05/02/2023
Osteoarthritis and joint replacement surgery.
Morning all,
I see and help a-lot of people recovering from joint replacement surgery. On the whole they’re very successful, but there’s always room for improvement. There are certain things to consider prior to making that important decision whether to have a hip or knee replacement.
Some important factors to consider.
Obesity - it can be a delicate subject to talk about with clients but we know there is a link between obesity, osteoarthritis and poorer outcomes after surgery.
Smoking - smoking can contribute to inflammation, affects our cardio respiratory system and hence impacts on recovery and progress.
Psychosocial factors - Again these concerns should be discussed and approached sympathetically as depression, anxiety, financial concerns all impact on our well-being and recovery.
X-Ray results - Surgery is primarily to fix the tissue/joint fault that is causing the problem. If your x-ray or MRI scan is not showing significant OA changes but you are still in a lot of pain then possibly there are other contributors to your symptoms which should be discussed with a healthcare professional.
Has your knee or hip pain significantly deteriorated over a 9-12 month period and how much are your symptoms affecting your quality of life and normal activities? Are you having to take high levels of pain relief? What is your level of activity prior to possible surgery?
If these haven’t changed or deteriorated then consider whether a new joint would suddenly improve or change your week to week activities and well-being.
How can we, as a physio, improve your outcomes.
Understanding your goals, needs, situation and what motivates you will all aid us in helping you achieve your goals.
Discussing the surgery, explaining what to expect, timeframes for healing, the hospital stay, the role of physio once discharged from hospital.
Working together to improve your general well being and physical activity prior to any possible surgery and devising an appropriate prehab program.
Remember osteoarthritis can be viewed like some other health conditions such as high blood pressure or diabetes. We can’t completely reverse the process but we can certainly improve the symptoms you suffer with good, sensible, appropriate input into lifestyle, exercise and treatment.
Thanks for reading, all the best, Matt