HMG Health Matters: Physical therapy after joint replacement surgery

SURGERY, AND YOU MAY GET MIXED REVIEWS. SOME MAY SAY IT WAS DIFFICULT, BUT WORTH IT….OTHERS MAY SAY THEY ARE WORSE OFF THAN BEFORE THE SURGERY. BUT, A GOOD FOLLOW-UP QUESTION IS “DID YOU DO ALL OF THE PHYSICAL THERAPY AFTER?” A PHYSICAL THERAPIST AT HOLSTON MEDICAL GROUP SAYS IF PATIENTS PUT IN THE TOUGH POST-OPERATIVE WORK, THE OUTCOME WILL BE EXPONENTIALLY BETTER. NO RESTING HERE. PHYSICAL THERAPY STARTS AS SOON AS THE SAME DAY AS JOINT REPLACEMENT SURGERY. 00:48:59 IF I HAVE A KNEE REPLACEMENT PATIENT, OR ANTY JOINT REPLACEMENT REALLY, I USUALLY TELL THEM ON THE FIRST DAY THERE ARE TYPICALLY FOUR STAGES OF YOUR PROGRESS. THE FIRST STAGE IS “OH MY GOSH, WHY DID I DO THIS?”, THE SECOND STAGE IS “OKAY, THIS IS NOT AS BAD AS I EXPECTED”, THE THIRD STAGE IS “I’M JUST READY TO BE BETTER”, AND THE FOURTH STAGE IS “I’M SO GLAD THAT I DID THIS”. 49:23 HOLSTON MEDICAL GROUP PHYSICAL THERAPIST MARSHALL MCMURRAY SAYS THE JOURNEY STARTS WITH PHYSICAL THERAPY THREE TIMES A WEEK, BOTH AT THE CLINIC, AND AT HOME…AND IT’S NOT EASY. 53:04 PAIN IS NORMAL WITH THIS PROCESS, BECAUSE THERE’S A LOT OF TRAUMA THAT WENT ON WITH THE SURGERY. THOSE SURROUNDING AREAS ARE STILL RECOVERING AND STILL HEALING, BUT PAIN DOES NOT ALWAYS MEAN AS YOU SAID THAT THERE IS DAMAGE BEING DONE IN THIS SCENARIO. 53:20 MCMURRAY SAYS THE REAL DAMAGE HAPPENS IF YOU DON’T DO THE REQUIRED PHYSICAL THERAPY. THE COMPLICATIONS ARE JOINT-RELATED, AND HEALTH-RELATED. 49:57 OBVIOUSLY STIFFNESS OF THE JOINT, WEAKNESS OF THE MUSCLES. ONCE THEY GET PAST THAT STAGE, OTHER THINGS BECOME A FACTOR, SUCH AS BLOOD CLOTS, PNEUMONIA, ALSO LOOKING AT OTHER SURGERIES, LIKE MANIPULATION OF THE KNEE IF IT BECOMES TOO STIFF. MCMURRAY ADDS WHEN PATIENTS STOP THERAPY TOO EARLY, THEIR ‘GOOD SIDE’ BECOMES AN ISSUE, BECAUSE THE PATIENT RELIES ON THAT SIDE TOO MUCH. THAT’S WHY HE SAYS THE PROCESS IS A TEAM EFFORT WITH THE PATIENT TO GET GOOD RESULTS. 56:30 PATIENT INPUT IS VERY IMPORTANT. IF THEY DON’T HAVE INPUT, A LOT OF TIMES THEY DON’T BUY INTO THE GOALS. THEIR INPUT AND WHAT THEY WANT TO GET BACK TO IS IMPORTANT TO US AS THERAPISTS, THAT WAY WE KNOW WHAT THINGS WE NEED TO WORK ON. 56:42 RECOVERY FROM JOINT REPLACEMENT VARIES….DEPENDI NG ON THE PATIENT’S PHYSICAL THERAPY INTENSITY. ON AVERAGE, THOSE RECEIVING A KNEE OR HIP REPLACEMENT, WILL TAKE ABOUT 8 WEEKS. WE’LL BE RIGHT BACK…

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