Physical therapy after total hip (THR) or total knee replacement(TKR) surgery is standard care for all patients. A recent, appearing in the Journal of Bone Joint Surgery also found that physical therapy before joint replacement surgery, or “prehabilitation,” can diminish the need for postoperative care by nearly 30 percent, saving an average of $1,215 per patient in skilled nursing facility, home health agency or other postoperative care.
Eric Niller, a 45-year oldcolumnist, wrote an article in 2011 about the trend in younger hip replacement patients. Three years later, he underwent his own surgery in April. Niller recounts his personal experience and details the surgery with help from his surgeon. Read his story here
The weather has finally changed and now you're ready to get out of the house.
Age is no barrier to staying active. People once thought it was natural to slow down and do less as we get older. But now we know the more we do, the better we feel.
To maintain physical and mental health, we need to stay active. And the good news is, it’s never too late to start.
A happier you. By keeping active you’ll suffer less stress, have more energy, get a better night’s sleep, feel better in yourself, enjoy life more and make the most of social opportunities.
A healthier you. By keeping active you’ll have healthier bones and muscles, run less risk of falling and fracturing bones, have a healthier heart and blood pressure, reduce your risk of developing diseases like diabetes, colon cancer and stroke and maintain your ability to live independently.
Here are a few ways you can keep fit without radically changing your lifestyle.
1. See physical activity as an opportunity, not an inconvenience. The human body was designed to move, so the message is, stay active for a healthy mind and body.
2. Give yourself an incentive. We all like some recognition for our achievements. So when you reach your goals, give yourself a reward by doing something special.
3. Be realistic. Set realistic goals and write them down. Doing this with a friend or family member can help you keep on track.
4. Be prepared. Wear comfortable clothing that is loose fitting and light in weight. Shoes also should be comfortable and well cushioned.
5. Warm up before physical activity. To avoid injuries, include warm up time at the beginning of your activity program. Start slowly and gradually pick up the pace.
6. Find 30 minutes every day. All it takes is 30 minutes a day, preferably every day. Work out your own 30 minute moderate physical activity routine. Brisk walking in 10 minute bursts will
do for a start.
7. Build up slowly. 30 minutes every day is the goal for good health, but if you haven’t been active for a while aim towards achieving this goal over time.
8. Keep it interesting. Trail walking, visiting parks with friends or family, a picnic, visiting old friends, helping with community events or a trip to a market . It’s great if you can combine a social occasion with some fresh air and physical activity.
9. Bend and stretch. Add some stretching exercises to your morning routine. This will help keep your joints flexible and help you move with more freedom and comfort. Think about joining a tái chi or yoga class or taking up swimming.
10. Keep busy around the house. Housework is ideal for some easy bending and stretching. There are also plenty of things in the garden such as weeding and mowing lawns to keep you moving.
11. Make it fun. Decide on a program that includes being active every day and includes activities that you like. Invite others to join in.
12. Park further away. If possible, leave your car a little further away from the shops. It’s often easier to park and you will get a gentle workout.
13. Walk the dog. Rather than just letting your dog out in the backyard, walk it to a park or around the block a few times. Better still, ask a family member or neighbour to join you.
14. Build up your strength. Consider including two or three strength building activities and balance exercises into your routine every week. Carry a bag of groceries. Do chair exercises, wall push-ups and arm curls using weights or food cans.
15. Find strength in numbers. Physical activity is something you can enjoy on your own. But it’s also a great family or social opportunity. Many people find it easier to be active in a group at a set time and place and it’s a good way to maintain your enthusiasm.
16. Take up Tango. Dancing is a great way to keep active with friends and family. Try some new dance steps like salsa, ballroom or jive.
17. Record your progress. Use a fitness tracker or keep a diary of your program and record your progress and any changes you notice. If you miss an activity, don’t give up, just pick up from where you left off.
18. Keep hydrated. Make sure you drink water before, during and after your activity.
19. Warm down after physical activity. As you complete your program, cool down your muscles by slowing the pace before stopping.
20. Consult an expert. If you are just starting your physical activity program, it’s a good idea to check with your doctor first. Moderate activities such as walking usually pose little health risk, but it’s always a good idea to check first. Meet our providers.
There is strong evidence that Osteoarthritis (OA) is genetically linked. Classic twin studies have shown that the influence of genetic factors is between 39% and 65% in radiographic OA of the hand and knee in women, about 60% in OA of the hip, and about 70% in OA of the spine. Taken together, these estimates suggest a heritability of OA of 50% or more, indicating that half the variation in susceptibility to disease in the population is explained by genetic factors.
Winter in Michigan just would not be the same without the snow. The following information should help minimize the risk of injuries/illness related to the shoveling snow.
Back injuries are among the most common injuries resulting from snow shoveling. Stretching first is always a good idea. Many back injuries occur in the morning, because the muscles and ligaments around the spine are not warmed up or loose after a night of rest. Ironically, people between the ages of 20 and 50 are more likely than older individuals to injure their backs, because they may not be aware (or ready to admit) that they are “out of shape.”
This prosthesis is appropriately named as it makes a socket out of the patient's ball, and a ball out of the patient's socket, as shown in the picture above. Newer "reverse shoulder" prostheses make shoulder arthroplasty a reality for many patients with rotator cuff tears by reversing the positions of the components. The ball of the joint is placed in the glenoid, while the socket is positioned on the humerus. The U.S. Food and Drug Administration began approving reverse shoulder implants in the last decade.
In patients with a traditional shoulder replacement, the rotator cuff is essential for normal motion. When a patient has a rotator cuff tear AND arthritis, sometimes a reverse shoulder replacement is the only option. This unique procedure has helped decrease pain and restore function for patients with this combination of difficult problems.
Reverse shoulder replacement is not for everybody, and your surgeon must be highly trained and proficient in this technique. Dr. Bahu is specially trained in the treatment of shoulder arthritis and the use of reverse shoulder replacement. Dr. Bahu did a one year fellowship at Columbia University with one of the designers of the modern reverse shoulder replacement. To learn more visit our patient education page about shoulder arthritis