Today we will discuss about!
A. COMMON JOINT REPLACEMENT SURGERY
B. Knee Replacement and its Physiotherapy Rehab.
** Physiotherapy before, during and after joint replacement
Physiotherapy: A Key Component of Joint Replacement
Physiotherapy Makes a Difference Before, During and After Joint Replacement
**Physiotherapy before Joint Replacement:
When you’re undergoing joint replacement, whether it’s for a hip, a knee or a shoulder, physiotherapy plays a critical role in every stage of the process. Patients in Hare Krishna Physiotherapy Clinic begin a series of physical therapy exercises even before their surgery. Patients attend a preoperative education class to learn about their joint replacement. During this class, patients learn what to expect during their hospital stay, how to prepare their home for their return, what their family members should expect, and what to do before their surgery.
An important part of a patient’s responsibility is to begin exercising before surgery. It’s important to be as fit as possible before undergoing a joint replacement. Each patient receives a guidebook that includes a set of exercises in addition to information that helps prepare them for their surgery and recovery. Most exercises focus on stability around the joint or the muscles that will help them when getting up from a chair. Physiotherapists attend the preoperative education class and demonstrate the proper technique for many of the exercises. They also help to familiarize family members and caregivers, who participate as postoperative “coaches,” with their responsibilities in helping to care for their loved ones after joint replacement. Following surgery, patients work with a Physiotherapist and their coach to start strengthening and mobility exercises, as well as some balance activities, all of which get them started on the road to recovery. Early mobility following joint replacement usually shortens the time a patient will spend in outpatient therapy after they are discharged and return home. Another benefit is that by getting a patient walking early on in their recovery process, it helps to alleviate most patients’ anxiety about safety when they return home.
**Physiotherapy after Joint Replacement:
Once a patient is discharged, they begin outpatient therapy using a program like the HKP Joint Replacement Rehab.
HKP-JRR is an excellent option for joint replacement patients, because they offer patients a consistent continuation of the rehabilitation that began in the hospital’s but in an outpatient setting. Each therapist is highly trained in specific exercises joint replacement patients need and can quickly begin treatment without the risk of losing any progress patients made while in the hospital.
HKP-JRR comprehensive program offers occupational therapy for those patients who need additional help with daily activities such as bathing and dressing after surgery; and with convenient hours and a large staff, HKP-JRR can coordinate a therapy schedule that fits into a patient’s life.
Today’s joint replacement patients are increasingly active. They want to return to golf, tennis cycling and whatever their active lifestyle demands. In this case the patient must take things into their own hands and seek a Physiotherapy plan that goes well beyond the simple activities of daily living.
This is where HKKP-JRR comes in. We have outstanding Physiotherapists ready to come to your home and develop a rehab plan that will help you get the most out of your new joint. With a home Physiotherapy plan from HKP-JRR they can recapture many years of active living!
** What is a Knee Replacement ?
Knee replacement, or knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain and disability. It is most commonly performed for osteoarthritis, and also for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. Knee replacement surgery can be performed as a partial or a total knee replacement. In general, the surgery consists of replacing the diseased or damaged joint surfaces of the knee with metal and plastic components shaped to allow continued motion of the knee.
** What Causes Knee Joint Deterioration ?
Knee arthritis (inflammation of your knee joint) is a major cause of knee joint deterioration. The most common arthritis is osteoarthritis, which is inflammation related to wear and tear of the knee joint. Wearing of your knee joint is a common problem with ageing. However, certain conditions can accelerate the process of wear. Injury to your knee joint, surgical procedures, muscle weakness or increased body weight all accelerate the load and hence the wear and tear of the knee joint. Rheumatoid disease, gout or infection can also increase your joint wear and tear.
Interesting fact: If you lose just 10 kilograms of weight you can reduce the load on your knees by half!
** What are the Symptoms of Knee Joint Arthritis ?
The obvious sign of wear and tear of the knee joint is pain. Knee pain can be achy or sharp and may be accompanied by swelling. Because your knees do not wear equally across the joint surface, a deformity may begin to appear over time. This can be both knock kneed or bow legged in appearance, or windswept knees (one of each).
You may also find one or both knees lacking full movement, especially extension.
** How is Knee Arthritis Diagnosed ?
On examination, your physiotherapist or doctor will look for signs of limited knee movement and deformity, swelling and, importantly, knee pain. In most cases an X-ray will be sufficient to show the degree of wear and tear. An MRI may also be used to exclude soft tissue pathology.
** What is the Treatment for Total Knee Replacement ?
* Pre Operative Physiotherapy
Pre-operatively you may be prescribed a course of physiotherapy to better prepare your knee and its surrounding muscles for the upcoming surgery. Studies indicate that the better your muscle strength and knee range of movement before surgery, then the better your recovery.
* Post Operative Physiotherapy
Many patients who have a Total Knee Replacement (TKR) start to feel better within a few weeks of the surgery. Post-operative physiotherapy is important to regain full knee motion, strength and day to day function.
* Your post-operative physiotherapy treatment will aim to :
1. Reduce knee pain and inflammation.
2. Normalise knee joint range of motion.
3. Strengthen your knee muscles: quadriceps (esp VMO) and hamstrings.
4. Strengthen your lower limb: calves, hip and pelvis muscles.
5. Improve patellofemoral (knee cap) alignment
6. Normalise your muscle lengths
7. Improve your proprioception, agility and balance
8. Improve your technique and function eg walking, stair climbing, squatting and bending
9. Minimise your chance of re-injury.
** Risks of Knee Replacement Surgery
Risks of knee replacement surgery include: infection, persistent instability and knee pain, knee stiffness, and difficulty returning to your previous level of activity. The good news is that better than 90% of patients have no complications post-surgery.
* Interesting Fact
The first Total Knee Replacement (TKR) was pioneered by Leslie Gordon Percival Shiers (FRCS) in 1954. He refused to patent his invention, but rather allow other surgeons to modify and improve on his ideas.
* Return to Activity Post-Total Knee Replacement
Most activities can be returned to following a successful knee replacement. Unfortunately, because of the nature of the knee prosthesis, it currently not recommended to return to high impact activities such as running and jumping. Less high impact sports such as golf, bowls or swimming are encouraged.
For more information about knee replacement, please ask the advice of your physiotherapist or doctor.
Call HKPhysio: 9819918844