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Doctor insights on: Pre Operative Exercise Programs For A Total Knee Replacement

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Best pain management for pre and post total hip replacement?

Best pain management for pre and post total hip 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 more

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Dr. Heidi Fowler
5,266 doctors shared insights

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


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Is a formal physical therapy program necessary after total shoulder arthroplasty for osteoarthritis?

Is a formal physical therapy program necessary after total shoulder arthroplasty for osteoarthritis?

Yes.: Physical therapy is necessary to restore range of motion, strength and function to your shoulder. It is also important in minimizing the risk of developing a frozen shoulder post-operatively. ...Read more

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Question for total knee replacement-is inpatient rehab necessary?

Question for total knee replacement-is inpatient rehab necessary?

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

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What is the typical physical therapy protocol for total hip and total knee replacement?

What is the typical physical therapy protocol for total hip and total knee replacement?

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 more

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What kinds of medication is recommended for a patient who underwent total hip replacement surgery?

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 more

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Please help! what is the physical therapy protocole for total hip and total knee replacement?

Please help! what is the physical therapy protocole for total hip and total knee replacement?

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 more

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Is yoga a good exercise therapy for someone who is 14 months post op two level lumbar spinal fusion?

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 more

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What are the exercises after total knee replacement surgery?

What are the exercises after total knee replacement surgery?

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

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What are signs of a healthy recovery for a total knee replacement?

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 more

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How important is physio therapy after a complete knee joint replacement surgery?

How important is physio therapy after a complete knee joint replacement surgery?

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 more

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Is physio therapy after a complete knee joint replacement surgery imporant?

Is physio therapy after a complete knee joint replacement surgery  imporant?

Very important: Therapy is important after knee replacement in order to regain all of your range of motion and in order to work on strengthening the knee so that you can have a normal gait (walk normally without a limp.). ...Read more

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Having a custom knee for total knee joint replacement because of bone cement and nickel allergies. Customary to pay hospital in advance for prosthe?

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 more

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What exercises are recommended after a patient completes a cardiac rehabilitation program?

What exercises are recommended after a patient completes a cardiac rehabilitation program?

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 more

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What is involved in knee manipulation after total knee replacement surgery?

What is involved in  knee manipulation after total knee replacement surgery?

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 more

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Is Windsor Pilates along with Shwinn Airdyne Biking daily okay for total knee replacement patients?

Is Windsor Pilates along with Shwinn Airdyne Biking daily okay for total knee replacement patients?

Depends: Depends on when it was done, and the clinical circumstances surrounding the operation. While the activity you describes sounds ok, check with your surgeon to be sure. Hope this helps! ...Read more

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If you get a total knee replacement, is inpatient rehab necessary?

No: after leaving hospital either home PT or outpatient PT should be adequate ...Read more

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What movements are contraindicated following a total hip replacement?

What movements are contraindicated following a total hip replacement?

Anterior total hip: No specific hip precautions for a direct anterior approach hip replacement. Patient can bend over immediately to tie his/her shoes. ...Read more

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How soon after a total knee replacement could someone use a continuous passive motion (cpm) exercise machine?

How soon after a total knee replacement could someone use a continuous passive motion (cpm) exercise machine?

1 hours: Ideally you should be placed on it in the recovery room whole still sedated. Once you are able to move the knee on your own, the benefit of continuous passive motion is less apparent. ...Read more

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When is a total knee replacement needed?

When is a total knee replacement needed?

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 more

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Dr. John Michalski
421 doctors shared insights

Total Knee Replacement (Definition)

Total knee replacement: a surgical procedure in which damaged parts of the knee joint are replaced with artificial parts. They cap the end of the thigh bone , under surface of the knee cap and the top surface ...Read more


Dr. Frederick Buechel, jr. md
464 doctors shared insights

Knee Replacement (Definition)

It is when a surgeon removes and exchanges some are all of the componets of your knee. The bottom end of the thigh bone(femur), the upper end of the shin bone(tibia) and the undersurface ...Read more