Doctor insights on:
Pre Operative Exercise Programs For A Total Knee Replacement
Pain management:: You should see your orthopod for this, as one treatment regimen that works for someone may not work for the next patient, in both the pre & post thr settings. I use nsaids, tylenol, (acetaminophen) assistive devices, wt reduction (+/_) as necessary, or any combination of these. While postop. I use narcotics like lortab 5/500 3 x a day for about 3-4 weeks + pt, flexeril, tramadol. Discuss with your orthopod. ...Read moreSee 1 more doctor answer
Exercise Or Physical Activity (Definition)
Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more
Is a formal physical therapy program necessary after total shoulder arthroplasty for osteoarthritis?
Not necessarily: After a total knee replacement, you will definitely need physical therapy. The setting will depend on your general health and other medical co-morbidities. The different settings could include home with outpatient therapy, home with home health therapy, at a skilled nursing facility, or at an inpatient rehabilitation facility. Your doctors will help determine the most appropriate rehab setting. ...Read more
Strengthening, etc: The cornerstone of therapy protocols following hip and knee replacement centers on gait training and strengthening. Hip replacement patients should focus on walking, abductor and gluteal strengthening, while knee replacement patients should focus on range of motion of the knee, quadriceps strengthening program. ...Read moreSee 2 more doctor answers
What kinds of medication is recommended for a patient who underwent total hip replacement surgery?
Should be okay: I recommend using an epidural for the surgery and then transition to oral medications a few hours later. I'd also suggest talking to your doctor about giving your a few different types of pain medication immediately before surgery, which helps reduce the amount of pain you experience afterward. Fortunately, hip replacements do not hurt that much - most of our patients walk the same day day. ...Read moreSee 1 more doctor answer
Activity progression: Recovery from hip replacement is straight forward. The pain is easily managed with medications and rapidly eases. Most patients can walk with a walker or crutches within hours of the surgery. The muscles in the hip will rapidly regain their function. Specific exercises strengthen the abductor and flexor muscles and can be done at home or with pt. Gait will improve over the next few weeks. ...Read moreSee 1 more doctor answer
Is yoga a good exercise therapy for someone who is 14 months post op two level lumbar spinal fusion?
YOGA For everyone: Yes. It is an incredible and valuable form of stretching and exercise that many people with musculoskeletal issues find beneficial. It is also a great way to learn to calm one's mind and to gain some control in a life filled with pain and anxiety. ...Read moreSee 1 more doctor answer
Strength and motion: Patients lose 30-50% of muscle strength after tka and have to exercise to regain that strength. Leg raising, walking, and progressive exercises to improve the quadriceps function will help. Motion exercises include bending the knee to regain flexion and full extension (straightening). These should be done 3-4 times/day. Bending, biking, and pulling on the leg in flexion will help. ...Read more
Gradual improvement: The skin incision will be healed within a few weeks. The soft tissues beneath the skin will continue to heal for 4-6 months, so you will likely have some stiffness and discomfort for several months with gradual improvement. Range of motion improves for up to 3 months and you should see gradual improvement in movement of the knee and functional abilities (walking, stairs, and other activities). ...Read moreSee 1 more doctor answer
Extremely important: Physical therapy is crucial for full functional recovery after a total knee replacement. I believe that therapy should start as soon as possible, ideally the day after your surgery. Physical therapy should include soft tissue mobilization, joint mobilization, and strengthening exercises. Finding a skilled physical therapist is key to a complete recovery after receiving your new knee joint. ...Read moreSee 1 more doctor answer
Having a custom knee for total knee joint replacement because of bone cement and nickel allergies. Customary to pay hospital in advance for prosthe?
No: Custom total knees are not generally performed, but rather custom cutting jigs are occasionally used to reduce the number of steps in the or. If you have a severe nickel allergy, most larger companies make a femoral component out of titanium (which is essentially nickel-free), rather than the traditional cobalt chrome alloys. The cost is about the same and would be covered by your insurance. ...Read moreSee 2 more doctor answers
Anaerobic & aerobic: The exact exercises will depend on a number of factors. These include the exercise options at the facility, types of instructors, equipment, etc. However, the program itself should include both anerobic or resistance training like weights for strength as well as some activities aimed at increasing aerobic capacity as well. ...Read moreSee 1 more doctor answer
Forceful bending: A total knee replacement that has not regained adequate knee flexion after surgery can by treated with a manipulation under anesthesia. This procedure involves the manual disruption of fibrous scar tissue that can sometimes develop within the knee joint. Dedicated range of motion exercises, with a physical therapist and done independently, are critical to the success of this procedure. ...Read moreSee 1 more doctor answer
Is Windsor Pilates along with Shwinn Airdyne Biking daily okay for total knee replacement patients?
No: after leaving hospital either home PT or outpatient PT should be adequate ...Read more
How soon after a total knee replacement could someone use a continuous passive motion (cpm) exercise machine?
Total knee needed: The most concise answer is when arthritic knee pain is not relieved any longer by nsaids, therapy, cortisone injections, hylauronic acid injections, knee braces, ice, nutritional supplements or arthroscopy and x-rays show advanced arthritis and cartilage loss or spurs. When function is impaired and activity declines from pain. Or, when start subtracting things you enjoy from your life due to pain. ...Read moreSee 2 more doctor answers
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