In the not-so-distant past, orthopedic surgeons wanted to push joint replacement surgery out as far as possible, fearing the replacement joints might fail after ten years or so. Currently, joint replacements are considered fully functional and intact for twenty years or more after surgery. The technology of the replacement joints, the evolution of the surgical technique, and the refinement of pre and post-operative care make this surgical intervention available to a far wider group of candidates. Your new joint will improve your ability to get in and out of a car, get up out of a chair, navigate stairs confidently, walk longer distances, and reduce your risk of falling, injury and pain. Ultimately, it could significantly improve your quality of life.
Your pre-operative, or "pre-op," condition will be a significant factor in your recovery experience. Weakness and inhibition of the muscles surrounding the affected joint are some of the most significant challenges prior to surgery. Consider prehabilitation, or "prehab."
Prehab supports your healing, even before surgery occurs, by identifying your joint and muscular limitations and targeting a customized exercise plan. It's possible that by initiating a prehab program before surgery, you can dramatically improve your recovery after surgery.
Explore the value of prehab with your local physical therapy (PT) provider or ask your surgeon for options or recommendations. These services may be available from PT centers or local, private-pay PT professionals. The benefit, generally, far outweighs any cost you may incur.
What can you do pre-op? Your surgeon may suggest that you:
Reduce or omit smoking or alcoholic drinks
Improve fitness or weight reduction
Make sure your health care proxy documents are up to date and available
Do your research and select an agency to provide your home rehab care (physical therapy, occupational therapy)
Take the appropriate measures for medical leave with your employer
Explore short-term disability coverage, if you have it
Seriously consider prehab physical therapy, which will equip you with excellent tools for post-op recovery
Prepare your home environment for your post-op return home
Post-op accommodations?
Consider a pre-op home visit by a skilled physical therapist for environmental recommendations
Evaluate stairs, bathroom/shower, bedroom, the comfort of bedding, and the availability of a "power recliner."
Who comprises your "home care team?"
You will need more help than you think...
Consider transportation, meals, help with medications, and more.
You may need an assistive walking device (walker, crutches or cane), an ice machine/Cryo Cuff, and bathroom accommodations (shower chair, handrails and an elevated toilet seat).
It's fair to say that you will be coming home from your joint replacement surgery needing help. The immediate post-op period can make your typical routine seem like a major challenge. Getting your "helpers engaged" and thoughtful selection of your post-op PT care is essential. Taking these steps can support your recovery period and take you from a good recovery… to a great recovery.
Joanne MacInnis, RN, is the founder and president of Aberdeen Home Care, Inc., of Danvers, a concierge private duty home care agency in business since 2001. With 35 years of nursing practice, management and administration experience focused on home care and hospice, Joanne and her team specialize in advising and supporting families addressing the elders in their lives retain dignity and quality of life.
