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Hip Replacement Physiotherapy



Hip replacement surgery can be an elective or emergency surgery that happens due to the hip joint having problems such as

Patients may have total hip replacement or hemi (half) hip replacement surgeries. Most of the time, our physiotherapy patients who undergo hip replacement surgery are usually after a fall, landing on the buttocks, causing a bone fracture of the hip.

What Are The Indications with hip replacement?

Hip replacement surgery is usually used to treat hip joints that are damaged due to

The main goals for surgical intervention is primarily:

  1. pain relief
  2. improve hip movement
  3. improve quality of life (QoL)

Patients who have a hip fracture or injury and who decide to rest in bed have very poor prognosis, outcomes and quality of life because it compromises their lung functions, movement and participation in their daily life.

Sometimes, the orthopedic doctor may prescribe pre-surgery physiotherapy to help patient improve their muscle strength, stamina and stability, and overall fitness because that will improve their post-surgery clinical outcomes (studies show that patients who are more fit before injury/surgery heal and discharge much faster than those who were less fit/healthy).

hip replacement Techniques Employed By orthopedic Surgeons

There are a few techniques for hip replacement surgeries, and their main differences are the approach. They are:

  • posterior (Moore)
  • lateral (Hardinge or Liverpool)
  • antero-lateral (Watson-Jones)
  • anterior (Smith-Petersen)
  • greater trochanter osteotomy.

If you’re wondering which is best, don’t - just leave that to the doctors; they are the orthopedic specialists – they will evaluate the damage and location of your hip joint and bones, your lifestyle, their implant options and your financing options, and prescribe you what best suits you.

However, there is one approach that you can take note of, which is the Minimally invasive approach; which seeks to limit and reduce the amount of soft tissue damage to minimizing the size of the cuts and incisions.

The downside for this approach is that it may limit positioning, which in turn limits visualization and accuracy, which is not a very good trade-off, for mobility and functional results. As more research and development looks at this approach, more and more technology will be developed to aid and perhaps this approach will be a more viable approach later.

Risks And Complications Of Hip Replacement surgeries

The common risks and complications are:

  • dislocation of the replaced hip joint
  • loosening of the replaced hip joint
  • impingement of nerves/soft tissue
  • infection of the hip joint, surgery site
  • osteolysis
  • metal sensitivity
  • palsy
  • pain (some is expected post surgery, and it will gradually improve over time)
  • death

Physiotherapy For Patients With Hip Fractures

Following corrective surgery for hip fracture, patient always have resultant

  • pain
  • decreased mobility (usually due to pain especially just after surgery)
  • muscle and overall weakness
  • difficulty walking and moving around
  • in some cases, compromised lung function and will benefit from chest physiotherapy

Physiotherapy provides chest physiotherapy exercises, to ensure that the lungs and chest functions remains strong, to prevent any onset of chest infections which facilitates healing; and gradually, to improve the mobility of the patient by first teaching and doing with the patient bed exercises, to exercises out of bed, and gradually to walking with aids (if required) then to walking independently.

In between, our senior physiotherapists will work to improve

  • pain relief
  • range of motion exercises
  • strengthening exercises

Occupational therapy implication, on the other hand, looks at functional, day to day tasks –

  • they will ensure that when the patient discharges to go home, they will be able to perform activities such as wearing their own clothings (pants and underpants), showering etc
  • that their homes will be safe and accessible (we might have to send our senior occupational therapist to do a home visit and recommend any changes required for a safe discharge)
  • train caregivers to be competent in walking and doing activities with the patient


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(or check your pains / injuries)

Phoenix Rehab Physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.



HAND THERAPY & CUSTOMIZED SPLINTING

Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, usually will benefit / require Hand Therapy to

  1. manage and decrease hand pains
  2. improve range of motion, strength and dexterity
  3. increase the function of their hand following injuries or post-operations

Commonly treated hand pain injuries includes



REFORMER CLINICAL PILATES & WELLNESS PILATES

Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



TRADITIONAL CHINESE MEDICINE (TCM)

  • Cupping TCM
  • Auricular Therapy TCM
  • Herbal TCM Medicine & Supplementation



DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY

Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to accelerate recovery and  shorten downtime / recovery period required.

It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.

Read the benefits of regular deep tissue release therapy here.



ALTERNATIVE THERAPIES

All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

do Tell Your Family, Friends And Colleagues About Us =)

We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.

We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book an appointment today
(or check your pains / injuries)

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