Knee Replacement Rehabilitation in India at Affordable Low Cost
Knee Replacement Rehabilitation In India At Affordable Low Cost
Knee Replacement Rehabilitation
Making the best of your new knee
Good physiotherapy is essential to gain the best potential from your new knee….
Before Your Operation
You will be seen by a physiotherapist before your operation To assess your pre-operative level of activity, joint movement and muscle strength. To discuss post operative routine and explain the recovery process so that you are prepared for the various stages you will go through…
In Hospital
Immediately after your operation you may wake up to find your leg on a CPM (continuous passive movement) machine, this may be left on overnight. Most people find this quite comfortable and are able to sleep without a problem.
The machine moves the leg very slowly and prevents the knee becoming too swollen or stiff and it also helps to get your circulation moving again…
Crutches
Initially you may walk with a frame but you will quickly progress to crutches when you have adequate balance and muscle control.
Crutch Sequence: Crutch, Operated Leg, Un-operated Leg At this stage it is important not to overdo things and cause the knee to swell, swelling makes knee bending more difficult and prevents the thigh muscle working efficiently. Exercises are designed to gradually increase bend (mobility exercises) and to strengthen muscles (strengthening exercises) and you will be expected to regularly do both types….
Going Home
The average length of stay following a total knee replacement is 4 days, but can vary by 1-2 days either way depending on the individual. If you have a unicompartmental replacement then your stay could be as short as 4-5 days. Whichever operation you have, you will be walking independently with crutches or sticks, able to safely negotiate stairs and have at least 90 degrees of knee bend before you are discharged…
At Home
Initially it is sensible for you to follow a similar daily routine to that in hospital. Rest is still important; length of time spent on your feet and distance walked needs to be increased gradually. If, at the end of the day, your knee feels tight, warm or particularly achy, this is nature telling you that you have perhaps pushed things too much. No harm done but reduce activity slightly to let the knee settle and then build up again slowly….
Hydrotherapy
Some patients get the opportunity to go in the pool whilst in hospital, however this is dependant on various factors such as timing; swelling in the knee and staff availability. Bring your swimsuit into hospital so that you can take advantage if the opportunity arises. Failing this, patients who come to Droitwich for their post-operative physio will go in the pool during weeks 2 and 3 or as appropriate….
Physical therapy
Following hospital discharge (or discharge from inpatient rehabilitation), patients who undergo total knee replacement will participate in either home physical therapy or outpatient physical therapy at a location close to home…
How can rehabilitation be done at home ?
All patients are given a set of home exercises to do between supervised physical therapy sessions, and the home exercises make up an important part of the recovery process. However, supervised therapy–which is best done in an outpatient physical therapy studio–is extremely helpful….
Usual response
No two patients are alike, and recovery varies somewhat based on the complexity of the knee reconstruction, and the patient’s health, fitness, and level of motivation.
Most people walk using crutches or a walker for 3-4 weeks, then use a cane for about 2-3 more weeks; sometime between one and two months post-operatively, most patients are able to walk without assistive devices….
Risks
This is a safe rehabilitation program with little risk…
Long-term patient limitations
The goal of total knee replacement is to return patients to a high level of function without knee pain. We offer some common-sense guidelines for athletic, leisure, and workplace activities:
Recommended : –
Swimming Water aerobics Cross-country skiing or Nordic Track Cycling or stationary bike Golf Dancing Sedentary occupations (desk work)
Permitted : –
Hiking Gentle doubles tennis Gentle downhill skiing Light labor (jobs that involve driving, walking or standing but not heavy lifting)
Not recommended : –
Jogging or running Impact exercises Sports that require twisting/pivoting (aggressive tennis, basketball, racquetball) Contact sports
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