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants


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    Senior Member KenG's Avatar
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    Default Re: Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement)

    Hi, no beginner sking after ADR ? I may get back to it in near future, carefully

    I would like to do it in Hokkaido or, Whistler someday.
    Trauma at 20 y/o left buttock, thigh, LBP eversince.
    confirmed DDD retro spondylolisthesis L5/S1, offered fusion,
    had discectomy successful.
    ProDisc-L L5/S1 at Pro Spine Successful

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    Senior Member KanRunMo's Avatar
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    Default Re: Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement)

    I'm an occasional skiier. Since I live in the flatlands, it takes a special effort to get to ski country. I don't find skiing any harder on your knees and hips than the other sports I do like tennis and golf. I have not had an ADR so I can't respond to that. Once joints are healed, people seem to do pretty much what they did before. I think aging is much harder on joints than most sports. My brother who lives in ski country and is a good skiier, suggests everyone take a half day lesson at the start of each ski season. A lesson in how to fall and not hurt yourself is probably the best lesson. Pick a day and time when the slopes aren't busy because snow boarders are what's dangerous.
    Diagnosis:
    Degenerative disc disease throughout spine
    Generalized disc bulging with mild narrowing of thecal sac in L2-L3, L3-L4, L4-L5, L5-S1.
    Moderate spinal stenosis L4-L5
    Foraminal narrowing
    Recent compression Fx at T10,T11.
    Treatment:
    Spinal decompression 2007
    Cortisone injection in lower back in 2010
    Relieved of pain for now
    Hope for ADR

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    Senior Member bigdogchief76's Avatar
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    Default

    We used to live out in Denver. We were avid skiers. When I first started having my back problems I never noticed issues if I skied (not in my back area). I had more issues in my knee and hips then anything else. If you ski correctly your back shouldn't have a lot of load bearing on it. I couldn't imagine trying to ski right now though. It will be interesting to see what things I will be able to do again.

    For now I'm simply looking forward to taking my daughters to the zoo and walking with them again. That will be the first thing I do. Second will be an all-night catfishing excursion with a good friend. Ah, I can't wait!

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    Senior Member New-disc's Avatar
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    Default Re: Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement)

    Quote Originally Posted by KBear View Post
    I think this article nails it, if you are an experienced skier, then you can most likely ski again. Whereas if you are like me and are not an experienced skier (I totally busted my a$$ getting off the bunny hill lift), then you should'nt try to learn after surgery. I have zero desire to ever ski again, that was the biggest beating I ever had. On the last run I did, I just about went into a tree and that sealed the deal for me to never do it again.... I just lack the coordination.
    K,

    I'm with ya on the skiing thing... trees don't have much give to them... Yikes!!

    I'll stick with snowshoeing..
    ------------------------------------------------------------------------------------------
    * Stenum Hospital (Germany) Maverick disc implanted (10-19-07) L4-L5

    * To view my post-op video's click- http://www.youtube.com/ type ADR surgery into the space bar

    * Fusion of c5-c6 on (11-02-09) Boston, USA http://fusion-c5-c6.blogspot.com/
    ------------------------------------------------------------------------------------------

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    Senior Member ajj1001's Avatar
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    Default Re: Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement)

    I skied a few times pre ADR and went back when I was fully recovered. I did have some lessons to check my technique and had no problems. no black runs though. glad I did now as it looks unlikely I'll ever get back to it again, well at least stood up on two separate skis.

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    Moderator KBear's Avatar
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    Default Re: Ski Prohibition Eased—A Little (to ski or not to ski—after a joint replacement)

    Quote Originally Posted by Gilbert P View Post
    Hi KBear

    LOL I am skiing a little to watch my son ski race, Being very good at skiing I am able to manage but if a beginner skier no way, I do know some who have skied with ARD

    Gil
    I think that's exactly it. If I was a great skier, I would probably do it again. In my case, I decided that death by flying into a tree at an uncontrollable speed was just not how I wanted to go. And that was in Angel Fire, NM, where the mountains aren't even that big- LOL.
    31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

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