Most people know that smoking can cause significant damage to a person’s lungs and heart – but did you know that smoking can also damage a person’s joints? Because of this, smoking causes worse outcomes in joint replacement surgery. Patients who fail to quit smoking before joint replacement surgery are far more likely to need a revision down the road.

Smoking causes joint damage
Smoking is still the number one cause of preventable death. According to OrthoInfo, more than 440,000 people in the U.S. die from tobacco-related diseases each year. Some damage done from smoking cannot be repaired, but other negative effects on your body can be reversed – or at least reduced – simply by quitting smoking. One of those risks that can be reduced is incurring joint damage. Quitting smoking allows your joints to regain strength and reduces your risk of fractures.
What smoking does to your joint and bone health
Some of the consequences of smoking on your joints are as follows:
- Increases your risk of developing osteoporosis, which weakens your bones and increases your risk of fractures
- Nicotine slows the production of bone
- Decreases absorption of calcium from your diet. Without calcium, your bones become brittle
- Breaks down estrogen, which is necessary for maintaining a strong skeleton – both in men and women
Because of these damaging effects, smokers are nearly twice as likely to suffer tendon tears and overuse injuries. They are also more likely to develop rheumatoid arthritis and low back pain as they age.
Smoking makes joint replacement recovery harder
If you are a smoker and think you need a joint replacement, our surgeons will recommend that you quit smoking before you have surgery. Studies have shown that joint replacement patients who continue to smoke before and after surgery are 10 times more likely to need a joint revision surgery than non-smokers. They are also more likely to have complications, including blood clots, irregular heartbeat, and kidney failure.
This is because smokers’ bones cannot heal well and cannot grow into the porous metal of the joint implant. According to Dr. Adolph Lombardi, president of Joint Implant Surgeons in New Albany, Ohio, “Smokers may be getting as much as 25 percent less blood to the wound than nonsmokers.”
What if I can’t quit?
We understand that quitting is hard. But we also know that quitting will make your quality of life so much greater. Many of our patients who continue to smoke end up with serious complications, fractures, or the need for additional surgeries because their bones are brittle. We want to make your recovery as pain-free as possible – for everyone involved.
If you have more questions about this, please call our office to speak with a clinician. 317-455-1064.
Further Reading
Dive deeper into joint health and expert care with these informative resources from Midwest Center for Joint Replacement:
Meet Our Experts
- Welcome Dr. Rick Weidenbener: Learn about our newest addition to the MCJR team, bringing specialized expertise to our patient care.
- Dr. Peers: Hand, Wrist, Elbow, and Shoulder Specialist: Discover the advanced upper extremity care available at our center.
Understanding Joint Conditions
- What is Hip Bursitis?: Explore the causes, symptoms, and treatment options for this common joint condition.
- Post-Traumatic Arthritis Explained: Gain insights into how injuries can lead to long-term joint challenges.
Patient Resources
- Share Your Experience: Help other patients by writing a review and sharing your MCJR journey.
Each of these resources is designed to provide you with valuable information about joint health, our expert care, and the treatment options available at Midwest Center for Joint Replacement.