Maximising Your “New” Hip or Knee after Joint Replacement Surgery

 

hip replacement rehabilitation physio brisbane

 

One of the biggest factors in resultant wear and tear of our major joints is age. Sometimes this wear and tear causing pain means that conservative treatment is ineffective and it is time to have surgery with a “new” knee or hip.

Most of the time the hospital stay is short (4 – 5 days) and then when you return home to begin your rehabilitation. This rehabilitation is vital to start maximising the recovery of your new hip or knee.

All Care Physiotherapy has 22 years’ experience in the rehabilitation of clients undergoing a joint replacement, so we know how to get our clients going after their surgery.

We work with Brisbane’s best Orthopaedic Surgeons at the Brisbane Private Hospital and start the rehabilitation process from immediate post surgery through to full recovery.

We have designed the best rehabilitation plan for our clients to maximise their full recovery. This is divided into several phases.

 

Phase 1: Immediate Post Surgery

 

Getting going means getting out of bed straight after surgery and walking on your new hip or knee. Gone are the days of resting post surgery! Getting moving is the only way for full recovery.

Initial goals and treatment includes

· Minimise the effects of surgery with RICE (rest, ice, compression, elevation). We use our Ice Wrap Pro in hospital (see more about the Ice Wrap Pro here ) and the client takes it home to use regularly as well.

· Get moving on your new hip or knee! The aim is to get you on crutches ASAP.

· Increase the range of movement of your new hip or knee.

· Get your muscles going again.

· Practice the essential tasks of everyday life. It is important to be able to get around independently to and from the shower, toilet and be able to get in/out of bed by yourself.

Clients are discharged from hospital with a home programme to complete.

 

Post Hospital Discharge

 

The aim is to build on the initial gains straight after surgery, with improving range, strength and function

Normally there would be a follow up Physiotherapy review around 2-3 weeks’ post operation after having the 2 week surgeon review

It is important to allow the surgical wound to heal before undergoing any further rehabilitation or start any hydrotherapy.

Goals in this period are to normalise the range of movement, progress mobility to normal walking and increase the strength around the hip and knee and increase proprioception.

Exercises that use body weight and theraband reistance are used to start with, progressing to using light weights and cardio equipment as is clinically appropriate.

We will progress through our structured rehabilitation plan to improve our clients function post joint replacement and get them back into life with their “new” hip or knee!

So if a new hip or knee is needed, then get a better outcome with our All Care rehabilitation programme.

See below what to do BEFORE your surgery.

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hip replacement rehabilitation physio brisbane 2

 

What To Do Before Your Joint Replacement

A period of prehabilitation is beneficial to improving joint range, muscle strength before you have surgery so you can get going and recover faster.

Below are some great prehabilitation exercises that we recommend before your surgery. Obviously these are a guide and specific advice should be via your All Care Physiotherapist

 

Inner Range Quads:

Inner range quads Physio Brisbane

 

Place a roll or a rolled up towel under your knee. Tighten the muscles on the front of your knee, pull your foot back and straighten your knee and hold 10 seconds. 10-15 repeats.

Click on the image to see the exercise.

 

Minisquat:

Mini squat physio Brisbane

 

Stand with your legs shoulder width apart.

Bend at your hips and knees, keeping your spine neutral to the depth of a ¼ squat and then return. 10 repeats.

Click on the image to see the exercise.

 

Hip Extension:

hip extension physio brisbane

 

Stand at a railing/holding onto the back of a chair with your feet shoulder width apart.

Keeping your knee straight, bring your back behind you, and back.

Keep your trunk upright throughout this exercise.

Click on image to see exercise.

 

Hip Abduction:

 

Stand at a railing/holding onto the back of a chair with your feet shoulder width apart.

Keeping your knee straight, bring your leg out sideways, and back.

Keep your trunk upright throughout this exercise.

Click on image to view exercise.