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Total Hip Replacement (Arthroplasty) Physiotherapy



Total hip replacement (arthroplasty) refers to a pretty common surgical procedure that is performed for

when conservative medical treatments are ineffective.

The goal of total hip replacement surgery is to

  • relieve pain
  • improve joint mobility
  • and restore or improve a person’s ability to safely perform functional activities like walking, standing, stair climbing, or running

Our senior physiotherapists work with people who have had a total hip replacement to

  • strengthen their muscles
  • restore their movement
  • go back to normal living, working and responsibilities
  • achieve full quality of life and participation

What is Total Hip Replacement (Arthroplasty)?

Total hip replacement surgery will remove damaged bone and cartilage that may be contributing to a painful, dysfunctional hip, and replaces the damaged hip with a prosthetic (artificial) hip.

Our hip joint is a ball-and-socket joint. The ball is part of the femur (thigh bone) and the socket is part of the hip bone/pelvic bone. The type of hip replacement surgery performed varies with each individual's physical condition, what parts are injured, what parts can be used etc..

Generally, there are 2 types of hip replacement surgeries:

Total hip replacement (arthroplasty)

With total hip replacement (arthroplasty), the ball and the socket are both replaced with artificial parts. Total hip replacement is performed to treat conditions including:

Partial hip replacement (hemiarthroplasty)

A partial hip replacement (hemiarthroplasty) only replaces the ball of the hip joint; the hip socket remains strong and doesn’t need to be replaced.

Hemiarthroplasty is performed when there is damage only to the “femoral” or thigh portion of the hip joint. This is mostly performed in patients who are elderly and frail, and for fractures involving the ball or the neck of the femur (thigh bone, NOF#).

How Does Total Hip Replacement (Arthroplasty) Feel?

Before a total hip replacement (arthroplasty) surgery, people who have elected to undergo total hip replacement may describe severe pain in the hip and groin that can extend down the thigh. The pain may significantly affect a person’s ability to

  • walk
  • climb stairs
  • sit down or stand up
  • perform daily activities
  • sleep on the affected side

Immediately after total hip replacement surgery, you will experience stiffness in the hip and leg, as well as muscle weakness. Initially, you will be provided with pain medications to manage your pain but we/medical professionals will gradually wean you off pain medications (as long term use of pain meds and opioid is not recommended)

Our senior physiotherapists also may recommend cold therapy to help reduce discomfort and swelling, as well as teach you gentle exercises and movements to begin to improve your hip and overall motion and strength.

How Is It Diagnosed?

To be considered for a total hip replacement, most individuals will have already been assessed and consulted with a medical professional (typically an orthopedic surgeon).

Your doctor will order x-rays to assess whether there are changes to the bones and cartilage of your hip. If you have had a fall, x-rays will also guide the attending health care professionals in determining if there is a fracture and if it requires surgery in order for you to regain your function.

Our senior physiotherapists will evaluate your

  • range of motion
  • strength
  • and how much your hip pain impacts your functional mobility

Factors can include how you get in and out of bed, sit down and stand up, squat down, walk, and navigate stairs and curbs. The results of these evaluations will help determine whether you might benefit from total hip replacement surgery (or not).

Hip replacements are most often performed in adults aged 60 to 80 years.

Your medical team will help you determine if you are a good candidate for surgery based on your x-rays and your physical assessment. Risk factors that may interfere with your recovery, such as

  • advanced age
  • obesity
  • or a history of smoking or excessive alcohol use will be taken into account

how our senior physiotherapists can help you

Before Surgery

Our senior physiotherapists can help educate you about what to expect from your surgery, and give you exercises to condition your body before surgery.

In preparation for surgery, we may teach you:

  • Flexibility and stretching exercises for the lower extremities
  • Strengthening exercises for the lower extremities
  • How to use a walker or crutches for walking and for navigating steps
  • Any precautions to take after surgery

We also may recommend that you make changes in your home to improve safety and help your recovery, including

  • the use of a raised toilet seat
  • hand rails on stairs
  • a bed rail
  • and a tub seat
  • grab bars in the shower

These changes ideally should be made before you have surgery, so your home is prepared for your return.

After Surgery

On the first or second day after your surgery, our senior physiotherapist s will come to your bedside to begin your postoperative treatment (or you may opt for a home visit physiotherapist).

We will review any postsurgical precautions to take to prevent reinjury and to help restore your full function.

Depending on your particular case/surgical procedure, you may be asked to limit the amount of weight you put on the surgical leg. It may be as little as a toe touch, or as much weight bearing as you can tolerate.

We will teach you how to correctly put weight on the affected leg, and will recommend an assistive device, such as a walker or crutches, to minimize discomfort as you work to restore your physical function.

During your acute-care recovery (the first 3 to 5 days after surgery), we will work with you to help you safely:

  • Turn in bed and get up to a sitting position.
  • Get out of bed to stand and move to a chair.
  • Walk with the assistive device (walker or crutches) for short distances.
  • Perform gentle range-of-motion and strengthening exercises in bed.

After surgery, we may advise you not to:

  • Bend your new hip more than 90°.
  • Bend forward more than 90° (eg, you will not be able to bend over to put on your socks and shoes for a while).
  • Cross your leg with your new hip over the other leg.
  • Turn the leg with the new hip inward.

Hip pain and hip fracture physical therapy will continue for a number of weeks (between 12 to 20 weeks) after your surgery. Depending on your overall situation, you may need to recover in a short-term rehabilitation facility (called step-down care).

Some patients are discharged to their home without nursing home care, depending on the help available at home and their ability to stay safe. Our physiotherapist will help make this determination for you and as well provide home visit physiotherapy sessions for you at the comfort at your own home..

As you progress in your recovery, you will continue to work on:

  • Walking and stair climbing
  • Balance – after surgery your balance may be impaired, which could put you at risk for falls
  • Transferring to the bed, a chair, and a car
  • Full movement of your leg and new hip (such as putting on socks and shoes)
  • Specific muscle strengthening exercises to improve your ability to stand and walk safely and independently

When you can perform these activities without help or guidance, you will be ready to fully function at home. However, you may still need to continue outpatient hip physiotherapy in our physio clinics.

Outpatient physical therapy sessions will continue your work on

  • range-of-motion (movement) and stretching exercises
  • and weight-bearing activities to restore your function to its highest possible level

At this point, your physical therapy will focus on activity-specific rehabilitation for your specific goals, such as a return to work or sport.

We will incorporate exercises that simulate those activities. Your exercise regimen may include

  • lifting techniques
  • pushing and pulling carts
  • climbing ladders
  • agility exercises
  • light jogging

depending on your specific goals, your recovery progress, and your activity level.



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book your physio appointment or enquire now

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here

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 &  SPLINTING

Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes



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)



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.

Done regularly, it will keeps 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.

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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 do not 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 your physio appointment or enquire now

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here