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Twenty years after having her left hip replaced, Shelly Conley, 86, felt like something wasn’t quite right. She had a strange sensation deep in the hip joint that was shifting with every step, catching, and grinding in a way it hadn’t before.

Russell Parker fights fires at one job and works in a cobalt mine at another. He hunts, fishes, and, up until recently, competed in roping competitions on horseback. And there once was a time when he was a high-flying basketball player.