{"id":1280,"date":"2018-08-11T19:55:22","date_gmt":"2018-08-11T19:55:22","guid":{"rendered":"http:\/\/www.petersfield-physio-clinic.co.uk\/?p=1280"},"modified":"2021-07-28T16:35:40","modified_gmt":"2021-07-28T16:35:40","slug":"prehab-v-rehab-why-preparation-is-key-for-successful-knee-replacement-surgery","status":"publish","type":"post","link":"https:\/\/www.petersfield-physio-clinic.co.uk\/home-page\/2018\/08\/11\/prehab-v-rehab-why-preparation-is-key-for-successful-knee-replacement-surgery\/","title":{"rendered":"Prehab v rehab: Why preparation is key for successful knee replacement surgery"},"content":{"rendered":"\n[et_pb_section bb_built=&#8221;1&#8243;][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_image _builder_version=&#8221;3.11&#8243; src=&#8221;http:\/\/www.petersfield-physio-clinic.co.uk\/wp-content\/uploads\/2018\/08\/Prehab-v-rehab.jpg&#8221; \/][et_pb_text _builder_version=&#8221;3.11&#8243;]\r\n\r\nWhen I talk about physiotherapy and surgery, people immediately assume I\u2019m talking about recovering from an operation, when what is really needed afterwards is rest followed by a very gentle reintroduction to exercise and activity.\r\n\r\nBut for surgery on joints, particularly knee replacement surgery, doing the right exercises to maximise leg strength before a procedure can make the post-op recovery much faster. Being physically prepared also has a very good effect on mental preparedness following an op.\r\n\r\n[\/et_pb_text][et_pb_text admin_label=&#8221;Necessary header&#8221; _builder_version=&#8221;3.11&#8243; text_text_color=&#8221;#7d78b9&#8243; text_font_size=&#8221;18px&#8221; custom_padding=&#8221;30px|||&#8221;]\r\n\r\nWhy is knee replacement surgery necessary?\r\n\r\n[\/et_pb_text][et_pb_text _builder_version=&#8221;3.11&#8243;]\r\n\r\nKnee replacement, or arthroplasty, is most likely to be required by 50 to 80-year-olds who are suffering from a range of problems, including severe arthritis, injury, gout, cartilage loss, disorders causing unusual bone growth or bone death due to loss of blood supply (avascular necrosis).\r\n\r\nThe procedure involves resurfacing the bones that make up the joint, including the kneecap, using metal or plastic parts to cap the ends.\r\n\r\n[\/et_pb_text][et_pb_text admin_label=&#8221;Recovery header&#8221; _builder_version=&#8221;3.11&#8243; text_text_color=&#8221;#7d78b9&#8243; text_font_size=&#8221;18px&#8221; custom_padding=&#8221;30px|||&#8221;]\r\n\r\nRecovery\r\n\r\n[\/et_pb_text][et_pb_text _builder_version=&#8221;3.11&#8243;]\r\n\r\nMost patients can resume normal daily activities, including driving, within\u00a0six weeks, but it may take three months to a year to recover completely and gain the full benefit from the procedure.\r\n\r\nKnee replacement surgery is often painful and recovery can take longer than a hip replacement. It\u2019s useful to have this explained to the patient before the op to prevent anxiety.\r\n\r\n[\/et_pb_text][et_pb_text admin_label=&#8221;Exercises header&#8221; _builder_version=&#8221;3.11&#8243; text_text_color=&#8221;#7d78b9&#8243; text_font_size=&#8221;18px&#8221; custom_padding=&#8221;30px|||&#8221;]\r\n\r\nExercises\r\n\r\n[\/et_pb_text][et_pb_text _builder_version=&#8221;3.11&#8243;]\r\n\r\nIf you\u2019re having surgery you\u2019ve probably lost a significant amount of function in your knee with a resultant weakness in the muscles surrounding it.\r\n\r\nTherefore, regaining the strength and movement in your knee, and entire leg, before surgery will improve your recovery after arthroscopic surgery because muscles play a crucial role stabilising the joint.\r\n\r\nHere is a list of exercises I choose from to give to my patients to perform two or three times a day in preparation for arthroscopy:\r\n<ul>\r\n \t<li><strong>Quadriceps contractions<\/strong><\/li>\r\n \t<li><strong>Straight Leg Raises<\/strong><\/li>\r\n \t<li><strong>Knee Flexion\/extension<\/strong><\/li>\r\n \t<li><strong>Squats (one and two legs) if able<\/strong><\/li>\r\n \t<li><strong>Single and two-legged balancing exercises<\/strong><\/li>\r\n \t<li><strong>Lunges if able<\/strong><\/li>\r\n \t<li><strong>Hamstring stretches <\/strong><\/li>\r\n \t<li><strong>Cycling, either on a static bike or, if a regular cyclist, on a road or mountain bike. This is the most useful pre-op exercise as it maintains range of movement and strengthens all the leg muscles at the same time.<\/strong><\/li>\r\n<\/ul>\r\n[\/et_pb_text][et_pb_text admin_label=&#8221;Difference header&#8221; _builder_version=&#8221;3.11&#8243; text_text_color=&#8221;#7d78b9&#8243; text_font_size=&#8221;18px&#8221; custom_padding=&#8221;30px|||&#8221;]\r\n\r\nThe difference made by pre-op exercise: two case studies\r\n\r\n[\/et_pb_text][et_pb_text _builder_version=&#8221;3.11&#8243;]\r\n\r\nOne of our patients at Petersfield Physiotherapy and Sports Injury Clinic came to see me prior to his knee replacement surgery and had this to say:\r\n\r\n\u201cJust a short note to say how much the pre-hab has contributed to my recovery so far. The knee replacement was on the 21st, I was home on Saturday and I haven\u2019t looked back. I have considerable mobility, no pain and walking is no problem. The staff were impressed with my leg mobility immediately post op &#8211; thanks to your guidance, Gerry.\u201d\r\n\r\nHowever, another client wasn\u2019t able to do so much preparatory exercises before his knee replacement surgery:\r\n\r\n&#8220;On reflection, I would have benefited from some physiotherapy work on the muscles beforehand to get the soft tissues in good order. Also, I would have had a better understanding of what to expect after the operation!&#8221;\r\n\r\n[\/et_pb_text][et_pb_text admin_label=&#8221;Take action header&#8221; _builder_version=&#8221;3.11&#8243; text_text_color=&#8221;#7d78b9&#8243; text_font_size=&#8221;18px&#8221; custom_padding=&#8221;30px|||&#8221;]\r\n\r\nTake action before your knee replacement op\r\n\r\n[\/et_pb_text][et_pb_text _builder_version=&#8221;3.11&#8243;]\r\n\r\nGetting advice on the right exercises to do in the run-up before a knee replacement can make the post-op recovery much faster and more beneficial.\r\n\r\nIf you\u2019re booked to have arthroscopic surgery, talk to your physio about the best exercises for you.\r\n\r\nIf you live in the Hampshire area and you\u2019d like more information to help you recover more quickly from surgery and get back to a pain-free, active life, contact the <a href=\"mailto:http:\/\/www.petersfield-physio-clinic.co.uk\/contact-us\/\">Petersfield Physiotherapy and Sports Injury Clinic<\/a> or ring 01730 267645.\r\n\r\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Prehab v rehab: Why preparation is key for successful knee replacement surgery - Petersfield Physiotherapy &amp; 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