Finding Relief After Total Hip or Knee Replacements
Hip and knee replacements are among the most common surgeries in the United States. Every year, surgeons perform around 800,000 knee replacements and 450,000 hip replacements — and that number is expected to grow as the population ages.
But the surgeries themselves don’t show the entire picture. While they can offer lasting relief for people suffering from osteoarthritis, they also require extensive rehabilitation to ensure success.
Most people can expect to spend six months to a year restoring the strength and mobility in their lower body. If you skip out on post-surgical physical therapy, especially immediately after your procedure, you might continue to struggle with joint pain and restrictions in your range of motion. Fortunately, physical therapy at ELEVATE Physical Therapy can help see you through your recovery and rehabilitation.
Madeline’s Story: Finding the Trail Again
When Madeline underwent a total hip replacement at the age of 65, she had one goal in mind: to hike again.
Madeline knew that, to achieve her goal, she would need to take her post-surgical physical therapy very seriously. She began physical therapy as soon as she was cleared by her surgeon, three days after her procedure. Her PT guided her through gentle mobility exercises and helped her move around the room with her walker.
We also helped Madeline manage her initial pain levels with joint mobilizations, soft tissue manipulation, and other manual therapy techniques. In addition to helping with pain, these techniques can reduce the development of scar tissue, which can cause long-term pain issues.
It wasn’t long before Madeline began more intensive physical therapy. At her first appointment, she let her therapist know her dream of taking up hiking again, and they worked together to help Madeline achieve her goal.
Here’s what Madeline’s post-surgical therapy involved:
- Step 1: Improving her hip’s range of motion through targeted stretches and range-of-motion exercises.
- Step 2: Building strength in the muscles surrounding and supporting her hip, helping stabilize her new joint.
- Step 3: Activity-focused training to help Madeline restore her balance and ability to walk, climb stairs, and perform other movements crucial in daily life. As Madeline improved, her therapist began focusing on exercises that emulated hiking (such as walking up an incline) so Madeline could hit the trails again.
- Step 4: A hike with her new hip. After completing her physical therapy, Madeline’s PT cleared her for a gentle, three-mile hike — and Madeline celebrated every step!
Frank’s Story: Starting Early for Lasting Relief
Frank didn’t have a clearly defined physical goal when he underwent his total knee replacement at age 78. He’d never been particularly active, and his knee pain only made him more sedentary.
To help ensure Frank had the best possible outcomes, we actually started his physical therapy before he even went into surgery. Research shows that pre-surgical physical therapy (“prehab”) gives you a solid foundation for rehabilitation. So we set Frank up for success with a six-week prehab program that included the following:
- General fitness strategies to ensure he was in good health for his procedure.
- Exercises to improve the strength and mobility of his knee joint.
- Practice using a walker.
Frank had initially been nervous about his surgery, but his prehab program helped build his confidence and gave him a taste of what to expect from his post-surgical rehabilitation. In fact, he was pleased to learn that his early exercises were very similar to those he had done during prehab!
Frank’s rehabilitation proceeded similarly to Madeline’s, even though he wasn’t working toward a specific goal. We worked with him to manage his pain and slowly began mobilizing his knee. As his range of motion improved, we began incorporating strengthening exercises and functional training activities so he could perform day-to-day tasks.
Physical therapy was a lot of work for Frank, but it paid off in the end: he no longer struggled with joint pain, and he was far more active and mobile than he’d been in years.
Can I Avoid a Total Hip or Knee Replacement?
No one wants to undergo surgery. It’s often expensive, and it can bring with it a host of risks and complications. So, if you’re struggling with hip or knee osteoarthritis, you might be wondering — can I skip surgery altogether?
The short answer? It’s very possible!
Osteoarthritis has no cure. However, you can slow its progression by staying active and living a generally healthy lifestyle. In fact, surgeons won’t actually perform a total joint replacement until they’ve seen that non-invasive treatments — such as physical therapy — aren’t effectively managing the condition. As with most degenerative conditions, the earlier you start, the better. If you already have an OA diagnosis, the ELEVATE Physical Therapy physical therapists can work with you to develop a customized management program that might include the following:
- An aerobic exercise plan based on your interests and abilities.
- Targeted strengthening and stretching exercises to improve joint health.
- Strategies for reducing pressure on your joints.
- Strategies for improving your overall health and wellness.
Even if you don’t have a diagnosis, following up on joint pain is essential, especially as you get older. Our physical therapists can let you know if that pain in your knee or hip is due to osteoarthritis or some other cause, such as an injury or muscular imbalance.
Want to learn more about successfully managing osteoarthritis without surgery? Call to speak to our friendly staff today!
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We Can Help You Find Relief, Too!
Are you scheduled for a total hip or knee replacement? Don’t underestimate the importance of physical therapy in your rehabilitation. Call ELEVATE Physical Therapy today to learn more about how we can help!
Tee Up for a Healthy Golf Season
March marks the arrival of spring and the anticipation of a brand-new golf season. It’s not just about dusting off your clubs but also about prepping your body for the game. Here are some effective tips to ensure you swing into the new season at your best physical ability.
- Dynamic Warm-Up: Replace traditional static stretching with dynamic warm-ups like leg swings, arm circles, and torso rotations to prepare your muscles and joints for the various movements in golf.
- Balance and Coordination: Golf requires a high level of balance and coordination. Our therapists can give you drills to enhance your stability, which in turn will improve your swing.
- Soft Tissue Work: Use foam rollers or a massage stick to work on your soft tissue. This helps muscle recovery and keeps you loose and limber, reducing the risk of strains or sprains.
By incorporating these cutting-edge tips into your preparation, you’re setting yourself up for a healthier, more enjoyable golf season. May your drives be long and your putts be true!
Recipe of the Month: Blender Banana Spinach Muffins
Ingredients:
- 2 eggs
- 2 medium to large extra ripe bananas (with LOTS of brown spots)
- ¼ cup pure maple syrup or honey
- ⅓ cup dairy free milk of choice (I used almond milk)
- 3 cups fresh spinach
- 1 teaspoon vanilla extract
- 1 cup packed blanched almond flour
- 1 cup oat flour, gluten free if desired
- ¼ cup flaxseed meal
- 1 teaspoon cinnamon
- 1 teaspoon baking powder
- ½ teaspoon baking soda
- ¼ teaspoon salt
- 2 tablespoons hemp seeds
Instructions:
- Preheat the oven to 375 degrees F. Line a muffin tin with 10 muffin liners (we’re only making 10 muffins). Spray the inside of the muffin liners with nonstick cooking spray so the muffins do not stick to the liners.
- Add the eggs, bananas, maple syrup/honey, dairy free milk, spinach and vanilla extract to a large, high powered blender and blend on high for 1 minute or until completely smooth. Set aside.
- In a large bowl whisk together the almond flour, oat flour, flaxseed meal, cinnamon, baking powder, baking soda and salt until well combined. Pour the blended wet ingredients over the dry ingredients and mix with a wooden spoon until well combined. Feel free to stir in hemp hearts, if using. Divide the batter between the muffin liners. Bake for 20-25 minutes or until a toothpick comes out clean or with just a few crumbs attached.
Sources
- https://rheumatology.org/patients/joint-replacement-surgery,
- https://www.choosept.com/guide/physical-therapy-guide-total-knee-replacement,
- https://www.choosept.com/guide/physical-therapy-guide-total-hip-replacement-arthroplasty,
- https://www.sciencedirect.com/science/article/abs/pii/S187706572200077X
- https://www.ambitiouskitchen.com/banana-spinach-muffins/
- https://www.choosept.com/guide/physical-therapy-guide-osteoarthritis