October 15, 2020: Posted By Ι Dr. Nick Russell, PT, CSCS Ι Physical Therapist
Most people think that PT is only needed after surgery, but PREHAB is hugely beneficial in more ways than one.
If you have a surgery coming up, you probably have a long list of to-do’s and things to prepare before your operation. But one important thing to add to that list is scheduling a consultation with a physical therapist at Brewer Physical Therapy!
Osteoarthritis (OA) is one of the most common causes of hip and knee pain in people over the age of 50. This condition often presents with progressively worsening pain that is aggravated during weight bearing activities such as walking and stair climbing. People with OA often report hip muscle weakness, morning stiffness lasting around 30 minutes, joint crepitus or popping with inflammation of the affected joint. These impairments lead to difficulty with lower body dressing, putting on shoes, bathing and getting into and out of a car.
Many people seek help from their primary care or orthopedic doctor for shots to help with pain. But, they commonly miss out on one of the most beneficial steps in returning to their normal lifestyle, proper physical activity. If this condition continues to progress, your doctor may suggest a hip replacement or a knee replacement. This can be a long recovery that can take up to a year after surgery before achieving the optimal outcome. Research has shown that participating in physical therapy prior to having a total hip replacement can reduce the use of post-acute care services by 29%, decrease rehabilitation needs and improve post-surgical outcomes. Additionally, strengthening of the hip and knee musculature prior to surgery have shown to be reliable predictors of walking ability following total hip surgery. This research further supports the benefits of physical therapy before surgery for improved recover as well as less potential cost for rehabilitation to the patient.
Researchers estimated that preoperative PT saved patients an average of $1,000.
If you are dealing with hip or knee pain or planning on having a joint replacement surgery, participating in a proper physical therapy program will allow you to be in the best position possible for achieving the optimal outcome following surgery. In order to do this your physical therapist will conduct a specific evaluation to determine your individual needs and design a program accordingly. Physical therapy programs are designed to reduce pain, improve strength and function in the affected joints. This will be done through education, manual therapy, gait and balance training. Currently, research does not support just one conservative intervention for dealing with this type of hip and knee pain. Instead it is recommended to perform a combination of these interventions for the most effective treatment.
PREHAB minimizes post-surgical pain.
Are you preparing for surgery? To maximize your outcomes, accelerate your recovery, and keep your surgery as cost-effective as possible, contact Brewer Physical Therapy today to schedule a preoperative appointment with on of our Doctors of Physical Therapy providers. Do you have additional questions?
In good health,
Dr. Nick Russell, PT, CSCS
Brewer Physical Therapy
Snow R, Granata J, Ruhil AVS, Vogel K, McShane
M, Wasielewski R. Associations between preoperative physical therapy and post-acute care utilization patterns and cost in total joint replacement. J Bone Joint Surg Am. 2014;96(19):e165. doi:10.2106/JBJS.M.01285.
Czyżewska A, Glinkowski WM, Walesiak K, Krawczak K, Cabaj D, Górecki A. Effects of preoperative phys- iotherapy in hip osteoarthritis patients awaiting total hip replacement. Arch Med Sci. 2014;10(5):985-991. doi:10.5114/aoms.2014.46218.