Joints and surgery
If a joint or structure is unstable, damaged, potentially harmful to the body, or highly irritable, operative intervention may be required. If this is the case, your body needs successful medical management, coupled with the rehabilitation approach offered here at Physio Gym, to ensure the best possible outcome.
The right rehabilitative care
We develop an effective exercise protocol that addresses the operative approach taken by the surgeon, considers your body’s limitations and ability to exercise, and uses the best rehabilitation equipment. Once we’ve developed your rehabilitation program, you’re free to take out a rehabilitation membership and exercise independently. That way you can learn to move again with confidence, and exercise in the right environment for your rehabilitation, rather than exercising incorrectly at home, or in a gym or pool, which can trigger more damage.
When a joint or structure is damaged, it needs the right intervention and support to maximise rehabilitation. Back, neck, knee, hip, shoulder, foot, wrist and hand surgery all require different approaches. At Physio Gym we offer expert advice on how to rehabilitate, with Pilates and Gyrotonic® studio equipment, Body Blades, gym equipment and Freeform boards, all designed to provide a tailored program that works for you.
The Physio Gym difference
Unlike a general physio practice where you go home with a theraband and fit ball, at Physio Gym you can stay and use the right equipment safely and under the supervision of qualified professionals.
How we achieve successful rehabilitation
We regularly have patients presenting following a difficult rehabilitation that has not achieved results. Often the joint has been overloaded, or is not ready to work at the functional level set. At Physio Gym we can help solve these scenarios by providing the right advice, hands-on therapy, exercise prescription and equipment, tailored to your needs. Our wide range of rehabilitation equipment enables us to very easily troubleshoot a problem and prevent the overloading of irritable joints.
Pre-operative exercise training
If you’ve recently been diagnosed with a musculoskeletal injury that requires surgery, don’t feel you have to wait until after surgery to see us. The fastest rehabilitations often occur in patients who are already exercising on our equipment before surgery. This minimises muscle wasting and joint swelling, and helps manage pain, giving the joint the best chance to recover. We have had people recover at two or three times the expected rate when they undertake pre-operative exercises.
The most common approach to doing a hip replacement is through your gluteals muscles (posterior lateral). This approach has been used for years and is deemed successful. You can expect swelling in the aftermath of the surgery mainly located in the gluteal area and will be given strict precautions to adhere to both by your surgeon and physiotherapist:
- No bending of your hip greater than 90 degrees,
- No twisting,
- No sitting in low chairs or toilets,
- No cross your legs,
- Lying on your side is limited to your non-operated leg with pillows between your legs and no driving for at least 4 weeks.
These precautions are usually for a period for 6-8 weeks unless otherwise stated by your surgeon.
A new approach being adapted by surgeons is to replace the hip close to the hip flexor muscle (anterior). This is a less invasive approach and recovery time is less with decreased stay in hospital. There is no muscle cut during this approach therefore there is less swelling and the added bonus of little to no hip precautions post-operative. Some patients have been able to drive 2 days post surgery! Not everybody is a candidate for this approach but it certainly lessens your disability and allows you to get on with your rehabilitation much quicker.
All orthopaedic procedures come with thorough protocol procedures and your physiotherapist will be able to guide you through your rehabilitation, progressing you as required.
Rehabilitation of total hip & knee Replacements at Physio Gym
You will probably remain in hospital for 5 days
Physiotherapy at Physio Gym will include:
- Range of motion exercises
- Balance exercises
- Strength exercises
- Gait re-education and progression to a walking stick
- Rest Ice Compression Elevation (RICE)
Time to get working harder now that you are out of the acute phase. You will be guided by your physiotherapist.
- You should expect to be regaining full range of motion as allowed within you precautions.
- Weaning off walking aids
- Increasing the amount of time spent exercising
- Begin a program tailored to your needs with balance, strength, function.
- Re-introduce cardio workout with bike and treadmill.
- Return to work if appropriate
Week 5 -12
This is the period where you aim to return to pre-injury or surgery status. It may take up to 6 months to return to a normal pain free regime but it is in this first 3 months that you will lay down the foundations for reaching your goals.
At Physio Gym we start you with a program to suit your needs and alter it appropriately as you progress. We have the equipment to cater for people in the acute stage or latter stages of their rehabilitation and can draw on a number of modalities including pilates, GYROTONIC(R), commercial gym equipment and the Freeform board.
Return to sport after total hip or knee replacements
Most surgeons are happy for people to return to sport within reason and it is not unusual for people to return to skiing, tennis, golf, bowls and surfing post knee or hip replacements. Surgeons do encourage people to maintain a healthy balanced lifestyle. However, if you are young to be getting a joint replacement a conservative approach is advisable as joint replacements last approximately 15 years.
Return to sport