Best methods for faster hip replacement recovery

Hip replacement surgery is a major surgery and recovery depends a lot on others for support and care throughout the recovery period. It will take at least 2 months to recover and patients can expect to resume their daily activities after that. A stay in period of between 3 to 4 days is required after surgery but this varies with different patients. Pain relief medication will be prescribed to make you feel as comfortable as possible. Recovery will begin immediately after surgery.

Doing exercises regularly will help to restore full range of motion and strength and allow you to gradually return to daily activities and subsequently full recovery.

Early Postoperative Exercises

Doing exercises helps to prevent blood clots and increases blood circulation to the leg and feet, aiding recovery. It also strengthens muscles and increases the range of motion. It will definitely be uncomfortable initially but as you continue to carry the exercises out, it will start to be enjoyable and speed up your recovery.

Walking with aids

After surgery, your physical therapist will encourage you to start walking short distances and carry out light activities which will help to regain strength. With the help of a walking aid such as a walker or cane, stand up straight and balance your weight equally on both legs. Try to lift your toes off the ground and flatten them when landing as it will help to build muscles and increase strength. The walking aid also helps to prevent falls and helps to balance your body.

Stair Climbing and Descending

Climbing up and down stairs requires strength and flexibility. Holding the handrail for support, go up each step one at a time. Always use the good leg to go up the stairs and the operated leg down the stairs. Stair climbing build muscles and strengthens them, and builds endurance as well.

Exercycling

Exercycling is a low impact activity that helps to regain muscular strength and mobility in the hip region. Start the activity pedaling backwards and after it is comfortable, you may start to pedal forward. Exercycling also increases the body’s releasing of endorphins which helps to reduce stress and pain.

Recovery from hip replacement surgery actually takes place before the start of the surgery itself. Months before the surgery, patients should start to build up their muscles by exercising or going to the gym regularly to strengthen the leg and abdominal muscles. Having strong muscles helps to reduce the recovery time. Recovery time differs among patients and one must be realistic and not expect miracles to happen.

Top 4 signs that you need orthopaedic treatment for your injury

Many of us experience pain daily in our lives such as pain in our joints and back. We often simply accept it as part of aging and simply take painkillers or stop doing activities which we love. While it is a fact, we should not accept it without any professional medical help. Orthopaedic surgeons treat conditions relating to our musculoskeletal system which covers the bones, joints, ligaments, tendons and nerves. Depending on the severity of the injury, either surgical or non surgical means can be administered. Many people do not realise that they require the expertise of an orthopaedic surgeon and they are often referred to one by their general practitioner.

There are many reasons and causes for a patient to consult an orthopaedic doctor. Common reasons include:

  1. 1.     Arthritis
  2. 2.     Tumours
  3. 3.     Broken bones
  4. 4.     Joint replacement
  5. 5.     Sports injuries
  6. 6.     Spine injuries

Pain

Pain is the start of all problems and the same goes for orthopaedic problems. Patients often experience discomfort at different parts of their body such as their joints, rotator cuff, wrist or elbow. Even the slightest discomfort may indicate serious injuries. A locked finger could be due to trigger finger and pain after trauma could be due to torn ligaments or broken bones. Back pain could be due to herniated disc or a fractured vertebrae or even spine problems.

Swelling

Swelling indicates an increase in body fluid or blood in that particular area and must not be taken lightly as it could be a sign of serious medical condition requiring surgery.  When a patient experiences swelling in his joint, it could possibly indicate osteoarthritis.

Osteoarthritis is the most common joint disorder due to wear and tear on a joint over a prolonged period experienced by elderly patients and signs are swelling of the bones or joints.

Redness

Redness is caused by infection or injury and is often experienced with pain and swelling. Conditions such as tendonitis are often accompanied by redness. If a patient experiences pain and swelling with redness, it could mean a serious complication and an orthopaedic doctor is needed immediately. A decrease in range of motion for joints normally indicates musculoskeletal problems such as a torn ligament.

Visible injuries

Injuries such as sprain and dislocation are visible and they are musculoskeletal injuries which needs orthopaedic treatment. Deformity of the skeletal systems such as hammer toes and club foot will also require orthopaedic surgery to correct them.

4 best tips for hip replacement rehabilitation

Hip replacement is a major surgery and recovery time can take from anytime between a couple of months to a year. As with all major surgeries, proper post operative care must be done afterwards. Rehabilitation is a team effort consisting of yourself as well as the medical team and a proper one will bring you back on the road to perfect health. Life after your hip replacement surgery will definitely change in one way or another. There will be activities that you will not be able to carry out in future and will limit you somehow, but it will not restrict you from leading a proper life.

Immediately after surgery, the rehabilitation process will kick in and special care will be administered to you. Compression socks may be required to improve blood flow around your body and prevent the formation of any blood clots. A day later, light exercises may be recommended by the physiotherapist.

Usage of walking aid

Patients are usually eager to walk immediately after surgery but that will put a huge strain on the lower part of the body. Crutches or walker will be given by the physiotherapist and any movement will need to rely on it.

Ergonomic chair

An ergonomic chair will effectively reduce any stress or strain on the lower body and place your entire body in the correct position for optima comfort. Ergonomic chairs provide a firm cushion with adjustable seat that will allow the knee to be lower than the hips.

Watch your weight

Extra body weight will create additional pressure on your hips and this will affect your recovery. Patients tend to binge on food after surgery as they are unable to do anything else. Maintain a healthy eating diet and prevent putting on extra weight.

Remove obstacles

Obstacles around the house such as wires must be removed prior to surgery so that they will not obstruct the walker or crutches. A seemly harmless wire can trip you and further aggravate your hip. If any part of the floor is slippery, place anti slip mats around.

A slow but progressive rehabilitation program will build up your mobility and flexibility. It will be frustrating initially as you are unable to do a lot of things. However, bear with it and do your physical therapy exercises several times a day to restore your flexibility and strengthen your hip joint.

Types of Meniscal Repair for Tears & Injuries

The meniscus is a very important structure. It distributes our weight evenly across the knee joint and without it; the weight would be uneven and will lead to arthritis of our knee joint. Injuries to the meniscus are especially common in young patients who are athletically active below the age of 25 years, especially those who are involved in high pivoting sports such as soccer and basketball.

Treatment for meniscal tears would depend on the type of tear, how big it is and where is it at. If the tear is located at the outer edge, a meniscus repair surgery will be carried out as there is a rich supply of blood which will heal on its own after surgery. However if the tear is located at the central portion to the inner portion, meniscus repair will not be performed as the area lacks blood supply and without blood, there are no nutrients. As a result, the tears will not heal and are usually trimmed away during surgery.

Taking into consideration factors such as age, activity level and type of tear, the doctor is able to advise on the most appropriate form of treatment.

Non Surgical Treatment

If the size of the tear is small and is at the outer side of the meniscus, repair surgery is not required. If the knee is still stable, non surgical treatment is the best option.

RICE is the easiest and most effective treatment for most injuries.

Rest. Stop whatever activities you are doing immediately especially the one that caused the injury. Crutches may be used to relieve weight on the injured leg.

Ice. Usage of ice packs for 20 minutes a time throughout the day will relieve swelling and pain.

Compression. An elastic compression sleeve is worn to prevent blood loss and to decrease the swelling.

Elevation. Keeping the injured leg above the heart level when at rest reduces swelling.

Non steroid anti inflammatory medicine.

The doctor will also prescribe anti inflammatory medication such as aspirin and ibuprofen to reduce pain as well as swelling.

Surgical treatment

If non surgical treatment fails, arthroscopic surgery is the only way out. Knee arthroscopy surgery is one of the most commonly performed surgery in the world and small incisions will be made on the knee to place a miniature camera in it to allow a clear view of the insides. Small surgical instruments will be placed in the other incisions and the tear is either trimmed or repaired depending on the type of tear and the severity.

Meniscal tears are common knee injuries. With the proper care and treatment given, patients will have little problem returning back to pre-injury capabilities.

Symptoms of Rotator Cuff Repair Injury

A rotator cuff tear is a common injury suffered by many and it causes pain and disability among adults. It will not only weaken your shoulder but will also hinder your day to day activities, such as wearing your clothes, brushing your teeth and combing your hair. The rotator cuff is a group of tendons that are joined together, surrounding the front, back and top of your shoulder joint connected to each other. When one or more muscles are torn, the tendons are detached from the humerus and they start to fray. As time passes, the tendon can entirely tear either on its own or during activities that exert huge load on the shoulders.

The most common symptom experienced by many is aching at the top and front of the shoulder. The pain is significantly higher when the arm is lifted overhead. Often, the patient is unable to have a good rest at night as the pain gets worse at night. Some patients may experience weakness in the injured arm and in a worst case scenario; the entire arm cannot be lifted at all.

When patients experience inability to lift their arm above their shoulder, it is normally due to their supraspinatus tendon rubbing against the under portion of their shoulder blade known as the Acromium. It can be acute and it can also be a gradual pain depending on the initial injury. Swelling and inflammation will be observed and the muscles in the rotator cuff will be weakened as a result.

Overuse of the shoulder causes bursitis or tendonitis which is also known as impingement. Impingement will cause the tissues below the acromioclavicular joint to be rubbing against the bone, causing irritation and pain. Normally the doctor will prescribe pain killers or cortisone injections. However if all fails, an arthroscopic acromioplasty or shoulder acromioplasty will be carried out.

As the surface of our acromion can be mis-shaped, bone spurs might develop. By jutting further down when the tendons are, it will cause much pain too the patient in the injured shoulder. The surgeon can reshape the acromion through arthroscopy, a minimal invasive surgery method or through open shoulder surgery.

Gentle exercises to obtain back full range of motion will start the day after the surgery and patients are advised to stop using the arm sling in the shortest possible time. The sutures will be removed a week after surgery and strengthening exercise will be taught to them. It will take approximately 3 months for the shoulder to recover fully.

Symptoms of Rotator Cuff Repair Injury

A rotator cuff tear is a common injury suffered by many and it causes pain and disability among adults. It will not only weaken your shoulder but will also hinder your day to day activities, such as wearing your clothes, brushing your teeth and combing your hair. The rotator cuff is a group of tendons that are joined together, surrounding the front, back and top of your shoulder joint connected to each other. When one or more muscles are torn, the tendons are detached from the humerus and they start to fray. As time passes, the tendon can entirely tear either on its own or during activities that exert huge load on the shoulders.

The most common symptom experienced by many is aching at the top and front of the shoulder. The pain is significantly higher when the arm is lifted overhead. Often, the patient is unable to have a good rest at night as the pain gets worse at night. Some patients may experience weakness in the injured arm and in a worst case scenario; the entire arm cannot be lifted at all.

When patients experience inability to lift their arm above their shoulder, it is normally due to their supraspinatus tendon rubbing against the under portion of their shoulder blade known as the Acromium. It can be acute and it can also be a gradual pain depending on the initial injury. Swelling and inflammation will be observed and the muscles in the rotator cuff will be weakened as a result.

Overuse of the shoulder causes bursitis or tendonitis which is also known as impingement. Impingement will cause the tissues below the acromioclavicular joint to be rubbing against the bone, causing irritation and pain. Normally the doctor will prescribe pain killers or cortisone injections. However if all fails, an arthroscopic acromioplasty or shoulder acromioplasty will be carried out.

As the surface of our acromion can be mis-shaped, bone spurs might develop. By jutting further down when the tendons are, it will cause much pain too the patient in the injured shoulder. The surgeon can reshape the acromion through arthroscopy, a minimal invasive surgery method or through open shoulder surgery.

Gentle exercises to obtain back full range of motion will start the day after the surgery and patients are advised to stop using the arm sling in the shortest possible time. The sutures will be removed a week after surgery and strengthening exercise will be taught to them. It will take approximately 3 months for the shoulder to recover fully.

The Recovery Process After Rotator Cuff Surgery

Shoulder pain is a common problem experienced by many people, with a tear in the rotator cuff the most common reason for it. They are extremely painful and restrict your movement greatly. The rotator cuff is a group of muscles and tendons which comprises of four muscles and they hold your arm in a ball and socket joint, which allows your shoulder to rotate around and move with ease. The tendons can be torn through injuries. Rotator cuff surgery is the most commonly done procedures around the world, with over 250000 done in the United States of America annually.

After the surgery has completed, the patient will be taken to a recovery room for a couple of hours. The injured arm will be in a protective sling or even a shoulder immobilizer to prevent any movements. Depending on the type of surgery, arthroscopic surgery patients will be discharged on the same day while open surgery patients will need to be warded for a couple of days.

A physiotherapist will meet up with the patient before discharge and he will teach the patient a set of exercises that are designed to regain the flexibility, range of motion and strength in the injured shoulder. The exercises can be done at the comfort of your own home. Not only will physical therapy exercises be taught, the patient will also be educated on how to prevent re-injuring the shoulders.

Back at the comfort of their own home, it is crucial to perform the physical therapy exercises taught by the physiotherapist for 5 times a day.  Patients should attempt to get back their full range of motion as soon as possible to prevent the formation of scar tissues. If scar tissues are formed, the scarring might possibly cause the whole shoulder to stiffen which will result in huge discomfort and even limit the activities the shoulder can conduct in future. Swelling might be observed as well. They will normally go away if the arms are held in an elevated position and is nothing serious.

The first 12 weeks after surgery are the most important period. Physical exercises must be conducted regularly to regain the full range of motion and prevent the formation of scar tissues. It is of utmost importance not to lift the injured arm away from the body and do not exert any strength on it. Whenever throughout the day, the arm must always be kept inside a protective sling and it is only allowed to be removed which exercising or showering. Do not attempt to drive during the first 6 weeks after surgery.

Full recovery takes roughly 6 months and the first 12 weeks are of most importance. Do the exercises as prescribed by the physiotherapist and this will kick start the healing process

We offer professional help in the areas of diagnosis, treatment and rehabilitation for rotator cuff injury and shoulder pain.

Psoriatic Arthritis Symptoms for Joint Arthritis Condition

Psoriatic arthritis causes pain in the joints, stiffness and swelling in people suffering from psoriasis. Psoriasis is a chronic skin condition which causes the skin to be covered in patches of thick red inflamed silvery scales. It affects both sexes equally and most sufferers develop psoriatic arthritis followed by the arthritis symptoms.

The nature of symptoms for psoriatic arthritis depends on the type, but they are more or less similar to each other. Generally, patients will suffer pain, stiffness and tenderness at their joint areas in more than one place. Their range of motion is also significantly decreased and the pain amplifies when there are attempt to move the joints. The pain is significantly higher in the morning but subsides throughout the day.

There are 5 different types of psoriatic arthritis with each having their own unique symptoms:

Distal Interphalangeal Predominant

Patients will tend to feel tenderness and pain only in the last joints of their fingers and toes as only the distal interphalangeal joints are affected.

Asymmetrical Arthritis

Only 2 or 3 joints are affected and they are individual and not in pairs. Any joints in the body can feel pain and are often red and warm to touch.

Symmetrical Polyarthritis

Joint swelling in pairs is observed on both sides of the body, such as both elbows for example.

Spondylitis, or Psoriatic Spondyloarthritis

Joints in the spine will be inflamed and is a serious condition that will cause deformity and changes in the posture as well. Inflammation, tenderness and stiffness of the joints in both the back and neck will occur and the ligaments might be affected.

Arthritis Mutilans

The bones and cartilage in the joints will be destroyed and deformed and flares in the skin will be observed. It will affect the small joints in the fingers and toes nearest to the nail and lower back and neck pain can be observed.

The symptoms vary according but the common signs and symptoms are:

 

  • Uncomfortableness, inflexibility, tenderness and swelling in one or more joints.
  • Range of motions in joints are greatly reduced.Re
  • Stiffness in the morning.
  • Lower back experiencing stiffness and inflammation.
  • Swelling in the smaller joints of the toes and fingers that are closest to the nail.
  • Pitting of nails.
  • Fingernails or toenails are detaching.
  • Tenderness, pain, or swelling where tendons and ligaments attach to the bone
  • Eye inflammation

Types of surgical techniques to stabilize an ankle with chronic sprains

Question

What kinds of surgical techniques are used to stabilize an ankle with chronic sprains?

Answer

There are many surgical techniques, but they basically fall into two groups. One is anatomic reconstruction. With this technique, surgeons use the original ankle ligaments to repair the ankle. The other technique is called tenodesis. In this procedure, surgeons reconstruct the ankle ligament using tendon from elsewhere in the body, such as the lower leg. Surgeons attach the transplanted tissue to bones in the ankle joint.

Researchers evaluated the results of both kinds of surgery in a group of athletes. For these patients, anatomic reconstruction resulted in better ankle movement and stability. It also led to fewer degenerative changes in the joint. Compared to tenodesis, anatomic reconstruction more often gave a good or excellent result. For athletes and other active patients, researchers think anatomic reconstruction is the method of choice.

Could Knee Injury Cause Knee Arthritis?

Question

I twisted and sprained my knee badly back in high school. I read once that having a bad knee injury can cause knee arthritis later in life. If so, I’m wondering if there is anything I can do now so I don’t end up with knee arthritis.

Answer

People who have had a significant injury of the knee joint may have a greater risk for knee arthritis in later years. Prevention includes safe exercises that focus on improving and maintaining joint movement and muscle strength.

Stay active in a low-impact conditioning program, such as walking. To help reduce shock with day-to-day activities, wear supportive shoes, and consider the addition of an insole to help absorb shock. Walk on soft surfaces when possible, and avoid standing and walking for long periods on hard surfaces, such as cement. You might also consider choosing sport and recreational activities that don’t require cutting, jumping, and quick starts and stops. The time and effort you invest now to improve the health of your knee and avoid future problems are worth it.