Overview of Hip Replacement | Physiotherapy

Hip Replacement

What is a hip replacement?

Hip replacement surgery is one of the most successful operations of all drugs. Since the early 1960s, advances in joint repositioning surgical techniques and technology have greatly increased the effectiveness of overall hip restoration.

If your hip is damaged due to arthritis, fracture, or other conditions, regular activities like walking or sitting in a chair can be painful and difficult. Your hips may be tight and your shoes and socks are difficult to put on. You may feel uncomfortable while resting. Total hip replacement restoration is a surgical procedure in which two damaged surfaces of the hip joint are replaced with prosthetic replacements.

Common causes of hip pain

The most common cause of chronic hip pain and deformity is arthritis. Osteoarthritis, rheumatoid arthritis, and traumatic arthritis are the most common forms of the disease.

Osteoarthritis: It is a type of age-related “wear and tear” arthritis. It usually occurs in people 50 years of age or older, and often in people with a family history of arthritis. The cartilage that protects the hip bones wears away. The bones then rub against each other, causing pain and stiffness in the hip. Osteoarthritis can also cause or accelerate microscopic manipulations about how the hip developed in childhood.

Arthritis: It is an autoimmune disease in which the synovium becomes inflamed and thickened. This chronic inflammation damages cartilage, causing pain and stiffness. Rheumatoid arthritis is the most common type of disorder, also known as “inflammatory arthritis.”

Post-traumatic arthritis: This can be followed by a serious hip injury or fracture. The cartilage is damaged and can lead to pain and stiffness in the hip over time.

Osteonecrosis: A hip injury, such as a dislocation or fracture, limits the blood supply to the femoral head. This is called osteonecrosis (sometimes also called “avascular necrosis”). Lack of blood can lead to the collapse of the bone surface and the development of arthritis. Some diseases can also cause osteoporosis.

Childhood hip disease: Some babies and children have hip problems. Although problems can be successfully treated in childhood, they can lead to arthritis later in life. This happens because the hip may not grow normally and the joint surfaces are affected.

Preparing for hip replacement surgery

Before you go to the hospital, find out as much as you can about what your operation involves. Your hospital must provide written information or videos.

Be as active as you can. Strengthening the muscles around your hips can help you recover. If you can, continue gentle exercises like walking and swimming for weeks and months before the operation. You may be referred to a physical therapist who will provide helpful exercises. Your hospital can offer a better recovery program. This rehabilitation program aims to restore you to full health quickly after major surgery.

Learn more about preparing for surgery, including information on travel arrangements, what to bring, and attend your preoperative evaluation. If medications, changes in your daily activities, and the use of walking supports don’t relieve your symptoms enough, you may consider hip replacement surgery. Hip replacement surgery is a safe and effective procedure that can help you reduce pain, increase mobility, and enjoy regular daily activities.

Medical evaluation

If you decide to have hip replacement surgery, your orthopedic surgeon may ask that your primary care physician perform a complete physical exam prior to surgery. This is necessary to make sure you are healthy to undergo surgery and complete the recovery process. Many patients with chronic medical conditions, such as heart disease, are evaluated by a specialist, such as a cardiologist, before surgery.

Tests for hip replacement surgery

Many tests, such as blood and urine samples, electrocardiogram (EKG), and chest X-rays, may be needed to help plan your surgery.

Preparing your skin: There should be no infections or irritation on your skin before surgery. If so, see your orthopedic surgeon for treatment to improve your skin before surgery.

Drugs: Inform your orthopedic surgeon about the medicine you are taking. He or she or your primary care physician may recommend that you stop taking any medications and continue taking them before surgery.

Weight Loss: If you are overweight, your doctor may ask you to lose some weight before surgery to reduce pressure on your new hip and reduce the risks of surgery.

Home planning: Many changes during your renovation will make navigating your home easier. The following items can help with daily activities:

  • Safety bars or handrails securely attached to your shower or bath
  • Safe handrails along all stairs
  • Sturdy seat cushion (allows your knees to be lower than your hips), sturdy backrest, and a stable chair for early recovery with both hands
  • Increased toilet seat
  • Fixed shower bench or bathing chair
  • Long-lasting shower hose and sponge
  • A long-lasting shoehorn to remove and remove your dress pole, sock, and shoes, and socks without bending your new hip too much.
  • Reacher that allows you to hold objects without bending your hips too much.
  • Sturdy pillows for your chairs, sofas, and car allow you to sit with your knees above your waist.
  • Remove all loose rugs and electrical cords from areas where you enter your home.

Complications of hip replacement surgery

The complication rate is lower after hip replacement surgery. Serious complications, such as joint infection, occur in less than 2% of patients. Major medical problems, like a heart attack or stroke, also happen less often. However, chronic diseases increase the possibility of complications. Although rare, when these problems occur they can extend or limit full recovery.

Infection: Deep infection can develop on the wound surface or around the prosthesis. This can happen within a few days or weeks of surgery. It can happen even years later.

Minor wound infections are usually treated with antibiotics. Larger or deeper infections may require more surgery and removal of the prosthesis. Any infection in your body can extend to your joint replacement.

Blood clots: Blood clots in the veins of the legs or pelvis are one of the most common complications of hip replacement surgery. This clot can be fatal if it ruptures and penetrates the lungs. Your orthopedic surgeon will describe a preventative program that includes blood-thinning medications, a support tube, inflatable cups, ankle pump exercises, and initial equations.

Deep venous thrombosis: Blood can clot in one of the deep veins in the body. While blood clots occur in any deep vein, they usually form in the pelvic, calf, or femoral veins.

After hip replacement surgery

Some initial swelling and pain in the joint are common after hip replacement. To help reduce pain:

  • Take time to relax between treatment sessions
  • Ice leg and incision site
  • To help with these symptoms, take anti-inflammatory medications after consulting your doctor
  • “Keeping the leg above the heart while sleeping reduces inflammation,” advises Thakkar

It is important to pay attention to your pain levels. If you find that the pain is consistent with a 6 or higher on a pain scale of 1 to 10, refer it to your doctor as it may be a sign of infection or another problem. As you continue with physical therapy, your pain levels will slowly decrease 1 to 2 weeks after hip reconstruction.

Hip replacement recovery

Recovery: The success of your surgery will depend on how well you follow your orthopedic surgeon’s instructions regarding home care for the first few weeks after surgery.

Pain management: Medicines are often prescribed for short-term pain relief after surgery. There are a wide variety of medications available to control pain, including opioids, non-steroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and topical anesthetics. Your doctor may use a combination of these medications to improve pain relief and reduce the need for opioids.

Keep in mind that opioids can help reduce pain after surgery as they are addictive and addictive. Opioid dependence and overdose in the US have become critical public health problems in US. It is important to use opioids only as directed by your doctor. As soon as your pain starts to improve, stop taking opioids. Talk to your doctor if your pain does not start to improve within a few days of your surgery.

Wound care: There may be stitches or staples along the wound or stitches under the skin. The stitches or staples are removed about 2 weeks after surgery.

Do not wet until the wound is completely closed and dry. You can continue to bandage the wound to avoid irritation from wearing or support stockings.

Food: It is common to have some loss of appetite for several weeks after surgery. A balanced diet with an iron supplement is often important to promote proper tissue healing and restore muscle strength. Make sure you drink plenty of fluids.

Exercise: Exercise is a crucial part of home care, especially in the first few weeks after surgery. You will be able to resume normal light activities of daily living within 3 to 6 weeks after surgery. Some activity and nighttime discomforts are common for several weeks.

Your activity program should include: Graduate walking program to slowly increase your awareness, first at home and then outside Restarting other normal household activities, such as sitting, standing, and climbing stairs

Specific exercises several times a day to regain mobility and strengthen the hips. You will probably be able to do the exercises without help, but a physical therapist can help you at home or in a treatment center for the first few weeks after surgery.

Physiotherapy for total hip restoration: Physical therapy can help restore strength and mobility to your hips,

“On average, hip recovery can take two to four weeks to recover, but we are all different,” Thackeray said. It depends on certain factors, including your activity level before surgery, your age, nutrition, pre-existing conditions, and other health and lifestyle factors.

“Getting a certain level of activity before surgery can help you recover quickly,” shared Thakkar. “We use a rule called pre-rehab to help patients get back in shape, preparing them for a successful recovery.”

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