For someone who's been refused a hip replacement on medical grounds and what treatment woukd they get?
Non-surgical. There are several effective options when surgery isn't possible. Nonsteroidal anti-inflammatories, like ibuprofen, can help when taken regularly. Avoiding specific, aggravating activities can also help decrease pain. Xray guided injections are sometimes beneficial for months at a time when other treatments fail. Finally, physical therapy can sometimes help keep you more mobile.
Walking and more. Physical therapy is central to recovery. Standing and walking, with assistance, is usually started within 24 hrs. Beyond that, specific therapy protocols are tailored to the individual patient. In general, exercises are chosen to strengthen and stretch muscles like stair climbing and bending. Cycling and swimming, not running, are often introduced within months. Talk with your doctor for specifics.
It Depends. The physical therapy protocol depends upon the surgical approach as well as the findings at the time of surgery. Your orthopedic surgeon will define your restriction based upon these criteria.
Post THA PT protocol. It depend on the type of approach you had for your total hip. You should consult with your surgeon and physical therapist to determine the correct protocol.
Lots of exercise. You will need to strengthen the muscles around your hip. You will lift it in multiple directions, and walk on it ("weight bear") to get used to the new conditions. You may get on a stationary bike to aid in motion. You may have some motion precautions in the early stages, depending on the surgeon's approach to the hip.
Gait retraining. The focus of physical therapy after hip replacement is to restore a normal gait or walking ability. It also will focus on stretching and strengthening of the muscles around the hip. A good program can be established with the help of a physical therapist well-versed in total hip rehabilitation.
Activity progression. Walking same day as surgery with a walker or crutches. Muscle strengthening exercises and gentle range of motion work. Progression to full weight bearing per doctors instructions. Walking and stairs when able. Water exercises when wound is healed. Some doctors will use certain precautions for 6 weeks, then increase activities as tolerated.
I may be starting treatment for latent TB but I need a hip replacement. Can I do it while on TB meds? If not which should I put off meds or surgery?
Do both. I believe you can continue to take the antii TB drugs and have your hip replacement at the same time consult your internist for confirmation.
See PT. It would be advisable to learn the physical therapy strengthening exercises before the procedure, and ask your orthopedic surgeon to refer you to the pt he plans to use in the post-op period. This will allow you to start some of them now, and the post-op course will be a bit easier; know this because of personal experience.
THA. Pool, light weights, gentle stretch & strengthening, low impact yoga, pilates, & tai chi.
Hip replacement. Physical therapy education should begin prior to the hip replacement. Physical therapy begins in the hospital immediately after surgery.
Before surgery. Physical therapy education should begin prior to the operation and continue afterwards. Many times the exercises/therapy can be done at home. As your surgeon and therapist for more details as some surgeons limit certain activities while the body heals.