Repetitive Strain Injury/Repetative hip replacements


I am a 50 year old man.   In the last 2 1/2 years, due to advanced ostio-arthritis and other related complications, have had 6 hip surgeries.  Two total hip replacements on the right hip, accompanied by two hip revisions on that same hip.  And a total left hip replacement on the left hip accompanied by a subsequent follow up total hip revision 3 weeks later.  My right hip has had both anterior and posterior surgeries. All of this in 2 1/2 years.  My question is this.  I know that repetative hip surgeries like this are not typical for most people.  I am currently on anti-inflammatory medication and meds for my arthritis.  I am also on a pain management program.  I am frustrated because neither my surgeon or my personal MD are able or even willing to give me any kind of idea about the healing time frame for my injuries.  I have been through extensive physical therapy.  With your experience and expertise, what are your thoughts about healing and long term prognosis??  It's depressing and frustrating for me.  And I'm worried about this being as good as it gets.  My last total hip was done on the right hip in July of 2012.  AND I do realize that it will take time.  If you have any suggestions or thoughts I would be very indebted to you...  Thank you for taking the time.

Hi Robb,

I have found that many people have horrible pain and it's caused by the muscles being so tight that they are pulling hard on the joint.  The analogy I always use is, if you pull your hair really hard your head will hurt and you won't be able to turn in the opposite direction.  It's the same with muscles and joint: when the muscle is pulling hard it will cause pain at the joint and you can't move in the opposite direction.

In the case of a joint replacement, the muscles had to be surgically removed from the bone, and then the new replacement joint is put into place and the muscle is replaced.  The problem is, when the muscle is removed it shortens back to its shortest length, yet it is rarely massaged to release the spasms that formed during the procedure.

I suggest you go to and read the Home Page, plus the sections titled "Muscles and Pain" and "What's Happening Exactly."  Then go to and read about the muscles that cause pain from the low back, through the hips, sciatic, and legs -- all the way to the lower leg and foot.

I believe it's important for you to massage all of the muscles listed in the thread. You can either do it yourself, the website will explain how, or you can go to a good massage therapist who is trained at doing trigger point therapy.  You will be amazed at how much relief you will get.

Please come back and let me know how you are doing.

Wishing you well,
    Julie Donnelly

Repetitive Strain Injury

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Julie Donnelly, LMT


I can accept questions that relate to chronic or acute pain caused by muscle spasms and contractions. Repetitive Strain Injury is actually Cumulative Trauma to muscles. Releasing the spasm &/or contraction will relieve the strain that is felt at the insertion point on the bone. I am the co-developer of the unique safe-stretching program "Focused Flexibility Training," which combines easy instruction for self-treating spasms throughout your body with proven yoga stretches. I have recently authored two new books: "The 15 Minute Back Pain Solution," and "The Secret to Your Best Golf Game EVER!


Since 1989 I have been working with endurance athletes and individuals suffering from chronic pain conditions. I have authored seven self-treatment books and three self-treatment DVDs and I have developed the Julstro System for the treatment of carpal tunnel syndrome, Trigger Finger, and other Hand/Wrist pain. I am a national and international presenter at conventions, seminars, and workshops. Principle topics are "Work Shouldn't Hurt," and "The Pain Free Athlete." In 2005 and 2006 I was the massage therapist for ultracyclists competing in the Race Across America (RAAM) 3000+ mile race from San Diego, CA to Atlantic City, NJ. I've taught the Julstro techniques to physical therapists at the Cleveland Clinic, to massage therapists in areas around the USA, and I've taught Julstro self-treatment clinics to dancers at Juilliard School of Performing Arts (NYC),the sprinting team at NC State, and I am working closely with several Olympic-hopeful. We have successfully eliminated the repetitive strain injuries that could keep them out of the Olympic Games, and the best part is they know how to do the self-treatments so they can stay pain-free and flexible.

Triathlete Magazine, Endurance Magazine, multiple national and international trade journals.

Swedish Institute of Allied Health, NY, NY - Initial education in massage therapy Licensed NYS Massage Therapist since 1989. SUNY Empire State College, Saratoga Springs, NY - B.Sc. degree in Interdisciplinary Health Education I was an Associate Professor helping to develop the massage training program for SUNY Rockland Community College

Past/Present Clients
Privacy prevents me from filling in this section without prior consent from my clients. Life Experience: I have been specializing in the treatment of chronic pain and sports injuries since receiving my NY massage license in 1989. A personal bout with carpal tunnel syndrome was the catalyst to my developing a self-treatment that heals the symptoms of carpal tunnel syndrome quickly and without surgery. My work with endurance athletes was the inspiration to teach people how to self-treat so they could stop pains even during a race or heavy training day. Both of these situations ultimately became the products that are sold on my websites: and I currently treat people in my offices in Sarasota, FL, Cary, NC, or Pearl River, NY

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